CLA Head Injury Incident Report Form

CLA Head Injury Incident Report Form Overview - PDF

For a copy of the CLA Head Injury Report Form, please click HERE.

The Canadian Lacrosse Association (CLA) has recently implemented a Head Injury Incident Report Form to be used for reporting head injuries to the CLA directly. Incidents must be reported to the CLA within thirty (30) days of occurring with photos and detailed descriptions. When in doubt, more information is ideal.

This initiative is in response to allegations that CSA approved lacrosse face masks are responsible for or contributing to head injuries, especially to the face. Therefore, the CLA will collect information from its members where a head injury occurs. In order that the information has any significance to whether the CSA approved masks are contributing to injuries, it is a must that injuries that occur while the player is wearing a non-CSA approved mask in the Senior category in 2013 be reported. Any withholding of such information for the purpose of skewing the results will not be tolerated.

An example of a completed Head Injury Incident Report Form can be found here (Sample: http://secure.pointstreaksites.com/files/uploaded_documents/357/CLA_Injury_Incident_Report_Form_Sample.pdf). Blank forms can be found here. Should you have any questions about completing the Head Injury Incident Report Form, please contact info1@lacrosse.ca or 613-260-2028 x. 301.

Completed Head Injury Incident Report Forms are to be emailed to info1@lacrosse.ca or faxed to 613-260-2029. It is the responsibility of the individual completing the form to ensure that the MA or AMA has received a copy of the Head Injury Incident Report Form. Please ensure that only one report form is submitted per incident.

Confirmation of receipt will be sent to the individual completing the Head Injury Incident Report Form.

Players, coaches, managers or parents are encouraged to complete a Head Injury Incident Report Form for all head injuries incurred while participating in the sport of box or field lacrosse. This form will be used to assist in creating and amending policies that will ensure the safety of all players of all ages.

For more information, contact:
Canadian Lacrosse Association info1@lacrosse.ca 613-260-2028 ext. 301