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| General Incident Information |
|
Type of Incident |
Injury
|
|
Incident
Event |
Sprained ankle |
| Date & Time Information |
|
Date
Course Started |
1/23/2008
|
|
Incident Date |
1/24/2008
|
|
Incident Time of
Day |
11:00 AM
|
|
Total Days of Course |
4
|
|
Total
Active Hours of Course |
62
|
|
Day
of Program Incident Occurred |
Day
2
|
|
Activity & Environmental
Information |
|
Type of Activity |
Initiative game
|
|
Type
of Environment(s) |
|
|
Environmental Condition(s) |
|
|
Weather Condition(s) |
|
|
Contributing
Factor(s) |
|
|
Narrative |
Test
|
|
Assessment/Treatment |
Test
|
|
Analysis |
Test
|
| |
Date Submitted
|
February 09, 2008
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