incidentreport

Venture Outdoors Incident/Near Miss Report

Please complete the following within 24 hours of the incident. If needed, use the last comments field to fully answer the questions. Have questions about this form? Please check out these FAQs: https://bit.ly/2VZ8zvT
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • :
  • If "Other" was chosen in the previous question, please elaborate here.
  • Did this incident happen at one of the Kayak Pittsburgh locations? Please specify below.
  • Please state the specific location where the incident took place.
  • Please enter the best phone number where we can contact you
  • Please enter the best email where we can contact you
  • Only the facts - cause, type of injury/illness/damage that resulted, any further notes on the weather/conditions.
  • NEAR MISS = an unplanned event that did not result in injury, illness, or damage - but had the potential to do so.
    SLIGHT = participant not evacuated or taken to hospital; first aid may have been used.
    MODERATE = participant evacuated or taken to hospital; first aid was required.
    SEVERE = required evacuation, hospitalization; potential long-term consequences to persons or property.