{"id":35726,"date":"2024-05-16T15:07:28","date_gmt":"2024-05-16T22:07:28","guid":{"rendered":"https:\/\/test-inside.ewu.edu\/ehs\/?page_id=35726"},"modified":"2025-01-24T12:11:42","modified_gmt":"2025-01-24T20:11:42","slug":"visitor-incident-report","status":"publish","type":"page","link":"https:\/\/test-inside.ewu.edu\/ehs\/incident-reporting\/visitor-incident-report\/","title":{"rendered":"Visitor Incident Report"},"content":{"rendered":"\n<p>Visitors, please fill out an incident report if you have a problem while visiting our campus or at EWU sponsored events.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Please do not use this form&nbsp;to report:&nbsp;Graffiti, Harassment, Theft, or Vandalism.&nbsp;<\/strong><strong>Call 911 or contact EWU Campus Police at 509.359.7676<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center has-contrast-color has-text-color has-link-color wp-elements-a883b3947fcfffa0e334372029810752\"><strong>Please include as much information as possible in your incident report!<\/strong><\/p>\n\n\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework gplaceholder_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_44' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_44' class='gplaceholder' action='\/ehs\/wp-json\/wp\/v2\/pages\/35726' data-formid='44' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_44' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_44_1\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_1\" ><label class='gfield_label gform-field-label' for='input_44_1'>Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_44_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_52\" class=\"gfield gfield--type-radio gfield--type-choice gf_right_half gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_52\" ><label class='gfield_label gform-field-label' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_44_52'>\n\t\t\t<li class='gchoice gchoice_44_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Female'  id='choice_44_52_0'    \/>\n\t\t\t\t<label for='choice_44_52_0' id='label_44_52_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Male'  id='choice_44_52_1'    \/>\n\t\t\t\t<label for='choice_44_52_1' id='label_44_52_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='Other'  id='choice_44_52_2'    \/>\n\t\t\t\t<label for='choice_44_52_2' id='label_44_52_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_44_29\" class=\"gfield gfield--type-email gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_29\" ><label class='gfield_label gform-field-label' for='input_44_29'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_29' id='input_44_29' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_44_4\" class=\"gfield gfield--type-phone gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_4\" ><label class='gfield_label gform-field-label' for='input_44_4'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_44_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_60\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_60\" ><label class='gfield_label gform-field-label' for='input_44_60'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_60' id='input_44_60' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_44_60_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_44_60_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_60' class='gform_hidden' value='https:\/\/test-inside.ewu.edu\/ehs\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_44_3\" class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_3\" ><label class='gfield_label gform-field-label' for='input_44_3'>Incident Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_3'>What happened?<\/div><div class='ginput_container ginput_container_select'><select name='input_3' id='input_44_3' class='medium gfield_select'  aria-describedby=\"gfield_description_44_3\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from the list below<\/option><option value='Abrasion\/Scratch' >Abrasion\/Scratch<\/option><option value='Bite\/Sting' >Bite\/Sting<\/option><option value='Blood Release' >Blood Release<\/option><option value='Bruise\/Contusion' >Bruise\/Contusion<\/option><option value='Burn' >Burn<\/option><option value='Concussion' >Concussion<\/option><option value='Crush\/Pinch' >Crush\/Pinch<\/option><option value='Cut\/Laceration' >Cut\/Laceration<\/option><option value='Dental Injury' >Dental Injury<\/option><option value='Dermatitis' >Dermatitis<\/option><option value='Dislocation' >Dislocation<\/option><option value='Electric Shock' >Electric Shock<\/option><option value='Eye Injury' >Eye Injury<\/option><option value='Fire' >Fire<\/option><option value='Fracture' >Fracture<\/option><option value='Hazardous Contact\/Release' >Hazardous Contact\/Release<\/option><option value='Hearing Impairment' >Hearing Impairment<\/option><option value='Hernia' >Hernia<\/option><option value='Illness' >Illness<\/option><option value='Needle Stick\/Puncture' >Needle Stick\/Puncture<\/option><option value='Repeated Motion' >Repeated Motion<\/option><option value='Sprain\/Strain' >Sprain\/Strain<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_56\" class=\"gfield gfield--type-radio gfield--type-choice gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_56\" ><label class='gfield_label gform-field-label' >Was there an injury associated with this incident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_44_56'>\n\t\t\t<li class='gchoice gchoice_44_56_0'>\n\t\t\t\t<input name='input_56' type='radio' value='No'  id='choice_44_56_0'    \/>\n\t\t\t\t<label for='choice_44_56_0' id='label_44_56_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_56_1'>\n\t\t\t\t<input name='input_56' type='radio' value='Yes'  id='choice_44_56_1'    \/>\n\t\t\t\t<label