Table 1.
Incident and victim variables captured.
| Incident information category | Input options |
| Incident date | Month, day, year |
| Time | Morning (6:00 am-11:59 am)/Afternoon (12:00 pm-5:59 pm)/Evening (6:00 pm-11:59 pm)/Night (12:00 am-5:59 am)/Unknown |
| Address | Country, state, county, city |
| Operation type | Agriculture/Fishing/Forestry/Unknown |
| Occurred during | Work/Leisure/Play/Unknown/Other—please specify |
| Location of incident | Barn/Field/Forest/Public Roadway, etc |
| Name | Last, first, middle |
| Age | Age specified/youth (0-17)/adult (18+)/unknown |
| Sex | Male/female/unknown/other |
| Special population | Migrant-seasonal/anabaptist/military veteran |
| Was the injury fatal | Yes/no/unknown |
| Date of death reported? | Yes/no |
| Date of death | Month, day, year |
| Role in the event | Operator/passenger/bystander/firefighter-EMSa/unknown/other |
| Intentional injury | Not intentional/suicide/homicide/unknown/other |
| Was this in a confined space? | Yes/no/unknown/NAb |
| Was grain involved? | Yes/no/unknown/NA |
| Did drowning/suffocation occur? | Yes/no/unknown/NA |
| Was alcohol or drugs involved? | Yes/no/unknown/NA |
| Was a seatbelt used? | Yes/no/unknown/NA |
| Was a helmet used? | Yes/no/unknown/NA |
| Was rollover protection structure used? | Yes/no/unknown/NA |
| Was this Agritourism? | Yes/no/unknown/NA |
| Other personal protective equipment used? | Yes/no/unknown/NA |
| FAICc | FAIC-1/FAIC-2/FAIC-3/FAIC-4/FAIC-5/FAIC-6/FAIC-7/FAIC-8/FAIC-9/FAIC-10 |
| Injury Agent—Primary source | ATVd/building or structure/environment/tractor, etc |
| Injury Agent—Secondary source | ATV/building or structure/environment/tractor, etc |
| Occupational Injury and Illness Classification System | Nature of injury, part of body affected, primary source/secondary source/tertiary source, event/exposure |
aEMS: Emergency Medical Services.
bNA: not applicable.
cFAIC: Farm and Agricultural Injury Classification.
dATV: all-terrain vehicle.