Judge’s Equipment Incident Report Form

This form is for Judges to submit incidents involving agility equipment. If your not the Judge but wish to submit an incident report. please do so using the shows Incident Book. You can do this at the show or up to 14 days afterwards by emailing the show secretary.

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)

All incidents must be recorded in the incident book. This form is for you to provide additional detail to the equipment panel. Please ensure the show secretary is aware of this incident by forwarding on a copy of your completed submission (you will receive this by email).

I confirm I will forward a copy of this submission to the show secretary

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