Safety
In baseball, my theory is to strive for consistency, not to worry about the numbers. If you dwell on statistics you get shortsighted, if you aim for consistency, the numbers will be there at the end. - Tom Seaver

2010 Accident Reporting Log

Today’s Date__________ Date of Injury__________ Time of injury__________
Injured Party___________________________________________________________

Circle one	Player		Coach		Umpire	Spectator	Other

Name_____________________________________________________________
Address___________________________________________________________
Phone Number_______________ Cell_________________________
Email_________________________________

Parent or Guardians Name_____________________________________________
Address____________________________________________________________
Phone Number_______________ Cell__________________________
Email________________________________

Nature of injury______________________________________________________

Description of Injury and Details (what happened to the best of your knowledge) ___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Coaches Name________________
Coaches Phone Number______________________

Report all accidents and incidents directly to the BJB Safety Officer with 24 hours. Fill this form out completely and return it to the Safety Officer.

League Safety Officer
Brian Bain
503-663-0417 (Home)
503-539-1548 (Cell)
bagbain@frontier.com (email)

This forms purpose is to establish a record of all incidents and ultimately make our overall league’s safety program better and safer for all players and participants.

For more safety-related information and a printable copy of this form, check out our forms page.