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Accident Investigation Form

Incident reporting for Member Injury and Equipment damage


This report is to be completed by the Surf Lifesaving Club in the event of ANY member injury or significant equipment damage.

This helps enable SLSNR, SLSNZ and Clubs to maintain a high standard of member health and safety and improve best practices in all aspects of operations as well as keeping records for insurance and ACC claims at SLSNR.

Forms should be completed within one (1) week of the incident occurring.

Once completed, please email to northern@surflifesaving.org.nz

Download PDF form here

Download Word form here