Submit Incident Report – Alaska Recreational Boating Incident Report Project

How to Submit: Fill out the online form and send. We will review your report and contact you with any questions.

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Weather Conditions*
(Air Temperature, Wind speed and direction, Precipitation type and amount, Cloud Cover, Visibility, etc)
Boat Type (s), Manufacturer(s), Model(s):*
Motorized?*
- Yes
- No
Adult Males*
Adult Females*
Children (Male)*
Children (Female)*

Number of people wearing lifejackets at time of incident:*
Other Safety Equipment used:
Event Description:*
Chain of events that led to the event, Event itself, Contributing Factors (Actions taken or not taken, environmental conditions, decisions and judgments made, equipment issues, human factors such as experience level, alcohol/drugs, physical/mental health)
Event Outcomes:*
Injuries/Illness/Fatalities, Damage/Loss of Property, Change of Plans, Psychological Stress, Rescue/Assistance given
Confidentiality Agreement
All contact information will be kept confidential (meaning only the researcher will know your name, phone, email address) unless you agree to share with the general public it by checking “yes” below.

All personal contact information will be generalized in public reports (e.g: Male 1, person 2, him, her, etc) unless each individual involved waives his or her right of confidentiality.
Name*
First Last
Phone*
We need your phone and email in case we have questions regarding your report.
Email*
Enter Email Confirm Email
Do you wish your name to be shared with the general public?*
- Yes
- No

Submit A Boating Incident Report