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TXSNOW Incident Report — Participant
Incident Report - Participant
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Date of Incident
*
Date
Time
Resort：
*
Difficulty：
*
--- Select an option ---
Green
Blue
Black
Minutes into the Lesson when the incident occurred:
*
minutes
Run/trail name:：
*
Location on the run:
*
--- Select an option ---
Top
Mid-slope
Base
Lesson Information
Lesson Type：
*
--- Select an option ---
1:1
2:4
Snow Buddies
Kids Master
Other
Discipline：
*
--- Select an option ---
Snowboard
Ski
Other：
*
Participant Profile
Participant Name：
*
previous page
next page
Participant Ability Level：
*
--- Select an option ---
Beginner
Intermediate
Advanced
Participant Gender：
*
--- Select an option ---
male
Female
If the participant has a guardian, is the guardian on site: On-site:
*
--- Select an option ---
Yes
No
Participant Age：
*
Incident category
Severity：
*
--- Select an option ---
Minor (no patrol involvement)
Moderate (patrol involved)
Major (requires medical attention / lesson terminated)
Type (select 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 conditions：
*
Crowdedness level：
*
--- Select an option ---
Low
Medium
High
Performed an equipment Check for the participant?
*
--- Select an option ---
Pre-lesson
Mid-lesson
Temp/Wind：
*
Identified issue：
*
Please describe
Timeline & Narrative
Please provide an objective, chronological description, including key points such as verbal instructions, meeting points, and visual distance and spacing management:
*
Injury & Immediate Actions
Affected Area/Symptoms：
*
Ski Patrol：
*
--- Select an option ---
Not contacted
Contacted
OnSite 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 their guardian?
*
--- Select an option ---
No
Yes
Time/Place：
*
Arrangement for Other Participants (If applicable)
Arrangement method:
Relay accompaniment / wait at nearest regroup point / transfer to an equivalent-level Instructor / dismiss
Communication record:：
With participant / parent / on-duty coordinator
Evidence & Privacy
Privacy statement: This report is used solely for safety and compliance purposes and is handled in accordance with PIPEDA’s data-minimization principles.
Upload on-site photos/videos:
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 50 files.
Environment, safety perimeter, and equipment position only; avoid exposed bodies or facial close-ups.
Signature and confirmation
Instructor Name：
*
Signature
*
Clear Signature
Date：
*
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