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Incident Report

Report an Incident

Affected Person Details

First name

Last name

Phone

Email

Reporting person details

If different from the injured person.

First name

Last name

Phone

Email

Details of incident

Date of Incident*

Accident or Near miss?*

Accident

Incident

Near miss

Severity of Accident

Minor

Major

Fatal

Trail Section*

Location*

Where on the trail did the incident occur? Closest landmark.

Description of incident*

Please explain what happened and any contributing factors.

Nature of Activity

Walk

Ride

MKTT activity

Stakeholder activity

Type of Bike

Mountain bike

E-bike

Tour bike

Gravel bike

Other

Description of injury*

Treatment required*

First aid

Doctor visit (GP)

Hospital out-patient

Hospital in-patient

Emergency services call

No treatment required

Immediate action taken*

Were any other vehicles involved?

Was an E-bike involved?

Any additional comments?

If you or one of your party had an incident causing injury during your time on the Whale Trail, please complete a report.

Foundation funders

Iwi Partners