Online Injury Report Form 



This form needs to be filled out every time an injury is sustained at QCE where you have provided First Aid (no matter how minor). I..e ice, sitting out, calling parent etc. When in doubt and it's serious (i.e. athlete cannot or refuses to move, unconscious, diabetes or allergy related) - call 000 immediately and inform parents straight after. 


Date of injury
Date of injury
Coach Name *
Coach Name
Athlete Name *
Athlete Name
Please selection any options which suit
Please provide a short description of the incident
Please provide a brief description of what assistance / First Aid you offered the athlete
Please outline if you referred the athlete to another person