Incident and
Investigation Report
General Incident Information
ID No:
1299304
Incident Date:
12 Sep 2022
Title of
Discussion of an incident
Incident:
Event Type:
Incident
Site:
PSR Pools:Keith Spry
Incident
Environment
Location:
Unassigned
Category:
Reporting
WRAC Programmes 10676
Main
Unassigned
Line:
Contractor:
Details of the Incident
Details of
Friend of father who was involved with an incident earlier in the afternoon wanted to talk to me about the
Incident:
incident witnessed, behaviour of staff etc.
Main complaint was SwimWell staff didn't try to help a child in distress and was told "not my job" . Being a
water safety swim school where children are taught to call for help this was totally unacceptable. friend was
very upset about the whole incident.
Immediate
I let the friend keep talking to me and said we would take this incident very seriously and I would make sure
action
my management team knew what had happened and there would be serious meetings taking place.
undertaken:
Let the instructor know this was serious and would be taken seriously and they would be having a meeting
with management team.
Personal
Friend of family who was
Hazard Source:
Key Person
Other People
confrontation
Public
involved with a previous
Involved:
Involved:
incident
Consequence Assessment
1. First aid injury/ debrief
Actual Safety
Consequence
Consequence:
description:
Risk
Potential
1. Minor (An event
Likelihood of
2. Unlikely (Event could
1. Low
Rating:
Consequence:
that requires a
reoccuring:
occur in the next one to
worker and/or other
five years)
person to seek first
aid and/or debrief)
Security
Environment
Sub Category:
Damage to the natural environment
Sub Category:
Abatement
No
External
Notice Issued:
Regulation:
Issued Date:
Internal Policy:
Description of
Impact:
External Agency
Notified:
Complainant
Details:
Notification
Date:
Vehicle
Sub Category:
Describe
Vehicles/Public
Involved:
Page 1 of 4
Report generated :Friday, 16 September, 2022 17:08:35
Incident and
Investigation Report
Injury Details
Injured Person
Injury Type
Part of Body
Severity
Treatment
Investigation Details
Investigator:
Date Completed:
Background/
Introduction:
Events leading
up to the
incident:
Full Incident
Description:
Post Incident
Response:
Investigation
Findings:
Key Learnings:
Other
Observations:
Summary of
Recommendations:
Date Closed:
Signature:
Page 2 of 4
Report generated :Friday, 16 September, 2022 17:08:35
Incident and
Investigation Report
Causation Analysis
Category
Factor
Description
Corrective Action Details
Action Title
Description
Date Due
Person responsible
Date Closed
Page 3 of 4
Report generated :Friday, 16 September, 2022 17:08:35
Incident and
Investigation Report
Photos attached
Caption
Attached Photos
Page 4 of 4
Report generated :Friday, 16 September, 2022 17:08:35
