RedactedNarrative: Operator had in tow two passengers on tube, there was two observers sitting on the back bench seat and one passenger in the front. 
  
  Prior to incident the injured party was sitting behind the operator’s seat and stood up on the back side of the bench seat, (transom). The operator slowed and turned left. The injured party while standing fell. His right arm struck the starboard rear cleat. 
  
  The cleat punctured the tricep area of the injured''s right arm. When the operator heard the passenger had fallen he stated " i killed the motor and reached back to help" the injured party back onto the vessel. Witness stated she "grabbed arm and held it" to apply direct pressure to the wound. 911 was contacted, and the operator navigated to the closest boat launch area, ledge rock boat access area. Both the operator and victim had been drinking.