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#Wed Aug 31 13:33:40 CST 2016
injorillinc.title=Injury and Illness Incident Report
completedby.headerlabel=Completed By\:
title.headerlabel=| Title\:
phone.headerlabel=| Phone\:
date.headerlabel=| Date\:
employeeinfo.subheader=Information about Employee
fullname.columnlabel=Full Name\:
street.columnlabel=Street\:
citystatezip.columnlabel=City, State, Zip\:
dob.columnlabel=DOB\:
dateofhire.columnlabel=Date of Hire\:
male.columnlabel=Male\:
female.columnlabel=Female\:
caseinfo.subheader=Information about the Case
casenum.columnlabel=Case Number\:
dateofinjorill.columnlabel=Date of Injury or Illness\:
timeemployeebeganwork.columnlabel=Time Employee Began Work on Day of Injury / Illness\:
timeofevent.columnlabel=Time of the Event\:
checkiftimecannotbd.columnlabel=Check if Time Cannot be Determined
whatemployeedoing.columnlabel=What was the Employee Doing Just Before the Incident Occurred?
whathappened.columnlabel=What Happened?
whatwasinjorill.columnlabel=What was the Injury or the Illness?
whatobjorsub.columnlabel=What Object or Substance Directly Harmed the Employee?
dod.columnlabel=If the Employee Died, what was the Date of Death?
phsicianinfo.subheader=Information about the Physician or Other Health Care Professional
physicianname.columnlabel=Name of the Physician or Other Healthcare Professional\:
facility.columnlabel=Facility\:
city.columnlabel=City\:
state.columnlabel=State\:
zip.columnlabel=Zip\:
typeoftreatment.columnlabel=Type of Treatment\:
siteid.headerlabel=Site\:
increportable.headerlabel=Reportable Injury or Illness?
injorillinc_with_param.title=Injury and Illness Incident Report (with Params)
injorilllog.header=Log of Work-related Injuries and Illnesses
injorilllog.header_year=Year\:
injorilllog.header_orgname=Organization\:
injorilllog.header_site=Site(s)\:
injorilllog.header_city_state_zip=City, State, Zip\:
injorilllog.header_from=From\:
injorilllog.header_to=To\:
injorilllog.column_title_casenum=Case Number
injorilllog.column_title_empname=Employee Name
injorilllog.column_title_jobtitle=Job Title
injorilllog.section_casedesc=Case Description
injorilllog.column_title_dateofinjury=Date of the Injury or Onset of Illness
injorilllog.column_title_where_event_occur=Where the Event Occurred
injorilllog.column_title_desc_injury=Describe the Injury or Illness, Parts of the Body Affected, and Objects / Substances that Directly Injured or Made Person Ill
injorilllog.section_title_classify_case=Classify the Case
injorilllog.column_title_death=Death
injorilllog.column_title_days_away_from_work=Days Away from Work
injorilllog.subsection_remained_at_work=Remained at Work
injorilllog.column_title_jobtrans=Job Transfer or Restriction
injorilllog.column_title_other_recordable_case=Other Recordable Cases
injorilllog.section_title_identify_the_person=Identify the Person
injorilllog.column_title_A=(A)
injorilllog.column_title_B=(B)
injorilllog.column_title_C=(C)
injorilllog.column_title_D=(D)
injorilllog.column_title_E=(E)
injorilllog.column_title_F=(F)
injorilllog.column_title_G=(G)
injorilllog.column_title_H=(H)
injorilllog.column_title_I=(I)
injorilllog.column_title_J=(J)
injorilllog.column_title_K=(K)
injorilllog.column_title_L=(L)
injorilllog.section_title_enter_the_number_of_days=Enter the Number of Days the Injured Worker or Ill Worker was\:
injorilllog.column_title_away_from_work=Away from Work
injorilllog.column_title_on_job_transfer=On Job Transfer or Restriction
injorilllog.section_title_check_the_injury_column=Check the "Injury" Column or Choose One Type of Illness\:
injorilllog.column_title_injury=Injury
injorilllog.column_title_skin_discorder=Skin Disorder
injorilllog.column_title_respiratory_condition=Respiratory Condition
injorilllog.column_title_poisoning=Poisoning
injorilllog.column_title_hearing_loss=Hearing Loss
injorilllog.column_title_all_other_illness=All Other Illnesses
injorilllog.column_title_M=(M)
injorilllog.column_title_1=(1)
injorilllog.column_title_2=(2)
injorilllog.column_title_3=(3)
injorilllog.column_title_4=(4)
injorilllog.column_title_5=(5)
injorilllog.column_title_6=(6)
injorilllog.column_label_days=Days
injorilllog.section_title_classify_case_desc=CHECK ONLY ONE box for each case, based on the most serious outcome for that case\:
injorilllog.header.summary=Summary of Work-related Injuries and Illnesses
injorilllog.section_title_num_of_cases=Number of Cases
injorilllog.column_title_num_of_death=Total Number of Deaths
injorilllog.column_title_num_of_other_recordable_case=Total Number of Other Recordable Cases
injorilllog.column_title_num_of_cases_away_from_work=Total Number of Cases with Days Away from Work
injorilllog.column_title_num_of_cases__jobtrans=Total Number of Cases with Job Transfer or Restriction
injorilllog.column_title_num_of_days_away_from_work=Total Number of Days Away from Work
injorilllog.column_title_num_of_days__jobtrans=Total Number of days of Job Transfer or Restriction
injorilllog.section_title_num_of_days=Number of Days
injorilllog.section_title_injory_illness_types=Injury and Illness Types
injorilllog.column_title_num_of_M=Total Number of ...
injorilllog.section_title_establish_info=Establishment Information
injorilllog.column_title_establish_name=Your Establishment Name
injorilllog.column_title_street=Street
injorilllog.column_title_city=City
injorilllog.column_title_zip=Zip
injorilllog.column_title_state=State
injorilllog.column_title_industry_desc=Industry Description (such as manufacturing)
injorilllog.column_title_std_industry_classification=Standard Industrial Classification(SIC), if known
injorilllog.column_title_or=OR
injorilllog.column_title_na_industry_classication=North American Industrial Classification(NAICS), if known
injorilllog.section_title_emp_info=Employment Information
injorilllog.section_title_emp_info_help=(If you don't have these figures, see the Worksheet on the back of this page to estimate.)
injorilllog.column_title_annual_avg_num_of_emp=Annual Average Number of Employees
injorilllog.column_title_total_hours_worked_by_all_emp_last_year=Total Hours Worked by All Employees Last Year
injorilllog.section_title_sign_here=Sign Here
injorilllog.section_title_knowning=Knowingly falsifying this document may result in a fine.
injorilllog.section_title_i_certify=I certify that I have examined this document, and that to the best of my knowledge the entries are true, accurate, and complete.
injorilllog.column_title_company_executive=Company Executive
injorilllog.column_title_title=Title
injorilllog.column_title_Phone=Phone
injorilllog.column_title_Date=Date
injorilllog.column_title_left_parenthesis=(
injorilllog.column_title_right_parenthesis=)
injorilllog.column_title_slash=/
injorilllog.column_title_empty_line=