Incident Report v2

If this incident includes sensitive issues, consider filling out the Member Support Form.
Flow Chart

Individual's Initials, last 4 of phone and -24Y

Include code, dash, and anything after the dash.
The form will error out if the Project Code or Timesheet Code are wrong!

mm/dd/yyyy 11:22 AM

Incident Information

Location, town, trail

Describe the incident, materials/people involved, conditions/terrain, etc. AVOID USING THE NAME OF THE PERSON INVOLVED IN THE INCIDENT.  ie. (FCL was injured rather than Greg Ross was injured. Names of others who helped, etc are fine, 

Identify the vehicle by it's name at MCC (ex. Vehicle 65)

Identify the trailer by it's name at MCC (ex. Trailer 0222)

This is an opportunity for the person(s) involved in the incident to debrief with MCC staff.