for='choice_44_56_1' id='label_44_56_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_44_61\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_61\" ><label class='gfield_label gform-field-label' for='input_44_61'>Describe &quot;other&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_44_61' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_6\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_6\" ><label class='gfield_label gform-field-label' for='input_44_6'>Date of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_44_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_44_6_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_44_6_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_6' class='gform_hidden' value='https:\/\/test-inside.ewu.edu\/ehs\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_44_7\" class=\"gfield gfield--type-time gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_7\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_44_7'>\n                            <input type='number' maxlength='2' name='input_7[]' id='input_44_7_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_44_7_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_7[]' id='input_44_7_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_44_7_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_7[]' id='input_44_7_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_44_7_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_44_8\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_8\" ><label class='gfield_label gform-field-label' for='input_44_8'>Location of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_44_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_9\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_9\" ><label class='gfield_label gform-field-label' for='input_44_9'>Name of affected individual<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_9'>Who did the incident happen to? If the name is not known, please state &#8220;Unknown&#8221;. If no individuals were affected, please state &#8220;NA&#8221;.<\/div><div class='ginput_container ginput_container_text'><input name='input_9' id='input_44_9' type='text' value='' class='medium'  aria-describedby=\"gfield_description_44_9\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_10\" class=\"gfield gfield--type-select gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_10\" ><label class='gfield_label gform-field-label' for='input_44_10'>EWU Position of affected individual<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_10'>Please indicate the relationship between the affected individual and EWU.<\/div><div class='ginput_container ginput_container_select'><select name='input_10' id='input_44_10' class='medium gfield_select'  aria-describedby=\"gfield_description_44_10\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Student (no EWU work position)' >Student (no EWU work position)<\/option><option value='Visitor' >Visitor<\/option><option value='Faculty' >Faculty<\/option><option value='Exempt Personnel' >Exempt Personnel<\/option><option value='Classified Staff' >Classified Staff<\/option><option value='Student worker' >Student worker<\/option><option value='Part Time - not student' >Part Time &#8211; not student<\/option><option value='Volunteer' >Volunteer<\/option><option value='Other' >Other<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/li><li id=\"field_44_11\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_11\" ><label class='gfield_label gform-field-label' for='input_44_11'>Complete Description of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_11'>Please include a detailed description of what happened, attach photographs and sketches at the end of this form if available.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_44_11' class='textarea medium'  aria-describedby=\"gfield_description_44_11\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_44_53\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_53\" ><label class='gfield_label gform-field-label' for='input_44_53'>Activity Immediately Before Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_53'>What were you doing, or what was happening, immediately before the incident occurred?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_44_53' class='textarea small'  aria-describedby=\"gfield_description_44_53\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_44_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_20\" ><label class='gfield_label gform-field-label' for='input_44_20'>Witnesses<\/label><div class='gfield_description' id='gfield_description_44_20'>Include phone number and address if possible.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_44_20' class='textarea small'  aria-describedby=\"gfield_description_44_20\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_44_54\" class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_54\" ><label class='gfield_label gform-field-label' for='input_44_54'>Immediate Cause of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_54'>What caused the incident?