Report of Occurrence Safety Form

Montana Swimming Safety First Page

The Montana Swimming Operational Risk Safety Chair is Caty Flikkema from Bozeman  email  or phone 406-539-1849.

USAS Report of Occurrence -- Safety Incidence Reporting

In case of an accident please use the report of occurrence form.

Below is the Online Report of Occurrence form.  The Report of Occurrence shall be submitted by the coach, official or someone affiliated with the club/facility any time there is an accident or injury during any USA Swimming activities such as Sanctioned or Approved swim meets, swimming practices, contracted Swim-a-Thons or approved social events. The parent or injured party should NOT submit the form. The online form does require that certain sections, indicated by an asterisk, be completed before it can be submitted. If you have any questions, please contact George Ward at (719) 866-4578 or email,

Click the link below to begin the process:

Upon submission of the completed Report of Occurrence, you will receive an automated email indicating that USA Swimming has received the form.  In the body of the email is a detailed account of the information that was reported. This email can be printed or saved to a file for record keeping. PLEASE FORWARD A COPY OF THIS EMAILED REPORT TO the appropriate Safety Chair for your LSC.

Note: If you are unable to submit the online form at the meet, you may print a draft paper copy, document the necessary details and then you, or someone from your club, will enter the report online as soon as possible.  Printable Report of Occurrence PDF Form

The form should be filled out and submitted by the meet manager or a team official, not the person involved in the injury.

USA Swimming Report of Occurrence webpage