Wilmington Rowing Center Incident Report

For any on- or-off water incident that resulted in personal injury and/or damage to WRC property (excluding routine replacement of lost nuts, skegs, etc.). Please add additional pages, sketches, and pictures if needed.

A paper copy will be filed in the boathouse within two days of incident and an e-copy filed in the Board Gmail Googlegroup for central filing.

In case of questions or for quick equipment response e-mail hanskmueller@hotmail.com

Date and Time of Incident

Location of Incident

Names of People Directly Involved

Names of Witnesses, Responders

Description of incident (include weather, water, traffic, other contributing factors):

Did incident result in personal injury?
YesNo

If yes, please describe injury and followup:

Did incident result in property damage?
YesNo

If yes, name property/boat and describe damage:

Please attach any photos of damage:

Follow-up actions / remedial actions required?
YesNo

If yes, describe follow-up:

Report prepared by:

Your email:

Your phone number:

Date of incident report:

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