SCOUTS Aotearoa Reporting system

CLICK ONE OF THE FOUR OPTIONS BELOW - Help SCOUTS take a proactive lead in keeping our members safe from harm - Need help? email: vault.support@scouts.nz

Report Injury

Have you seen or been involved in an incident that has caused an injury to a person?

Report Illness

Have you seen or been involved in an incident that has resulted in someone becoming ill or unwell?

Report Incident or Near Miss

Have you seen or been involved in an incident which could have caused harm to a person, or caused damage to property or the environment?

Report Safeguarding

Have you seen or been involved in an incident which actually or potentially caused harm to a child, young person or Member?

Call 0508 SCOUT HELP (0508 726 884)

Report Injury

Have you seen or been involved in an incident that has caused an injury to a person?

Report Safeguarding

Have you seen or been involved in an incident which actually or potentially caused harm to a child, young person or Member?

Call 0508 SCOUT HELP (0508 726 884)

Report Illness

Have you seen or been involved in an incident that has resulted in someone becoming ill or unwell?

Report Incident or Near Miss

Have you seen or been involved in an incident which could have caused harm to a person, or caused damage to property or the environment?

Instructions: Please complete all fields with as much relevant detail as possible. Once completed, 'Save' the form and the following events will occur:
• You will be given a reference number, save or write this number down for future reference
• An email will be sent to the supervisor of the person involved in the incident

Person Reporting *

Person Reporting Name *

Add Third Party

Person Involved *

Person Involved Name *

Add Third Party

Event happened offsite

Accountable Site *

-- Please Select -- -- Please Select --

Accountable Department

Sensitive Event *

You must assign at least 1 people to report a Sensitive Event. Please contact your Vault system administrator.

Sensitive User/s (Minimum 1 required) *

Location of Event *

Event Date *

Event Time *

Event Category *

Subject *

Category *

Manufacturer *

Supplier *

Client *

Batch Number *

PO Number *

What Happened *

Who Else Was Involved (including names of witnesses, if any) *

What Initial Actions / Corrections Were Taken *

Attach Photo

Event Files

Body Area

The Primary Injury is the most important / critical injury to the person.

Primary	Body Location	Body Area	Injury