Report an Incident

Use this form to report any health and safety incident at Christchurch Adventure Park. All reports are reviewed by the H&S team. Your details are kept confidential.

Reporter

Staff Reporting Incident *

Your RoleStaffStaffContractorVisitorVolunteerOther

Contact (Phone or Email)

Incident Details

Date *

Time of Incident

An incident number is assigned automatically by the H&S Officer system on submission.

People Involved

Description/Narrative of Incident *

Location/Department where Incident occurred *

Trail (optional)

— Select a trail (optional) —— Select a trail (optional) —3rd BaseActive RestAddictionAskinsBako RunBlack JandalsBridging the GapCaptain CookCaptain TorpedoChoccy MilkChoirboyCommunity TransmissionDouble VisionDown LowDrainpipeDuncans DonutsFive XFlying NunGCGizza GoGreen GumsGung HoHOV Winch RoadHiking/Climb TrailKama SutraLegalizedLocomotionLoess RiderLoose ConnectionsMain RoadMid RoadNon CompliantOmnishamblesOzonePhoenixPick N MixPiddly SticksPork N PuhaPro Line (Ozone)Pump TrackRake N BakeRere PiaRere Pia ConnectorSMCShredzillaSkills AreaSlopestyle CourseSnakeobsSummit ConnectionTTG/ YodaThe MulchyTokaTower 8 Access RoadUp & OutValley RoadValley Road ExtensionVic Park ConnectorWalking Loop TrailWasabiZero Ultra

Pin on Map (optional)

Use my location

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Leaflet | Map data: © OpenStreetMap contributors, SRTM | Map style: © OpenTopoMap (CC-BY-SA)

Click on the map to pin the incident location.

Incident Type *

Injury/IllnessNear MissProperty DamageEnvironmentalSecurityHazard OnlyOther

SeverityMinor — First aid / no disruptionMinor — First aid / no disruptionModerate — Medical treatment / brief disruptionSerious — Hospitalisation / significant disruptionCritical — Life-threatening / major incident

Witnesses

Immediate Actions Taken

Observations (Optional)

Preliminary observations

Any initial observations about contributing circumstances. These are not confirmed findings — causes and preventive actions are identified through the H&S investigation (Incident process).

Submit Incident Report

If this is a life-threatening emergency, call 111 immediately.