GET papi/v1/imsoutbound/generalLiabilityincidents?locationCode={locationCode}&dateFrom={dateFrom}&dateTo={dateTo}&lastSyncedDate={lastSyncedDate}
Security
Secured API
Request Information
URI Parameters
| Name | Description | Type | Additional information |
|---|---|---|---|
| locationCode | string |
Required |
|
| dateFrom | date |
Required |
|
| dateTo | date |
Required |
|
| lastSyncedDate | date |
Required |
Required Headers
| Name | Description | Sample | Type | Default |
|---|---|---|---|---|
| Authorization |
Represents the value of the authentication token. Allow multiple values: no. |
Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ... | string | None |
| ConsumerId |
Represents the value of the consumer id. Allow multiple values: no. |
2426 | integer | None |
Optional Headers
| Name | Description | Sample | Type | Default |
|---|---|---|---|---|
| ApplicationType |
Represents the value of the consumer's application type. Allow multiple values: no. |
1 | ApplicationType | None |
| Accept-Language |
Represents the value of the desired language for translations. Allow multiple values: yes. |
es | string | en-US |
Body Parameters
None.
Response Information
Resource Description
Collection of GeneralLiabilityOutbound| Name | Description | Type | Additional information |
|---|---|---|---|
| IncidentID(SystemGenerated) | string |
None. |
|
| IncidentInternalID(SystemGenerated) | string |
None. |
|
| IncidentTitle | string |
None. |
|
| IncidentType | string |
None. |
|
| LocationCode | string |
None. |
|
| Location | string |
None. |
|
| WouldyouliketosubmitaGeneralLiabilityClaim? | string |
None. |
|
| GeneralLiabilityType | string |
None. |
|
| Sub-incidentType | string |
None. |
|
| DateOfIncident | date |
None. |
|
| TimeOfIncident | string |
None. |
|
| TimeUndetermined | string |
None. |
|
| DayOfWeek | string |
None. |
|
| WorkShift | string |
None. |
|
| TimeWorkDayBegan | string |
None. |
|
| HasPotentialToSerious | string |
None. |
|
| DescriptionofIncident | string |
None. |
|
| DateReportedToEmployer | date |
None. |
|
| TimeReportedToEmployer | date |
None. |
|
| OccurredonEmployersPremises | string |
None. |
|
| ContractorInvolvedYN | string |
None. |
|
| ContractorName | string |
None. |
|
| ContractorDetails | string |
None. |
|
| ContractorTrainedYN | string |
None. |
|
| WasAssetinvolved | string |
None. |
|
| Assets | string |
None. |
|
| ConfirmSignificanceLevelIDOfIncident | string |
None. |
|
| Wereindividualsinvolvedintheincident? | string |
None. |
|
| Numberofinvolvedindividuals | string |
None. |
|
| PersonDetails | Collection of PersonDetails |
None. |
|
| EmployeeInvolvedYN | string |
None. |
|
| PersonnelType | string |
None. |
|
| EmployeeInvolved | string |
None. |
|
| EmployeeId | string |
None. |
|
| PayRateType | string |
None. |
|
| EmployeeDepartment | string |
None. |
|
| DoyouwanttoclassifyUnsupervisedContractEmployee? | string |
None. |
|
| TypeofClientPersonnel | string |
None. |
|
| ClientCompany | string |
None. |
|
| NameofContractor | string |
None. |
|
| NameofSubContractor | string |
None. |
|
| IncidentOccurredonEmployersPremises | string |
None. |
|
| AddressofIncidentLocation | string |
None. |
|
| CityOfLocation | string |
None. |
|
| County | string |
None. |
|
| StateOfIncident | string |
None. |
|
| ZipOfLocation | string |
None. |
|
| Department | string |
None. |
|
| LocationoftheIncident | string |
None. |
|
| StoreManagerName | string |
None. |
|
| StoreManagerPhone | string |
None. |
|
| DistrictManagerName | string |
None. |
|
| DistrictManagerPhone | string |
None. |
|
| Wasanythingonfloor? | string |
None. |
|
| Floorgroundscondition | string |
None. |
|
| Incidentoccurinside/outside | string |
None. |
|
| IfInsidestorewhere? | string |
None. |
|
| IfInsidestorecause | string |
None. |
|
| IfinStockroomwhere? | string |
None. |
|
| IfOutsidestorewhere? | string |
None. |
|
| IfOutsidestorecause | string |
None. |
|
| Istherevideooftheincident? | string |
None. |
|
| Ifvideonotobtainedwhy? | string |
None. |
|
| IfEquipnotfunctionalWhy? | string |
None. |
|
| Didtheincidentresultinanydamagetocompanyequipment? | string |
None. |
|
| Pleasedescribeequipmentanddamage | string |
None. |
|
| Didtheincidentresultinanystructuraldamage? | string |
None. |
|
| Pleasedescribedamage | string |
None. |
|
| Wastheincidentaresultoftheftorasecurityrelatedactivity? | string |
None. |
|
| Pleasedescribetheftorsecurityrelatedincident | string |
None. |
|
| Isthisanassaultorrobbery? | string |
None. |
|
| Weretheresuspects? | string |
None. |
|
| Werearrestsmade? | string |
None. |
|
| Wasthereapolicereport? | string |
None. |
|
| LossPreventionreport | string |
None. |
|
| Askthemtotakephotographs | string |
None. |
|
| Incidentlocationdiagrammade | string |
None. |
|
| IsthisclaimaProductLiabilityclaim? | string |
None. |
|
| NameofProduct | string |
None. |
|
| ProductCode | string |
None. |
|
| ManufacturersName | string |
None. |
|
| ManufacturerAddress1 | string |
None. |
|
| ManufacturerAddress2 | string |
None. |
|
| ManufacturerCity | string |
None. |
|
| ManufacturerState | string |
None. |
|
| ManufacturerPostalCode | string |
None. |
|
| ManufacturerPhone | string |
None. |
|
| Pleaseprovideadetaildescriptionoftheproduct | string |
None. |
|
| Wasstoreadvisedtoretaintheproduct? | string |
None. |
|
| Isstoreincurrentpossessionofproduct? | string |
None. |
|
| Briefdescriptionoffactsofloss | string |
None. |
|
| Responsibilityforrotatingproduct | string |
None. |
|
| LocalVenderProduct? | string |
None. |
|
| VendorName | string |
None. |
|
| VendorPhoneNumber | string |
None. |
|
| WasemployeesenttoHospital/ClinictoreceiveMedicalTreatment? | string |
None. |
|
| Hospital/Clinic Name | string |
None. |
|
| HospitalAddress | string |
None. |
|
| HospitalCity | string |
None. |
|
| HospitalState | string |
None. |
|
| HospitalPostalCode/ZipCode | string |
None. |
|
| HospitalPhone | string |
None. |
|
| HospitalFax | string |
None. |
|
| Clinic/DoctorName | string |
None. |
|
| Incident Severity ID | integer |
None. |
|
| Incident Severity SIF | string |
None. |
|
| Actual Severity | string |
None. |
|
| ArethereanyWitnessesidentified? | string |
None. |
|
| WitnessInformation | Collection of WitnessInformation |
None. |
|
| ReportedBy | string |
None. |
|
| Title | string |
None. |
|
| ReporterPhoneNumber | string |
None. |
|
| ReporterEmailAddress | string |
None. |
|
| IncidentStatus | string |
None. |
|
| CreatedBy | string |
None. |
|
| CreatedDate | date |
None. |
|
| LastUpdatedBy | string |
None. |
|
| LastUpdatedsDate | date |
None. |
|
| InvestigationResponsibilityDetail | Collection of InvResponsibilityDetail |
None. |
|
| InvestigationResponsibilityassigneeDetails | Collection of InvResponsibilityAssignee |
None. |
|
| InvestigationquestionsDetails | Collection of InvestigationQuestionsDetails |
None. |
|
| ContributingFactorsDetails | Collection of ContributingFactor |
None. |
|
| 5YDetails | Collection of _5WhyMethodology |
None. |
|
| 5Ys | Collection of Why |
None. |
|
| RootCauseDetails | Collection of RootCause |
None. |
|
| FinalrootcausestatementDetails | Collection of FinalrootCauseSTMT |
None. |
|
| LessonsLearnedStatementDetails | Collection of LessonLearnedSTMT |
None. |
|
| ActionItemsDetail | Collection of ActionItemsDetail |
None. |
|
| ManagementreviewDetail | Collection of ManagementReviews |
None. |
Response Formats
application/json, text/json
Sample:
[
{
"IncidentID(SystemGenerated)": "sample string 2",
"IncidentInternalID(SystemGenerated)": "sample string 3",
"IncidentTitle": "sample string 4",
"IncidentType": "sample string 5",
"LocationCode": "sample string 6",
"Location": "sample string 7",
"WouldyouliketosubmitaGeneralLiabilityClaim?": "sample string 8",
"GeneralLiabilityType": "sample string 9",
"Sub-incidentType": "sample string 10",
"DateOfIncident": "2025-12-28T00:29:21.285Z",
"TimeOfIncident": "sample string 11",
"TimeUndetermined": "sample string 12",
"DayOfWeek": "sample string 13",
"WorkShift": "sample string 14",
"TimeWorkDayBegan": "sample string 15",
"HasPotentialToSerious": "sample string 16",
"DescriptionofIncident": "sample string 17",
"DateReportedToEmployer": "2025-12-28T00:29:21.285Z",
"TimeReportedToEmployer": "2025-12-28T00:29:21.285Z",
"OccurredonEmployersPremises": "sample string 18",
"ContractorInvolvedYN": "sample string 19",
"ContractorName": "sample string 20",
"ContractorDetails": "sample string 21",
"ContractorTrainedYN": "sample string 22",
"WasAssetinvolved": "sample string 23",
"Assets": "sample string 24",
"ConfirmSignificanceLevelIDOfIncident": "sample string 25",
"Wereindividualsinvolvedintheincident?": "sample string 26",
"Numberofinvolvedindividuals": "sample string 27",
"PersonDetails": [
{
"Name": "sample string 1",
"Gender": "sample string 2",
"DateOfBirth": "sample string 3",
"HomeAddress": "sample string 4",
"City": "sample string 5",
"State": "sample string 6",
"Zip": "sample string 7",
