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Non-Employee Injury Report
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Incident Details
Subject
A short description to explain the nature of a ticket.
Priority
The relative importance of the ticket to the organization.
Low
Medium
High
Emergency
Date of Incident
(mm/dd/yyyy hh:mm)
Location of Incident
Administration Building
Advanced Technologies
Arts and Communications Building
Baptist Student Ministry
Baptist Student Union
Baseball Field
Batting Cages
Bookstore
Campus Police Department
Career & Technology Center
Career Technology Center - Auto Body
Career Technology Center - Cosmetology
Career Technology Center - HVAC
Career Technology Center - Welding
Center for Interdisciplinary Studies
Center for Workplace Learning
Criminal Justice
Culinary Arts
Culinary Arts Building
Dorm - Ralph T. Jones Hall
Dorm - Viking Residence Hall
Facilities Maintenance
Field House
Grayson College Foundation House
Gym
Health Science
Information Technology
Liberal Arts
Library
Life Center
Maintenance
Science
South Campus - Administration Building
South Campus - Technology Center
Sports & Recreation Center
Student Affairs Building
Student Success Center
The Bridge
West Campus - Distillery / Vineyard
West Campus - Viticulture / Enology
Other
Part of Body Injured or Exposed
Cause of Injury (fall, tool, machine, etc.)
How and Why Injury/Illness Occurred
Attachment
File attachments associated with the ticket.
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Student Information
First Name & Last Name of Injured Student
Student ID Number
Other Fields
Your name
Your first name
Your last name
Your email address
Your phone number
Verification Code