RedactedNarrative: On September 1, 2019 at approximately 1200-hours, Operator # 1 and Occupant # 2 launches Vessel # 1 from Great Lakes Watersports LLC. on the Cuyahoga River in Cleveland, Ohio (Event # 1).  Vessel # 1 was paddled by Operator # 1 and Occupant # 2 downstream towards the mouth of the Cuyahoga River.  
  
  Operator # 1 leaned to one side of Vessel # 1 and fell overboard, capsizing Vessel # 1 and throwing Occupant # 2 into the water (Event # 2). Operator # 1 advised Occupant # 2 that she must have “overcompensated”. Operator # 1 is improperly wearing her life vest and begins to struggle to keep her head above the water. Occupant # 2 climbs aboard Vessel # 1 and attempts to pull Operator # 1 aboard with the help of two additional paddleboard operators and a powerboat operator but are unable to do so. 
  
  Operator # 1 slips underwater several times and loses consciousness and stops breathing. Cleveland Metro Parks Marine Unit Rangers arrive on scene, pull Operator # 1 aboard their vessel and begin CPR. Cleveland Metro Parks Marine Unit Rangers transport Operator # 1 to Edgewater Boat Ramp and transfer Operator # 1 to an awaiting Cleveland EMS Ambulance that transports her to Metro Hospital. While at Metro Hospital, the staff obtains a pulse for Operator # 1 but she ultimately passes away on September 2, 2019.
  