<\/div><div class='ginput_container ginput_container_select'><select name='input_54' id='input_44_54' class='medium gfield_select'  aria-describedby=\"gfield_description_44_54\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Animal\/Insect' >Animal\/Insect<\/option><option value='Athletic\/Class Event' >Athletic\/Class Event<\/option><option value='Chemical Hazardous Material' >Chemical Hazardous Material<\/option><option value='Class Activity' >Class Activity<\/option><option value='Cold\/Heat' >Cold\/Heat<\/option><option value='Eating' >Eating<\/option><option value='Electrical Device' >Electrical Device<\/option><option value='Fall\/Slip\/Trip' >Fall\/Slip\/Trip<\/option><option value='Fire\/Smoke' >Fire\/Smoke<\/option><option value='Indoor Air Quality' >Indoor Air Quality<\/option><option value='Lifting' >Lifting<\/option><option value='Medical Condition or Allergic Reaction' >Medical Condition or Allergic Reaction<\/option><option value='Overexertion' >Overexertion<\/option><option value='Power Tool' >Power Tool<\/option><option value='Pushing\/Pulling' >Pushing\/Pulling<\/option><option value='Repeated Motion' >Repeated Motion<\/option><option value='Sharp Object' >Sharp Object<\/option><option value='Sitting\/Bending' >Sitting\/Bending<\/option><option value='Struck By' >Struck By<\/option><option value='Twisting' >Twisting<\/option><option value='Vehicle Accident' >Vehicle Accident<\/option><option value='Walking\/Stepping' >Walking\/Stepping<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_55\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_55\" ><label class='gfield_label gform-field-label' for='input_44_55'>Describe &quot;other&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_44_55' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_25\" class=\"gfield gfield--type-select gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_25\" ><label class='gfield_label gform-field-label' for='input_44_25'>Root Cause of Incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_25'>Why did the incident occur?<\/div><div class='ginput_container ginput_container_select'><select name='input_25' id='input_44_25' class='medium gfield_select'  aria-describedby=\"gfield_description_44_25\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='3rd Party Action' >3rd Party Action<\/option><option value='Aggravation of Pre-existing Condition' >Aggravation of Pre-existing Condition<\/option><option value='Congested Work Area' >Congested Work Area<\/option><option value='Equipment' >Equipment<\/option><option value='Ergonomics' >Ergonomics<\/option><option value='Failure to Post Warning Signs' >Failure to Post Warning Signs<\/option><option value='Housekeeping' >Housekeeping<\/option><option value='Inattention to Activities\/Surroundings\/Footing' >Inattention to Activities\/Surroundings\/Footing<\/option><option value='Inadequate Illumination' >Inadequate Illumination<\/option><option value='Improper or No PPE' >Improper or No PPE<\/option><option value='Incorrect Procedure' >Incorrect Procedure<\/option><option value='Infrastructure Problem' >Infrastructure Problem<\/option><option value='Inherent Risk' >Inherent Risk<\/option><option value='Interpersonal Work Relationship' >Interpersonal Work Relationship<\/option><option value='Shortcuts' >Shortcuts<\/option><option value='Snow\/Ice Removal Process' >Snow\/Ice Removal Process<\/option><option value='Training' >Training<\/option><option value='Unknown Event\/Hazard' >Unknown Event\/Hazard<\/option><option value='Vision Blocked or Restricted' >Vision Blocked or Restricted<\/option><option value='Workload' >Workload<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_26\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_26\" ><label class='gfield_label gform-field-label' for='input_44_26'>Describe &quot;other&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_44_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_57\" class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_57\" ><label class='gfield_label gform-field-label' for='input_44_57'>Injury\/Illness Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_57'>Please select the primarily affected area.<\/div><div class='ginput_container ginput_container_select'><select name='input_57' id='input_44_57' class='medium gfield_select'  aria-describedby=\"gfield_description_44_57\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Abdomen \/ Internal' >Abdomen \/ Internal<\/option><option value='Ankle \/ Foot \/ Toes' >Ankle \/ Foot \/ Toes<\/option><option value='Arm \/ Elbow \/ Shoulder' >Arm \/ Elbow \/ Shoulder<\/option><option value='Back' >Back<\/option><option value='Chest' >Chest<\/option><option value='Ears \/ Eyes \/ Nose' >Ears \/ Eyes \/ Nose<\/option><option value='Face \/ Head' >Face \/ Head<\/option><option value='Finger \/ Hand \/ Wrist' >Finger \/ Hand \/ Wrist<\/option><option value='Groin' >Groin<\/option><option value='Hip \/ Knee \/ Leg' >Hip \/ Knee \/ Leg<\/option><option value='Neck \/ Throat' >Neck \/ Throat<\/option><option value='Respiratory' >Respiratory<\/option><\/select><\/div><\/li><li id=\"field_44_58\" class=\"gfield gfield--type-radio gfield--type-choice gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_58\" ><label class='gfield_label gform-field-label' >Body Side Affected<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_44_58'>\n\t\t\t<li class='gchoice gchoice_44_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='Both'  id='choice_44_58_0'    \/>\n\t\t\t\t<label for='choice_44_58_0' id='label_44_58_0' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='Right'  id='choice_44_58_1'    \/>\n\t\t\t\t<label for='choice_44_58_1' id='label_44_58_1' class='gform-field-label gform-field-label--type-inline'>Right<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_58_2'>\n\t\t\t\t<input name='input_58' type='radio' value='Left'  id='choice_44_58_2'    \/>\n\t\t\t\t<label for='choice_44_58_2' id='label_44_58_2' class='gform-field-label gform-field-label--type-inline'>Left<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_44_14\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_14\" ><label class='gfield_label gform-field-label' for='input_44_14'>Medical Treatment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_14'>What type of medical treatment was given?