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Incident Report Form

This form is to be used to report all injuries, illnesses, or near misses, whether an injury occurred or not, and to document the investigation.
Please complete within 24 hours of the incident.

Required fields in the form are marked with an *


SECTION A: TO BE COMPLETED BY PERSON INVOLVED

DETAILS OF PERSON INVOLVED


DETAILS OF THE INCIDENT


PART OF BODY AFFECTED


DETAILS OF THE INCIDENT/INJURY/NEAR MISS


SECTION B: TO BE COMPLETED BY THE SUPERVISOR & THE PERSON INVOLVED WITHIN 48 HOURS

This is an extremely important section as the aim of the incident investigation is to identify preventative action that will avoid recurrence.

DETAILS OF THE CAUSE OF THE INCIDENT/INJURY/NEAR MISS


PREVENTION OF INCIDENT RECURRENCE


DETAILS OF PROFESSIONAL SERVICES INVOLVED


LOCAL ADMINISTRATORS DETAILS


Thank you for completing the online Incident Report Form.
By submitting this form you accept responsibility to the actual events and outcomes possibly attained from this incident as a true statement.

March 2024 CTSN

On the cover: Australia’s Molly Bretag became the first woman in the history of the event to become the 2024 NZCTC National ISSF Champion. Congratulations Molly!

Inside this month's edition

ACTA Chairman's Report
88th Annual General Meeting
Executive Officer’s Annual Report
ACTA Financial Statements for 2023
Molly Bretag – NZCTC National ISSF Champion
Waratah Notes
Mount Gambier GC 2024 Supershoot
Tasmanian State Trap Carnival
VCTA Skeet Hall of Fame Inductee, Hayden Mountjoy
2024 VCTA Skeet Carnival
What’s Happening in the VCTA
James Willett, Bronze at Morocco World Cup
Gold Coast CTC Spirit Shines Through Again
Psychological Skills for Shooting
ACTA Coaching Report
Competition Results: VCTA, TCTA, SACTA, NSWCTA 82, QCTA
Bega Hosts Travelling Shooters
ACTA ISSF Nationals
Bendigo Hosts Australia Day Shoot with Great Support
Down the Barrel – QCTA
Maryborough GC, January 2024
Shoot Calendar
Break Badges
ACTA New Members
2024 Annual Registration & Club Membership Application


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This month's CTSN

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02 6938 2121