Use this form to report an accident that has occurred during a CHAC training session
Name (required)
Date (required)
Time (required) 0102030405060708091011121314151617181920212223 : 000510152025303540455055
Where it happened (required)
How did the accident happen? (required)
Give the cause if possible
If the person who had the accident suffered an injury, give details
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