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TXSNOW Incident Report — Participant
TXSNOW Incident Report — Participant
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Date and time of Incident ：
*
Date
Time
Resort：
*
Difficulty：
*
--- Select an option ---
Green
Blue
Black
Minutes into Lesson：
*
Minutes
Run：
*
Location on Hill：
*
--- Select an option ---
Top
Mid-slope
Base
Lesson information
Lesson Type：
*
--- Select an option ---
1:1
2:4
Snow Buddies
KM（ Kids Master）
Other
Discipline：
*
--- Select an option ---
Snowboard
Ski
Other：
*
Participant Profile
Participant Name：
*
Previous page.
Next page.
Participant Skill Level：
*
--- Select an option ---
Beginner
Mid-level
High-level
Participant Gender：
*
--- Select an option ---
Male
Female
If the participant has a guardian, is the guardian on-site?
*
--- Select an option ---
Yes
No
Participant Age:
*
Incident Category
Severity：
*
--- Select an option ---
Minor (No Rescue Required)
Moderate (Patrol Involved)
Major (Medical Transport / Lesson Suspended)
Type (check all that apply):
Fall
Collision (person-person)
Collision (person-object)
Lost/Separated
Equipment malfunction
Weather/Visibility
Medical
Behaviour/Discipline
Other
Other ：
*
Environment & Conditions
Weather/Visibility：
*
Snow Surface：
*
Crowding：
*
--- Select an option ---
Low
Medium
High
Equipment Check：
*
--- Select an option ---
Pre-lesson
Mid-lesson
High
Temp/Wind：
*
Issue Identified:
*
Please describe:
Timeline & Narrative
Please provide an objective, chronological description, including key checkpoints such as verbal instructions, meeting points, visibility conditions, and spacing/distance management:
*
Injury & Immediate Actions
Affected Area/Symptoms：
*
Ski Patrol：
*
--- Select an option ---
Not contacted
Contacted
Site Actions：
*
Warming, immobilization, bleeding control, reassurance, etc.
Ski Patrol Arrival Time：
*
Date
Time
Sent to Hospital/ER：
*
--- Select an option ---
No
Yes
Ski Patrol Record Case#：
*
Hospital/Transport：
*
Guardian Handover
Was the participant picked up by a guardian?
*
--- Select an option ---
No
Yes
Time/Place：
*
Arrangement for Other Participants
Disposition:
Escorted handover / Waiting at the nearest meeting point / Transferred to a peer Instructor / Dismissed
Communication Record:
Coordination with the participant / guardian / on-duty staff
Evidence & Privacy
Privacy Statement: This report is used solely for safety and compliance record-keeping and is handled in accordance with PIPEDA’s principle of minimum necessary use.
Upload on-site photos/videos:
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 50 files.
Photograph only the environment, safety measures, and equipment placement; avoid nudity or close-up images of faces.
Signatures and Acknowledgement
• Instructor Name：
*
Signature
Clear Signature
Date/Time
Date
Time
Submit the form
