Accident Report NPMTB Crash and Near Miss Reporter Use this form to report details about your incident. Incident Details Date of incident* Approximate time* AMPM What trail did the incident occur on?* Weather at the time* ClearRainingWet (post rain)Strong windsHotOther Type of incident* Lost control and fell off your bikeNear-miss with another cyclist or pedestrianCollision with another cyclist or pedestrianCollision with something on the trailOther What caused the fall? Obstruction on the trailNew/unexpected featureSlippery surfaceSwerving to avoid another userMechanical failureUnexpected variation in surfaceTrail more difficult than expectedHealth issueOther Have you ridden this trail before?* YesNo, it was my first time Trail grade* Grade 2Grade 3Grade 4Grade 5Grade 6 Your ability / where you were riding Injury Details Were you injured?* YesNo Describe your injuries Tell us about yourself Member?* YesNo Age If you are OK with us seeking further details (if required) please leave you phone or email address below. Email Address
