RLSS UK’s online accident book

1. Details of the person involved in the accident

Name

Age

Email (required)

Phone Number (required)

RLSS UK Society Number (if held)

2. Details of the person filling in the report - If you are the person above you can leave this section blank

Your Name

Your Age

Your Email (required)

Your Phone Number

Your RLSS UK Society Number (if held)

3. Please select one of the below

The accident occurred during: (required)

A RLSS UK Branch session/ eventA RLSS UK Club session/ eventWhilst I was operating in my own capacity as an individual RLSS UK member on a voluntary or self-employed basis (e.g. delivering training outside branch/ club sessions; providing self-employed lifeguard services at a private pool party)

If you have selected Branch above, please provide the RLSS UK Branch name

If you have selected Club above, please provide the Club name and Club society number.

4. Description of accident

Date of accident

Time of accident

Place where accident occured

Please provide a brief summary of the accident (for example, details of how the accident occurred with cause if known; details of any injury suffered; details of any treatment provided).

Details of witnesses (including name(s) and contact details).

By completing the form you agree to our privacy policy (www.rlss.org.uk/privacy-policy)

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