| General Incident Information |
|
Type of Incident |
Illness
|
|
Incident
Event |
Diarrhea & vomiting |
| Date & Time Information |
|
Date
Course Started |
1/1/2008
|
|
Incident Date |
1/1/2008
|
|
Incident Time of
Day |
11:00 AM
|
|
Total Days of Course |
32
|
|
Total
Active Hours of Course |
2
|
|
Day
of Program Incident Occurred |
Day
1
|
|
Activity & Environmental
Information |
|
Type of Activity |
Snowshoeing
|
|
Type
of Environment(s) |
|
|
Environmental Condition(s) |
|
|
Weather Condition(s) |
|
|
Contributing
Factor(s) |
|
|
Narrative |
|
|
Assessment/Treatment |
|
|
Analysis |
|
| |
Date Submitted
|
March 01, 2008
|