<link rel="stylesheet" type="text/css" href="/static/theme/workflow/5/style/css/style.css" />
<link rel="stylesheet" type="text/css" href="/static/theme/workflow/5/jqtransformplugin/transform.css" media="all" />
<div class="container">
<div class="form_body"><!--{13427533287940}-->
<div class="head_er line" style="text-align: left; padding-top: 15px; padding-left: 20px; display: inline">事故登记表
<div class="tbrq" style="font-size: 12px; margin-left: 250px; display: inline; background-color: #7e97ad">填表日期：<input title="日期" class="AUTO" datafld="SYS_DATE_CN" hidden="0" style="font-size: 12px; height: 20px; line-height: 20px; width: 150px" name="DATA_2" value="{MACRO}" type="text" /></div>
</div>
<!--{13427533287941}-->
<div class="form_body_1">
<div class="cent_er"><!--{13427533287942}--><!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">姓名</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="姓名" class="text_stlye" datafld="SYS_USERNAME" hidden="0" style="line-height: 28px" name="DATA_6" value="{MACRO}" type="text" /></span></span></div>
<div class="text_li" style="height: 28px; margin-left: 40px; margin-top: 10px; width: 70px"><span class="text_gray">性别</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><img title="性别" class="RADIO" name="DATA_7" alt="" radio_field="男`女`" radio_check="男" style="height: 16px; float: left; margin-top: 5px; width: 16px" src="/module/html_editor/editor/images/radio.gif" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">年龄</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="年龄" class="text_stlye" hidden="0" style="line-height: 28px" name="DATA_8" type="text" /></span></span></div>
<div class="text_li" style="height: 28px; margin-left: 40px; margin-top: 10px; width: 70px"><span class="text_gray">职位</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="职位" class="text_stlye" datafld="SYS_USERPRIV" hidden="0" style="line-height: 28px" name="DATA_9" value="{MACRO}" type="text" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">身份证件</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="身份证件" class="text_stlye" hidden="0" style="line-height: 28px" name="DATA_10" type="text" /></span></span></div>
<div class="text_li" style="height: 28px; margin-left: 40px; margin-top: 10px; width: 70px"><span class="text_gray">个人保险</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><select id="text_stlye" title="个人保险" class="AUTO1" style="font-family: ; float: left; width: 140px" name="DATA_11">  <option value="已购买" selected="selected">已购买</option>  <option value="未购买">未购买</option>  </select></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">所属部门</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="所属部门" class="text_stlye" datafld="SYS_DEPTNAME_SHORT" hidden="0" style="line-height: 28px" name="DATA_12" value="{MACRO}" type="text" /></span></span></div>
<div class="text_li" style="height: 28px; margin-left: 40px; margin-top: 10px; width: 70px"><span class="text_gray">入职时间</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="入职时间" class="text_stlye" hidden="0" validation="type:date;len:" style="line-height: 28px" name="DATA_13" type="text" /><img title="日期控件:入职时间" class="DATE" border="0" name="OTHER_1" alt="" align="absMiddle" date_format="yyyy年MM月dd日" value="入职时间" style="cursor: hand; margin-top: 2px" src="/module/html_editor/editor/images/calendar.gif" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">事故类型</span></div>
<div style="margin-top: 20px; width: 547px"><span class="text_stlye1" style="width: 547px"><span class="text_stlye11" style="width: 547px"><img title="事故类型" class="RADIO" name="DATA_14" alt="" radio_field="伤亡事故&#160;`损失工作日&#160;`暂时失能伤害&#160;`永久性部分失能伤害&#160;`永久性全失能伤害`" style="height: 16px; float: left; margin-top: 5px; width: 16px" src="/module/html_editor/editor/images/radio.gif" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="height: 28px; margin-top: 10px; width: 70px"><span class="text_gray">发生时间</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="发生时间" class="text_stlye" align="left" hidden="0" style="line-height: 28px" name="DATA_15" type="text" /><img title="日期控件:发生时间" class="DATE" border="0" name="OTHER_2" alt="" align="absMiddle" date_format="yyyy年MM月dd日" value="发生时间" style="cursor: hand; margin-top: 2px" src="/module/html_editor/editor/images/calendar.gif" /></span></span></div>
<div class="text_li" style="height: 28px; margin-left: 40px; margin-top: 10px; width: 70px"><span class="text_gray">发生地点</span></div>
<div style="float: left; margin-top: 20px; width: 216px"><span class="text_stlye1" style="width: 216px"><span class="text_stlye11" style="width: 216px"><input title="发生地点" class="text_stlye" hidden="0" style="line-height: 28px" name="DATA_16" type="text" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="text_li" style="margin-top: 10px; width: 630px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">事故情况</span>
<div class="textarea_6" style="width: 623px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea title="事故情况" class="textarea_stlye" rich="0" style="height: 35px; width: 584px" name="DATA_17">可写明事故内容</textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="text_li" style="margin-top: 10px; width: 630px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">事故医疗单</span>
<div class="textarea_6" style="width: 623px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea title="事故医疗单" class="textarea_stlye" rich="0" style="height: 35px; width: 584px" name="DATA_18">注：可将医疗单全部写下或将医疗单粘贴在此处。</textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="width: 305px"><span class="text_gray" style="width: 200px">员工签署</span>
<div class="input_text" style="width: 305px"><span class="text_stlye1" style="width: 285px"><span class="text_stlye11" style="width: 285px"><input title="员工签署" class="text_stlye" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_19" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="text_li" style="width: 312px"><span class="text_gray" style="width: 200px">部门经理或（主管）签署</span>
<div class="input_text" style="width: 312px"><span class="text_stlye1" style="width: 312px"><span class="text_stlye11" style="width: 312px"><input title="部门经理签署" class="text_stlye" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_20" value="{MACRO}" type="text" /></span></span></div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_row">
<div class="text_li" style="width: 305px"><span class="text_gray" style="width: 200px">人事部签署</span>
<div class="input_text" style="width: 305px"><span class="text_stlye1" style="width: 285px"><span class="text_stlye11" style="width: 285px"><input title="人事部签署" class="text_stlye" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_21" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="text_li" style="width: 312px"><span class="text_gray" style="width: 200px">总经理签署</span>
<div class="input_text" style="width: 312px"><span class="text_stlye1" style="width: 312px"><span class="text_stlye11" style="width: 312px"><input title="总经理签署" class="text_stlye" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_22" value="{MACRO}" type="text" /></span></span></div>
</div>
</div>
<div style="height: 15px">&#160;</div>
</div>
</div>
</div>
</div>