From: "Saved by Windows Internet Explorer 7" Subject: Fire Fighter Fatality Investigation Report F2005-12 | CDC/NIOSH Date: Fri, 2 May 2008 15:31:00 -0500 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C8AC69.868B2A70" X-MimeOLE: Produced By Microsoft MimeOLE V6.0.6000.16545 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C8AC69.868B2A70 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/niosh/fire/reports/face200512.html Fire Fighter Fatality Investigation Report F2005-12 | = CDC/NIOSH

3D"NIOSH

This report was revised on July 14, 2006=20

Career Fire Fighter/EMT Dies in Ambulance Crash - Florida

SUMMARY

On August 23, 2004, a 22-year-old male career fire fighter/emergency = medical=20 technician (the victim) died after the ambulance in which he was riding = crashed=20 into a tree. The ambulance, with a patient on board, had proceeded = through an=20 intersection with lights and siren activated when the driver lost = control after=20 losing traction on a wet road. The victim, who was belted into the = captain=92s=20 chair in the patient compartment, died on impact and was pronounced dead = on=20 scene. A paramedic who was also sitting in the rear of the ambulance was = ejected=20 and sustained serious injuries. He was transported to a local hospital = via=20 ambulance.

NIOSH investigators concluded that to minimize the risk of similar=20 occurrences, emergency medical services (EMS) and fire departments = should:

In addition, ambulance manufacturers, researchers and standard = setting bodies=20 should:

3D"
Photo courtesy of the Sheriff's=20 office.

INTRODUCTION

On August 23, 2004, a 22-year-old male career fire fighter/emergency = medical=20 technician (EMT) died after the ambulance in which he was riding = reportedly=20 hydroplaned, left the road, overturned, and crashed into a tree. On = August 24,=20 2004, the U.S. Fire Administration (USFA) notified the National = Institute for=20 Occupational Safety and Health (NIOSH) of this fatality. On April 28, = 2005, in=20 response to a request from a local of the International Association of = Fire=20 Fighters (IAFF), a safety and occupational health specialist from the = NIOSH Fire=20 Fighter Fatality Investigation and Prevention Program performed an = on-site=20 investigation of the incident. The NIOSH investigator met with the = Assistant=20 Fire Chief, the Director of the county emergency medical services (EMS), = the=20 Deputy Fire Service Chief responsible for fire department safety and = training,=20 the Safety Manager from the County Risk Management Division, the = Director of=20 Fleet Management and several Fleet Management staff members, the union=20 representative, an attorney for the fire department/County, and the = medical=20 supervisor/training coordinator for EMS. The NIOSH investigator = interviewed the=20 driver of the ambulance and the paramedic who was riding in the patient=20 compartment with the victim. The NIOSH investigator reviewed the EMS = division=92s=20 and fire department=92s standard operating procedures (SOPs), training = records of=20 the victim and the driver, and the death certificate. The county = Sheriff=92s=20 traffic crash report was also reviewed. The Chief of the Fatality = Investigations=20 Team also contacted the fire department and union for additional = information.=20 This was the fire department=92s first workplace fatality involving an = EMS=20 division vehicle.

Department/Training:
This = combination,=20 county-wide fire department had been in service for approximately 30+ = years, and=20 employs approximately 250 career and 100 volunteer fire fighters in 31 = stations.=20 It serves about 300,000 people in an area of approximately 1,900 square = miles.=20 The victim had 3 years experience as a fire fighter/EMT, all with this = county=20 fire department.

This county government operates a Department of Public Safety (DPS). = EMS and=20 Fire are two divisions within the DPS. The driver of the EMS vehicle was = employed by the county EMS division, and had been driving for the EMS = division=20 for more than 3 years at the time of the incident. According to the fire = department, the EMS division routinely supports the fire department=92s = operations=20 =96 including at fire suppression operations=96 and the fire department = also=20 supports the EMS division. It was noted during the investigation that = the two=20 different divisions have separate and distinct driver training = requirements and=20 maintenance policies for the vehicles. This investigation focused on the = EMS=20 divisions=92 policies and training.

The driver reportedly spends approximately 80% of the time driving = and the=20 remainder of the time in the patient compartment. In 2000, prior to = being hired,=20 the driver successfully completed an emergency vehicle operations course = (EVOC).=20 After being hired in 2001, she completed a defensive driving course = provided by=20 the EMS division during which her driving skills were evaluated and = approved by=20 EMS division personnel. The defensive driving course included evasive = maneuvers,=20 driving through cones, turning, switching lanes, and backing. In = accordance with=20 the standard operating procedure Vehicles and Vehicle=20 Operations,1= as=20 a probationary employee, the operator completed six months of supervised = driving=20 documented by a supervising authority. The EMS division=92s standard = operating=20 procedure also required emergency vehicle operators to successfully = complete a=20 departmental refresher course every five years. The State requires a = Class =93D=94=20 license with an =93E=94 endorsement to drive emergency vehicles; the = driver met this=20 requirement. The driver was familiar with the area and this vehicle = having=20 operated it for more than six months.

Weather/road/intersection:
During a six=20 week period prior to this incident, the County had experienced three = hurricanes=20 and unstable weather, and the EMS division and fire department=92s = employees were=20 required to work long shifts under adverse conditions. At the time of = the crash,=20 the ambient temperature was 78=B0 F. It was partly cloudy, wet and rainy = (it was=20 reported that rain had stopped prior to the incident). The road involved = in the=20 incident was a two-lane asphalt highway with left and right turn lanes = and paved=20 shoulders at an intersection. It was relatively flat and straight in the = area of=20 the incident. The intersection was controlled by an overhead traffic = signal=20 which, according to the sheriff=92s report, appeared to be functioning = properly at=20 the time of the incident. The posted speed limit was 50 mph.

