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MSC Preliminary Incident Report
NON-RELEASEABLE Document
www.MichiganSailingClub.org
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* Indicates required question
Date of Incident:
*
Your answer
Time of Incident:
Your answer
Type of the incident:
Water
Dock
Swimming Raft
Lawn
Boathouse
Parking Lot/Driveway
Other:
Specific Location of Incident:
Your answer
Lighting
Natural Daylight
Artificial Light
Dark or Unlighted
Clear selection
Were there any injuries or deaths?
*
Yes
No
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