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The forms capture factual incident details, involved persons, time and location, weather and external factors, assistance or response actions, and whether 911 or authorities were contacted. If concussion is suspected, required steps and medical clearance documentation are collected, including return-to-activity dates, witness list, and follow-up updates to be kept confidential and submitted within 24 hours to the President.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/incident-report-form-rowing-prince-edward-island/307080/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/incident-report-form-rowing-prince-edward-island/307080.png","ImageObject",442,249,{"name":88,"@type":89},"Taylor Morgan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who should complete the Incident Report Form and when should it be submitted?","Question",{"text":109,"@type":110},"The main staff/volunteer who dealt with the situation completes it. It should be completed within 24 hours and submitted to the President of Rowing Prince Edward Island.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What kind of description is required when describing the incident?",{"text":114,"@type":110},"Provide only actual, factual details without assumptions or conclusions about cause or responsibility. Include weather, visibility, and any other external factors, and attach diagrams, drawings, or photographs if helpful.",{"name":116,"@type":107,"acceptedAnswer":117},"What additional steps and documentation are required if a concussion is suspected?",{"text":118,"@type":110},"The form records whether safe transportation to medical assistance occurred, whether the individual was informed to disclose their status to other organizations, and whether removal and return-to-sport information was provided. 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When completing this form only include an actual factual description of the incident without assumptions or conclusions as to cause or responsibilities. Attach extra sheets if needed.  \nForms should be completed within 24 hours and submitted to the President of Rowing Prince Edward Island. Remember they are considered confidential and will be kept secure.  \nPerson Involved  \nName:   Program:   Parent Name if minor:   Address:   Age:   Phone:   E-Mail:   If second person involved in same incident (i.e. conflict)  \nName:   Program:   Parent Name if minor:   Address:   Age:   Phone:   E-Mail:    \nDay & Date of Incident:   Time:   am/pm Type of incident:   Program occurring at time of incident:   Where did the incident occur?  \nPlease describe the incident. State only the facts that you are sure of at the time. Include a description of the weather, visibility, and any other external factors. Attach drawings, diagrams and photographs if these will aid in the description.  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n\nWhat was done to assist or respond to the incident and by whom?  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n\nIf medically related, was person advised to seek medical assessment:   If Suspected Concussion, either disclosed or through incident, did the following take place?  \n⃝Ensured safe transportation to medical assistance  \n⃝ Informed individual they are required to tell any other school or sport organization their status ⃝Given information on Removal and Return to Sport  \nWas 911 called? YES NO  \nPolice-Badge Number:   Name:   Ambulance-Badge Number:   Name:    \nFire Unit Number:   Name:   Other Information from EMS Agencies:  \nList witnesses  \n(If not members or participants please include address, use separate paper if needed for additional) .  \nName:   Phone:   E-Mail:   Name:   Phone:   E-Mail:    \nPerson Completing Report: (print)    \nSignature: Date:  \nPlease ensure reports are completed within 24 hours of the incident and get forwarded to the President of Rowing Prince Edward Island.  \nRowing Prince Edward Island  \nINCIDENT REPORT FOLLOW UP FORM  \nThis form is to be completed by the main staf/volunteer who followed up with the individual. Attach extra sheets if needed.  \nThis should be kept with the original incident report form in a secure location.  \nPerson Involved  \nName:   Program:   Parent/Guardian Name if Minor:   Phone:   E-Mail:    \nDate of Original Incident:    \nDate of Follow up:   Type of Connection (phone, email, in person):    \nName of Person contacted for follow up:    \nDescribe the update given following the incident or any information from the individual about the incident. ( Note if removed for a suspected concussion participant needs to clarify their medical diagnosis and provide a written medical clearance before returning as per concussion procedures. )  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \n_____________________________________________________________________________________  \nIs any further follow up with the individual needed? If yes describe what:  \n_____________________________________________________________________________________  \n_______________________","cbCaifqcGCXVUc8A","https://ap.wps.com/l/cbCaifqcGCXVUc8A","pdf",62765,"English","# Incident Report Form\n## Person Involved\n## Incident Details\n## Response and Actions Taken\n## Concussion and Medical/Authority Information\n## Witnesses and Report Completion\n# Incident Report Follow Up Form\n## Person Involved and Follow-Up Timeline\n## Follow-Up Update Description\n## Further Follow-Up Needed\n## Concussion Medical Clearance and Return Dates","[{\"question\":\"Who should complete the Incident Report Form and when should it be submitted?\",\"answer\":\"The main staff/volunteer who dealt with the situation completes it. It should be completed within 24 hours and submitted to the President of Rowing Prince Edward Island.\"},{\"question\":\"What kind of description is required when describing the incident?\",\"answer\":\"Provide only actual, factual details without assumptions or conclusions about cause or responsibility. Include weather, visibility, and any other external factors, and attach diagrams, drawings, or photographs if helpful.\"},{\"question\":\"What additional steps and documentation are required if a concussion is suspected?\",\"answer\":\"The form records whether safe transportation to medical assistance occurred, whether the individual was informed to disclose their status to other organizations, and whether removal and return-to-sport information was provided. It also requires dates for medical clearance and return to full practice on water, with a copy of the medical clearance attached.\"}]","Incident Report Form - Rowing Prince Edward Island | PDF",1789843840]