Reporter name / role / contact * Date of incident * Time of incident * Location * Type of incident * AccidentNear-missSafeguardingBehaviourSecurityHealthOther 02 People involved People involved (names, roles) * Witnesses 03 What happened Description of incident * Injuries / harm caused Immediate action taken * 04 Response First aid given? * YesNo If yes, first aid given by whom Emergency services called? * YesNo Equipment / property involved 05 Follow-up Follow-up actions / reported to