Apparatus/Maintenance:
The = county EMS=20 Division=92s vehicle was a model year 2000 Type I (cover=20 photo) ambulance with a gross vehicle weight rating of 20,000 = pounds.=20 Overall vehicle length was 298 inches. It was purchased new from the=20 manufacturer. The EMS Division=92s policy was to perform vehicle = maintenance every=20 2,500 miles using a preventive maintenance checklist.2= =20 The most recent maintenance performed on the incident vehicle occurred = on July=20 26 through July 28, 2004. This maintenance did not include tire = replacement. The=20 mileage of the vehicle at the time of this maintenance was 184,647. The = mileage=20 at the time of the incident was noted to be 193,980. According to the = vehicle=20 maintenance personnel interviewed, the state does not require routine = vehicle=20 inspection certification.

Tires/Wheels:
The tires mounted = on the=20 vehicle, particularly the rear tires, showed signs of excessive wear and = =93wear=20 bars,=94 or =93tread indicators,=94 were visible (Pho= to=20 1). It is the EMS divisions=92 policy to change tires as needed at = intervals=20 throughout the life of the ambulance. The EMS divisions=92 maintenance = records=20 documented that the rear tires were replaced on February 18, 2004 at = 162,542=20 miles. The Sheriff=92s report3= =20 documented different make and model tires than were identified on the = EMS=20 division=92s maintenance records.

 

INVESTIGATION

On August 23, 2004, at approximately 1726 hours, the ambulance, with = lights=20 and siren activated, was heading west on a state roadway transporting a = patient=20 to the hospital. The driver stated that as she approached the = intersection, she=20 had scanned the intersection and then moved into the left (westbound) = turn lane=20 because of traffic congestion. After she cleared the intersection she = traveled=20 in the left turn lane for oncoming (eastbound) traffic due to continued = traffic=20 backup in the straight lane. Approximately 300 feet west of the = intersection, as=20 she was attempting to move into the straight (westbound) lane, the rear = tires of=20 the ambulance began skidding and the ambulance began to slide sideways = and=20 clockwise as the driver lost control. The vehicle continued to rotate = clockwise=20 and slid across the westbound straight lane. It then left the roadway = and=20 traveled approximately 77 feet and rolled onto the driver=92s side as = the roof=20 impacted a tree. The driver estimated her speed at the time of the = incident to=20 be 30-35 mph when she lost control. Due to the collision with the tree = and the=20 abrupt stop, the actual speed of the vehicle could not be determined. = The=20 longest skid mark was approximately 172 feet long. (D= iagram=20 1)

The victim was sitting on the attendant=92s seat (captain=92s chair) = with his=20 seatbelt on, in the patient compartment, behind the driver. After the = crash he=20 was found sitting in the impact area between the tree and the passenger=20 compartment, entangled with various metal structures and items within = the=20 compartment. He was pronounced dead on scene at 1826 hours.

The paramedic, who was sitting on the side bench-seat, was ejected = upon=20 impact. He received serious arm injuries that required hospitalization, = surgery,=20 and an extended period of time away from work. According to the = paramedic and=20 the driver, both the victim and the driver were wearing their seatbelts = at the=20 time of the crash. The paramedic was not restrained. The patient was = restrained=20 on the stretcher. The patient that was being transported and the = paramedic were=20 transferred to other ambulances and transported from the incident scene = to a=20 local hospital.

 

Cause of Death

The medical examiner listed the cause of death as blunt force head=20 trauma.

 

RECOMMENDATIONS/DISCUSSIONS

Recommendation #1: EMS and fire departments should replace worn = tires as=20 part of the apparatus maintenance program

Discussion: Discussion: NFPA 15004= =20 chapter 6.4 outlines the requirements for the inspection, maintenance, = and=20 repair of fire apparatus, and states that: =93All fire apparatus shall = be=20 inspected at least weekly, within 24 hours after any use or repair, and = prior to=20 being placed in service or used for emergency purposes to identify and = correct=20 unsafe conditions.=94 Though NFPA 1500 is targeted specifically to fire=20 departments, this standard provides good guidance for emergency medical = services=20 organizations who, dependent on the jurisdiction, may operate ambulances = independently from fire departments. The EMS division did not inspect = vehicles=20 according to NFPA 1500, rather it scheduled its vehicles to be inspected = every=20 2,500 miles. Chapter 6.4.4 further states that =93the fire department = shall=20 establish a list of major defects to be utilized to evaluate when a = vehicle=20 shall be declared unsafe.=94 While there was a =93brakes and tires=94 = inspection=20 section on the EMS Division=92s checklist that includes =93Inspect all = tires for=20 wear, punctures, cracks, etc.=94 there was no guidance to determine at = what point=20 tire wear was to be deemed unsafe or in need of replacement. In = addition, there=20 was no requirement to determine tread depth as an indicator for tire = replacement=20 as part of the checklist.

NFPA 19155= =20 states that =93as part of the maintenance program to ensure safe travel, = tires=20 should be inspected for advanced and unusual wear, which can reduce the = ability=20 of tread to grip the road in adverse conditions.=94 EMS and fire = departments=20 should visually check tires for uneven wear, looking for high and low = areas or=20 unusually smooth areas and check for signs of damage. NFPA 1915 chapter = 2.1.4.2=20 states =93The following defects and deficiencies of the chassis, axles, = steering=20 and suspension systems, drive line, wheels, and tires reduce the = operational=20 safety and performance of the fire apparatus and shall be considered = when=20 developing the out-of-service criteria:

  1. Tires that have cuts in the sidewall that penetrate to the = cord =20
  2. Tires that are defective =20
  3. Tires that have a tread depth of 4/32 inch. (3.2 mm) or less on = any=20 steering axle or 2/32 inch. (1.6 mm) or less on any non-steering axle = at any=20 two adjacent major tread grooves anywhere on the tire.

