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Major Event Thresholds Fatality Agencies must always report S&S events that result in fatalities. For NTD purposes, a fatality is a death due to • collision (including suicides), • derailment, • fire, • hazardous material spill, • acts of God, • system or personal security event(including suicides), or • other safety event. Fatalities that occur because of illnesses or other natural causes (including individuals who are found deceased)are not reportable..For example, if a passenger suffers a fatal heart attack in a transit facility or vehicle, the event is not reportable to the NTD. An agency must report a fatality due to a reportable S&S event if it is confirmed within 30 days of the event. If an agency receives confirmation within 30 days of an event that a person reported as an injury has died due to the event,the agency reports a fatality rather than an injury.This may mean the agency has to update the submitted major event report. For information on Person Type categories, see "Injury and Fatality Type Key Descriptions." Injury For both non-rail and rail modes,any damage or harm to persons that requires immediate medical attention away from the scene because of a reportable event must be reported as an injury. Agencies must report each person transported away from the scene for medical attention as an injury,whether or not the person appears to be injured. For rail mode events, in addition to injuries requiring transport from the scene, injuries defined as serious are automatically reportable. Individuals with serious injuries may or may not have been transported away from the scene for medical attention. A serious injury is one that • requires hospitalization for more than 48 hours within 7 days of the event; • results in a fracture of any bone(except simple fractures of fingers,toes, or nose); • causes severe hemorrhages,or nerve, muscle, or tendon damage; 109