Submit an accident or safety issue report

By completing this form you will help us prevent future accidents. This form takes around 4 minutes to complete.

If this is an emergency, call 111. Report urgent safety concerns by calling 0800 DOC HOT (0800 362 468).

Privacy disclosure: To process your request or information, we need to collect personal information about you. We'll only use your information for this purpose and we'll follow the principles of the Privacy Act 2020. See our privacy and security statement.

Where did it happen?

Area of New Zealand

Select regions Northland Auckland Coromandel Waikato Bay of Plenty East Coast Central North Island Taranaki Manawatu/Whanganui Hawke's Bay Wairarapa Wellinton/Kapiti

Select regions Nelson/Tasman Marlborough West Coast Canterbury Otago Fiordland Southland Stewart Island/Rakiura

Name the track, structure, campsite or hunting area

Any extra information about where this happened

For example:

GPS coordinates if you have them
the name of any landmarks close to the location.

What happened?

Type of incident Injury Near miss – for example, tripping and falling next to a cliff edge Safety issue – for example, a track junction with no signage Other – please specify

Other

Date and time of the incident (mm/dd/yy)

What activity was the injured person doing? Select all that apply. Walking Tramping Mountain biking Hunting Mountaineering or climbing Boating, kayaking or SUPing Swimming Diving or snorkeling Fishing Other

Other – please specify

What caused the incident?

How serious was the incident?

How serious was the injury? Select all that apply. Minor injury Moderate injury Serious injury Required medical treatment by a nurse or GP Required hospital treatment Caused irreversible damage

If the near miss had happened, how serious could the situation have been? Minor injury Moderate injury Serious injury Irreversible disability Death

Did you use a distress beacon in response to the incident? Yes No

Is there anything else you want to tell us about the incident?

Contact details

Can we contact you for more information if needed? Yes No

Email address

Phone number

Page-level feedback

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