If any of these conditions exist, appropriate action, including tire=20 replacement, should be performed.=94

According to the National Highway Traffic Safety Administration = (NHTSA),=20 =93Tires have built-in tread wear indicators that let you know when it = is time to=20 replace your tires. These indicators are raised sections spaced = intermittently=20 in the bottom of the tread grooves. When they appear even with the = outside of=20 the tread, it is time to replace your tires.=946= =20 The tires mounted on the vehicle involved in this incident showed = evidence of=20 excessive wear and had visible tread wear indicators (Pho= to=20 1). Actual measurements taken of the rear, non-steering tires with a = tread-depth indicator during the NIOSH investigation identified the = tires as=20 having the following maximum tread depth:

Left (driver=92s side) rear outside tire: 4/32 inch
Left = (driver=92s side)=20 rear inner tire: 2/32 inch


Recommendation #2 : EMS and fire departments should ensure that = drivers=20 operate emergency vehicles at speeds appropriate for the conditions to = prevent=20 hydroplaning and loss of vehicle control

Discussion: A major function of tire tread is to allow water to flow = through=20 the tread and allow the tires to maintain contact with the surface of = the road.=20 If inadequate tire tread exists, the water will not be displaced and the = tires=20 may =93hydroplane,=94 or rise up on top of the water layer. The result = can be a loss=20 of traction and control. How well traction will be maintained on a wet = road=20 depends on several factors, including vehicle speed, amount of water = present,=20 and the condition of the tires (if tires are under-inflated or have = excessive=20 tread wear.) According to NHTSA, under-inflated tires can lead to uneven = tread=20 wear, skidding, hydroplaning, and loss of control on wet = surfaces.6= To=20 avoid hydroplaning and loss of control, drivers should slow down by = easing their=20 foot off the accelerator, avoid hard braking or sharp turns, drive in = the tracks=20 of the vehicle in front of them, and increase following distance. = Drivers should=20 also routinely check for worn tires and should maintain tire pressure at = recommended levels, avoiding under inflation. The tires on the ambulance = showed=20 evidence of excessive tread wear and the wear bars were visible on at = least one=20 rear tire (Pho= to=20 1). The driver of the incident vehicle stated that she was driving = at=20 approximately 30-35 mph and the roadway was wet. Vehicle speed could not = be=20 verified in this investigation.


Recommendation #3 : EMS and fire departments should ensure that = drivers=20 receive driver training at least twice a year

Discussion: Driver training should be provided to all = driver/operators as=20 often as necessary to meet the requirements of NFPA 14517= =20 but not less than twice a year. This training should be documented and = cover=20 defensive driving techniques during emergency and non-emergency = conditions.=20 Additionally, if fire fighters work in these vehicles =96 which was the = case in=20 this incident and county, EMS and fire departments=92 driver training = should be in=20 accordance with NFPA 1451, Standard for a Fire Service Vehicle = Operations=20 Training Program and NFPA 10028= ,=20 Fire Apparatus Driver/Operator Professional Qualifications. = During this=20 training, each driver should operate the vehicle and perform tasks that = the=20 driver/operator is expected to encounter during operations under normal = and=20 adverse conditions to ensure the vehicle is safely operated in = compliance with=20 all applicable State and local laws. The county EMS division=92s policy = stated=20 that emergency vehicle operators must successfully complete a refresher = course=20 every five years.


Recommendation #4 : Ambulance manufacturers,=20 researchers, and standard setting bodies should continue to improve = vehicle=20 safety standards and designs for increased crash worthiness of ambulance = patient=20 compartments for occupant survivability

Discussion: The victim had been riding in the attendant=92s seat, = (captain=92s=20 chair), restrained by a lap belt. (Pho= to 2)=20 Use of occupant restraint systems such as lap and shoulder belts have = proven an=20 effective intervention for protection from vehicle crash-related = fatalities.=20 However, as evidenced by the circumstances present during this incident, = additional vehicle crash worthiness issues such as vehicle structural = integrity=20 may significantly impact occupant survivability The driver reported that = the=20 vehicle was traveling between 30 and 35 mph when vehicle control was = lost.=20 Investigators could not estimate the speed of the vehicle, or the = collision=20 speed or related forces. However, during the ambulance=92s side impact = with the=20 tree, the forces were sufficient for the roof and street side of the = patient=20 compartment structure to collapse, and the curbside wall to separate = from the=20 floor. This structural failure allowed the unrestrained paramedic to be = ejected=20 and the victim to be crushed by the collapsing structure (Pho= to=20 3).

The Federal Motor Vehicle Safety Standards (FMVSS) address issues of=20 structural integrity for passenger cars including side impact protection = and=20 provide acceleration parameters that can be used to evaluate the level = of=20 protection required.9= =20 However, structural standards of FMVSS may not apply to ambulances which = are=20 manufactured as incomplete vehicles by the automotive industry and are = then=20 equipped with patient compartments by ambulance manufacturers. Ambulance = standards such as the Federal Specification for the Star-of-Life = Ambulance,=20 KKK-A-1822E and the American Society for Testing and Materials (ASTM) = F-2020=20 Standard Practice for Design, Construction, and Procurement of Emergency = Medical=20 Services Systems Ambulances address structural integrity for the patient = compartment in general terms but do not specify a level of side impact=20 protection related to dynamic parameters such as acceleration.10, 11=20 Also, ambulances are not required to be dynamically tested as complete = vehicles.=20 Increased structural standards and designs could improve patient = compartment=20 structural integrity and allow for the implementation of other = crash-related=20 injury interventions. These might include improvements to the = compartment layout=20 to minimize the movement of patient care providers which would allow = better=20 utilization of occupant restraints and the application of energy = absorbing=20 padding on bulkhead surfaces to minimize energy transfer to occupants = during=20 crashes. Further protection could be provided through the use of = improved=20 seating locations and designs, compartmentalization of seating locations = and=20 application of air bag technology.