"PhoneNumber": "sample string 8",
"Whatwaspersondoingbeforeincident?": "sample string 9",
"Wasindividualinjuredintheincident?": "sample string 10",
"DidInjuryresultinaFatality?": "sample string 11",
"ResultofIncident": "sample string 12",
"CauseofIncident": "sample string 13",
"InjuredBodyPart": "sample string 14",
"Pleasedescribepersonsinjury": "sample string 15",
"Waspersonconsideredminor?": "sample string 16",
"Pleaseprovideparentsname": "sample string 17",
"Pleaseprovideparentsphonenumber": "sample string 18",
"Takenfromsceneviaambulance": "sample string 19",
"Whatshoeswasclaimantwearing?": "sample string 20",
"Wasclaimantstruckbyobject?": "sample string 21",
"Ifstruckbyobjectwhatobject?": "sample string 22",
"Didthepersonrefusetreatment?": "sample string 23",
"IfYesexplainwhy?": "sample string 24",
"Wastreatmentprovided?": "sample string 25",
"DidthepersonsignthemedicalreleaseformIfyespleaseattach?": "sample string 26",
"WereEmergencyServicescalled?": "sample string 27"
},
{
"Name": "sample string 1",
"Gender": "sample string 2",
"DateOfBirth": "sample string 3",
"HomeAddress": "sample string 4",
"City": "sample string 5",
"State": "sample string 6",
"Zip": "sample string 7",
"PhoneNumber": "sample string 8",
"Whatwaspersondoingbeforeincident?": "sample string 9",
"Wasindividualinjuredintheincident?": "sample string 10",
"DidInjuryresultinaFatality?": "sample string 11",
"ResultofIncident": "sample string 12",
"CauseofIncident": "sample string 13",
"InjuredBodyPart": "sample string 14",
"Pleasedescribepersonsinjury": "sample string 15",
"Waspersonconsideredminor?": "sample string 16",
"Pleaseprovideparentsname": "sample string 17",
"Pleaseprovideparentsphonenumber": "sample string 18",
"Takenfromsceneviaambulance": "sample string 19",
"Whatshoeswasclaimantwearing?": "sample string 20",
"Wasclaimantstruckbyobject?": "sample string 21",
"Ifstruckbyobjectwhatobject?": "sample string 22",
"Didthepersonrefusetreatment?": "sample string 23",
"IfYesexplainwhy?": "sample string 24",
"Wastreatmentprovided?": "sample string 25",
"DidthepersonsignthemedicalreleaseformIfyespleaseattach?": "sample string 26",
"WereEmergencyServicescalled?": "sample string 27"
}
],
"EmployeeInvolvedYN": "sample string 28",
"PersonnelType": "sample string 30",
"EmployeeInvolved": "sample string 31",
"EmployeeId": "sample string 32",
"PayRateType": "sample string 33",
"EmployeeDepartment": "sample string 34",
"DoyouwanttoclassifyUnsupervisedContractEmployee?": "sample string 35",
"TypeofClientPersonnel": "sample string 36",
"ClientCompany": "sample string 37",
"NameofContractor": "sample string 38",
"NameofSubContractor": "sample string 39",
"IncidentOccurredonEmployersPremises": "sample string 40",
"AddressofIncidentLocation": "sample string 41",
"CityOfLocation": "sample string 42",
"County": "sample string 43",
"StateOfIncident": "sample string 44",
"ZipOfLocation": "sample string 45",
"Department": "sample string 46",
"LocationoftheIncident": "sample string 47",
"StoreManagerName": "sample string 48",
"StoreManagerPhone": "sample string 49",
"DistrictManagerName": "sample string 50",
"DistrictManagerPhone": "sample string 51",
"Wasanythingonfloor?": "sample string 52",
"Floorgroundscondition": "sample string 53",
"Incidentoccurinside/outside": "sample string 54",
"IfInsidestorewhere?": "sample string 55",
"IfInsidestorecause": "sample string 56",
"IfinStockroomwhere?": "sample string 57",
"IfOutsidestorewhere?": "sample string 58",
"IfOutsidestorecause": "sample string 59",
"Istherevideooftheincident?": "sample string 60",
"Ifvideonotobtainedwhy?": "sample string 61",
"IfEquipnotfunctionalWhy?": "sample string 62",
"Didtheincidentresultinanydamagetocompanyequipment?": "sample string 63",
"Pleasedescribeequipmentanddamage": "sample string 64",
"Didtheincidentresultinanystructuraldamage?": "sample string 65",
"Pleasedescribedamage": "sample string 66",
"Wastheincidentaresultoftheftorasecurityrelatedactivity?": "sample string 67",
"Pleasedescribetheftorsecurityrelatedincident": "sample string 68",
"Isthisanassaultorrobbery?": "sample string 69",
"Weretheresuspects?": "sample string 70",
"Werearrestsmade?": "sample string 71",
"Wasthereapolicereport?": "sample string 72",
"LossPreventionreport": "sample string 73",
"Askthemtotakephotographs": "sample string 74",
"Incidentlocationdiagrammade": "sample string 75",
"IsthisclaimaProductLiabilityclaim?": "sample string 76",
"NameofProduct": "sample string 77",
"ProductCode": "sample string 78",
"ManufacturersName": "sample string 79",
"ManufacturerAddress1": "sample string 80",
"ManufacturerAddress2": "sample string 81",
"ManufacturerCity": "sample string 82",
"ManufacturerState": "sample string 83",
"ManufacturerPostalCode": "sample string 84",
"ManufacturerPhone": "sample string 85",
"Pleaseprovideadetaildescriptionoftheproduct": "sample string 86",
"Wasstoreadvisedtoretaintheproduct?": "sample string 87",
"Isstoreincurrentpossessionofproduct?": "sample string 88",
"Briefdescriptionoffactsofloss": "sample string 89",
"Responsibilityforrotatingproduct": "sample string 90",
"LocalVenderProduct?": "sample string 91",
"VendorName": "sample string 92",
"VendorPhoneNumber": "sample string 93",
"WasemployeesenttoHospital/ClinictoreceiveMedicalTreatment?": "sample string 94",
"Hospital/Clinic Name": "sample string 95",
"HospitalAddress": "sample string 96",
"HospitalCity": "sample string 97",
"HospitalState": "sample string 98",
"HospitalPostalCode/ZipCode": "sample string 99",
"HospitalPhone": "sample string 100",
"HospitalFax": "sample string 101",
"Clinic/DoctorName": "sample string 102",
"Incident Severity ID": 103,
"Incident Severity SIF": "sample string 104",
"Actual Severity": "sample string 105",
"ArethereanyWitnessesidentified?": "sample string 106",
"WitnessInformation": [
{
"LastName": "sample string 1",
"FirstName": "sample string 2",
"MiddleName": "sample string 3",
"WitnessPhoneNumber": "sample string 4",
"Notes": "sample string 5",
"RelationShip": "sample string 6"
},
{
"LastName": "sample string 1",
"FirstName": "sample string 2",
"MiddleName": "sample string 3",
"WitnessPhoneNumber": "sample string 4",
"Notes": "sample string 5",
"RelationShip": "sample string 6"
}
],
"ReportedBy": "sample string 107",
"Title": "sample string 108",
"ReporterPhoneNumber": "sample string 109",
"ReporterEmailAddress": "sample string 110",
"IncidentStatus": "sample string 111",
"CreatedBy": "sample string 112",
"CreatedDate": "2025-12-28T00:29:21.285Z",
"LastUpdatedBy": "sample string 113",
"LastUpdatedsDate": "2025-12-28T00:29:21.285Z",
"InvestigationResponsibilityDetail": [
{
"Target Completion Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 2",
"Notify / YN": "sample string 3"
},
{
"Target Completion Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 2",
"Notify / YN": "sample string 3"
}
],
"InvestigationResponsibilityassigneeDetails": [
{
"UserID": 2,
"Salutation": "sample string 3",
"FirstName": "sample string 4",
"LastName": "sample string 5"
},
{
"UserID": 2,
"Salutation": "sample string 3",
"FirstName": "sample string 4",
"LastName": "sample string 5"
}
],
"InvestigationquestionsDetails": [
{
"Question ID": 2,
"Question": "sample string 3",
"Answer": {},
"Answer ID": 5,
"Parent Question ID": 6,
"Parent Question": "sample string 7"
},
{
"Question ID": 2,
"Question": "sample string 3",
"Answer": {},
"Answer ID": 5,
"Parent Question ID": 6,
"Parent Question": "sample string 7"
}
],
"ContributingFactorsDetails": [
{
"Parent Contributing Factor ID": 1,
"Contributing Factor ID": 2,
"Contributing Factor Name": "sample string 3",
"Comments": "sample string 4"
},
{
"Parent Contributing Factor ID": 1,
"Contributing Factor ID": 2,
"Contributing Factor Name": "sample string 3",
"Comments": "sample string 4"
}
],
"5YDetails": [
{
"Evaluation ID": 1,
"Contact Type": "sample string 2",
"Others Description": "sample string 3",
"Contact ID": "sample string 4"
},
{
"Evaluation ID": 1,
"Contact Type": "sample string 2",
"Others Description": "sample string 3",
"Contact ID": "sample string 4"
}
],
"5Ys": [
{
"Evaluation ID": 1,
"Why Label": "sample string 2",
"Why Check": "sample string 3"
},
{
"Evaluation ID": 1,
"Why Label": "sample string 2",
"Why Check": "sample string 3"
}
],
"RootCauseDetails": [
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
},
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
}
],
"FinalrootcausestatementDetails": [
{
"IMSIncidentID": 1,
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
},
{
"IMSIncidentID": 1,
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
}
],
"LessonsLearnedStatementDetails": [
{
"IMSIncidentID": 1,
"LessonLearnedStatement": "sample string 2"
},
{
"IMSIncidentID": 1,
"LessonLearnedStatement": "sample string 2"
}
],
"ActionItemsDetail": [
{
"Source ID": "sample string 1",
"Source Title": "sample string 2",
"Action Item Title": "sample string 3",
"Action Item Category": "sample string 4",
"Action Item Type Id": 5,
"Action Item Type": "sample string 6",
"Root Cause": "sample string 7",