<\/div><div class='ginput_container ginput_container_select'><select name='input_14' id='input_44_14' class='medium gfield_select'  aria-describedby=\"gfield_description_44_14\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='First Aid Only' >First Aid Only<\/option><option value='Medical Treatment Received' >Medical Treatment Received<\/option><option value='No Treatment Necessary\/Treatment Refused' >No Treatment Necessary\/Treatment Refused<\/option><\/select><\/div><\/li><li id=\"field_44_15\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_15\" ><label class='gfield_label gform-field-label' for='input_44_15'>Name of Person Who Provided Initial First Aid<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_44_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_18\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_18\" ><label class='gfield_label gform-field-label' for='input_44_18'>Transportation Provided<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_18'>How did the affected person leave the site of the incident?<\/div><div class='ginput_container ginput_container_select'><select name='input_18' id='input_44_18' class='medium gfield_select'  aria-describedby=\"gfield_description_44_18\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='No Transportation' >No Transportation<\/option><option value='Walked' >Walked<\/option><option value='Car' >Car<\/option><option value='Ambulance' >Ambulance<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/li><li id=\"field_44_16\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_16\" ><label class='gfield_label gform-field-label' for='input_44_16'>Name of Physician, Hospital or Clinic<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_16'>What is the name of the Physician, Hospital or Clinic where medical treatment was provided?<\/div><div class='ginput_container ginput_container_text'><input name='input_16' id='input_44_16' type='text' value='' class='medium'  aria-describedby=\"gfield_description_44_16\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_17\" class=\"gfield gfield--type-address field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_17\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of Physician, Hospital or Clinic<\/label><div class='gfield_description' id='gfield_description_44_17'>What is the address of the Physician, Hospital, or Clinic where medical treatment was provided?<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_44_17' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_44_17_1_container' >\n                                        <input type='text' name='input_17.1' id='input_44_17_1' value=''    aria-required='false'    \/>\n                                        <label for='input_44_17_1' id='input_44_17_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_44_17_2_container' >\n                                        <input type='text' name='input_17.2' id='input_44_17_2' value=''     aria-required='false'   \/>\n                                        <label for='input_44_17_2' id='input_44_17_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_44_17_3_container' >\n                                    <input type='text' name='input_17.3' id='input_44_17_3' value=''    aria-required='false'    \/>\n                                    <label for='input_44_17_3' id='input_44_17_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_44_17_4_container' >\n                                        <input type='text' name='input_17.4' id='input_44_17_4' value=''      aria-required='false'    \/>\n                                        <label for='input_44_17_4' id='input_44_17_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_44_17_5_container' >\n                                    <input type='text' name='input_17.5' id='input_44_17_5' value=''    aria-required='false'    \/>\n                                    <label for='input_44_17_5' id='input_44_17_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_44_17_6_container' >\n                                        <select name='input_17.6' id='input_44_17_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_44_17_6' id='input_44_17_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_44_21\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_21\" ><label class='gfield_label gform-field-label' for='input_44_21'>Injury Activity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_21'>Indicate the activity being performed when injury occurred.<\/div><div class='ginput_container ginput_container_select'><select name='input_21' id='input_44_21' class='medium gfield_select'  aria-describedby=\"gfield_description_44_21\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Athletics\/Sports' >Athletics\/Sports<\/option><option value='Driving' >Driving<\/option><option value='Running\/Walking on Campus' >Running\/Walking on Campus<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_22\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_22\" ><label class='gfield_label gform-field-label' for='input_44_22'>Sport<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_22'>What sport was being played when the injury occured?