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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:
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Instructors :please complete this form in the event of an accident or injury to a course participant while on course. 教练们:如果有学生在课上受伤,请填写下面的表格:
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):
Layout
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?
*
Yes 是
No 否
Witnesses / 见证人:
*
Layout
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
*
提交表格
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