used for trend analysis, future planning and reporting to the appropriate authorities as required.
kept on file in the CYC Waihola office.
It is preferable that this form is completed within 24 hours of the incident occurring
All incidents on the Incident Severity Table that are level 3 and above will be reported on the National Incident Database (NID) and incidents level 6 and above are reported to Worksafe as well
The contents of form will be kept confidential to CYC Waihola management
Only summarised details will be given discerningly by the Operations Manager to caregivers and outside agencies if requested
This form is for falls and incidents not resulting in anything more than a minimal injury. Any fall or incident that was a cause for concern or could have been “more serious if not for the grace of God” should have a Horse Incident Reporting Form completed
Please make a comment on any falls or incidents that were caused by anything that could have been prevented or caused by another horse/rider.