Accidents, incidents and near misses

Have you had an accident in your home?
Have you witnessed an incident on Red Kite land?

If you have, then please report it to us using this form so we can investigate and see whether we need to take any action to prevent this happening in future. Even if it was a 'near miss' and no-one was hurt, we'd still like to know about it.

Report an accident, incident or near miss

Are you the person who had the accident/was involved in the incident/near miss?

Yes

Your details

Your first name(s)

Your last name(s)

Your address

Address line 1

Address line 2

Town

Postcode

Don't know your postcode? Use the Royal Mail's Postcode Finder to look it up.

Your email address

Your occupation

Details of the person who had the accident/was involved in the incident/near miss

Their first name(s)

Their last name(s)

Their address

Address line 1

Address line 2

Town

Postcode

Don't know their postcode? Use the Royal Mail's Postcode Finder to look it up.

Their email address

Their occupation

Details of the accident/incident/near miss

Date

Time

Where did the incident/accident/near miss happen?

What happened?

Was this an accident?

Yes

How did the accident occur?

Why did the accident happen?

Did you suffer any injury?

Yes

Did the person who had the accident suffer any injury?

Yes

Please give details

Data permission

By submitting this form you are confirming that you have read and understood the following data protection statement: The information you provide will be held by Red Kite Community Housing in accordance with our data protection policy, privacy notices and retention schedules; the Data Protection Act 1998; and the General Data Protection Regulation 2018. It will be used solely for the purposes described on this form. The information you provide will not be passed on to any third parties without your permission and Red Kite Community Housing does not sell any data to third-party organisations.