Accident Reporting

Please find below a downloadable accident reporting form, plus an online version should you wish to submit it here.

Download Accident Report Form

Online Accident Reporting Form

Please state what happened

Date of accident

Time of accident

Site of accident

CategoryPlease SelectProperty DamageSlip Trip FallSporting InjuryStruck by ObjectOther - Please state

Category Type - Other

Body Part InjuredPlease selectToesFootAnkleLower LegKneeUpper LegFingersHandWristLower ArmUpper ArmTrunkChestNeckHeadEyesMouthWhole BodyNo Injury

Type of InjuryPlease SelectSprainStrainDislocationBreakCutGrazeBruiseCrushFreezeBurnAsthma

Brief description of any injuries

Was first aid given

• Yes
• No

Was the injured party taken from site of the accident to hospital?

• Yes
• No

Injured Person Name

Injured Person Age

Injured Person Contact Address

Injured Person Contact Post Code

Injured Person Contact Phone Number

Injured Person Email Address

Person Reporting Accident

Reporting Person Contact Address

Reporting Person Contact Post Code

Reporting Person Contact Phone Number

Reporting Person Email Address

Reporting Person RolePlease SelectAthleteSpectatorOfficialWitnessOther

Venue Details - Event Name

Venue Details - Lead Person / Organiser

Venue Details - Event Address

Venue Details - Event Post Code

EventPlease SelectCompetitionTrainingOther

Responsible FederationPlease SelectEnglandScotlandWalesNorthern IrelandFell Runners

I declare that: Information provided is accurate - Enter Name

Submit