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Please complete this form in the event of an accident or incident at Prominence Pilates Studios. For use by the owner and self-employed instructors at Prominence Pilates Studios Ltd.

Accident/Incident Form

Date and time of incident
Day
Month
Year
Time
HoursMinutes
Role
Client
Instructor
Visitor
Other
Incident Type
Immediate action taken (tick all that apply)
If Yes
Follow up required (tick all that apply)
Date
Day
Month
Year

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