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Lihou Island
49°27'75N 2°40'0W
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Accident - Incident - Near Miss Record Sheet
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Reference
Created
Created By
Date Last Reviewed
Last Reviewed By
Next Review Date
020
11/05/2022
Steve Sarre
11/05/2023
Reference
020
Created
Created By
Date Last Reviewed
11/05/2022
Last Reviewed By
Steve Sarre
Next Review Date
11/05/2023
IMPORTANT NOTE: To be completed after every incident and by a session leader
Session Instructor/Leader
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Incident Date (dd/mm/yyyy)
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Activity
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Name of Group
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Number of Participants
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Number of Injured Persons
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Description of Incident including any equipment involved or environmental consideration
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Action Taken
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Follow-up Actions/Operational Changes Implemented Post Event
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