Full Name of staff on scene

Email *

Client Name involved in incident

Date/Time of Incident

Report

If the person appears to be unconscious, disorientated/confused, severely bleeding or in extreme pain, call 911.

● Tend to any minor bleeding.
● Comfort the person as much as possible. It’s likely he/she will be embarrassed and want to leave. Let them know they can stay as long as they need to.

● If the situation is severe, it’s recommended you stop the session if there is no other coach there to take over. Otherwise, use your discretion to let the session keep going while watching from a far as you collect information from the injured person.

Did you call 911 or apply any first aid? Document what you did to handle the situation below:

Step 1: What state is the client in right now? Are they ok?

Ask the client to report on what happened (Document exactly what they report)

Ask if they'd like you to call/contact family member (if so, add info here)

Take pictures of scene/what happened and upload if necessary