American Avalanche Association

Forest Service National Avalanche Center

Avalanche Incident Report: Short Form

Occurrence Date (YYYYMMDD):	and Time (HHMM):	Comments:
Reporting Party Name and Address:
Avalanche Characteristics:

Type:

Aspect:

Trigger:

Slope Angle:

Size: R \ D

Elevation: m / ft

Sliding surface (check one):

In new New/old In old Ground

Location:

State: County: Forest:

Peak, Mtn Pass, or Drainage:

Site Name:

Lat/Lon or UTM:
Group

Number of People

Time recovered

Duration of burial

Depth to Face

m / ft

Caught

Partially Buried—Not critical

Partially Buried--Critical

Completely Buried

Number of people injured:

Number of people killed:

Dimensions

m / ft

Average

Maximum

Height of Crown Face

Width of Fracture

Vertical Fall

Snow

Hardness

Grain Type

Grain Size (mm)

Slab

Weak Layer

Bed Surface

Thickness of weak layer: mm / cm / in

Burial involved a terrain trap? no yes → type:

Number of people that crossed start zone before the avalanche:

Location of group in relation to start zone during avalanche: high middle low below all unknown

Avalanche occurred during ascent descent
Subject

Name

Age

Gender

Address

Phone

Activity

1

2

3

4

5

Equipment Carried

1

2

3

4

5

Transceiver

Shovel

Probe

Experience at Activity

1

2

3

4

5

Unknown

Novice

Intermediate

Advanced

Expert

Avalanche Training

1

2

3

4

5

Unknown

None

Some

Advanced

Expert

Signs of Instability Noted by Group

Unknown

None

Recent avalanches

Shooting cracks

Collapse or whumphing

Low test scores

Injuries Sustained

1

2

3

4

5

None

First Aid

Doctor’s care

Hospital Stay

Fatal

Extent of Injuries or Cause of Death

1

2

3

4

5

Asphyxiation

Head Trauma

Spinal Injury

Chest Trauma

Skeletal Fractures

Other:

Damage	Number of Vehicles Caught: Number Structures Destroyed: Estimated Loss: $

Accident Summary Include: events leading to accident, group’s familiarity with location, objectives, route, hazard evaluation, etc.

Rescue Summary Include: description of initial search, report of accident, organized rescue, etc.

Rescue Method

1

2

3

4

5

Self rescue

Transceiver

Spot probe

Probe line

Rescue dog

Voice

Object

Digging

Other:

Attach additional pages as needed. Include weather history, snow profiles, reports from other agencies, diagram of site, photographs, and any other supporting information

Please send to: CAIC; 325 Broadway WS1; Boulder CO 80305; caic@qwest.net; Fax (303) 499-9618

and to the nearest Avalanche Center.

1

A3 logo

Spencer and Brandy Logan

2005-11-11