Previous Callbacks

Callback Date	User	Result	Notes	Actions

Attached Reports

Report Name	Date Completed	Sumbitted By	Actions

Investigation Files

File Name	Download	Delete

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Linked Dispatch Events

Dispatch ID	Date	Type	Title	Lead Staff Responder	View Event

Vitals

Time	AVPU	HR	BP	RR	Temp	02 Sat	Glucose	Other

Approval Details

Report Status

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Approved By

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Approved Date

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Submitted By

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Notes

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Report

Report Details

Report ID

Flagged Incident

Incident Time

Incident Date

Incident Location

Incident Location

Location Description

Ski Run

Lift

Terrain Park

Park Feature

Injured Person Details

First Name

Last Name

Address

City

State/Province

Country

Zip/Postal Code

Phone Number

Email Address

Date of Birth

Age

Gender

Height

Weight

Occupation

Skiing History

In A Lesson

Lesson Type

Ability

Days This Season

Days At Copper

Patient History

Injured Previously

Year Injured

Equipment & Activity

Activity

Activity Other

Equipment

Helmet

Left Din Toe

Left Din Heel

Right Din Toe

Right Din Heel

Binding Make/Model

Binding Release

Rental Ski/Board #

Description of Incident

How Did The Incident Occur?

How Could Incident Have Been Prevented?

Signature Type

Name of Person Signing

[ SIGNATURE ]

Primary Injury

Part

Side

Secondary Injury

Part

Side

First Aid

First Aid Rendered

Medication Taken

Site Conditions

Visibility

Weather

Surface

Transport

Transport Method

Destination

Handoff Time

Patrollers

Patroller ID	Name	Patroller's Role

Additional Patrollers Involved (Name & ID)

Report Completion

Completed By

Completed Date

[ SIGNATURE ]

New Approval

Status

Notes