Community Marathon Runner Incident Report Sheet
1. Incident Details
Date
Time
Location
Type of Incident
Medical
Injury
Lost Runner
Disqualification
Other
Description of Incident
2. Runner Information
Runner Name
Bib Number
Gender
Male
Female
Other
Age
3. Witness Information
Name
Contact Information
4. Action Taken
Describe Any Actions Taken
5. Reported by
Name
Contact Information
Signature
Date