<\/div><div class='ginput_container ginput_container_select'><select name='input_22' id='input_44_22' class='medium gfield_select'  aria-describedby=\"gfield_description_44_22\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Baseball\/Softball' >Baseball\/Softball<\/option><option value='Basketball' selected='selected'>Basketball<\/option><option value='Climbing' >Climbing<\/option><option value='Football' >Football<\/option><option value='Ice Skating\/Hockey' >Ice Skating\/Hockey<\/option><option value='Soccer' >Soccer<\/option><option value='Swimming' >Swimming<\/option><option value='Volleyball' >Volleyball<\/option><option value='Working Out' >Working Out<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_23\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_23\" ><label class='gfield_label gform-field-label' for='input_44_23'>Describe &quot;other&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_44_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_24\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_24\" ><label class='gfield_label gform-field-label' for='input_44_24'>Nature of the Sports Activity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_44_24' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Class' >Class<\/option><option value='Campus Recreation' >Campus Recreation<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_59\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_59\" ><label class='gfield_label gform-field-label' for='input_44_59'>Environmental Factors<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_44_59'>Did any environmental factors cause or contribute to the incident?<\/div><div class='ginput_container ginput_container_select'><select name='input_59' id='input_44_59' class='medium gfield_select'  aria-describedby=\"gfield_description_44_59\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select from list below<\/option><option value='Dark\/Light' >Dark\/Light<\/option><option value='Dust\/Smoke' >Dust\/Smoke<\/option><option value='Fog\/Ice\/Snow' >Fog\/Ice\/Snow<\/option><option value='Noise' >Noise<\/option><option value='Rain' >Rain<\/option><option value='Sun\/UV' >Sun\/UV<\/option><option value='Temperature' >Temperature<\/option><option value='Water' >Water<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_44_28\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_28\" ><label class='gfield_label gform-field-label' for='input_44_28'>Describe &quot;other&quot;<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_44_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_33\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_33\" ><label class='gfield_label gform-field-label' for='input_44_33'>Other Information<\/label><div class='gfield_description' id='gfield_description_44_33'>Is there any other information that would be helpful for investigating the incident or fixing any problems that caused or resulted from the incident?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_44_33' class='textarea small'  aria-describedby=\"gfield_description_44_33\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_44_32\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_44_32\" ><label class='gfield_label gform-field-label' for='gform_browse_button_44_32'>Associated Files<\/label><div class='gfield_description' id='gfield_description_44_32'>Upload any files associated with the incident here. Please do not upload HIPPA protected files, this website is not secure enough for those files. If you have HIPPA files they can be sent to EH&amp;S by replying to the conformation email you receive after submission. The maximum file size is 8MB.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_44_32' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_44_32&quot;,&quot;container&quot;:&quot;gform_multifile_upload_44_32&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_44_32&quot;,&quot;filelist&quot;:&quot;gform_preview_44_32&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/test-inside.ewu.edu\\\/ehs\\\/?gf_page=b22187ae8bbc7a4&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/test-inside.ewu.edu\\\/ehs\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/test-inside.ewu.edu\\\/ehs\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed 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class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_44_32' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_44_32 gfield_description_44_32\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_44_32'>Max. file size: 63 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_44_32'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_44_32' class='ginput_preview_list'><\/div><\/li><li id=\"field_44_62\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_44_62\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_44_62'>Incident Report Number<\/label><div class='gfield_description' id='gfield_description_44_62'>Put the incident report number from the spreadsheet here.<\/div><div class='ginput_container ginput_container_text'><input name='input_62' id='input_44_62' type='text' value='' class='medium'  aria-describedby=\"gfield_description_44_62\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_63\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_44_63\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >Does this report require follow-up?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_44_63'>\n\t\t\t<li class='gchoice gchoice_44_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='No'  id='choice_44_63_0'    \/>\n\t\t\t\t<label for='choice_44_63_0' id='label_44_63_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='Yes'  id='choice_44_63_1'    \/>\n\t\t\t\t<label for='choice_44_63_1' id='label_44_63_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_44_64\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_44_64\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >Has reporter been contacted?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_44_64'>\n\t\t\t<li class='gchoice gchoice_44_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='No'  id='choice_44_64_0'    \/>\n\t\t\t\t<label for='choice_44_64_0' id='label_44_64_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_44_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='Yes'  id='choice_44_64_1'    \/>\n\t\t\t\t<label for='choice_44_64_1' id='label_44_64_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li 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