 

CHANGES INCORPORATED BY THE DEPARTMENT

Since this incident, the county EMS division instituted additional = Emergency=20 Vehicle Operators Course (EVOC) training. This training reportedly = includes=20 classroom as well as behind-the-wheel training.

 

REFERENCES

  1. EMS Division and Fire Department=92s standard operating procedure=20 Vehicles and Vehicle Operations

  2. EMS Divisions=92 Vehicle Maintenance Checklist

  3. County Sheriff=92s Traffic Fatality Investigation Report. Incident = Number=20 2004-143807. 11/02/2004.

  4. NFPA [2002]. NFPA 1500: Standard on fire department occupational = safety=20 and health programs. Quincy, MA: National Fire Protection = Association.

  5. NFPA [2000]. NFPA 1915: Standard for fire apparatus preventive = maintenance=20 program. Quincy, MA: National Fire Protection Association.

  6. NHTSA [2005]. Tire=20 Safety Everything Rides on it (checklist).=20 = [http://www.nhtsa.dot.gov/portal/site/nhtsa/template.MAXIMIZE/menuitem.c6= b5d461a04337a1ba7d9d1046108a0c/;
    jsessionid=3DE2YYZd2hgbb95z25R0drD1f6= FBL3G1qF2unWB4fqiaz13srZN7Fa!-738400497?javax.portlet.tpst=3D
    4427b997= caacf504a8bdba101891ef9a_ws_MX&javax.portlet.prp_4427b997caacf504a8bd= ba101891ef9a_viewID=3D
    detail_view&javax.portlet.begCacheTok=3Dtok= en&javax.portlet.endCacheTok=3Dtoken&itemID=3D
    434fe7264ebbff0= 0VgnVCM1000002c567798RCRD&viewType=3Dstandard]=20
    Date accessed 05/17/2006. (Link updated=20 03/14/2008)

  7. NFPA [2002]. NFPA 1451: Standard for a fire service vehicle = operations=20 training program. Quincy, MA: National Fire Protection = Association.

  8. NFPA [2003]. NFPA 1002: Standard on fire apparatus driver/operator = professional qualifications. Quincy, MA: National Fire Protection=20 Association.

  9. NHTSA [2005] 49 CFR 571: Federal Motor Vehicle Safety Standards = (FMVSS)=20 Code of Federal Regulations, U.S. Government Printing Office, Office = of=20 Federal Register, December 2005.

  10. GSA [2002]. Federal Specification for the Star-of-Life Ambulance,=20 KKK-A-1822E, General Services Administration, Federal Supply Service, = GSA=20 Automotive, Washington, DC, June 1, 2002.

  11. ASTM [2000]. Standard Practice for Design, Construction, and = Procurement=20 of Emergency Medical Services Systems (EMSS) Ambulances, American = Society for=20 Testing and Materials (ASTM), 100 Barr Harbor Drive, West Conshohocken = PA,=20 June 2000.

 

INVESTIGATOR INFORMATION

This investigation was conducted and initial report drafted by Linda=20 Frederick, Safety and Occupational Health Specialist, and written in = final form=20 by Robert E. Koedam, Chief, Fatality Investigations Team, Fire Fighter = Fatality=20 Investigation and Prevention Program, Division of Safety Research, = NIOSH. Paul=20 Moore, Safety Engineer and Project Officer for the NIOSH Ambulance Crash = Survivability Improvement Project authored recom= mendation=20 #4 of this report.

 

DIAGRAM AND Photographs

3D"Diagram
Diagram 1. Depicts travel of the=20 ambulance.

3D"Photo
Photo 1. Illustrates the significant = wear on one=20 set of the
rear tires. Arrows indicate the visible wear=20 bars.


3D"Photo
Photo 2. Photo from similar ambulance=20 illustrating the
attendant's seat configuration prior to=20 crash.
(Photo courtesy of the Fire=20 Department)

3D"Photo
Photo 3. Patient compartment of = ambulance after=20 crash,
showing the separation of curbside wall and=20 roof.
(Photo courtesy of the County Sheriff's=20 office)

 

3D"Return

Return to Fire = Fighter=20 Homepage

3D"NIOSH

NIOSH Homepage

This page was last updated on 07/14/06.

 

 

