TXSNOW

Incident Report

Teaching accident report

Instructors ：please complete this form in the event of an accident or injury to a course participant while on course.

Instructors: If any student is injured in class, please fill in the form below:

Date and time of Incident ：

Date

Time

Resort：

Difficulty：

Minutes into Lesson：

Minutes

Run：

Location on Hill：

Lesson Information

Lesson Type：

Discipline：

Participant Profile

Participant Name：

Previous page.

Next page.

Participant Skill Level：

Participant Gender：

If the participant has a guardian, is the guardian on-site?

Participant Age:

Incident Category

Severity：

Environment & Conditions

Crowdedness Level::

Equipment Check：

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：

Site Actions：

Warming, immobilization, bleeding control, reassurance, etc.

Sent to Hospital/ER：

Guardian Handover

Was the participant picked up by a guardian?

Arrangement for Other Participants

Arrangement Method:

Escorted handover / Waiting at the nearest meeting point / Transferred to a peer Instructor / Dismissed

Communication Log:

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 minimum-necessary principle.

Upload on-site photos/videos:

Drag & Drop Files, Choose Files to Upload You can upload up to 50 files.

Capture only the environment, safety measures, and equipment placement; avoid nudity or close-up facial images.

Signatures and Acknowledgement

• Instructor Name：

Signature

Clear Signature

Date/Time