Safety Initiatives - Online Injury Data Collection Form


Fill out the Injury Data Collection Form


The data compiled from this information is designed to provide organized hockey in Ontario with critical statistical information on hockey injuries.
All player information of a personal or injury nature that is collected is strictly confidential. NOTE: DISLOSURE OF PLAYER'S NAME AND ADDRESS IS NOT REQUIRED FOR THIS FORM.

This form should be completed each time:

  • A player is removed from play for the remainder of a period or game due to an injury sustained while playing hockeyl (Example: A player injured in the first period, but who returns to play in the second or third period would have a form filled out for them).
  • A player is injured during a practice, whether on or off the ice.
  • A player is forced to leave play for an unknown health reason.


To be completed in full by team trainer or other team official.

To be completed and submitted within playing season the injury/illness occurred.

NOTE: THE INJURY DATA COLLECTION PROGRAM IS NOT MEANT IN ANY WAY TO REPLACE OR SUBSTITUE FOR HOCKEY CANADA'S INJURY REPORT FORM as this report relates specifically to the Hockey Canada National Insurance Program.  

Click Here for the HOCKEY CANADA INJURY REPORT FORM

 

The information collected can be viewed in the HTCP Injury Data Collection Program reports.