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instance id triggerParms["cid"] =3D "31sbEFWQFllu7jbQnpc1Mw=3D=3D"; // customer id triggerParms["lf"] =3D 3; // loyalty factor triggerParms["sp"] =3D .3; // sample percentage triggerParms["npc"] =3D 1; // no persistent cookies if 1 triggerParms["rw"] =3D 129600; // resample wait (value in minutes) triggerParms["pu"] =3D 0; // pop-under control triggerParms["olpu"] =3D 1; // On Load pop-under control triggerParms["lfcookie"] =3D "ForeseeLoyalty_MID_soL8o3iA4g"; triggerParms["ascookie"] =3D "ForeseeSurveyShown_soL8o3iA4g"; triggerParms["width"] =3D 520; // survey width triggerParms["height"] =3D 500; // survey height triggerParms["domain"] =3D ".cdc.gov"; // domain name triggerParms["omb"] =3D "1505-0186"; // OMB number //triggerParms["cmetrics"] =3D "90010257"; // coremetrics client id triggerParms["cpp_1"] =3D "userURL:" + cppUrlPatch = (window.location.href); triggerParms["capturePageView"] =3D 1; //excludeList[0] =3D "/exclude/"; //trigger script will not work under = this path //triggerParms["dcUniqueId"] =3D "TEST04JloZZN0k9cI1Ep5d"; // (22 chars = unique Id for double cookie I/II) //triggerParms["midexp"] =3D 129600; // model instance expiry value triggerParms["rso"]=3D 0; //user has chosen to use Retry Survey Option triggerParms["aro"]=3D 0; //user has chosen to use Auto Retry Option, = with SP=3D100 //triggerParms["rct"]=3D 1; //The maximum number of times allowed to = serve a survey to a user //triggerParms["rds"]=3D 1; //The minimum number of days to wait to = serve a survey repeatedly //triggerParms["mrd"]=3D 1; //The total number of days that a user can = be re-served a survey triggerParms["compliant508"] =3D 0; //508 compliant if 1 //DHTML Parameter triggerParms["dhtml"]=3D 1;// disable dhtml trigger if dhtml=3D0 triggerParms["dhtmlWidth"] =3D 400; // welcome page width triggerParms["dhtmlHeight"] =3D 290; // welcome page height triggerParms["dhtmlURL"]=3D "/jscript/FSRInvite.html"; ------=_NextPart_000_0000_01C8AC69.868B2A70 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/JScript/stdLauncher.js // Customer:=20 // Version : DHTML Trigger 3.0 // ************ don't modify below this line ************* var popUpURL =3D "//www.foreseeresults.com/survey/display"; // base URL = to the survey=20 var FSRImgURL =3D "//www.foreseeresults.com/survey/FSRImg"; var OTCImgURL =3D "//controller.foreseeresults.com/fsrSurvey/OTCImg"; var ckAlreadyShown =3D triggerParms["ascookie"]; // name of the = persistent/session cookie var ckLoyaltyCount =3D triggerParms["lfcookie"]; // name of the loyalty = count cookie var fullURL=3Dnull; var oldURL=3Dnull; var myPopUp=3Dnull; var fsr_aol=3Dnull; var dcQString=3D""; var winOptions =3D "width=3D 1,height=3D 1,top=3D 4000,left=3D = 4000,resizable=3Dyes,scrollbars=3Dyes"; var persistentExpires =3D new Date(); //persistent cookie expiration=20 persistentExpires.setTime(persistentExpires.getTime() + = (triggerParms["rw"]*60*1000)); function ForeCStdGetCookie (name) { var arg =3D name + "=3D"; var alen =3D arg.length; var clen =3D document.cookie.length; var i =3D 0; while (i < clen) { var j =3D i + alen; if (document.cookie.substring(i, j) =3D=3D arg) { return ForeCStdGetCookieVal (j); } i =3D document.cookie.indexOf(" ", i) + 1; if (i =3D=3D 0) { break; } } return null; } function fsr_showWindow() { if(myPopUp !=3D null && !myPopUp.closed && fsr_aol=3D=3Dfalse) = {return;} if(document.all && document.all.fsr_window.filters) { eval("document.all.fsr_window").filters.revealTrans.transition =3D 23 = ; eval("document.all.fsr_window").filters.revealTrans.Apply(); eval("document.all.fsr_window").style.visibility =3D 'visible'; eval("document.all.fsr_window").filters.revealTrans.Play(); } else if(document.all) {document.all.fsr_window.style.visibility =3D = 'visible';}=09 else if(document.getElementById) = {document.getElementById("fsr_window").style.visibility =3D 'visible';}=09 } function fsr_hideWindow() { if(document.all && document.all.fsr_window.filters) { eval("document.all.fsr_window").filters.revealTrans.transition =3D 23; eval("document.all.fsr_window").filters.revealTrans.Apply(); eval("document.all.fsr_window").style.visibility =3D 'hidden'; eval("document.all.fsr_window").filters.revealTrans.Play(); } else if(document.all) {document.all.fsr_window.style.visibility =3D = 'hidden';}=09 else if(document.getElementById) = {document.getElementById("fsr_window").style.visibility =3D 'hidden';} } function ForeCStdSetCookie (name, value) { var argv =3D ForeCStdSetCookie.arguments; var argc =3D ForeCStdSetCookie.arguments.length; var expires =3D (argc > 2) ? argv[2] : null; var path =3D (argc > 3) ? argv[3] : null; var domain =3D (argc > 4) ? argv[4] : null; var secure =3D (argc > 5) ? argv[5] : false; document.cookie =3D name + "=3D" + escape (value) + ((expires =3D=3D null) ? "" : ("; expires=3D" + expires.toGMTString())) = + ((path =3D=3D null) ? "" : ("; path=3D" + path)) + ((domain =3D=3D null) ? "" : ("; domain=3D" + domain)) + ((secure =3D=3D true) ? "; secure" : ""); } function ForeCStdGetCookieVal(offset) { var endstr =3D document.cookie.indexOf (";", offset); if (endstr =3D=3D -1) { endstr =3D document.cookie.length; } return unescape(document.cookie.substring(offset, endstr)); } function specialEscape(str) { var translated =3D ""; var i;=20 var found =3D 0; for(i =3D 0; (found =3D str.indexOf('+', found)) !=3D -1; ) { translated +=3D str.substring(i, found) + "%2B"; i =3D found + 1; found++; } translated +=3D str.substring(i, str.length); return translated; } function Pop(){ myPopUp =3D window.open(fullURL, 'survey',winOptions); if ( myPopUp!=3Dnull && !myPopUp.closed) { if (triggerParms["pu"] =3D=3D 1){ self.focus(); } else { myPopUp.focus(); =09 } } } function checkMAC(){ if(navigator.platform.indexOf("Win32") >=3D 0){ return false; } else { return true; }=09 } var detect =3D navigator.userAgent.toLowerCase(); function checkAOL(){ if (detect.indexOf("aol") >=3D0){ return true; } return false; } function currentLocationExcluded() {=09 var parentURLPath =3D window.location.pathname;//location path for(key in excludeList) { if(parentURLPath.indexOf(excludeList[key]) !=3D -1) { return true; } } return false; } var newDt; var currTime; // in millisecs var OTCImg; var FSRImg; var surveyProcessCont =3D 1; function stdImgProc() { if(triggerParms["compliant508"] =3D=3D 1) { fsr_showWindow();} else { setTimeout ( "fsr_showWindow();", 1000, "JavaScript" ); } } function fsrShowSurvey(){ if(dcQString =3D=3D "") { stdImgProc(); } else { newDt =3D new Date(); currTime=3D newDt.getTime(); // in millisecs FSRImg =3D new Image(); FSRImg.src =3D null; FSRImg.onerror =3D imgErrorProc; FSRImg.onload =3D imgOnloadProc; FSRImg.src =3D FSRImgURL + "?" + dcQString + "&uid=3D"+ currTime; = //for NE/FF Cache Fix } } function imgOnloadProc() { if(surveyProcessCont =3D=3D 1 && FSRImg.width =3D=3D 3) { stdImgProc(); = } return true; } function imgErrorProc() { surveyProcessCont =3D 0; return true; } function otcOnloadProc() { if(surveyProcessCont =3D=3D 1 && OTCImg.width =3D=3D 3) { = fsrShowSurvey(); } else { surveyProcessCont =3D 0; } return true; } function otcErrorProc() { fsrShowSurvey(); return true; } function Poll() {=20 if(triggerParms["dt"] =3D=3D 1) { return; } if(currentLocationExcluded()) { return; } var stickyCounter =3D ForeCStdGetCookie(ckLoyaltyCount); // check = counter cookie var alreadyShown =3D ForeCStdGetCookie(ckAlreadyShown); // check if we = already have shown survey var pageCount; var randNum =3D Math.random(); randNum *=3D 100; if (stickyCounter =3D=3D null) { pageCount =3D 1;=20 ForeCStdSetCookie(ckLoyaltyCount, pageCount, = null,'/',triggerParms["domain"]); stickyCounter =3D ForeCStdGetCookie(ckLoyaltyCount); } if (stickyCounter !=3D null) { pageCount =3D stickyCounter; if(pageCount >=3D triggerParms["lf"]) { if(alreadyShown =3D=3D null) { if (triggerParms["rso"] =3D=3D 1 && triggerParms["aro"] =3D=3D 1) { triggerParms["sp"] =3D 100.0; // Update Ssample percentage } if(randNum <=3D triggerParms["sp"]) { fsr_aol=3D checkAOL(); var fsr_mac=3D checkMAC(); =09 var fsr_browser=3D"fsr_nn6"; var ua =3D navigator.userAgent; //alert(ua); var isFirefox =3D ( ua !=3D null && ua.indexOf( "Firefox/" ) !=3D = -1 ); var isNetscape =3D ( ua !=3D null && ua.indexOf( "Netscape/" ) !=3D = -1 ); if(document.all || document.getElementById){=20 fsr_browser =3D "fsr_ie"; } if(document.layers) { fsr_browser =3D "fsr_nn"; } fullURL =3D popUpURL + "?" + "width=3D" + triggerParms["width"] + "&height=3D" + triggerParms["height"] + "&cid=3D" + specialEscape(escape(triggerParms["cid"])) + "&mid=3D" = + specialEscape(escape(triggerParms["mid"])); if ((triggerParms["omb"] ) !=3D null) { fullURL +=3D "&omb=3D" + escape(triggerParms["omb"]); } if ((triggerParms["cmetrics"] ) !