ROCHESTER BICYCLING CLUB INCIDENT REPORTING
Introduction and Guidelines
Incident Report Introduction:
Form Completion Guidelines:
The Rochester Bicycling Club would like your help in collecting information regarding Incidents which occur during Club Rides and Events. The data we collect will help us to identify issues for our Safety Committee to address. If you have experienced or witnessed a Cycling Incident on a Club ride or Club sponsored cycling event, your completion of an Incident Report is important to our continued effort to promote rider safety. The more complete information you provide about your incident, the better we will be able to identify and target areas for safety education. Incidents are not limited to events that result in injury. For the purpose of this reporting form Incidents would include, but are not limited to falls, crashes, close calls, traffic conflict, and unsafe actions.
[Note: When completing form online avoid using Firefox due to
known issues with Printing/Saving the form. Suggest use of Edge, Chrome or Safari]
The RBC Safety Committee may wish to follow up with you to obtain further information or clarification so we encourage you to provide your contact information. All personal information gathered will be treated confidentially.
If you have any questions about the survey, please contact the Safety Committee at firstname.lastname@example.org.
Thank you for taking the time to complete our Incident Report Form.
Incident Reporting Form (Google Doc for completing online) (preferred)
Incident Reporting Form (PDF for printing, filling in, and mailing) (only if you must)