Incident Report Form

To be completed immediately — the same day of the incident — by the instructor/employee who was supervising or witnessed the incident. The report must be factual, accurate and complete. The system records the instructor, date and time of submission automatically, and assigns a unique Incident ID.

1 · Instructor / Employee completing this report

Name of Instructor / Employee: *

Role / Department:

Were you supervising the activity or did you witness the incident?

Supervising Witnessed Assisted afterwards

2 · Incident details

Date of Incident: *

Time: *

Location (inside / outside arena, arena name): *

Incident occurred:

During a lesson Outside a lesson

Type of lesson (if applicable):

Group Private Not applicable

3 · Person involved

Name of Rider / Person involved: *

Contact (Phone / Email):

Adult or minor? *

Adult Child / Minor

Parent / Guardian name: *

Parent / Guardian contact:

When were they informed? *

How were they informed? *

4 · Horse / Pony

Name of Horse / Pony:

Name of Horse Owner:

Has the rider ridden this horse before?

5 · Description of the incident

Describe the incident (what happened, actions taken, outcome): *

6 · Immediate Action Taken / First Aid / Medical Assistance

Type of first aid / details:

Standard recommendation (to be communicated to the rider or parent/guardian):
“We recommend that you seek independent medical advice following this incident, even if no injury appears to be present at the time of the accident.”

I confirm this recommendation was communicated to the rider (or parent/guardian)

7 · Follow-up

Disciplinary / administrative action required?

YES NO

If yes, or any other note for Management:

8 · Signatures

Instructor / Employee signature: *

Rider (or Parent/Guardian for a minor) signature — whenever possible:

If the rider/guardian signature could not be obtained, state the reason:

On submission this report is sent to the Head of Department / Equestrian Manager for review. Once approved, it is delivered to the CEO and archived. It is a confidential internal document: do not share it with anyone unless specifically authorised by the CEO.

Incident Report Form

Incident Report Form — Trio Sporting

1 · Instructor / Employee completing this report

2 · Incident details

3 · Person involved

4 · Horse / Pony

5 · Description of the incident

6 · Immediate Action Taken / First Aid / Medical Assistance

7 · Follow-up

8 · Signatures

Do you have questions and want to contact us? Whatsapp or email us!

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Incident Report Form

Incident Report Form — Trio Sporting

1 · Instructor / Employee completing this report

2 · Incident details

3 · Person involved

4 · Horse / Pony

5 · Description of the incident

6 · Immediate Action Taken / First Aid / Medical Assistance

7 · Follow-up

8 · Signatures

Do you have questions and want to contact us? Whatsapp or email us!

Policies

Links