=3D null) { fullURL +=3D "&cmetrics=3D" + escape(triggerParms["cmetrics"]); } if (triggerParms["olpu"] =3D=3D 1) { fullURL +=3D "&olpu=3D1"; } if ((triggerParms["dcUniqueId"]) !=3D null) { fullURL +=3D "&dcUniqueId=3D" + = escape(triggerParms["dcUniqueId"]); } if (triggerParms["rso"] =3D=3D 1) { fullURL +=3D "&rso=3D1&rct=3D" + triggerParms["rct"] + "&rds=3D" + = triggerParms["rds"] + "&mrd=3D" + triggerParms["mrd"] + "&rws=3D" + = triggerParms["rw"]; } if (triggerParms["capturePageView"] =3D=3D 1) { triggerParms["cpp_2"] =3D "PageView:"+ pageCount; // customer = parameter 2 - Page View } if ((triggerParms["midexp"] ) !=3D null) { fullURL +=3D "&ndc=3D1&fsexp=3D5256000&midexp=3D" + = triggerParms["midexp"]; } triggerParms["cpp_3"] =3D "Browser:"+ cppUrlPatch = (navigator.userAgent) + (fsr_browser =3D=3D "fsr_nn6" ? ";normal" : = ";dhtml"); var customerParams =3D ""; for(paramKey in triggerParms) { if(paramKey.substring(0,3) =3D=3D "cpp"){ fullURL +=3D "&" + paramKey + "=3D" + = escape(triggerParms[paramKey]); } }=09 oldURL=3DfullURL; if (triggerParms["rso"] !=3D 1) { if(triggerParms["npc"] =3D=3D 1) { ForeCStdSetCookie(ckAlreadyShown, = 'true',null,'/',triggerParms["domain"]); } else { ForeCStdSetCookie(ckAlreadyShown, 'true', = persistentExpires,'/',triggerParms["domain"]); } } // for AOL users - show DHTML (by default) if (fsr_aol=3D=3Dfalse) { myPopUp =3D window.open(fullURL, 'survey',winOptions); } if (fsr_mac=3D=3Dfalse && (fsr_browser !=3D "fsr_nn") && = (triggerParms["dhtml"] =3D=3D 1)) { fullURL=3DoldURL; var windowwidth; var windowheight; if (fsr_browser =3D=3D "fsr_ie" && !isFirefox && !isNetscape) { windowwidth =3D document.documentElement.offsetWidth;=20 windowheight =3D document.documentElement.offsetHeight; } else if (isNetscape || isFirefox)=20 {=20 windowwidth =3D window.innerWidth;=20 windowheight =3D window.innerHeight; }=20 else {=20 windowwidth =3D document.body.clientWidth;=20 windowheight =3D document.body.clientHeight; }=20 fsr_left =3D (windowwidth - triggerParms["dhtmlWidth"])/2; fsr_top =3D Math.min((windowheight - = triggerParms["dhtmlHeight"])/2,150); =09 document.write("
" + "
"); =09 //DC I/II verification if (triggerParms["rso"] =3D=3D 1) { dcQString =3D "rso=3D1&rct=3D" + triggerParms["rct"] + "&rds=3D" = + triggerParms["rds"] + "&mrd=3D" + triggerParms["mrd"] + "&rws=3D" + = triggerParms["rw"]; if(triggerParms["dcUniqueId"]!=3Dnull) { dcQString +=3D = "&dcUniqueId=3D" + specialEscape(escape(triggerParms["dcUniqueId"])); } } if ((triggerParms["midexp"] ) !=3D null) { dcQString =3D "ndc=3D1&midexp=3D" + triggerParms["midexp"] + = "&mid=3D" + specialEscape(escape(triggerParms["mid"])); if(triggerParms["dcUniqueId"]!=3Dnull) { dcQString +=3D = "&dcUniqueId=3D" + specialEscape(escape(triggerParms["dcUniqueId"])); } } =09 =09 //Failover Check surveyProcessCont =3D 1; =09 newDt =3D new Date(); currTime=3D newDt.getTime(); // in millisecs OTCImg =3D new Image(); OTCImg.src =3D null; OTCImg.onerror =3D otcErrorProc; OTCImg.onload =3D otcOnloadProc; OTCImg.src =3D OTCImgURL + "?protocol=3D" + = window.location.protocol + "&uid=3D"+ currTime; //for NE/FF Cache Fix } if(myPopUp !=3D null && !myPopUp.closed) { if (triggerParms["pu"] =3D=3D 1){ self.focus(); } else { myPopUp.focus(); } } } } }=09 pageCount++; ForeCStdSetCookie(ckLoyaltyCount, pageCount, = null,'/',triggerParms["domain"]); =09 } } ------=_NextPart_000_0000_01C8AC69.868B2A70 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/JScript/s_code.js /************************ ADDITIONAL FEATURES ************************ Plugins */ /************************** CONFIG SECTION **************************/ /* You may add or alter any code config here. */ /* Specify the life time of the cookie in seconds, or */ /* set to "Session" to turn off persistent cookies. */ var s_cookieLifetime=3D"Session" /* Variables (s_pageName, s_prop1, etc.) not prefixed with "s_" will not = be used. */ var s_disableLegacyVars=3Dtrue /* E-commerce Config */ var s_eVarCFG=3D"" /* Link Tracking Config */ var s_trackDownloadLinks=3Dtrue var s_trackExternalLinks=3Dtrue var s_trackInlineStats=3Dtrue var = s_linkDownloadFileTypes=3D"exe,zip,wav,mp3,mov,mpg,avi,doc,pdf,xls,rm,wmv= ,rtf,ppt,swf,prc,xml" var = s_linkInternalFilters=3D"javascript:,cdc,file:///,outbind,//www/,mid://,c= dc" var s_linkLeaveQueryString=3Dfalse var s_linkTrackVars=3D"None" var s_linkTrackEvents=3D"None" /* Plugin Config */ var s_usePlugins=3Dtrue function s_doPlugins() { var = ds=3D["bam.gov","cdc.gov","5aday.gov","mid://","http://198.246.96.2","out= bind:"]; var dlh=3Ds_wd.location.href.toLowerCase(); var cond=3Dfalse; for(var i=3D0;i0){var vs=3Ds_wd.s_vp_favs,p=3Ds_gg('pageName'),fn, f,en,el,t,oc,och;for(fn=3D0;fn=3D0)||(oc.indexOf( 'form.')