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Fitness & Sports
Injury Incident Report
Document an injury or near-miss at your facility — what happened, who was involved, first aid given, and witness details.
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Preview · not interactiveInjury Incident Report
Document an injury or near-miss at your facility — what happened, who was involved, first aid given, and witness details.
Incident details
Reported by*
Date and time of incident*
Pick a date📅
Area of facility*
Select…▾
Injured person*
Member, guest, staff, or visitor who was hurt.
What happened?*
Response & follow-up
Type of injury*
Sprain / strain
Cut / abrasion
Head injury
Suspected fracture
First aid provided?*
Yes — on-site first aid
Yes — EMS called
No first aid needed
Offered but refused
Witness names (optional)
Photos of the area (optional)
⬆ Drop a file or click to upload
Only if safe and appropriate — do not photograph the injured person without consent.
Reporter signature*
Sign here
I confirm this report is accurate to the best of my knowledge.
Submit