"Action Item Description": "sample string 8",
"Action Item Priority": "sample string 9",
"Action Item Due Date": "2025-12-28T00:29:21.285Z",
"Owner": "sample string 10",
"NotifyOwnersImmediately": "sample string 11",
"Responsible Department": "sample string 12",
"Counter Measure": "sample string 13",
"Applicable to Expansion?": "sample string 14",
"Description of Actions to be Expanded": "sample string 15",
"Applicable to EEM/EPM Info?": "sample string 16",
"EEM / EPM": "sample string 17",
"EEM/EPM Info Submitted ?": "sample string 18",
"Document Number ": "sample string 19",
"Assigned By": "sample string 20",
"Is Verification Required": 21,
"Verification Required": "sample string 22",
"VerifyUser": "sample string 23",
"Approval Status": "sample string 24",
"Approvers": "sample string 25",
"Approval Comment": "sample string 26",
"Approval Date": "2025-12-28T00:29:21.285Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-28T00:29:21.285Z",
"CapitalExpenditureInvolved": "sample string 30",
"ApproximateCost": "sample string 31",
"EstimatedBudget": "sample string 32",
"Due Date Extension": "sample string 33",
"Requested Due Date Extension": "2025-12-28T00:29:21.285Z",
"Reason for Due Date Extension": "sample string 34",
"Due Date Extension Request Approved?": "sample string 35",
"Reason for not extending the Due Date": "sample string 36",
"Verification Status": "sample string 37",
"Verification Performed": "sample string 38",
"Verified By": "sample string 39",
"Verification Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 40"
},
{
"Source ID": "sample string 1",
"Source Title": "sample string 2",
"Action Item Title": "sample string 3",
"Action Item Category": "sample string 4",
"Action Item Type Id": 5,
"Action Item Type": "sample string 6",
"Root Cause": "sample string 7",
"Action Item Description": "sample string 8",
"Action Item Priority": "sample string 9",
"Action Item Due Date": "2025-12-28T00:29:21.285Z",
"Owner": "sample string 10",
"NotifyOwnersImmediately": "sample string 11",
"Responsible Department": "sample string 12",
"Counter Measure": "sample string 13",
"Applicable to Expansion?": "sample string 14",
"Description of Actions to be Expanded": "sample string 15",
"Applicable to EEM/EPM Info?": "sample string 16",
"EEM / EPM": "sample string 17",
"EEM/EPM Info Submitted ?": "sample string 18",
"Document Number ": "sample string 19",
"Assigned By": "sample string 20",
"Is Verification Required": 21,
"Verification Required": "sample string 22",
"VerifyUser": "sample string 23",
"Approval Status": "sample string 24",
"Approvers": "sample string 25",
"Approval Comment": "sample string 26",
"Approval Date": "2025-12-28T00:29:21.285Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-28T00:29:21.285Z",
"CapitalExpenditureInvolved": "sample string 30",
"ApproximateCost": "sample string 31",
"EstimatedBudget": "sample string 32",
"Due Date Extension": "sample string 33",
"Requested Due Date Extension": "2025-12-28T00:29:21.285Z",
"Reason for Due Date Extension": "sample string 34",
"Due Date Extension Request Approved?": "sample string 35",
"Reason for not extending the Due Date": "sample string 36",
"Verification Status": "sample string 37",
"Verification Performed": "sample string 38",
"Verified By": "sample string 39",
"Verification Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 40"
}
],
"ManagementreviewDetail": [
{
"Role": "sample string 1",
"Primary Owner": "sample string 2",
"Default Approval Due Date": "sample string 3",
"Comments": "sample string 4",
"Review Status": "sample string 5",
"Completed By": "sample string 6",
"Completed Date": "sample string 7"
},
{
"Role": "sample string 1",
"Primary Owner": "sample string 2",
"Default Approval Due Date": "sample string 3",
"Comments": "sample string 4",
"Review Status": "sample string 5",
"Completed By": "sample string 6",
"Completed Date": "sample string 7"
}
]
},
{
"IncidentID(SystemGenerated)": "sample string 2",
"IncidentInternalID(SystemGenerated)": "sample string 3",
"IncidentTitle": "sample string 4",
"IncidentType": "sample string 5",
"LocationCode": "sample string 6",
"Location": "sample string 7",
"WouldyouliketosubmitaGeneralLiabilityClaim?": "sample string 8",
"GeneralLiabilityType": "sample string 9",
"Sub-incidentType": "sample string 10",
"DateOfIncident": "2025-12-28T00:29:21.285Z",
"TimeOfIncident": "sample string 11",
"TimeUndetermined": "sample string 12",
"DayOfWeek": "sample string 13",
"WorkShift": "sample string 14",
"TimeWorkDayBegan": "sample string 15",
"HasPotentialToSerious": "sample string 16",
"DescriptionofIncident": "sample string 17",
"DateReportedToEmployer": "2025-12-28T00:29:21.285Z",
"TimeReportedToEmployer": "2025-12-28T00:29:21.285Z",
"OccurredonEmployersPremises": "sample string 18",
"ContractorInvolvedYN": "sample string 19",
"ContractorName": "sample string 20",
"ContractorDetails": "sample string 21",
"ContractorTrainedYN": "sample string 22",
"WasAssetinvolved": "sample string 23",
"Assets": "sample string 24",
"ConfirmSignificanceLevelIDOfIncident": "sample string 25",
"Wereindividualsinvolvedintheincident?": "sample string 26",
"Numberofinvolvedindividuals": "sample string 27",
"PersonDetails": [
{
"Name": "sample string 1",
"Gender": "sample string 2",
"DateOfBirth": "sample string 3",
"HomeAddress": "sample string 4",
"City": "sample string 5",
"State": "sample string 6",
"Zip": "sample string 7",
"PhoneNumber": "sample string 8",
"Whatwaspersondoingbeforeincident?": "sample string 9",
"Wasindividualinjuredintheincident?": "sample string 10",
"DidInjuryresultinaFatality?": "sample string 11",
"ResultofIncident": "sample string 12",
"CauseofIncident": "sample string 13",
"InjuredBodyPart": "sample string 14",
"Pleasedescribepersonsinjury": "sample string 15",
"Waspersonconsideredminor?": "sample string 16",
"Pleaseprovideparentsname": "sample string 17",
"Pleaseprovideparentsphonenumber": "sample string 18",
"Takenfromsceneviaambulance": "sample string 19",
"Whatshoeswasclaimantwearing?": "sample string 20",
"Wasclaimantstruckbyobject?": "sample string 21",
"Ifstruckbyobjectwhatobject?": "sample string 22",
"Didthepersonrefusetreatment?": "sample string 23",
"IfYesexplainwhy?": "sample string 24",
"Wastreatmentprovided?": "sample string 25",
"DidthepersonsignthemedicalreleaseformIfyespleaseattach?": "sample string 26",
"WereEmergencyServicescalled?": "sample string 27"
},
{
"Name": "sample string 1",
"Gender": "sample string 2",
"DateOfBirth": "sample string 3",
"HomeAddress": "sample string 4",
"City": "sample string 5",
"State": "sample string 6",
"Zip": "sample string 7",
"PhoneNumber": "sample string 8",
"Whatwaspersondoingbeforeincident?": "sample string 9",
"Wasindividualinjuredintheincident?": "sample string 10",
"DidInjuryresultinaFatality?": "sample string 11",
"ResultofIncident": "sample string 12",
"CauseofIncident": "sample string 13",
"InjuredBodyPart": "sample string 14",
"Pleasedescribepersonsinjury": "sample string 15",
"Waspersonconsideredminor?": "sample string 16",
"Pleaseprovideparentsname": "sample string 17",
"Pleaseprovideparentsphonenumber": "sample string 18",
"Takenfromsceneviaambulance": "sample string 19",
"Whatshoeswasclaimantwearing?": "sample string 20",
"Wasclaimantstruckbyobject?": "sample string 21",
"Ifstruckbyobjectwhatobject?": "sample string 22",
"Didthepersonrefusetreatment?": "sample string 23",
"IfYesexplainwhy?": "sample string 24",
"Wastreatmentprovided?": "sample string 25",
"DidthepersonsignthemedicalreleaseformIfyespleaseattach?": "sample string 26",
"WereEmergencyServicescalled?": "sample string 27"
}
],
"EmployeeInvolvedYN": "sample string 28",
"PersonnelType": "sample string 30",
"EmployeeInvolved": "sample string 31",
"EmployeeId": "sample string 32",
"PayRateType": "sample string 33",
"EmployeeDepartment": "sample string 34",
"DoyouwanttoclassifyUnsupervisedContractEmployee?": "sample string 35",
"TypeofClientPersonnel": "sample string 36",
"ClientCompany": "sample string 37",
"NameofContractor": "sample string 38",
"NameofSubContractor": "sample string 39",
"IncidentOccurredonEmployersPremises": "sample string 40",
"AddressofIncidentLocation": "sample string 41",
"CityOfLocation": "sample string 42",
"County": "sample string 43",
"StateOfIncident": "sample string 44",
"ZipOfLocation": "sample string 45",
"Department": "sample string 46",
"LocationoftheIncident": "sample string 47",
"StoreManagerName": "sample string 48",
"StoreManagerPhone": "sample string 49",
"DistrictManagerName": "sample string 50",
"DistrictManagerPhone": "sample string 51",
"Wasanythingonfloor?": "sample string 52",
"Floorgroundscondition": "sample string 53",
"Incidentoccurinside/outside": "sample string 54",
"IfInsidestorewhere?": "sample string 55",
"IfInsidestorecause": "sample string 56",
"IfinStockroomwhere?": "sample string 57",
"IfOutsidestorewhere?": "sample string 58",
"IfOutsidestorecause": "sample string 59",
"Istherevideooftheincident?": "sample string 60",
