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. 2019 Aug 2;3(3):e13621. doi: 10.2196/13621

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.