Incident Report Form

Incident Report Form

If there is a major incident please contact your Manager directly. If you are not able to reach them (or in the event incident is out of hours) please contact the Duty Office number given to you.

If there is a minor incident where situation is under control and you simply need to make a report as part of our health and safety procedures, please complete the form below.


Incident Type:(*)
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Name of Individual:(*)
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Adult/ Child(*)
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Name of Group:(*)
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Booking Reference:(*)
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Category(*)
Please choose a tour type

Name of Group Leader:(*)
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Date and Time of Incident:(*)

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Destination / Resort:
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Hotel Name:
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Location of incident:
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Fully describe the incident / accident and who was involved:
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Please include : -Medical Status -Current location -If there were any contributory factors?

Did any of the group receive medical treatment?
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Please provide full details of any medical treatment received:
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Please state name and address of doctor or clinic attended:
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Name of Witness:
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Address of Witness:
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Telephone no of Witness:
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Could this incident have been avoided or prevented in any way?
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Who was the incident reported to:
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Please tick as applicable

Please give details:
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Details of Reporter

Full Name:(*)
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Position Held:(*)
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e.g. Rep, Party Leader

Contact Tel / Mob : (*)
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Email address:
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