INJURY REPORT
NAME...........................................................................................................................
SQUAD.....................................................................POSITION..................................
(Please circle the relevant option)
INJURY
1. Did it happen whilst:
HOME TRAINING FITNESS TRAINING SCHOOL TRAINING CLUB TRAINING
ACADEMY TRAINING MATCH
2. Time of Injury
WARM UP 0-15MINS 16-30MINS 31-45MINS 46-60MINS
61-75MINS 76-90MINS 91-105MINS 106-END OF SESSION
COOL DOWN
3. Playing Surface
SPRUNG CONCRETE BLOCK OTHER
4. Equipment being used when injury occurred
TAPING JOINT SUPPORT
Type of Footwear.......................................................................................................
Age of Footwear
NEW (0-1 MONTHS) MODERATE (2-6 MONTHS) OLD (7-12 MONTHS +)