"Ifvideonotobtainedwhy?": "sample string 61",
"IfEquipnotfunctionalWhy?": "sample string 62",
"Didtheincidentresultinanydamagetocompanyequipment?": "sample string 63",
"Pleasedescribeequipmentanddamage": "sample string 64",
"Didtheincidentresultinanystructuraldamage?": "sample string 65",
"Pleasedescribedamage": "sample string 66",
"Wastheincidentaresultoftheftorasecurityrelatedactivity?": "sample string 67",
"Pleasedescribetheftorsecurityrelatedincident": "sample string 68",
"Isthisanassaultorrobbery?": "sample string 69",
"Weretheresuspects?": "sample string 70",
"Werearrestsmade?": "sample string 71",
"Wasthereapolicereport?": "sample string 72",
"LossPreventionreport": "sample string 73",
"Askthemtotakephotographs": "sample string 74",
"Incidentlocationdiagrammade": "sample string 75",
"IsthisclaimaProductLiabilityclaim?": "sample string 76",
"NameofProduct": "sample string 77",
"ProductCode": "sample string 78",
"ManufacturersName": "sample string 79",
"ManufacturerAddress1": "sample string 80",
"ManufacturerAddress2": "sample string 81",
"ManufacturerCity": "sample string 82",
"ManufacturerState": "sample string 83",
"ManufacturerPostalCode": "sample string 84",
"ManufacturerPhone": "sample string 85",
"Pleaseprovideadetaildescriptionoftheproduct": "sample string 86",
"Wasstoreadvisedtoretaintheproduct?": "sample string 87",
"Isstoreincurrentpossessionofproduct?": "sample string 88",
"Briefdescriptionoffactsofloss": "sample string 89",
"Responsibilityforrotatingproduct": "sample string 90",
"LocalVenderProduct?": "sample string 91",
"VendorName": "sample string 92",
"VendorPhoneNumber": "sample string 93",
"WasemployeesenttoHospital/ClinictoreceiveMedicalTreatment?": "sample string 94",
"Hospital/Clinic Name": "sample string 95",
"HospitalAddress": "sample string 96",
"HospitalCity": "sample string 97",
"HospitalState": "sample string 98",
"HospitalPostalCode/ZipCode": "sample string 99",
"HospitalPhone": "sample string 100",
"HospitalFax": "sample string 101",
"Clinic/DoctorName": "sample string 102",
"Incident Severity ID": 103,
"Incident Severity SIF": "sample string 104",
"Actual Severity": "sample string 105",
"ArethereanyWitnessesidentified?": "sample string 106",
"WitnessInformation": [
{
"LastName": "sample string 1",
"FirstName": "sample string 2",
"MiddleName": "sample string 3",
"WitnessPhoneNumber": "sample string 4",
"Notes": "sample string 5",
"RelationShip": "sample string 6"
},
{
"LastName": "sample string 1",
"FirstName": "sample string 2",
"MiddleName": "sample string 3",
"WitnessPhoneNumber": "sample string 4",
"Notes": "sample string 5",
"RelationShip": "sample string 6"
}
],
"ReportedBy": "sample string 107",
"Title": "sample string 108",
"ReporterPhoneNumber": "sample string 109",
"ReporterEmailAddress": "sample string 110",
"IncidentStatus": "sample string 111",
"CreatedBy": "sample string 112",
"CreatedDate": "2025-12-28T00:29:21.285Z",
"LastUpdatedBy": "sample string 113",
"LastUpdatedsDate": "2025-12-28T00:29:21.285Z",
"InvestigationResponsibilityDetail": [
{
"Target Completion Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 2",
"Notify / YN": "sample string 3"
},
{
"Target Completion Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 2",
"Notify / YN": "sample string 3"
}
],
"InvestigationResponsibilityassigneeDetails": [
{
"UserID": 2,
"Salutation": "sample string 3",
"FirstName": "sample string 4",
"LastName": "sample string 5"
},
{
"UserID": 2,
"Salutation": "sample string 3",
"FirstName": "sample string 4",
"LastName": "sample string 5"
}
],
"InvestigationquestionsDetails": [
{
"Question ID": 2,
"Question": "sample string 3",
"Answer": {},
"Answer ID": 5,
"Parent Question ID": 6,
"Parent Question": "sample string 7"
},
{
"Question ID": 2,
"Question": "sample string 3",
"Answer": {},
"Answer ID": 5,
"Parent Question ID": 6,
"Parent Question": "sample string 7"
}
],
"ContributingFactorsDetails": [
{
"Parent Contributing Factor ID": 1,
"Contributing Factor ID": 2,
"Contributing Factor Name": "sample string 3",
"Comments": "sample string 4"
},
{
"Parent Contributing Factor ID": 1,
"Contributing Factor ID": 2,
"Contributing Factor Name": "sample string 3",
"Comments": "sample string 4"
}
],
"5YDetails": [
{
"Evaluation ID": 1,
"Contact Type": "sample string 2",
"Others Description": "sample string 3",
"Contact ID": "sample string 4"
},
{
"Evaluation ID": 1,
"Contact Type": "sample string 2",
"Others Description": "sample string 3",
"Contact ID": "sample string 4"
}
],
"5Ys": [
{
"Evaluation ID": 1,
"Why Label": "sample string 2",
"Why Check": "sample string 3"
},
{
"Evaluation ID": 1,
"Why Label": "sample string 2",
"Why Check": "sample string 3"
}
],
"RootCauseDetails": [
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
},
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
}
],
"FinalrootcausestatementDetails": [
{
"IMSIncidentID": 1,
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
},
{
"IMSIncidentID": 1,
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
}
],
"LessonsLearnedStatementDetails": [
{
"IMSIncidentID": 1,
"LessonLearnedStatement": "sample string 2"
},
{
"IMSIncidentID": 1,
"LessonLearnedStatement": "sample string 2"
}
],
"ActionItemsDetail": [
{
"Source ID": "sample string 1",
"Source Title": "sample string 2",
"Action Item Title": "sample string 3",
"Action Item Category": "sample string 4",
"Action Item Type Id": 5,
"Action Item Type": "sample string 6",
"Root Cause": "sample string 7",
"Action Item Description": "sample string 8",
"Action Item Priority": "sample string 9",
"Action Item Due Date": "2025-12-28T00:29:21.285Z",
"Owner": "sample string 10",
"NotifyOwnersImmediately": "sample string 11",
"Responsible Department": "sample string 12",
"Counter Measure": "sample string 13",
"Applicable to Expansion?": "sample string 14",
"Description of Actions to be Expanded": "sample string 15",
"Applicable to EEM/EPM Info?": "sample string 16",
"EEM / EPM": "sample string 17",
"EEM/EPM Info Submitted ?": "sample string 18",
"Document Number ": "sample string 19",
"Assigned By": "sample string 20",
"Is Verification Required": 21,
"Verification Required": "sample string 22",
"VerifyUser": "sample string 23",
"Approval Status": "sample string 24",
"Approvers": "sample string 25",
"Approval Comment": "sample string 26",
"Approval Date": "2025-12-28T00:29:21.285Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-28T00:29:21.285Z",
"CapitalExpenditureInvolved": "sample string 30",
"ApproximateCost": "sample string 31",
"EstimatedBudget": "sample string 32",
"Due Date Extension": "sample string 33",
"Requested Due Date Extension": "2025-12-28T00:29:21.285Z",
"Reason for Due Date Extension": "sample string 34",
"Due Date Extension Request Approved?": "sample string 35",
"Reason for not extending the Due Date": "sample string 36",
"Verification Status": "sample string 37",
"Verification Performed": "sample string 38",
"Verified By": "sample string 39",
"Verification Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 40"
},
{
"Source ID": "sample string 1",
"Source Title": "sample string 2",
"Action Item Title": "sample string 3",
"Action Item Category": "sample string 4",
"Action Item Type Id": 5,
"Action Item Type": "sample string 6",
"Root Cause": "sample string 7",
"Action Item Description": "sample string 8",
"Action Item Priority": "sample string 9",
"Action Item Due Date": "2025-12-28T00:29:21.285Z",
"Owner": "sample string 10",
"NotifyOwnersImmediately": "sample string 11",
"Responsible Department": "sample string 12",
"Counter Measure": "sample string 13",
"Applicable to Expansion?": "sample string 14",
"Description of Actions to be Expanded": "sample string 15",
"Applicable to EEM/EPM Info?": "sample string 16",
"EEM / EPM": "sample string 17",
"EEM/EPM Info Submitted ?": "sample string 18",
"Document Number ": "sample string 19",
"Assigned By": "sample string 20",
"Is Verification Required": 21,
"Verification Required": "sample string 22",
"VerifyUser": "sample string 23",
"Approval Status": "sample string 24",
"Approvers": "sample string 25",
"Approval Comment": "sample string 26",
"Approval Date": "2025-12-28T00:29:21.285Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-28T00:29:21.285Z",
"CapitalExpenditureInvolved": "sample string 30",
"ApproximateCost": "sample string 31",
"EstimatedBudget": "sample string 32",
"Due Date Extension": "sample string 33",
"Requested Due Date Extension": "2025-12-28T00:29:21.285Z",
"Reason for Due Date Extension": "sample string 34",
"Due Date Extension Request Approved?": "sample string 35",
"Reason for not extending the Due Date": "sample string 36",
"Verification Status": "sample string 37",
"Verification Performed": "sample string 38",
"Verified By": "sample string 39",
"Verification Date": "2025-12-28T00:29:21.285Z",
"Comments": "sample string 40"
}
],
"ManagementreviewDetail": [
{
"Role": "sample string 1",
"Primary Owner": "sample string 2",
"Default Approval Due Date": "sample string 3",
"Comments": "sample string 4",
