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TDI Amusement Rides Injury Report

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TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other puncture would 157 ARW KIDDIE PARK SAN ANTONIO TX 08/13/11 Carousel F 38 Right Foot on the side of EMS refused the right foot scratch mark - 157 ARW KIDDIE PARK SAN ANTONIO TX 08/13/11 Moon Bounce M 5 Back of head refused ems no broken skin 157 ARW KIDDIE PARK SAN ANTONIO TX 08/14/15 Kiddie Park 4 Whole body Felt like fainting Unknown unknown BARBARA LORETTA injuries injuries - 1013 TOVAR - SUN CITY EL PASO TX 08/31/14 Sidewinder ST01781 F 13 transported to transported to AMUSEMENTS hospital hospital Unknown Unknown BARBARA LORETTA injuries - injuries - 1013 TOVAR - SUN CITY EL PASO TX 08/31/14 Sidewinder ST01781 M 13 transported to transported to AMUSEMENTS hospital hospital CELEBRATION STATION 65 MESQUITE TX 08/20/11 Go Karts 14 M 13 Head/Neck Unknown MESQUITE CELEBRATION STATION Head/Neck/Kne 65 MESQUITE TX 11/09/11 Go Karts 11 F 14 MESQUITE e Pain by the attendant and stopped her kart before the proper area. A kart driven by the CELEBRATION STATION 65 MESQUITE TX 03/30/13 Go Karts 11, 22 F 0 Back & Leg Pain injureds family MESQUITE member failed to control their kart and drove into the rear of the injureds kart. CELEBRATION STATION Left Back / Right 65 MESQUITE TX 06/04/13 Go Karts M 10 Pain MESQUITE Leg lcamqtrinjury.xlsx 1 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other CELEBRATION STATION Knocked 65 MESQUITE TX 08/23/13 Go Kart - Que Line N/A M Head MESQUITE Unconscious CELEBRATION STATION 65 MESQUITE TX 11/17/13 Bumper Boats F 54 Left Knee Pain MESQUITE CELEBRATION STATION 65 MESQUITE TX 05/16/14 Go Karts M 0 Right Knee Cut MESQUITE CELEBRATION STATION Neck & Back 65 MESQUITE TX 06/21/14 Go Karts 48 & 45 F 40 Pain MESQUITE Pain CELEBRATION STATION 65 MESQUITE TX 07/03/14 Rock Climbing Wall F 0 Left elbow Pain/Unknown MESQUITE CELEBRATION STATION 65 MESQUITE TX 05/28/16 Go-Karts M 16 Left Head Pain MESQUITE Operator should CRABTREE Jumping Suspected not have allowed 70 STAPLES TX 10/15/11 F 16 Right Arm AMUSEMENTS Motorcycle Fracture individual in fence during operation DALLAS SPEEDZONE - Cart to cart 110 APEX PARKS GROUP DALLAS TX 08/06/11 Slick Track F 26 Ribs/Pain bump LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 08/11/11 Turbo Track F 33 Neck Whiplash LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 01/28/12 Golf Course F 45 Pinky Finger Fracture LLC Guest had attorney contact Dallas SpeedZone 3 DALLAS SPEEDZONE - months after 110 APEX PARKS GROUP DALLAS TX 05/29/12 Top E M 0 Testicle Crush supposed incident. LLC No report of injury from guest directly to park. lcamqtrinjury.xlsx 2 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 05/31/13 Thunder Road F 12 Back Back Strain LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 07/28/13 Slick Trax F 0 Back Pain in back LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 10/21/13 Go Kart Track M 0 LLC DALLAS SPEEDZONE - Hit sideways by 110 APEX PARKS GROUP DALLAS TX 01/19/14 Slick Trax F 0 Neck Pain another cart LLC DALLAS SPEEDZONE - Mid lower back, 110 APEX PARKS GROUP DALLAS TX 04/27/14 Turbo F 40 head, neck & Pain/strain LLC jaw DALLAS SPEEDZONE - Mid lower back, 110 APEX PARKS GROUP DALLAS TX 04/27/14 Turbo F 40 head, neck & LLC jawe DALLAS SPEEDZONE - Blunt force 110 APEX PARKS GROUP DALLAS TX 10/18/14 Thunder Road F 45 Left knee trauma LLC DALLAS SPEEDZONE - Blunt force 110 APEX PARKS GROUP DALLAS TX 03/07/15 Turbo Track M 43 Upper Thigh trauma LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 08/14/15 Slick Track M 0 Back Blunt force LLC DALLAS SPEEDZONE - Right wrist and 110 APEX PARKS GROUP DALLAS TX 09/06/15 Johnny Rockets F 0 Fall thigh LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 09/13/15 Thunder Road F 0 Neck/back Whiplash LLC lcamqtrinjury.xlsx 3 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other DALLAS SPEEDZONE - 2nd person in 2 110 APEX PARKS GROUP DALLAS TX 10/17/15 Thunder Road F 0 rt arm pain person cart LLC DALLAS SPEEDZONE - back, shoulders 110 APEX PARKS GROUP DALLAS TX 10/17/15 Thunder Road F 0 pain 2 person cart neck rt. Hd LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 11/21/15 Slick Track F 16 Neck contusion LLC DALLAS SPEEDZONE - 110 APEX PARKS GROUP DALLAS TX 03/26/16 Slick Track F 24 right knee pain LLC DALLAS SPEEDZONE - back, shoulder & 110 APEX PARKS GROUP DALLAS TX 06/07/16 Turbo Track M 55 pain neck LLC