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)
[1,000 character limit]

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)
[1,000 character limit]
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
[1,000 character limit]
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
[1,000 character limit]

* = Mandatory field