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Burley R.U.F.C. ACCIDENT/INJURY & INCIDENT REPORT FORM Date of incident/accident: Time of incident/accident: Team/Age group: Name of injured person: Address of injured person: Site where incident/accident
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How to fill out Burnley RUFC Accident Injury Amp:

01
Gather personal information: Start by entering your full name, address, contact details, and date of birth in the designated sections of the form.
02
Provide accident details: Describe the accident or injury by providing a clear and detailed account of what happened. Include the date, time, and location of the incident.
03
Document witnesses: If there were any witnesses to the accident or injury, include their names and contact information, as well as a brief description of their account of the incident.
04
Explain injuries sustained: List and describe all injuries you suffered as a result of the accident. Be specific and mention any medical treatments or visits you have undergone.
05
Indicate medical professionals involved: If you sought medical attention following the accident, provide the names and contact details of the doctors or healthcare professionals who treated you.
06
Declare any insurance or compensation claims: If you have made any insurance claims or applied for compensation related to the accident, mention the details of those claims on the form.
07
Sign and date the form: Finally, read through the form thoroughly and ensure all information provided is accurate and complete. Sign and date the form at the designated section to validate your submission.

Who needs Burnley RUFC Accident Injury Amp?

01
Athletes: This form is especially relevant for athletes affiliated with Burnley RUFC who have sustained injuries during training, games, or team activities.
02
Club members: Any member of Burnley RUFC who experiences an accident or injury while at the club's facilities or during official events may be required to fill out this form.
03
Coaches and staff: In the event that coaches, trainers, or other staff members of Burnley RUFC sustain an accident or injury during their involvement with the club, they may need to complete this form.

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Burnley RUFC accident/injury amp is a form used to report accidents or injuries that occur during rugby activities at Burnley RUFC.
Any player, coach, or staff member who experiences or witnesses an accident or injury during rugby activities at Burnley RUFC is required to file the form.
The form can be filled out with details of the accident or injury, including the date, time, location, individuals involved, description of the incident, and any actions taken.
The purpose of the form is to document accidents or injuries that occur during rugby activities at Burnley RUFC for record-keeping and safety improvement purposes.
The form must include details such as the date, time, location, individuals involved, description of the incident, and any actions taken in response to the accident or injury.
The deadline to file the form in 2023 is typically within 24 hours of the accident or injury occurring.
There may be consequences such as additional scrutiny or disciplinary actions for late filing of the form, as timely reporting is important for safety and accountability.
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