ELLEN'S AMUSEMENT Underside left 88 CEDAR HILL TX 04/13/12 Go Karts F 14 Burn CENTER forearm ELLEN'S AMUSEMENT Broken bone in 88 CEDAR HILL TX 04/11/13 Go Kart Track M 13 Ankle CENTER right ankle operator caught Rock 2 Drop 2 821 EXTREME SPORTS ENGLEWOOD FL 04/12/13 PHIL 4254 M 7 Foot & leg him on the way Rockwall down. FASTRACK (SKILLFEST GST08F05 254 LONGVIEW TX 09/07/13 Cloud Bouncer M 15 Left Wrist Deformed wrist INC) 299US 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 08/20/11 Howlin' Tornado F 16 Neck Pain T1-TN60 Chest hurt when 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 10/04/11 Howlin' Tornado M 10 Chest injured person T1-TN60 inhaled 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 12/04/11 Coyote Cannon M 30 Right Knee Pain in knee T5-BWL40 lcamqtrinjury.xlsx 4 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other 0643-C1- Dislocated 837 GREAT WOLF LODGE GRAPEVINE TX 12/27/11 Howlin' Tornado M ? Shoulder T1-TN60 shoulder 0643-C3- 837 GREAT WOLF LODGE GRAPEVINE TX 02/11/12 Pro Racer M 4 Chin Laceration T10-KPR 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 02/11/12 Coyote Cannon F 30 Neck Strain T5-BWL40 Hit shoulder on 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 02/11/12 Tornado M 42 Shoulder slide - could not T1-TN60 feel legs 0643-C1- Alberta Falls - 837 GREAT WOLF LODGE GRAPEVINE TX 04/04/12 T3- F 50 Lower Back Strain Yellow PT54/GCR Totem Towers - 0643-C2- 837 GREAT WOLF LODGE GRAPEVINE TX 05/10/12 F 34 Finger Laceration Orange T7-DT 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 07/06/12 Howlin Tornado M 0 Chest Contusion T1-TN60 Injured person had been diagnosed with a torn rotator 0643-C1- cuff and torn 837 GREAT WOLF LODGE GRAPEVINE TX 07/16/12 Howlin Tornado M 42 Shoulder Pain T1-TN60 labrum in his right arm prior to riding the slide of 7/16/12. 0643-C1- Altered Mental 837 GREAT WOLF LODGE GRAPEVINE TX 08/13/12 Coyote Cannon F 0 Head T5-BWL40 Status 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 08/22/12 Coyote Cannon M 32 Back Pain T5-BWL40 lcamqtrinjury.xlsx 5 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other Alberta Falls Tube 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 10/11/12 F 36 Foot Fracture Slide - Orange T4-PT54 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 03/03/13 Howlin Tornado F 0 Right Shoulder Pain in shoulder T1-TN60 Injured person 0643-C1- stated her neck 837 GREAT WOLF LODGE GRAPEVINE TX 05/12/13 Howlin Tornado F 0 Neck T1-TN60 hurt after riding the Tornado Injured person 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 05/18/13 Howlin' Tornado F Lip bit her lip while T1-TN60 riding slide Ankle hurt after 0643-C3- injured person 837 GREAT WOLF LODGE GRAPEVINE TX 05/29/13 Kiddie Pro Racer F 0 Ankle T10-KPR stood up at bottom of slide Injured person fell off of tube 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 06/01/13 Howlin' Tornado F 0 Back and hit back on T1-TN60 the slides surface Injured person's 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 06/30/13 Howlin' Tornado M Lower Back back hurt after T1-TN60 riding Tornado 0643-C1- Abrasion on 837 GREAT WOLF LODGE GRAPEVINE TX 07/07/13 Coyote Cannon M 0 Hand T5-BWL40 hand 0643-C1- Broken teeth / 837 GREAT WOLF LODGE GRAPEVINE TX 08/07/13 Howlin Tornado M 0 T1-TN60 injured jaw 0643-C1- Hit head on 837 GREAT WOLF LODGE GRAPEVINE TX 08/07/13 Howlin' Tornado M 0 Head T1-TN60 slide surface RCR Family Raft 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 01/11/14 F 15 Ankle Fracture Ride T2-PT108 lcamqtrinjury.xlsx 6 of 45 7/28/2016 TEXAS DEPARTMENT OF INSURANCE AMUSEMENT RIDE INJURY REPORT SINCE AUGUST 2011 REC Name of Operation City St Injury Date Ride Name Serial No Gender Age Body Part Alleged Injury Other 0643-C1- Bruised 837 GREAT WOLF LODGE GRAPEVINE TX 01/31/14 Howlin' Tornado F 14 Tailbone T1-TN60 Tailbone 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 02/18/14 Coyote Cannon M 19 Wrist Fracture T5-BWL40 0643-C1- Alberta Falls - 837 GREAT WOLF LODGE GRAPEVINE TX 04/28/14 T3- F 55 Left Shoulder Pain/tenderness Yellow PT54/GCR 0643-C1- 837 GREAT WOLF LODGE GRAPEVINE TX 07/25/14 Howlin' Tornado F 32 Head Contusion T1-TN60 0643-C1- Pain/Tendernes 837 GREAT WOLF LODGE GRAPEVINE TX 08/25/14 Coyote Cannon M 45 Back T5-BWL40 s 0643-O2- Pain/Tendernes 837 GREAT WOLF LODGE GRAPEVINE TX 10/17/14 Totem Slide M 2 Head T6-DT s 0643-C1- Pain and 837 GREAT WOLF LODGE GRAPEVINE TX 12/15/14 Howlin' Tornado F 56 Neck/Back
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