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Near Miss/Hazard Reporting Form
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Near Miss/Hazard Form
Please use this from to report any near miss or hazard you observe at Manvers Waterfront Boat Club. Please give as much information as possible - this will help us to investigate and put into place any actions required to keep everyone at the club safe. Please make sure you fill in either the Email or Contact Number fields so we can contact you for more information if required.
*
Indicates required field
Name of Person Reporting Near Miss or Hazard
*
Name of person reporting near miss or hazard
Email
*
Contact Number
*
Date & Time of Incident
*
Date when near miss/hazard occurred
Location of Incident
*
Time when near miss or hazard occurred
Description of Near Miss or Hazard
*
Submit
Home
About
About MWBC
Our Partners
Contact
What's On?
Activities
Paddlesport
Windsurfing & Sailing
Dragon Boating
Open Water Swimming
Running
Triathlon
Model Boating
Angling
>
Angling Rules
Membership
Cafe
Facility Hire
Room Hire
Events 2020
Volunteering
Safeguarding
The Commitee
Downloads
Near Miss/Hazard Reporting Form
Accident Reporting Form
Signed-Off Paddler Request Form
Manvers Lake Activities