Safety Concern Report Form Test PageSEER Safety Concern Report Form (#33) Date of form submissionName of the person completing this formRole titleContact details of the person completing this formPlease list any witness names and contact detailsLocation of the safety concernDate and time it occured (if relevant)Please describe the concern, or near missWhat action was taken?By submitting this form I confirm that all of the above facts are a true and accurate record. In order to comply with the Data Protection Act 2018, it is essential that all personal details entered onto this form are kept confidential and the form is securely stored. This form will be referred to Swim England if deemed necessary. I confirm the above facts are true and accurateSubmit Form Shares Facebook Twitter