EMS Australia Incident Report Form

This form is to be completed if you are a witness to an incident or near miss at this years event. Please ensure you call through the incident before completing this form to ensure the appropriate emergency response teams are activated. Please be mindful of keeping this information confidential and not to be shared with media or the general public.


EMS Australia Incident report form

Please fill in this form is you were a witess to an incident on course that we will need to follow up post event.
Details of the injured person or incident(Required)
Time of incident
Exact Location of where the incident occured
Please include as much detail here about how the incident happened
Max. file size: 32 MB.
Please be mindful of not taking photos of the injuried person.
Please add your name and details(Required)

Any additional notes you want to add?