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End of Day Bikeability Report
To be completed by Lead Instructor for every Bikeability Course
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* Indicates required question
Date
*
DD
/
MM
/
YYYY
Completed by
*
Craig Stewart
Azeem Hafeji
Other:
School/Organisation?
*
Your answer
Area
Blackburn with Darwen
Hyndburn
Fylde & Wyre
Clear selection
Instructors?
*
Craig
Jimmy
Lucas
Louise H
Louise S
Noel
Pete
Sam
Steve
Stuart
Tasha
Tony
Liam
Glenn
Other:
Required
Total number of Riders
*
Your answer
Any Issues/Incidents with?
*
School
Children
Location / Site Specific Risk Assessment
Bikes/Equipment
Drivers/Third Party
Other
No Issues
Required
Detail re previous question
Your answer
Any Accidents/Injuries?
*
Choose
Yes
No
Have you completed an accident/Incident form?
*
Yes
No
Any other Information
Your answer
Submit
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