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Incident Form
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Submit incident report
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Your contact details
Full name*
Contact number*
Email address*
Incident details
Date*
Time*
Venue*
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Balmain Regatta
Balmain Rowing Club
DRC Boatshed
DRC Gym
DRC Kitchen
DRC Pontoon
Iron Cove
Lake Karapiro New Zeland
Lane Cove River
Leichardt Regatta
Nagambie Victoria
Nepean River
Nepean River / SIRC
Palace Cinema
Parramatta River
Shoalhaven
Sydney Harbour
Sydney International Regatta Centre
Taree
Yarra River
Description*
Additional information
Near miss
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Yes
No
N/A
Primary rowing club involved
Other club(s) involved
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Exact location (Google Maps Digital Coordinates)
Boat(s) involved
8+
4x
4x+
4+
4-
2x
2-
1x
Other
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DRC boat(s) involved (list names)
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Type of water
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Inland
Coastal
Offshore
N/A
Tidal water
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Yes
No
N/A
Tide state
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High
Medium
Low
Unsure
N/A
Weather conditions (check all that apply)
Calm
Windy
Raining
Thunder
Lightning
Foggy
Dark
Light
N/A
Has this incident been verbally reported to the Club Captain/s
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Yes
No
Unsure
Activity type
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Land Training
Water Training
Competition Pre-Race
Competition Racing
Competition Post-Race
Boat Handling
First aid / medical treatment required
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Yes
No
N/A
Damage to equipment
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Yes
No
N/A
Damaged equipment type
Boat/s
Blade/s
Rigger/s
Third Party
Other
N/A
Likely cause of this incident
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Measures taken (FOR OFFICIAL USE ONLY)
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Consequences (FOR OFFICIAL USE ONLY)
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