TXSNOW

Incident Report

Date of Incident / 事故发生日期和时间：

Date

Time

Location / 地点：

Name(s) of person ( people ) involved in the incident / 全部事故方的人名

Email(s) of person ( people ) involved in the incident / 全部事故方邮件：

Telephone number of person （people） involved in the incident / 全部事故方的电话：

Description of incident (please be specific - body parts, location on run, etc.) 请详细描述事故（包含身体部位，在哪条雪道等）：

Outcome (i.e.: did the participant finish the course?) / 处理结果（比如学生是否上完课）：

Was Ski Patrol notified? / 雪场安全员是否被通知到场？

Witnesses / 见证人：

Name of Instructor completing this form / 教练姓名

Email/教练电邮

Employee number / 员工号

Telephone/教练电话