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Accident report form

This form must be completed immediately following the accident. The form will be submitted to hns@henrycort.org. Should you require further information or advice, please contact the Health and Safety team: hns@henrycort.org.

Details of person(s) involved

Are they a...*
Was anyone else involved?*
Did the incident happen at college?*

Type of school: Secondary
Name of premises: The Henry Cort Community College
Town/City: Fareham
Postcode: PO15 6PH
Department which manages site on which the incident took place: Children's Services
Area: Fareham