British Waterways cares for Britain's historic canals and rivers

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A family playing in the snow by a waterway

Visitor Incident Report Form

Please fill in the form

1) What happened? *
(Brief description of incident, include details of any craft or vehicles involved)

Boat name/Index No. (Where appropriate)

If a boating accident did it involve:
Private Boat Hire Boat Passenger Boat
Commercial Craft Other

2) When did it happen?
Date - -
Time am pm
3) Where did it happen?
(Exact location of incident, waterway, nearest bridge/lock/town/village)
4) Who was involved? (Details of injured person)
Full name
Address
Age
Telephone
5) Did anyone need hospital treatment?
Yes No Don't know
6) Details of any injuries/damage to property or equipment
7) Were the Police informed?
Yes No Don't know

Police Incident No.

7)a Details of person reporting incident
(If different from above)
Full name
Address
Telephone
8) Any other comments

* = Mandatory field