PageTemplate:Incident report
| Outcome | |
|---|---|
| Age of victim(s) | |
| Date | Month, YYYY |
| Location | |
| Involved kinks | |
| Number of people present | |
| Identifier | IR-YYYYMM-n |
| Published | YYYY-MM-DD |
| Last updated | YYYY-MM-DD |
Provide a brief summary of this incident here.
Environment
Describe the environment that the incident occurred in.
Individuals referenced
- (V) - The victim. Brief description of (V)'s background and experience.
- (A) - Friend of (V). Brief description of (A)'s background and experience.
Timeline
Preceding events
Description of events leading up to the incident.
Incident
Description of the incident being reported.
Incident analysis
Cause of death / injury
Summary of the cause of death or injury.
Attempts to mitigate risk
Summary of how (if at all) the victim attempted to mitigate risk during the incident.
Unanticipated conditions
Use subheadings and summaries to describe the unanticipated conditions that led to the adverse event.
Unanticipated condition 1
Summarize unanticipated condition 1.
Summary of unanticipated conditions
Summarize the combined effects of the unanticipated conditions. if multiple conditions are involved, consider using an ordered list.
- Condition 1
Discussion
Discuss the analysis of the incident. Break down into subheadings as needed to maintain organization and clarity.
Additional risk mitigation steps
Summarize the additional risk mitigation steps that could've been taken that may have prevented or reduced the severity of the outcome. A unordered list is preferred.
Recommendations
- Recommendation statement. Brief follow up statement to support or clarify recommendation.
- ...
Report authorship and information sources
This report is based on information from a primary source who submitted an incident report form (individual A), and # additional secondary sources (individuals ...). The sources were interviewed by RACKWiki staff, who independently corroborated their accounts across sources and using publicly available information.
The report was written by # primary authors (RACKWiki usernames) and reviewed by # additional members of the RACKWiki editorial staff (RACKWiki usernames, and # anonymous reviewers). Additionally, all information sources were given the opportunity to review the report and provide feedback prior to publication.
If you have questions, comments, or feedback, please use this report's discussion page or reach out to the RACKWiki staff using our contact form.
Revision history
| Date | Summary |
|---|---|
| YYYY-MM-DD | Initial publication |