Incident Detail - Threat or Safety Concern

Office Name

This should be the name of the primary Sierra Club program, chapter, or group that is responsible for managing the activity. Examples: Sierra Student Coalition, Military Outdoors, Latino Conservation Week - Our Wild America Organizing, Angeles Local Outings - Wilderness Training Course.

Office Event Type

Date of the Incident

Time of the Incident

Incident Location

This is the trail, wilderness, park, or general location

City

State

Zip Code

Country

Name, Address and Phone of the Person Reporting the Incident

Email of the person reporting the incident

Position of the Person Reporting the Incident

If other, please specify

Incident Report Details

Incident Type

Other

One Sentence Summary of the Incident

Incident Narrative

Lessons Learned

Name, Email, Phone and Address and Role of Organizations and Other People Involved

Other Information

Subject Description

Did police or any other emergency services respond? Who? What were their actions and what is their contact information?

List the responding agencies, their time of arrival, their actions on-site and their badge number and, name and contact information?

Attachments

Contact Information