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Incident Report

Report an Incident

Injured 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

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.

Type of ride

Fully guided

Independent

Day trip - local

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