ITF Safety Committee Incident Report Form

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ITF 2025 Safety Committee Incident Report Form

Please use this form to report security and medical-related safety incidents to the ITF Team. If you have questions or cannot complete this form online, please call the ITF Safety Line at (513) 977-5566. Reporting incidents is a vital part of how the ITF Team responds to those in need and works to ensure a safer event each year.

Please begin by providing the contact information for the person completing the form.

First Name
Last Name
Cell Phone
Email
School/Organization Name
Where are you being housed at ITF?

Date and Time of Incident [REQUIRED]

Please enter date and time in the following format:
MM/DD/YYYY HH:MM AM or PM

Location of Incident [REQUIRED]

Please be as specific as possible.

Type of Incident [REQUIRED]

Please select all that apply.

Injury

Illness

Accident

Crime

Other

First and Last Name(s) of involved individuals. [REQUIRED]

Please list each name on a new line by pressing enter or return after the name.

Did you notify the ITF Safety Line? (513-977-5566) [REQUIRED]

clear selection

Yes

Did you notify police/EMT? (911) [REQUIRED]

clear selection

Yes

Details of incident [REQUIRED]

Include treatment, if known

Were any individuals removed to a hospital?

If yes, please provide the name(s) of the individual(s) and the hospital, if known.

Date(s) of Birth of Involved Individuals (if known)

Primary Adult Leader(s) of Involved Individuals (if known)

Cell Phone of Involved Individuals (if known)