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Home
Camp Venues
Lake Taupo
Whakamaru
Ruapehu
Your Event
FAQ's
Our Events
Kids Holiday Camp
>
Parent/caregiver & OSCAR info
Become a Leader
>
Leaders Camps
Family Camp
Teens Camp
Forms & Documents
Taupo SOPs
Whakamaru SOPs
Feedback
Incident Report Forms
Maintenance + H&S Reporting
About Us
Mission, Vision & Values
Our History
Our Team
Testimonials
Internship
Volunteer with us
Work With Us
CONTACT US
Support Us
Incident Report Form
*
Indicates required field
Name:
*
Contact Number
*
Select One
*
Incident Report
Near miss
Option 3
Your Groups Name
*
Camp Venue
*
Taupo
Whakamaru
Ruapehu
Date and Time
*
Name of Injured Person
*
Their Age
*
Their Contact Number
*
Relation to Camp
*
Guest
Staff
Contractor
Type of Injury
*
Bruising
Dislocation
Strain/Sprain
Scratch
Internal
Fracture
Amuptation
Foreign Body
Laceration/Cut
Burn/Scald
Chemical Reaction
Location of Injured and other comments
*
level of treatment
*
None
First Aid
Hospital
Ambulance
Medevac
Name of Hospital (if taken)
*
Location of Incident
*
Field
Activities
Accommodations
Rec Hall
Dining Room
Kitchen
Workshop Area
Other
Please describe what happened.
*
What do you think caused the incident?
*
Submit