"Review Status": "sample string 5",
"Completed By": "sample string 6",
"Completed Date": "sample string 7"
},
{
"Role": "sample string 1",
"Primary Owner": "sample string 2",
"Default Approval Due Date": "sample string 3",
"Comments": "sample string 4",
"Review Status": "sample string 5",
"Completed By": "sample string 6",
"Completed Date": "sample string 7"
}
]
}
]
application/xml, text/xml
Sample:
<ArrayOfGeneralLiabilityOutbound xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
<GeneralLiabilityOutbound>
<IncidentIDSystemGenerated>sample string 2</IncidentIDSystemGenerated>
<IncidentInternalID>sample string 3</IncidentInternalID>
<IncidentTitle>sample string 4</IncidentTitle>
<IncidentType>sample string 5</IncidentType>
<LocationCode>sample string 6</LocationCode>
<Location>sample string 7</Location>
<SubmitGLclaimYn>sample string 8</SubmitGLclaimYn>
<GeneralLiabilityType>sample string 9</GeneralLiabilityType>
<SubIncidentType>sample string 10</SubIncidentType>
<IncidentDate>2025-12-27T19:29:21.2858274-05:00</IncidentDate>
<TimeOfIncident>sample string 11</TimeOfIncident>
<TimeUndetermined>sample string 12</TimeUndetermined>
<DayOfWeek>sample string 13</DayOfWeek>
<WorkShift>sample string 14</WorkShift>
<TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
<HasPotentialToSerious>sample string 16</HasPotentialToSerious>
<DescriptionofIncident>sample string 17</DescriptionofIncident>
<DateReportedToEmployer>2025-12-27T19:29:21.2858274-05:00</DateReportedToEmployer>
<TimeReportedToEmployer>2025-12-27T19:29:21.2858274-05:00</TimeReportedToEmployer>
<CompanyPremisesYN>sample string 18</CompanyPremisesYN>
<ContractorInvolvedYN>sample string 19</ContractorInvolvedYN>
<ContractorName>sample string 20</ContractorName>
<ContractorDetails>sample string 21</ContractorDetails>
<ContractorTrainedYN>sample string 22</ContractorTrainedYN>
<WasAssetInvolvedYn>sample string 23</WasAssetInvolvedYn>
<Assets>sample string 24</Assets>
<SignificanceID>sample string 25</SignificanceID>
<IndividualInvolvedYN>sample string 26</IndividualInvolvedYN>
<NumberofIndividualInvolved>sample string 27</NumberofIndividualInvolved>
<PersonDetails>
<PersonDetails>
<Name>sample string 1</Name>
<Gender>sample string 2</Gender>
<DateOfBirth>sample string 3</DateOfBirth>
<HomeAddress>sample string 4</HomeAddress>
<City>sample string 5</City>
<State>sample string 6</State>
<Zip>sample string 7</Zip>
<PhoneNumber>sample string 8</PhoneNumber>
<WhatWasPersonDoingBeforeIncident>sample string 9</WhatWasPersonDoingBeforeIncident>
<IndividualInjuredInTheIncidentYn>sample string 10</IndividualInjuredInTheIncidentYn>
<InjuryResultInFatality>sample string 11</InjuryResultInFatality>
<ResultofIncident>sample string 12</ResultofIncident>
<CauseofIncident>sample string 13</CauseofIncident>
<InjuredBodyPart>sample string 14</InjuredBodyPart>
<Pleasedescribepersonsinjury>sample string 15</Pleasedescribepersonsinjury>
<PersonConsideredMinorYn>sample string 16</PersonConsideredMinorYn>
<PleaseProvideParentsName>sample string 17</PleaseProvideParentsName>
<PleaseProvidParentsPhoneNumber>sample string 18</PleaseProvidParentsPhoneNumber>
<TakenFromSceneViaAmbulanceYn>sample string 19</TakenFromSceneViaAmbulanceYn>
<WhatShoesWasClaimantWearing>sample string 20</WhatShoesWasClaimantWearing>
<WasClaimantStruckByObjectYn>sample string 21</WasClaimantStruckByObjectYn>
<IfStruckByObjectWhatObject>sample string 22</IfStruckByObjectWhatObject>
<DidthepersonrefusetreatmentYn>sample string 23</DidthepersonrefusetreatmentYn>
<IfYesexplainwhy>sample string 24</IfYesexplainwhy>
<WastreatmentprovidedYn>sample string 25</WastreatmentprovidedYn>
<DidthepersonsignthemedicalreleaseformIfyespleaseattach>sample string 26</DidthepersonsignthemedicalreleaseformIfyespleaseattach>
<WereEmergencyServicescalledYn>sample string 27</WereEmergencyServicescalledYn>
</PersonDetails>
<PersonDetails>
<Name>sample string 1</Name>
<Gender>sample string 2</Gender>
<DateOfBirth>sample string 3</DateOfBirth>
<HomeAddress>sample string 4</HomeAddress>
<City>sample string 5</City>
<State>sample string 6</State>
<Zip>sample string 7</Zip>
<PhoneNumber>sample string 8</PhoneNumber>
<WhatWasPersonDoingBeforeIncident>sample string 9</WhatWasPersonDoingBeforeIncident>
<IndividualInjuredInTheIncidentYn>sample string 10</IndividualInjuredInTheIncidentYn>
<InjuryResultInFatality>sample string 11</InjuryResultInFatality>
<ResultofIncident>sample string 12</ResultofIncident>
<CauseofIncident>sample string 13</CauseofIncident>
<InjuredBodyPart>sample string 14</InjuredBodyPart>
<Pleasedescribepersonsinjury>sample string 15</Pleasedescribepersonsinjury>
<PersonConsideredMinorYn>sample string 16</PersonConsideredMinorYn>
<PleaseProvideParentsName>sample string 17</PleaseProvideParentsName>
<PleaseProvidParentsPhoneNumber>sample string 18</PleaseProvidParentsPhoneNumber>
<TakenFromSceneViaAmbulanceYn>sample string 19</TakenFromSceneViaAmbulanceYn>
<WhatShoesWasClaimantWearing>sample string 20</WhatShoesWasClaimantWearing>
<WasClaimantStruckByObjectYn>sample string 21</WasClaimantStruckByObjectYn>
<IfStruckByObjectWhatObject>sample string 22</IfStruckByObjectWhatObject>
<DidthepersonrefusetreatmentYn>sample string 23</DidthepersonrefusetreatmentYn>
<IfYesexplainwhy>sample string 24</IfYesexplainwhy>
<WastreatmentprovidedYn>sample string 25</WastreatmentprovidedYn>
<DidthepersonsignthemedicalreleaseformIfyespleaseattach>sample string 26</DidthepersonsignthemedicalreleaseformIfyespleaseattach>
<WereEmergencyServicescalledYn>sample string 27</WereEmergencyServicescalledYn>
</PersonDetails>
</PersonDetails>
<EmployeeInvolvedYN>sample string 28</EmployeeInvolvedYN>
<PersonnelType>sample string 30</PersonnelType>
<EmployeeInvolved>sample string 31</EmployeeInvolved>
<EmployeeId>sample string 32</EmployeeId>
<PayRateType>sample string 33</PayRateType>
<EmployeeDepartment>sample string 34</EmployeeDepartment>
<DoyouwanttoclassifyUnsupervisedContractEmployeeYn>sample string 35</DoyouwanttoclassifyUnsupervisedContractEmployeeYn>
<TypeofClientPersonnel>sample string 36</TypeofClientPersonnel>
<ClientCompany>sample string 37</ClientCompany>
<NameofContractor>sample string 38</NameofContractor>
<NameofSubContractor>sample string 39</NameofSubContractor>
<IncidentOccurredonEmployersPremisesYn>sample string 40</IncidentOccurredonEmployersPremisesYn>
<AddressofIncidentLocation>sample string 41</AddressofIncidentLocation>
<CityOfLocation>sample string 42</CityOfLocation>
<County>sample string 43</County>
<StateOfIncident>sample string 44</StateOfIncident>
<ZipOfLocation>sample string 45</ZipOfLocation>
<Department>sample string 46</Department>
<LocationoftheIncident>sample string 47</LocationoftheIncident>
<StoreManagerName>sample string 48</StoreManagerName>
<StoreManagerPhone>sample string 49</StoreManagerPhone>
<DistrictManagerName>sample string 50</DistrictManagerName>
<DistrictManagerPhone>sample string 51</DistrictManagerPhone>
<WasanythingonfloorYn>sample string 52</WasanythingonfloorYn>
<Floorgroundscondition>sample string 53</Floorgroundscondition>
<Incidentoccurinsideoutside>sample string 54</Incidentoccurinsideoutside>
<IfInsidestorewhere>sample string 55</IfInsidestorewhere>
<IfInsidestorecause>sample string 56</IfInsidestorecause>
<IfinStockroomwhere>sample string 57</IfinStockroomwhere>
<IfOutsidestorewhere>sample string 58</IfOutsidestorewhere>
<IfOutsidestorecause>sample string 59</IfOutsidestorecause>
<IstherevideooftheincidentYn>sample string 60</IstherevideooftheincidentYn>
<Ifvideonotobtainedwhy>sample string 61</Ifvideonotobtainedwhy>
<IfEquipnotfunctionalWhy>sample string 62</IfEquipnotfunctionalWhy>
<DidtheincidentresultinanydamagetocompanyequipmentYn>sample string 63</DidtheincidentresultinanydamagetocompanyequipmentYn>
<Pleasedescribeequipmentanddamage>sample string 64</Pleasedescribeequipmentanddamage>
<DidtheincidentresultinanystructuraldamageYn>sample string 65</DidtheincidentresultinanystructuraldamageYn>
<Pleasedescribedamage>sample string 66</Pleasedescribedamage>
<WastheincidentaresultoftheftorasecurityrelatedactivityYn>sample string 67</WastheincidentaresultoftheftorasecurityrelatedactivityYn>
<Pleasedescribetheftorsecurityrelatedincident>sample string 68</Pleasedescribetheftorsecurityrelatedincident>
<IsthisanassaultorrobberyYn>sample string 69</IsthisanassaultorrobberyYn>
<WeretheresuspectsYn>sample string 70</WeretheresuspectsYn>
<WerearrestsmadeYn>sample string 71</WerearrestsmadeYn>
<WasthereapolicereportYn>sample string 72</WasthereapolicereportYn>
<LossPreventionreport>sample string 73</LossPreventionreport>
<Askthemtotakephotographs>sample string 74</Askthemtotakephotographs>
<Incidentlocationdiagrammade>sample string 75</Incidentlocationdiagrammade>
<IsthisclaimaProductLiabilityclaimYn>sample string 76</IsthisclaimaProductLiabilityclaimYn>
<NameofProduct>sample string 77</NameofProduct>
<ProductCode>sample string 78</ProductCode>
<ManufacturersName>sample string 79</ManufacturersName>
<ManufacturerAddress1>sample string 80</ManufacturerAddress1>
