Judge’s Equipment Incident Report Form

Please list all specific incidents including the equipment involved, such as a dog coming off the top of the dog walk, etc. There is no need to record anything you would consider “normal” (i.e. Agility faults such as knocking down a pole, missed contacts, banking or paddling the long jump, etc.) Feel free to explain the circumstances in more detail if you feel this helps to put the incident into context. The details submitted with this form will be sent to both the agility team at The Kennel Club and a representative of the Equipment Panel for the Agility Liaison Council. You may be contacted separately if the incident warrants further research or follow up by either The Kennel Club or any research The Kennel Club is involved with so, please provide up to date contact details. If you have a course plan, photos or video you'd like to provide please send these via email to agility@thekennelclub.org.uk

Your name

Your email address

Your preferred contact details (ideally a phone number)

Date of incident

Kennel Club Show name

Ring No

Class No

Height category

No. of dogs in the class

Weather conditions at the time of the incident

Including suns position, glare or shade if relevant

Ring surface e.g. sand, grass, astro

Please include any comments on surface such as mud or bare patches etc if relevant

Surface condition in the ring at the time of the incident

Please list the obstacle(s) involved in the incident

Make/brand of the equipment (if known)

Please summarise the incident that occurred, providing any details that help with context, such as obstacle sequence, dog's line, handler's path, weather/ground conditions, dog(s) involvement/experience, any relevant external factors. Any images, course plans or video you'd like to provide should be sent via email to agility@thekennelclub.org.uk.

What action was taken by yourself at the time?

Was any further action taken by the show organiser or any other parties involved?

Was this incident entered into the show incident book?

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