Witness Accident/Injury Report

We value the safety and health of our students and take accidents, incidents and injuries seriously. After an incident, we evaluate and file all situational data to review against our procedures and policies and ensure we are able to uphold the highest safety standards.

Please complete the form below

Your Name *
Your Name
Date of Report *
Date of Report
Date of Incident *
Date of Incident
Time of Incident *
Time of Incident
Name of Class Instructor *
Name of Class Instructor
Name of Injured Person *
Name of Injured Person