ORC - Safety Incident Report Form (2011)
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Use this ORC Safety Incident Report for:

1. Any occurance -- including accidents, collisions or capsizes -- that had the potential for injury or damage.

2. Suggestions to improve the ORC safety policies and procedures.

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Please complete:

ORC,School or University program

Indicate persons, boats, and/or property involved:

Date and time of occurance:

Where was the occurance?

Was this a

Please describe:

 temperature
air temperature

Please describe:

 visibility
light conditions

Please describe:

 wind
wind conditions

What lights were being shown by Boat 1?

If applicable, What lights were being shown by Boat 2?

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Please describe the occurance fully:

List witnesses if any:

Please describe an injuries sustained (what and to whom):

List any emergency personnel assisting:

Describe any damage to boats or property:

What emergency equipment was used?

Suggestions to improve ORC safety in the future:

Any maps, diagrams or photographs that will enhance the description of the occurance should be submitted to:

in person: ORC Safety Committee c/o club office (10 Lady Grey Drive)
electronically: attn: ORC Safety Committee, rowing@ottawarowingclub.com
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