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Your name:
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Are you a member of Whitewater NZ or an affiliated club
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No
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Please state your role or connection with the incident
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1.
Group member
2.
Member of another group on the river
3.
Trip leader (commercial trip)
4.
Trip leader (club trip)
5.
Coach
6.
Event organiser
7.
Competitor
8.
Other
9.
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Incident details
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Names of individuals involved:
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Date of incident
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Was a rescue required from Search and Rescue / Fire and Emergency NZ?
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On what kind of water did this happen?
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1.
Whitewater river
2.
Artificial whitewater course
3.
Lake / estuary
4.
Ocean
5.
Swimming pool / polo
6.
On the bank / approaching or exiting the river
7.
Other
8.
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What water crafts were on the trip?
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Kayaks
Open canoes
Rafts
Sit on tops
Pack rafts
Stand up paddle boards
Boogie boards / sledges
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Where did this happen? (i.e. Which river, section, area?)
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Incident type
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1.
Fatality
2.
Injury
3.
Medical condition
4.
Near drowning
5.
Equipment failure
6.
Health hazard (pollution)
7.
Near miss (no actual injuries or emergencies)
8.
Other
9.
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Please carefully describe the incident. Include any relevant conditions such as weather, river levels, temperature, etc.
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Why did this happen?
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What can be learned from this?
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