<ManufacturerAddress2>sample string 81</ManufacturerAddress2>
<ManufacturerCity>sample string 82</ManufacturerCity>
<ManufacturerState>sample string 83</ManufacturerState>
<ManufacturerPostalCode>sample string 84</ManufacturerPostalCode>
<ManufacturerPhone>sample string 85</ManufacturerPhone>
<Pleaseprovideadetaildescriptionoftheproduct>sample string 86</Pleaseprovideadetaildescriptionoftheproduct>
<WasstoreadvisedtoretaintheproductYn>sample string 87</WasstoreadvisedtoretaintheproductYn>
<IsstoreincurrentpossessionofproductYn>sample string 88</IsstoreincurrentpossessionofproductYn>
<Briefdescriptionoffactsofloss>sample string 89</Briefdescriptionoffactsofloss>
<Responsibilityforrotatingproduct>sample string 90</Responsibilityforrotatingproduct>
<LocalVenderProduct>sample string 91</LocalVenderProduct>
<VendorName>sample string 92</VendorName>
<VendorPhoneNumber>sample string 93</VendorPhoneNumber>
<IndividualSenttoHospital>sample string 94</IndividualSenttoHospital>
<HospName>sample string 95</HospName>
<HospAddress>sample string 96</HospAddress>
<HospCity>sample string 97</HospCity>
<HospState>sample string 98</HospState>
<HospZip>sample string 99</HospZip>
<HospPhone>sample string 100</HospPhone>
<HospFax>sample string 101</HospFax>
<DoctName>sample string 102</DoctName>
<IncidentSeverityID>103</IncidentSeverityID>
<IncidentSeveritySIF>sample string 104</IncidentSeveritySIF>
<ActualSeverity>sample string 105</ActualSeverity>
<WitnessYN>sample string 106</WitnessYN>
<WitnessInformation>
<WitnessInformation>
<LastName>sample string 1</LastName>
<FirstName>sample string 2</FirstName>
<MiddleName>sample string 3</MiddleName>
<PhoneNumber>sample string 4</PhoneNumber>
<Notes>sample string 5</Notes>
<RelationShip>sample string 6</RelationShip>
</WitnessInformation>
<WitnessInformation>
<LastName>sample string 1</LastName>
<FirstName>sample string 2</FirstName>
<MiddleName>sample string 3</MiddleName>
<PhoneNumber>sample string 4</PhoneNumber>
<Notes>sample string 5</Notes>
<RelationShip>sample string 6</RelationShip>
</WitnessInformation>
</WitnessInformation>
<ReportedBy>sample string 107</ReportedBy>
<Title>sample string 108</Title>
<ReporterPhoneNumber>sample string 109</ReporterPhoneNumber>
<ReporterEmailAddress>sample string 110</ReporterEmailAddress>
<IncidentStatus>sample string 111</IncidentStatus>
<CreatedBy>sample string 112</CreatedBy>
<CreatedDate>2025-12-27T19:29:21.2858274-05:00</CreatedDate>
<LastUpdatedBy>sample string 113</LastUpdatedBy>
<LastUpdatedDate>2025-12-27T19:29:21.2858274-05:00</LastUpdatedDate>
<InvResponsibilityDetail>
<InvResponsibilityDetail>
<TargetCompletionDate>2025-12-27T19:29:21.2858274-05:00</TargetCompletionDate>
<Comments>sample string 2</Comments>
<NotifyYN>sample string 3</NotifyYN>
</InvResponsibilityDetail>
<InvResponsibilityDetail>
<TargetCompletionDate>2025-12-27T19:29:21.2858274-05:00</TargetCompletionDate>
<Comments>sample string 2</Comments>
<NotifyYN>sample string 3</NotifyYN>
</InvResponsibilityDetail>
</InvResponsibilityDetail>
<InvResponsibilityAssignee>
<InvResponsibilityAssignee>
<UserID>2</UserID>
<Salutation>sample string 3</Salutation>
<First_Name>sample string 4</First_Name>
<Last_Name>sample string 5</Last_Name>
</InvResponsibilityAssignee>
<InvResponsibilityAssignee>
<UserID>2</UserID>
<Salutation>sample string 3</Salutation>
<First_Name>sample string 4</First_Name>
<Last_Name>sample string 5</Last_Name>
</InvResponsibilityAssignee>
</InvResponsibilityAssignee>
<InvestigationQuestionsDetails>
<InvestigationQuestionsDetails>
<QuestionID>2</QuestionID>
<Question>sample string 3</Question>
<Answer />
<AnswerID>5</AnswerID>
<ParentQuestionID>6</ParentQuestionID>
<ParentQuestion>sample string 7</ParentQuestion>
</InvestigationQuestionsDetails>
<InvestigationQuestionsDetails>
<QuestionID>2</QuestionID>
<Question>sample string 3</Question>
<Answer />
<AnswerID>5</AnswerID>
<ParentQuestionID>6</ParentQuestionID>
<ParentQuestion>sample string 7</ParentQuestion>
</InvestigationQuestionsDetails>
</InvestigationQuestionsDetails>
<ContributingFactorsDetails>
<ContributingFactor>
<PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
<Comments>sample string 4</Comments>
</ContributingFactor>
<ContributingFactor>
<PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
<Comments>sample string 4</Comments>
</ContributingFactor>
</ContributingFactorsDetails>
<FiveWhyMethodology>
<_5WhyMethodology>
<RT_Eval_ID>1</RT_Eval_ID>
<CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
<Others_Description>sample string 3</Others_Description>
<CONT_FACT_ID>sample string 4</CONT_FACT_ID>
</_5WhyMethodology>
<_5WhyMethodology>
<RT_Eval_ID>1</RT_Eval_ID>
<CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
<Others_Description>sample string 3</Others_Description>
<CONT_FACT_ID>sample string 4</CONT_FACT_ID>
</_5WhyMethodology>
</FiveWhyMethodology>
<FiveWhys>
<Why>
<RT_Eval_ID>1</RT_Eval_ID>
<WHY_LABEL>sample string 2</WHY_LABEL>
<WHY_CHECK>sample string 3</WHY_CHECK>
</Why>
<Why>
<RT_Eval_ID>1</RT_Eval_ID>
<WHY_LABEL>sample string 2</WHY_LABEL>
<WHY_CHECK>sample string 3</WHY_CHECK>
</Why>
</FiveWhys>
<RootCauseDetails>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
</RootCauseDetails>
<FinalrootCauseSTMT>
<FinalrootCauseSTMT>
<IMSIncidentID>1</IMSIncidentID>
<FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
<PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
<PrimaryRootCause>sample string 4</PrimaryRootCause>
</FinalrootCauseSTMT>
<FinalrootCauseSTMT>
<IMSIncidentID>1</IMSIncidentID>
<FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
<PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
<PrimaryRootCause>sample string 4</PrimaryRootCause>
</FinalrootCauseSTMT>
</FinalrootCauseSTMT>
<LessonLearnedSTMT>
<LessonLearnedSTMT>
<IMSIncidentID>1</IMSIncidentID>
<LessonLearnedStatement>sample string 2</LessonLearnedStatement>
</LessonLearnedSTMT>
<LessonLearnedSTMT>
<IMSIncidentID>1</IMSIncidentID>
<LessonLearnedStatement>sample string 2</LessonLearnedStatement>
</LessonLearnedSTMT>
</LessonLearnedSTMT>
<ActionItemsDetail>
<ActionItemsDetail>
<SourceID>sample string 1</SourceID>
<SourceTitle>sample string 2</SourceTitle>
<ActionItemTitle>sample string 3</ActionItemTitle>
<ActionItemCategory>sample string 4</ActionItemCategory>
<ActionItemTypeId>5</ActionItemTypeId>
<ActionItemType>sample string 6</ActionItemType>
<RootCause>sample string 7</RootCause>
<ActionItemDescription>sample string 8</ActionItemDescription>
<ActionItemPriority>sample string 9</ActionItemPriority>
<ActionItemDueDate>2025-12-27T19:29:21.2858274-05:00</ActionItemDueDate>
<Owner>sample string 10</Owner>
<NotifyOwnersImmediately>sample string 11</NotifyOwnersImmediately>
<ResponsibleDepartment>sample string 12</ResponsibleDepartment>
<CounterMeasure>sample string 13</CounterMeasure>
<ApplicableToExpansion>sample string 14</ApplicableToExpansion>
<DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
<ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
<EEMOrEPM>sample string 17</EEMOrEPM>
<EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
<DocumentNumber>sample string 19</DocumentNumber>
<AssignedBy>sample string 20</AssignedBy>
<IsVerificationRequired>21</IsVerificationRequired>
<VerificationRequired>sample string 22</VerificationRequired>
<VerifyUser>sample string 23</VerifyUser>
<ApprovalStatus>sample string 24</ApprovalStatus>
<Approvers>sample string 25</Approvers>
<ApprovalComment>sample string 26</ApprovalComment>
<ApprovalDate>2025-12-27T19:29:21.2858274-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T19:29:21.2858274-05:00</ActionItemCompletedDate>
<CapitalExpenditureInvolved>sample string 30</CapitalExpenditureInvolved>
<ApproximateCost>sample string 31</ApproximateCost>
<EstimatedBudget>sample string 32</EstimatedBudget>
<DueDateExtension>sample string 33</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T19:29:21.2858274-05:00</RequestedDueDateExtension>
<ReasonforDueDateExtension>sample string 34</ReasonforDueDateExtension>
<DueDateExtensionRequestApproved>sample string 35</DueDateExtensionRequestApproved>
<ReasonForNotExtendingTheDueDate>sample string 36</ReasonForNotExtendingTheDueDate>
<VerificationStatus>sample string 37</VerificationStatus>
<VerificationPerformed>sample string 38</VerificationPerformed>
<VerifiedBy>sample string 39</VerifiedBy>
<VerificationDate>2025-12-27T19:29:21.2858274-05:00</VerificationDate>
<Comments>sample string 40</Comments>
</ActionItemsDetail>
<ActionItemsDetail>
<SourceID>sample string 1</SourceID>
<SourceTitle>sample string 2</SourceTitle>
<ActionItemTitle>sample string 3</ActionItemTitle>
<ActionItemCategory>sample string 4</ActionItemCategory>
<ActionItemTypeId>5</ActionItemTypeId>
<ActionItemType>sample string 6</ActionItemType>
<RootCause>sample string 7</RootCause>
<ActionItemDescription>sample string 8</ActionItemDescription>
<ActionItemPriority>sample string 9</ActionItemPriority>