>=3D0))&&oc.indexOf("submit(")>=3D0)el.onclick=3Ds_vp_fasu;else el.onclick=3Ds_vp_fac}else{el.s_vp_faoch=3Del.onchange;if(((f.name&& och.indexOf(f.name)>=3D0)||(och.indexOf('form.')>=3D0))&&och.indexOf( "submit(")>=3D0)el.onchange=3Ds_vp_fasu;else el.onchange=3Ds_vp_fac }}} }f.s_vp_faos=3Df.onsubmit;f.onsubmit=3Ds_vp_fasu}s_wd.s_vp_faul=3D s_wd.onunload;s_wd.onunload=3Ds_vp_fa}return r}function s_vp_fa(e){ var vs=3Ds_wd.s_vp_favs;if(vs&&s_wd[vs]){s_lnk=3Dnew Object s_linkType=3Ds_wd.s_vp_falt;s_linkName=3Ds_wd.s_vp_faln;s_gs('') s_lnk=3D''}if(s_wd.s_ful)return s_wd.s_ful(e);return true} function s_vp_fasu(e){var vs=3Ds_wd.s_vp_favs;if(vs)s_wd[vs]=3D'';if( this.s_vp_faos)return this.s_vp_faos(e);if(this.s_vp_faoc) return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true}function s_vp_fac(e){var b=3D "s_gs(",vs=3Ds_wd.s_vp_favs,f=3Dthis.form,p=3Ds_gg('pageName');if(vs) s_wd[vs]=3D(f.name?f.name:(p?p:''))+':'+(this.name?this.name:'') if(this.s_vp_faoc)return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true} /* * Plugin Utilities v2.0 (Required For All Plugins) */ function s_vpr(vs,v){if(s_wd[vs])s_wd[vs]=3Ds_wd[vs];else s_wd[vs]=3D'' if(vs.substring(0,2) =3D=3D = 's_')vs=3Dvs.substring(2);s_wd['s_vpv_'+vs]=3Dv s_wd['s_vpm_'+vs]=3D1}function s_dt(tz,t){var d=3Dnew = Date;if(t)d.setTime( t);d=3Dnew Date(d.getTime()+(d.getTimezoneOffset()*60*1000)) return new Date(Math.floor(d.getTime()+(tz*60*60*1000)))} function s_vh_gt(k,v){var = vh=3D'|'+s_c_r('s_vh_'+k),vi=3Dvh.indexOf('|'+v +'=3D'),ti=3Dvi<0?vi:vi+2+v.length,pi=3Dvh.indexOf('|',ti),t=3Dti<0?'': vh.substring(ti,pi<0?vh.length:pi);return t}function s_vh_gl(k){var vh=3Ds_c_r('s_vh_'+k),e=3Dvh?vh.indexOf('=3D'):0;return = vh?(vh.substring(0, e?e:vh.length)):''}function s_vh_s(k,v){if(k&&v){var e=3Dnew Date,st=3D e.getTime(),y=3De.getYear(),c=3D's_vh_'+k,vh=3D'|'+s_c_r(c)+'|',t=3Ds_vh_= gt(k, v);e.setYear((y<1900?y+1900:y)+5);if(t)vh=3Ds_rep(vh,'|'+v+'=3D'+t+'|','|= ' );if(vh.substring(0,1)=3D=3D'|')vh=3Dvh.substring(1);if(vh.substring( vh.length-1,vh.length)=3D=3D'|')vh=3Dvh.substring(0,vh.length-1);vh=3Dv +'=3D[PCC]'+(vh?'|'+vh:'');s_c_w(c,vh,e);if(s_vh_gt(k,v)!=3D'[PCC]') return 0;vh=3Ds_rep(vh,'[PCC]',st);s_c_w(c,vh,e)}return 1} /************* DO NOT ALTER ANYTHING BELOW THIS LINE ! **************/ var = s_un,s_ios=3D0,s_q=3D'',s_code=3D'',code=3D'',s_bcr=3D0,s_lnk=3D'',s_eo=3D= '', s_vb,s_pl,s_tfs=3D0,s_etfs=3D0,s_wd=3Dwindow,s_d=3Ds_wd.document,s_ssl=3D= ( s_wd.location.protocol.toLowerCase().indexOf('https')>=3D0),s_n=3D navigator,s_u=3Ds_n.userAgent,s_apn=3Ds_n.appName,s_v=3Ds_n.appVersion, s_apv,s_i,s_ie=3Ds_v.indexOf('MSIE '),s_ns6=3Ds_u.indexOf('Netscape6/') if(s_v.indexOf('Opera')>=3D0||s_u.indexOf('Opera')>=3D0)s_apn=3D'Opera';v= ar s_isie=3D(s_apn=3D=3D'Microsoft Internet = Explorer'),s_isns=3D(s_apn=3D=3D 'Netscape'),s_isopera=3D(s_apn=3D=3D'Opera'),s_ismac=3D(s_u.indexOf('Mac'= )>=3D0) if(s_ie>0){s_apv=3DparseInt(s_i=3Ds_v.substring(s_ie+5));if(s_apv>3)s_apv= =3D parseFloat(s_i)}else if(s_ns6>0)s_apv=3DparseFloat(s_u.substring(s_ns6 +10));else s_apv=3DparseFloat(s_v);function s_fl(s,l){return (s+'' ).substring(0,l)}function s_co(o){if(!o)return o;var n=3Dnew Object for(x in o)n[x]=3Do[x];return n}function s_num(x){var = s=3Dx.toString(),g=3D '0123456789',p,d;for(p=3D0;p0?n.length:1;while(s&&i>=3D0){s=3Ds.substring(0= ,i) +n+s.substring(i+o.length);i=3Ds.indexOf(o,i+l)}return s}function s_ape( s){return s?s_rep(escape(''+s),'+','%2B'):s}function s_epa(s){ return s?unescape(s_rep(''+s,'+',' ')):s}function s_pt(s,d,f,a){var t=3D s,x=3D0,y,r;while(t){y=3Dt.indexOf(d);y=3Dy<0?t.length:y;t=3Dt.substring(= 0,y) r=3Df(t,a);if(r)return = r;x+=3Dy+d.length;t=3Ds.substring(x,s.length);t=3Dx< s.length?t:''}return ''}function = s_isf(t,a){if(t.substring(0,2)=3D=3D's_') t=3Dt.substring(2);return (t!=3D''&&t=3D=3Da)}function = s_fsf(t,a){if(s_pt(a, ',',s_isf,t))s_fsg+=3D(s_fsg!=3D''?',':'')+t;return 0}var s_fsg function s_fs(s,f){s_fsg=3D'';s_pt(s,',',s_fsf,f);return s_fsg}var s_c_d=3D'';function s_c_gdf(t,a){if(!s_num(t))return 1;return 0} function s_c_gd(){var d=3Ds_wd.location.hostname,n=3Ds_gg( 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