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Student Sports Incident Report

The document is an incident report template for a student who experienced heat exhaustion after a sporting event in hot weather. It details the student's information, time and location of the incident, contributing factors of heat and dehydration, treatment of stopping the activity and providing hydration and electrolytes, and preventative controls of proper clothing and hydration.

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Mason Biggs
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86 views2 pages

Student Sports Incident Report

The document is an incident report template for a student who experienced heat exhaustion after a sporting event in hot weather. It details the student's information, time and location of the incident, contributing factors of heat and dehydration, treatment of stopping the activity and providing hydration and electrolytes, and preventative controls of proper clothing and hydration.

Uploaded by

Mason Biggs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IVET INCIDENT REPORT TEMPLATE

Affected person(s)
Name: Max Logan
Occupation: Students Contact no.:
Section / Department: Year 11 Sport and Recreation Date of report:
Accident / Incident / Near miss details
Time: Date reported:
Date of occurrence: 26/04/2024 am / pm
12:00 26/04/2024
Location: CMC St Mary’s
Reported to: Xavier Walsh
Witness(es):
Full accident / incident / near miss details (what happened, or in case of near miss, what could have happened):
Dehydrated Students after a Sporting event in hot weather

What were the contributing factors (if any)?


Heat and Dehydration

INJURY (Go straight to INCIDENT if injury did not occur)


A. Nature of injury
 Contusion / crush  Burn  Dislocation  Amputation
 Laceration / open wound  Superficial injury  Foreign body  Internal injury
 Concussion  Sprain / strain  Fracture  Dermatitis
 Other (Heat Exhaustion):
B. Location of injury
 Head / face  Eye  Trunk (not back)  Back
 Hip / leg  Foot / toes  Shoulder / arm  Hand / fingers
 Internal organs LEFT or RIGHT (circle): L / R  Other (state):
C. Results of injury
Treatment received  First Aid  Hospitalisation  Referral to doctor
Other actions taken (state):

Sports_Safety_Incident Report Template IVET Institute Pty Ltd


This is not a controlled document when printed. Page 1 of 2
Release date: October, 2023
INCIDENT
Action taken  Paused activity  Stopped activity  Full evacuation
Were emergency services required?  Yes  No
Was there damage to equipment, buildings or facilities?  Yes  No
What was the extent of the damage?
A headache

Describe your immediate actions


Stopped activity given hydration and electrolytes and moved into shade

What controls can be put in place to prevent this from happening again?
Propper clothing and hydration

Who is to implement these controls or corrective actions?


Who is reporting this incident?
Name: Mason
Occupation: Student Contact no.: 1300 6555 06
Section / Department:

Sports_Safety_Incident Report Template IVET Institute Pty Ltd


This is not a controlled document when printed. Page 2 of 2
Release date: October, 2023

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