1. Name, address and telephone number of the person submitting the notice and, if different, corresponding particulars of the person to whom enquiries should be addressed.
2. Date on which the notice is submitted.
3. A unique and sequential reference number indicating, in respect of each year ending on 31st March, the number of the event.
4. Nature of site of event, e.g. street, arable field, camp site.
5. Date and time of event.
6. Persons involved in the event, if any—
(a)if at work, type of work;
(b)if not at work, sufficient description to identify status, e.g. householder, visitor, child;
(c)age;
(d)sex; and
(e)nature of injury, if any.
7. Network details—
(a)voltage;
(b)equipment at site of event, whether overhead lines, underground cables, distributing mains, or service lines, or if other, specify;
(c)where relevant, whether the earthing of the low voltage network is by means of protective multiple earthing;
(d)extent of operation of circuit protection;
(e)in respect of events involving overhead lines—
(i)height of the electric line at point of contact, if any;
(ii)whether or not the electric line remained live on the ground or at a reduced height; and
(iii)whether or not the electric line was surrounded by insulation; and
(f)in respect of events not involving overhead lines—
(i)whether the equipment was situated indoors;
(ii)where a substation is involved, a brief description of substation physical security equipment, e.g. brick building, steel doors, nature of fencing; and
(iii)whether any security fence was also the perimeter fence.
8. Brief facts of the event including, where known, the cause.
9. Details of any action which has been, or is intended to be, taken to prevent a recurrence of the event.