Accident report form

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

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