Incident Report

Please complete this incident report with all available details about the event. Be as thorough and accurate as possible. Required information includes, but is not limited to:

• Date and exact time of the incident 
• Location (facility name, court/field number, address if offsite) 
• Names and roles of staff present (coach on duty, assistants, referees) 
• Names, ages, and contact information of any players involved 
• Detailed sequence of events (what happened before, during, and after) 
• Actions taken on site (first aid, medical transport, staff response) 
• Witness names and contact information 
• Any injuries sustained (description, affected body part, severity) 
• Equipment or property involved/damaged (serial numbers or descriptions if available) 
• Photographs or video evidence (attach files or note where stored) 
• Statements from involved parties or witnesses (summarized or attached) 
• Time and name of person who reported the incident 
• Follow-up actions required or already taken (medical appointments, disciplinary actions, repairs) 
• Any additional relevant details or observations

This report must be submitted within 12–24 hours of the incident. If you need assistance completing this form, contact your director immediately (include director’s name and preferred contact method here).