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  • Rinkguard Incident Report Form On Ice - Willis Programs

Get Rinkguard Incident Report Form On Ice - Willis Programs

Indicate you are reporting a claim under the PizzaGuard. SM program ... Gather details of the accident using the attached accident report form. 4. Identify any .

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How to fill out the RinkGuard Incident Report Form ON ICE - Willis Programs online

Completing the RinkGuard Incident Report Form ON ICE - Willis Programs is essential for documenting incidents that occur on the ice. This guide provides clear and straightforward steps to help you fill out the form accurately and effectively.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by providing the location and time of the incident. Fill in the name of the rink, date of the report, and the address of the rink. Specify the date and time of the incident, ensuring to indicate AM or PM.
  3. Next, complete the section for the injured person. Fill in their name, date of birth, address, age, city, state, zip code, height, telephone number, and occupation. If the injured person is a minor, indicate whether their parents were present or notified.
  4. Detail the probable injury sustained by the injured person. Describe the injury and list the type of aid given and who provided it. If the injured person was taken to a hospital, specify which hospital.
  5. Document the event taking place on the ice at the time of the incident. Capture the description of the incident in the injured person's own words.
  6. Sign the statement affirming that the above information is true and correct. Obtain the injured person's signature along with their parent or guardian’s signature if applicable.
  7. Indicate where the incident occurred on the ice by marking the form. Note any specifics about ice conditions, including the ice resurface time and the type of ice (wet or dry).
  8. Complete additional fields regarding skate usage and inspections. Mention whether the skates were rented or owned, as well as their type. Specify if the skates were inspected before and after the incident.
  9. If the incident occurred during public skating, estimate the approximate attendance and the number of monitors present at that time. Mark the location of the monitors on the form.
  10. If applicable, provide details about the person causing the incident and any witnesses. Include their names, phone numbers, addresses, and other identifying information.
  11. Finally, complete the report by signing as the individual who is completing it and printing your name. Ensure all details are accurately recorded before submitting.

Complete the RinkGuard Incident Report Form online to ensure proper documentation and follow-up for incidents.

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