Hazard Report Form

Hazard Details

Hazard Type:

Describe the hazard:

Maximum 400 characters (0 used)

Approximate size:

Approximate depth:

Approximate distance from kerb:

Location Details

Location:

Map Here

Road name:

Describe where the hazard is (so the authorities can find it):

Maximum 250 characters (0 used)

Please assume that the authority is unable to view the map above, and only has this description to find the hazard. Ideally specify the placename, road name, and nearby house number.

Other location information (tick as appropriate):

Hazard is on a Red Route in London

Hazard is between the stop lines at a railway crossing

Hazard is on a canal towpath

Date hazard encountered:

CTC – The UK’s National Cyclists’ Organisation

Since 1878 CTC has been protecting and promoting the rights of cyclists. We are a not-for-profit organisation that is funded through memberships and donations. We focus on the social side of cycling as well as being a powerful and independent voice on behalf of ALL cyclists. We offer a range of benefits for every type of cyclist. By joining us YOU are supporting UK cycling and giving us a louder voice on issues that are important to you.

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Hazard Report Form

Hazard Details

Location Details

CTC – The UK’s National Cyclists’ Organisation

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