# Incident Report Form Walk grading

If the activity was a group walk, please

This form should be completed & returned confirm the walk grading **(mark with an X)**:

as soon as possible (within 10 days) after an incident involving injury, property damage, or after a near miss. If there is a Easy access **serious incident**, this form should be Easy completed & emailed to us **on the same** Leisurely **day** the incident took place.

Moderate

Return the completed form to: Strenuous incidents@ramblers.org.uk , attaching any Technical **relevant supplementary information. We’**ll reply to confirm receipt and to let you know the incident has been logged during Date of activity our working week, Monday - Friday. The incidents mailbox is checked once daily over weekends to monitor for serious incidents. Number of participants In case of emergency, please dial 999

## Person leading the activity

If you have any questions, please email: (For example, the Walk Leader)

incidents@ramblers.org.uk

## Area, Group or Partner Details

Name of Group , Team or Wellbeing

Walks Partner Role

Name of Area Membership number (if applicable)

Activity or event (for example group walk, path clearance Email address activity, AGM)

![](https://derbyshire-dales.ngx-ramblers.org.uk/api/aws/s3/site-content/ad404643-de53-4fab-b563-3f839a2e9057.jpeg)

## Incident Person injured or affected

## by the incident

Location, date and time

Date of birth (or approximate age)

What happened and what action was taken? Are they a Ramblers member (Yes/No)

Please confirm if the emergency services were

Details of the injury, the called? **(mark with an X)** treatment and the current condition (if applicable).

Yes

No

If yes, which services were involved? **(mark with an X)**

Ambulance

Police

Fire Brigade

Mountain Rescue

Coastguard

## Details of damage to third party Your details

property (if applicable).

Date

## Witness

If there is more than one witness, please Role list them in the next section.

Please email completed forms to: incidents@ramblers.org.uk

## Additional information

For example, more details about the incident, extra witnesses, how likely a claim is.

**Privacy Policy:**

## Sensitive category data may be collected as part of any

## accident reporting on a group walk or other organised

**event. This information may be shared with our insurance company in line with our legal and insurance obligations.**

**When sensitive category data is collected, we will take extra care to ensure your privacy rights are protected. Our**

## full Privacy Policy can be found on the Ramblers website.