Get Form-ice Rink Incident Report.pdf

The Form-Ice Rink Incident Report is a crucial document that captures essential details regarding an incident that occurs at the ice rink. This guide provides clear and supportive instructions on how to accurately complete the form online, ensuring that all necessary information is reported effectively.

Follow the steps to successfully fill out the ice rink incident report form online.

1. Press the ‘Get Form’ button to access the form and open it in your editor of choice.
2. Enter the name and signature of the person completing the report in the designated field.
3. Fill in the date of the accident, ensuring you specify the day and time.
4. Provide details about the injured person, including their name, age, gender, address, city, state, zip code, and phone number.
5. If the injured person is a minor, indicate whether their parents were notified and present at the time of the incident.
6. Describe the event that was taking place on the ice when the accident occurred using the patron's words.
7. Mark with an 'X' on the designated area where the accident occurred.
8. Record the ice resurface time and type of skate used by the injured person.
9. Indicate whether the skates were defective.
10. Include details about the type of cut and whether the skates were inspected, providing a description if applicable.
11. Confirm whether the ice surface was inspected at the point of the fall.
12. Document the description of the injury and the type of aid given, along with the name of the person who administered it.
13. Specify whether the injured person was taken to a hospital and if so, include the hospital's name.
14. If the injured person was not taken to a hospital, describe what action was taken.
15. Indicate the location of guards at the time of the incident and provide their names.
16. Utilize the rink diagram on the front of the report to mark the guards' locations.
17. Fill in the approximate attendance and the name of the person who caused the incident if applicable.
18. Use the additional information space if further clarification is needed.
19. List the witnesses' names, relationships, addresses, phone numbers, and any relevant comments.
20. Print the names and signatures of the person who administered first aid, the supervisor on duty, and the injured person.
21. If the injured person is under 18 years of age, ensure the form is signed by a legal parent or guardian.

Complete your documents online to ensure accurate incident reporting.