Timely, clear, concise, and complete incident reports allow for an appropriate response and an opportunity for analysis while promoting continuous improvement of our programs. You can report incidents, near misses, and youth protection / membership infraction incidents to your local council or enter them yourself.

Types of Reports:

NEAR MISS: ** DO NOT USE THIS FOR COVID REPORTING **
Only choose this if your incident was an unplanned event that DID NOT result in injury, illness or damage – but had the potential to do so. **Please Note that Youth Protection or Behavioral Issues should be submitted using the Membership Infraction option.

MEMBERSHIP INFRACTION
Choose this if your incident dealt with behavior that puts a Scout’s safety at risk, such as Youth Protection violations, allegations of abuse, self-harm, etc. Or that calls into question a registered leader or youth member’s continued registration with BSA.

GENERAL LIABILITY: ** USE THIS FOR COVID REPORTING **
Allegations of bodily injury, illness or property damage including employment matters.

Questions? Contact us at safescouting@michiganscouting.org

BSA Incident Reporting Info

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Submit Incident Report

TIP: Since this is a long form, please use the SAVE option at the bottom to save your work as you go. You can then return to the submission at any point from the link it provides you or emails you.

NOTE: If you do not receive a confirmation email, then it was not submitted completely. Please do not navigate away from this page after hitting submit without waiting for the confirmation. It can take up to a minute to fully submit.
Please reach out to rebecca.alberda@scouting.org if you try to submit but do not receive an email confirmation.

Use this form to report all injuries, illnesses, and incidents during Scouting activities or on council-owned properties that require the intervention of a medical provider beyond basic Scout-rendered first aid. Includes workflow.

Step 1 of 4 - General Info

General Incident Details

Type of Activity(Required)

Type of Report(Required)

Incident Date(Required)

Incident Time

24-hour format

Report Date(Required)

Date Reported to Council/BSA Location(Required)

Person Filling out this Form

Reported by Name(Required)

Person completing this form

First Last

Reported by Primary Phone

Reported by Secondary Phone

Reported by Email(Required)

Reported by Address(Required)

Street Address Address Line 2 City State ZIP Code

Reported by Council, Unit and Chartered Org

Reported By Division

Reported by District

Person Who Reported this Incident

Same as Person Filling Out this Form

Person Who Reported This Incident

Reporter Name(Required)

Person who reported this incident

First Last

Reporter Primary Phone

Reporter Secondary Phone

Reporter Email(Required)

Reporter Address(Required)

Street Address Address Line 2 City State ZIP Code

Reporter Council, Unit and Chartered Org

Reporter Division

Reporter District

Incident Details

Council/BSA Location(Required)

Council name. If at BSA National property, specify that in place of council. E.g., "Michigan Crossroads Council" or "Florida Sea Base"

Location of Incident(Required)

Specific area where incident occurred

For larger locations, specify a detailed location. E.g., "dining hall" or "north section of trail by bridge"

Incident Address

At minimum, City and State, if no specific address (e.g., on a trail or waterway).

Street Address Address Line 2 City State ZIP Code

Description of Incident(Required)

Provide clear, concise, and complete facts of what occurred.

Lessons Learned(Required)

Was an Agency or Authority notified?(Required)

E.g., Police, park service.

Yes

Which Agency/Authority was Notified

If applicable, was appropriate children and family services/Child Protective Service agency notified?(Required)

Yes

Name of children/family services agency

General Classification of Claimant/Near Miss(Required)

General Classification "Other"

Victim Type	Victim Name	Actions

There are no Entries.

Alleged Violator Type	Alleged Violator Name	Actions

There are no Entries.

NOTE:

Please do not leave this page until you receive a confirmation note above and a confirmation email. It can take some time to process, especially with multiple documents.

If you do not receive a confirmation email, then it was not submitted completely. (Sometimes large reports have issues submitting)
Please reach out to rebecca.alberda@scouting.org if you try to submit but do not receive an email confirmation.

Owner of Vehicle	Vehicle License State	VIN	Vehicle Make/Model/Year	Driver Name	Driver Phone	Actions

There are no Entries.

Witness Name	Witness Email	Witness Type	Witness Primary Phone	Actions

There are no Entries.

Incident Report Tool

Submit Incident Report

General Incident Details

Person Filling out this Form

Person Who Reported This Incident

Incident Details

Alleged Victim/Target/Injured Party

Alleged Policy Violator/Offender/Respondant Information

Injury/Illness/Damage Information

Vehicle(s) Involved

Witnesses

Supporting Documents

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