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Home
Welfare activities
Instructor Star Wall
Instructor Star Wall
Rate Instructors
Product description
Product
Professional Lessons
Anti-competition Plan
TXSNOW Client’s Q&A
Ikon Pass
Online Reservations
Online Reservations
Pre-class information form for students.
Ikon Pass
Ikon Pass Group Purchase
Ikon Pass CODE Search
BOOK NOW
Instructor Recruit
Instructor Recruit
Instructor Plan
TXSNOW Instuctor Application Form
Instructor Tools
Student’s Lesson Feedback
instructor-faq Q&A
TXSNOW Beginner‘s Soft Equipment
MSL Signe
Instructor accident report
Teaching accident report
Why insurance is important
Instructor registration form
Signed Instructor website registration
Instructor’s worker number inquiry
Safety and Risk Awareness
About us
About us
Contect Us
English
简体中文
TXSNOW
ACCIDENT REPORT
Instructor accident report
Instructors - please complete this form in the event of an accident or injury to yourself while on course.
Instructor - If you are injured yourself, please fill in this form:
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Please enable JavaScript in your browser to complete this form.
Do you have another employer? /
*
Yes
No
Employee number
Date and time of Accident ：
*
Date
Time
Was the injury sustained outside your province of residence? If YES, please indicate where you "Elect" to open your claim
Please describe the exact circumstances of the event
*
In case of occupational disease, describe when and how exposure occurred /
*
Please state ALL injuries reported, indicated right or left, if applicable
*
Did Instructor attend a physician or qualified practitioner or clinic? Does the Instructor see a doctor or a qualified therapist or clinic?
Yes
No
If YES, please give name and address, if known. If so, please send us your name and address.
*
How was injury sustained? What caused the injury?
*
Collision
Fall
Overexertion
Other
Please describe other reasons:
Last Name and First Name
*
Email
*
Address ：
*
When was the injury first reported to the employer?
*
Was Ski Patrol called? / Whether to report to the ski resort safety officer ？
*
Yes
No
If no, please explain why
*
If YES, patroller's name
*
Is there a patroller's report? If yes, please forward a copy. /
*
Click or drag a file to this area to upload.
Did instructor receive First Aid? Do the Instructors need first aid?
Yes
No
If YES to above, please forward a copy of First Aid report. If necessary, please forward a first aid report.
Click or drag a file to this area to upload.
Did the Instructor go to the hospital？
Yes
No
If your answer is YES, please provide the name of the hospital.
*
Type of injury sustained? / What type of injury?
*
Sprain
Bruise
Other
Please describe other types of injuries:
*
Area of injury - please check all that apply
Weather ：
Temperature (Celcius) ：
Other Conditions ：
Trail Name
Location
Visibility ：
Snow ：
Ski Area
Location of student
Location of Instructor
Other
*
Was any other action taken? If YES, please specify. /
Witness Name
*
Witness Telephone
Witness Address
Submit the form
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