<ActionItemDueDate>2025-12-27T19:29:21.2858274-05:00</ActionItemDueDate>
<Owner>sample string 10</Owner>
<NotifyOwnersImmediately>sample string 11</NotifyOwnersImmediately>
<ResponsibleDepartment>sample string 12</ResponsibleDepartment>
<CounterMeasure>sample string 13</CounterMeasure>
<ApplicableToExpansion>sample string 14</ApplicableToExpansion>
<DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
<ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
<EEMOrEPM>sample string 17</EEMOrEPM>
<EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
<DocumentNumber>sample string 19</DocumentNumber>
<AssignedBy>sample string 20</AssignedBy>
<IsVerificationRequired>21</IsVerificationRequired>
<VerificationRequired>sample string 22</VerificationRequired>
<VerifyUser>sample string 23</VerifyUser>
<ApprovalStatus>sample string 24</ApprovalStatus>
<Approvers>sample string 25</Approvers>
<ApprovalComment>sample string 26</ApprovalComment>
<ApprovalDate>2025-12-27T19:29:21.2858274-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T19:29:21.2858274-05:00</ActionItemCompletedDate>
<CapitalExpenditureInvolved>sample string 30</CapitalExpenditureInvolved>
<ApproximateCost>sample string 31</ApproximateCost>
<EstimatedBudget>sample string 32</EstimatedBudget>
<DueDateExtension>sample string 33</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T19:29:21.2858274-05:00</RequestedDueDateExtension>
<ReasonforDueDateExtension>sample string 34</ReasonforDueDateExtension>
<DueDateExtensionRequestApproved>sample string 35</DueDateExtensionRequestApproved>
<ReasonForNotExtendingTheDueDate>sample string 36</ReasonForNotExtendingTheDueDate>
<VerificationStatus>sample string 37</VerificationStatus>
<VerificationPerformed>sample string 38</VerificationPerformed>
<VerifiedBy>sample string 39</VerifiedBy>
<VerificationDate>2025-12-27T19:29:21.2858274-05:00</VerificationDate>
<Comments>sample string 40</Comments>
</ActionItemsDetail>
</ActionItemsDetail>
<ManagementReviews>
<ManagementReviews>
<ROLE>sample string 1</ROLE>
<PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
<DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
<COMMENTS>sample string 4</COMMENTS>
<REVIEW_STATUS>sample string 5</REVIEW_STATUS>
<COMPLETED_BY>sample string 6</COMPLETED_BY>
<COMPLETED_DATE>sample string 7</COMPLETED_DATE>
</ManagementReviews>
<ManagementReviews>
<ROLE>sample string 1</ROLE>
<PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
<DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
<COMMENTS>sample string 4</COMMENTS>
<REVIEW_STATUS>sample string 5</REVIEW_STATUS>
<COMPLETED_BY>sample string 6</COMPLETED_BY>
<COMPLETED_DATE>sample string 7</COMPLETED_DATE>
</ManagementReviews>
</ManagementReviews>
</GeneralLiabilityOutbound>
<GeneralLiabilityOutbound>
<IncidentIDSystemGenerated>sample string 2</IncidentIDSystemGenerated>
<IncidentInternalID>sample string 3</IncidentInternalID>
<IncidentTitle>sample string 4</IncidentTitle>
<IncidentType>sample string 5</IncidentType>
<LocationCode>sample string 6</LocationCode>
<Location>sample string 7</Location>
<SubmitGLclaimYn>sample string 8</SubmitGLclaimYn>
<GeneralLiabilityType>sample string 9</GeneralLiabilityType>
<SubIncidentType>sample string 10</SubIncidentType>
<IncidentDate>2025-12-27T19:29:21.2858274-05:00</IncidentDate>
<TimeOfIncident>sample string 11</TimeOfIncident>
<TimeUndetermined>sample string 12</TimeUndetermined>
<DayOfWeek>sample string 13</DayOfWeek>
<WorkShift>sample string 14</WorkShift>
<TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
<HasPotentialToSerious>sample string 16</HasPotentialToSerious>
<DescriptionofIncident>sample string 17</DescriptionofIncident>
<DateReportedToEmployer>2025-12-27T19:29:21.2858274-05:00</DateReportedToEmployer>
<TimeReportedToEmployer>2025-12-27T19:29:21.2858274-05:00</TimeReportedToEmployer>
<CompanyPremisesYN>sample string 18</CompanyPremisesYN>
<ContractorInvolvedYN>sample string 19</ContractorInvolvedYN>
<ContractorName>sample string 20</ContractorName>
<ContractorDetails>sample string 21</ContractorDetails>
<ContractorTrainedYN>sample string 22</ContractorTrainedYN>
<WasAssetInvolvedYn>sample string 23</WasAssetInvolvedYn>
<Assets>sample string 24</Assets>
<SignificanceID>sample string 25</SignificanceID>
<IndividualInvolvedYN>sample string 26</IndividualInvolvedYN>
<NumberofIndividualInvolved>sample string 27</NumberofIndividualInvolved>
<PersonDetails>
<PersonDetails>
<Name>sample string 1</Name>
<Gender>sample string 2</Gender>
<DateOfBirth>sample string 3</DateOfBirth>
<HomeAddress>sample string 4</HomeAddress>
<City>sample string 5</City>
<State>sample string 6</State>
<Zip>sample string 7</Zip>
<PhoneNumber>sample string 8</PhoneNumber>
<WhatWasPersonDoingBeforeIncident>sample string 9</WhatWasPersonDoingBeforeIncident>
<IndividualInjuredInTheIncidentYn>sample string 10</IndividualInjuredInTheIncidentYn>
<InjuryResultInFatality>sample string 11</InjuryResultInFatality>
<ResultofIncident>sample string 12</ResultofIncident>
<CauseofIncident>sample string 13</CauseofIncident>
<InjuredBodyPart>sample string 14</InjuredBodyPart>
<Pleasedescribepersonsinjury>sample string 15</Pleasedescribepersonsinjury>
<PersonConsideredMinorYn>sample string 16</PersonConsideredMinorYn>
<PleaseProvideParentsName>sample string 17</PleaseProvideParentsName>
<PleaseProvidParentsPhoneNumber>sample string 18</PleaseProvidParentsPhoneNumber>
<TakenFromSceneViaAmbulanceYn>sample string 19</TakenFromSceneViaAmbulanceYn>
<WhatShoesWasClaimantWearing>sample string 20</WhatShoesWasClaimantWearing>
<WasClaimantStruckByObjectYn>sample string 21</WasClaimantStruckByObjectYn>
<IfStruckByObjectWhatObject>sample string 22</IfStruckByObjectWhatObject>
<DidthepersonrefusetreatmentYn>sample string 23</DidthepersonrefusetreatmentYn>
<IfYesexplainwhy>sample string 24</IfYesexplainwhy>
<WastreatmentprovidedYn>sample string 25</WastreatmentprovidedYn>
<DidthepersonsignthemedicalreleaseformIfyespleaseattach>sample string 26</DidthepersonsignthemedicalreleaseformIfyespleaseattach>
<WereEmergencyServicescalledYn>sample string 27</WereEmergencyServicescalledYn>
</PersonDetails>
<PersonDetails>
<Name>sample string 1</Name>
<Gender>sample string 2</Gender>
<DateOfBirth>sample string 3</DateOfBirth>
<HomeAddress>sample string 4</HomeAddress>
<City>sample string 5</City>
<State>sample string 6</State>
<Zip>sample string 7</Zip>
<PhoneNumber>sample string 8</PhoneNumber>
<WhatWasPersonDoingBeforeIncident>sample string 9</WhatWasPersonDoingBeforeIncident>
<IndividualInjuredInTheIncidentYn>sample string 10</IndividualInjuredInTheIncidentYn>
<InjuryResultInFatality>sample string 11</InjuryResultInFatality>
<ResultofIncident>sample string 12</ResultofIncident>
<CauseofIncident>sample string 13</CauseofIncident>
<InjuredBodyPart>sample string 14</InjuredBodyPart>
<Pleasedescribepersonsinjury>sample string 15</Pleasedescribepersonsinjury>
<PersonConsideredMinorYn>sample string 16</PersonConsideredMinorYn>
<PleaseProvideParentsName>sample string 17</PleaseProvideParentsName>
<PleaseProvidParentsPhoneNumber>sample string 18</PleaseProvidParentsPhoneNumber>
<TakenFromSceneViaAmbulanceYn>sample string 19</TakenFromSceneViaAmbulanceYn>
<WhatShoesWasClaimantWearing>sample string 20</WhatShoesWasClaimantWearing>
<WasClaimantStruckByObjectYn>sample string 21</WasClaimantStruckByObjectYn>
<IfStruckByObjectWhatObject>sample string 22</IfStruckByObjectWhatObject>
<DidthepersonrefusetreatmentYn>sample string 23</DidthepersonrefusetreatmentYn>
<IfYesexplainwhy>sample string 24</IfYesexplainwhy>
<WastreatmentprovidedYn>sample string 25</WastreatmentprovidedYn>
<DidthepersonsignthemedicalreleaseformIfyespleaseattach>sample string 26</DidthepersonsignthemedicalreleaseformIfyespleaseattach>
<WereEmergencyServicescalledYn>sample string 27</WereEmergencyServicescalledYn>
</PersonDetails>
</PersonDetails>
<EmployeeInvolvedYN>sample string 28</EmployeeInvolvedYN>
<PersonnelType>sample string 30</PersonnelType>
<EmployeeInvolved>sample string 31</EmployeeInvolved>
<EmployeeId>sample string 32</EmployeeId>
<PayRateType>sample string 33</PayRateType>
<EmployeeDepartment>sample string 34</EmployeeDepartment>
<DoyouwanttoclassifyUnsupervisedContractEmployeeYn>sample string 35</DoyouwanttoclassifyUnsupervisedContractEmployeeYn>
<TypeofClientPersonnel>sample string 36</TypeofClientPersonnel>
<ClientCompany>sample string 37</ClientCompany>
<NameofContractor>sample string 38</NameofContractor>
<NameofSubContractor>sample string 39</NameofSubContractor>
<IncidentOccurredonEmployersPremisesYn>sample string 40</IncidentOccurredonEmployersPremisesYn>
<AddressofIncidentLocation>sample string 41</AddressofIncidentLocation>
<CityOfLocation>sample string 42</CityOfLocation>
<County>sample string 43</County>
<StateOfIncident>sample string 44</StateOfIncident>
<ZipOfLocation>sample string 45</ZipOfLocation>
<Department>sample string 46</Department>
<LocationoftheIncident>sample string 47</LocationoftheIncident>
<StoreManagerName>sample string 48</StoreManagerName>
