Injury Template

Assignment: [select name="variable1" value="Guest Injury|Non-Guest Injury|Associate Injury"]

Narrative:[comment memo="Story of what transpired. Be OBJECTIVE. Facts only"]
[textarea name="variable2" default=""]

Group:[comment memo="Name of group they are a part of, if applicable.  i.e. Wedding, business, ect."]
[text name="variable3" default=""]

Transient: [comment memo="This is an individual who is a guest but has no affiliation to groups in house."]
[select name="variable4" value="Yes|No"]  

Associate: [comment memo="Any piad or volunteer OMNI associate"]
[select name="variable24" value="Yes|No"]

Patron:[comment memo="Individual conducting business with OMNI but not a guest i.e. dining in a restaurant only"]
[select name="variable99" value="Yes|No"]

Guest Information:
Name: [text name="variable5" default=""]
Phone: [text name="variable6" default=""]
Email: [text name="variable7" default=""]
Check-in: [date name="variable8" default=""]
Check-out: [date name="variable9" default=""]

Guest Statement: [comment memo="Statement given by the guest on what occured"][textarea name="variable10" default=""]

Voluntary Statement: [comment memo="Statement given by a witness"][textarea name="variable11" default=""]

Timeline:
   Recieved Call: [text name="variable48" default=""]
   Responded: [text name="variable83" default=""]
   On Scene: [text name="variable82" default=""]
   Emergency Services Arrived: [text name="variable81" default=""]
   Emergency Services Cleared: [text name="variable80" default=""]
   LPO Cleared: [text name="variable79" default=""]
   [comment memo="Other:"] [text name="variable72" default=""]

[textarea name="variable12" default=""]

Investigation: [comment memo="What investigative steps did you take"]
[textarea name="variable78" default=""]

Attachments:[comment memo="List any attachements in Presynct"] [checklist name="variable14" value="Pictures|Statement"][text name="variable_15" default=""]

Notifications: [checkbox name="notifications check" value="Dominique LaPointe, TFGM|Jeff Leduc, Resort Manager |Tim Monahan, LP Director| Gene Meoni, F&B Director| Risk Management"] [text name="variable77" default=""]
Disposition: 
[select name="variable66" value="Open|Closed"][select name="variable_1" value="Follow up needed|No follow up needed"]