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Member Accident and Incident Report

Incident reporting for Member Injury and Equipment damage

This report is to be completed by the Surf Lifesaving Club in the event of ANY member injury or significant equipment damage.

This helps enable SLSNR, and Clubs to maintain a high standard of member health and safety and improve best practices in all aspects of operations as well as keeping records for insurance and ACC claims at SLSNR.

Forms need to be completed within one (1) week of the incident occurring.

Download PDF form here

Download Word form here

Once completed, please email to