Rip Current
Reporting Form
Phone: (305) 348-6304
FAX: (305) 348-1761
www.ripcurrents.fiu.edu
Laboratory for Coastal Research
Florida International University
11200 SW 8th Street MARC 360
Miami, FL 33199

* designates the required fields.
Section 1 - INCIDENT INFORMATION
* Time of Incident:
Day Month Year Hour Minute
* Location of Incident:
(Name of Beach)
Beach Ownership:
Section 2 - CONTACT INFORMATION
* Name of Reporter:
Name of Victim:
(if different)
Address:
* E-Mail:
 
Phone Number:
 
Section 3 - WEATHER CONDITIONS
Wind Direction:
Wind Speed:
mph  
Cloud Cover:
Section 4 - WATER CONDITIONS
Tide:
Tide Direction:
Wave Height:
ft  
Wave Characteristics:
Temperature:
°F  
Water Clarity:
Section 5 - BEACH CHARACTERISTICS
Beach Slope:
Beach Type:
Beach Classification:
Beach Orientation:
Beach Category:
Near Shore Sand Bars:
Long Shore Current Direction:
* Lifeguards:
* Rip Current Warning Signs:
* Rip Current Warning Information:
Presence of Structures in Surf Zone:

If yes, please describe
Distance to Nearest Inlet:
ft  
Section 6 - RIP CURRENT INFORMATION
Was rip current located next to object, e.g. Groin?

If Yes, please describe
Type of Rip Current:
Was there evidence of debris in rip current?

If Yes, please describe
Was the water cloudy?
Please describe how it was possible to determine that there was a rip current:
Section 7 - DESCRIPTION OF VICTIM AND INCIDENT
* Incident:
* Did incident require hospitalization?
* Incident Outcome:
Did victim have prior knowledge about rip current?
Was this the first time victim who has been caught in a rip current?

If Yes, please describe
Was rip current warning posted?
Section 8 - VICTIM INFORMATION
* Age:
    Don't Know
* Sex:
* Height:
Feet Inch
  Don't Know
* Weight:
 lb  
Don't Know
Race:
Swimming Ability:
How many times has victim visited Beach?
 
Was victim a
* Victim Activity:
Did victim consume alcohol?

If Yes, please describe
Was victim wearing a wear swimming suit?

If No, please describe the other clothing wearing
Section 9 - SURVEY
It is important to swim near a lifeguard.
It is important not to consume alcohol before swimming.
You should always determine the water conditions before swimming in the ocean.
You should always swim with a buddy.
Please briefly describe overall rip current experience:
Comments: