Incident / Accident Report

Record any incidents, accidents, or near misses

Date of Incident *

Time of Incident *

Location *

Reported By *

Type of Incident *

Dogs Involved

People Involved

Description of Incident *

Injuries Sustained

First Aid Given

Immediate Action Taken *

Witnesses

Notifications Made

Follow-up Actions Required

Reporter Signature *

Sign here (or print and sign by hand)

Manager Signature

Sign here (or print and sign by hand)