<StoreManagerPhone>sample string 49</StoreManagerPhone>
<DistrictManagerName>sample string 50</DistrictManagerName>
<DistrictManagerPhone>sample string 51</DistrictManagerPhone>
<WasanythingonfloorYn>sample string 52</WasanythingonfloorYn>
<Floorgroundscondition>sample string 53</Floorgroundscondition>
<Incidentoccurinsideoutside>sample string 54</Incidentoccurinsideoutside>
<IfInsidestorewhere>sample string 55</IfInsidestorewhere>
<IfInsidestorecause>sample string 56</IfInsidestorecause>
<IfinStockroomwhere>sample string 57</IfinStockroomwhere>
<IfOutsidestorewhere>sample string 58</IfOutsidestorewhere>
<IfOutsidestorecause>sample string 59</IfOutsidestorecause>
<IstherevideooftheincidentYn>sample string 60</IstherevideooftheincidentYn>
<Ifvideonotobtainedwhy>sample string 61</Ifvideonotobtainedwhy>
<IfEquipnotfunctionalWhy>sample string 62</IfEquipnotfunctionalWhy>
<DidtheincidentresultinanydamagetocompanyequipmentYn>sample string 63</DidtheincidentresultinanydamagetocompanyequipmentYn>
<Pleasedescribeequipmentanddamage>sample string 64</Pleasedescribeequipmentanddamage>
<DidtheincidentresultinanystructuraldamageYn>sample string 65</DidtheincidentresultinanystructuraldamageYn>
<Pleasedescribedamage>sample string 66</Pleasedescribedamage>
<WastheincidentaresultoftheftorasecurityrelatedactivityYn>sample string 67</WastheincidentaresultoftheftorasecurityrelatedactivityYn>
<Pleasedescribetheftorsecurityrelatedincident>sample string 68</Pleasedescribetheftorsecurityrelatedincident>
<IsthisanassaultorrobberyYn>sample string 69</IsthisanassaultorrobberyYn>
<WeretheresuspectsYn>sample string 70</WeretheresuspectsYn>
<WerearrestsmadeYn>sample string 71</WerearrestsmadeYn>
<WasthereapolicereportYn>sample string 72</WasthereapolicereportYn>
<LossPreventionreport>sample string 73</LossPreventionreport>
<Askthemtotakephotographs>sample string 74</Askthemtotakephotographs>
<Incidentlocationdiagrammade>sample string 75</Incidentlocationdiagrammade>
<IsthisclaimaProductLiabilityclaimYn>sample string 76</IsthisclaimaProductLiabilityclaimYn>
<NameofProduct>sample string 77</NameofProduct>
<ProductCode>sample string 78</ProductCode>
<ManufacturersName>sample string 79</ManufacturersName>
<ManufacturerAddress1>sample string 80</ManufacturerAddress1>
<ManufacturerAddress2>sample string 81</ManufacturerAddress2>
<ManufacturerCity>sample string 82</ManufacturerCity>
<ManufacturerState>sample string 83</ManufacturerState>
<ManufacturerPostalCode>sample string 84</ManufacturerPostalCode>
<ManufacturerPhone>sample string 85</ManufacturerPhone>
<Pleaseprovideadetaildescriptionoftheproduct>sample string 86</Pleaseprovideadetaildescriptionoftheproduct>
<WasstoreadvisedtoretaintheproductYn>sample string 87</WasstoreadvisedtoretaintheproductYn>
<IsstoreincurrentpossessionofproductYn>sample string 88</IsstoreincurrentpossessionofproductYn>
<Briefdescriptionoffactsofloss>sample string 89</Briefdescriptionoffactsofloss>
<Responsibilityforrotatingproduct>sample string 90</Responsibilityforrotatingproduct>
<LocalVenderProduct>sample string 91</LocalVenderProduct>
<VendorName>sample string 92</VendorName>
<VendorPhoneNumber>sample string 93</VendorPhoneNumber>
<IndividualSenttoHospital>sample string 94</IndividualSenttoHospital>
<HospName>sample string 95</HospName>
<HospAddress>sample string 96</HospAddress>
<HospCity>sample string 97</HospCity>
<HospState>sample string 98</HospState>
<HospZip>sample string 99</HospZip>
<HospPhone>sample string 100</HospPhone>
<HospFax>sample string 101</HospFax>
<DoctName>sample string 102</DoctName>
<IncidentSeverityID>103</IncidentSeverityID>
<IncidentSeveritySIF>sample string 104</IncidentSeveritySIF>
<ActualSeverity>sample string 105</ActualSeverity>
<WitnessYN>sample string 106</WitnessYN>
<WitnessInformation>
<WitnessInformation>
<LastName>sample string 1</LastName>
<FirstName>sample string 2</FirstName>
<MiddleName>sample string 3</MiddleName>
<PhoneNumber>sample string 4</PhoneNumber>
<Notes>sample string 5</Notes>
<RelationShip>sample string 6</RelationShip>
</WitnessInformation>
<WitnessInformation>
<LastName>sample string 1</LastName>
<FirstName>sample string 2</FirstName>
<MiddleName>sample string 3</MiddleName>
<PhoneNumber>sample string 4</PhoneNumber>
<Notes>sample string 5</Notes>
<RelationShip>sample string 6</RelationShip>
</WitnessInformation>
</WitnessInformation>
<ReportedBy>sample string 107</ReportedBy>
<Title>sample string 108</Title>
<ReporterPhoneNumber>sample string 109</ReporterPhoneNumber>
<ReporterEmailAddress>sample string 110</ReporterEmailAddress>
<IncidentStatus>sample string 111</IncidentStatus>
<CreatedBy>sample string 112</CreatedBy>
<CreatedDate>2025-12-27T19:29:21.2858274-05:00</CreatedDate>
<LastUpdatedBy>sample string 113</LastUpdatedBy>
<LastUpdatedDate>2025-12-27T19:29:21.2858274-05:00</LastUpdatedDate>
<InvResponsibilityDetail>
<InvResponsibilityDetail>
<TargetCompletionDate>2025-12-27T19:29:21.2858274-05:00</TargetCompletionDate>
<Comments>sample string 2</Comments>
<NotifyYN>sample string 3</NotifyYN>
</InvResponsibilityDetail>
<InvResponsibilityDetail>
<TargetCompletionDate>2025-12-27T19:29:21.2858274-05:00</TargetCompletionDate>
<Comments>sample string 2</Comments>
<NotifyYN>sample string 3</NotifyYN>
</InvResponsibilityDetail>
</InvResponsibilityDetail>
<InvResponsibilityAssignee>
<InvResponsibilityAssignee>
<UserID>2</UserID>
<Salutation>sample string 3</Salutation>
<First_Name>sample string 4</First_Name>
<Last_Name>sample string 5</Last_Name>
</InvResponsibilityAssignee>
<InvResponsibilityAssignee>
<UserID>2</UserID>
<Salutation>sample string 3</Salutation>
<First_Name>sample string 4</First_Name>
<Last_Name>sample string 5</Last_Name>
</InvResponsibilityAssignee>
</InvResponsibilityAssignee>
<InvestigationQuestionsDetails>
<InvestigationQuestionsDetails>
<QuestionID>2</QuestionID>
<Question>sample string 3</Question>
<Answer />
<AnswerID>5</AnswerID>
<ParentQuestionID>6</ParentQuestionID>
<ParentQuestion>sample string 7</ParentQuestion>
</InvestigationQuestionsDetails>
<InvestigationQuestionsDetails>
<QuestionID>2</QuestionID>
<Question>sample string 3</Question>
<Answer />
<AnswerID>5</AnswerID>
<ParentQuestionID>6</ParentQuestionID>
<ParentQuestion>sample string 7</ParentQuestion>
</InvestigationQuestionsDetails>
</InvestigationQuestionsDetails>
<ContributingFactorsDetails>
<ContributingFactor>
<PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
<Comments>sample string 4</Comments>
</ContributingFactor>
<ContributingFactor>
<PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
<CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
<Comments>sample string 4</Comments>
</ContributingFactor>
</ContributingFactorsDetails>
<FiveWhyMethodology>
<_5WhyMethodology>
<RT_Eval_ID>1</RT_Eval_ID>
<CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
<Others_Description>sample string 3</Others_Description>
<CONT_FACT_ID>sample string 4</CONT_FACT_ID>
</_5WhyMethodology>
<_5WhyMethodology>
<RT_Eval_ID>1</RT_Eval_ID>
<CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
<Others_Description>sample string 3</Others_Description>
<CONT_FACT_ID>sample string 4</CONT_FACT_ID>
</_5WhyMethodology>
</FiveWhyMethodology>
<FiveWhys>
<Why>
<RT_Eval_ID>1</RT_Eval_ID>
<WHY_LABEL>sample string 2</WHY_LABEL>
<WHY_CHECK>sample string 3</WHY_CHECK>
</Why>
<Why>
<RT_Eval_ID>1</RT_Eval_ID>
<WHY_LABEL>sample string 2</WHY_LABEL>
<WHY_CHECK>sample string 3</WHY_CHECK>
</Why>
</FiveWhys>
<RootCauseDetails>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
</RootCauseDetails>
<FinalrootCauseSTMT>
<FinalrootCauseSTMT>
<IMSIncidentID>1</IMSIncidentID>
<FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
<PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
<PrimaryRootCause>sample string 4</PrimaryRootCause>
</FinalrootCauseSTMT>
<FinalrootCauseSTMT>
<IMSIncidentID>1</IMSIncidentID>
<FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
<PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
<PrimaryRootCause>sample string 4</PrimaryRootCause>
</FinalrootCauseSTMT>
</FinalrootCauseSTMT>
<LessonLearnedSTMT>
<LessonLearnedSTMT>
<IMSIncidentID>1</IMSIncidentID>
<LessonLearnedStatement>sample string 2</LessonLearnedStatement>
</LessonLearnedSTMT>
<LessonLearnedSTMT>
<IMSIncidentID>1</IMSIncidentID>
<LessonLearnedStatement>sample string 2</LessonLearnedStatement>
</LessonLearnedSTMT>
</LessonLearnedSTMT>
<ActionItemsDetail>
<ActionItemsDetail>
<SourceID>sample string 1</SourceID>
<SourceTitle>sample string 2</SourceTitle>
<ActionItemTitle>sample string 3</ActionItemTitle>
<ActionItemCategory>sample string 4</ActionItemCategory>
<ActionItemTypeId>5</ActionItemTypeId>
<ActionItemType>sample string 6</ActionItemType>
<RootCause>sample string 7</RootCause>
<ActionItemDescription>sample string 8</ActionItemDescription>
<ActionItemPriority>sample string 9</ActionItemPriority>
<ActionItemDueDate>2025-12-27T19:29:21.2858274-05:00</ActionItemDueDate>
<Owner>sample string 10</Owner>
<NotifyOwnersImmediately>sample string 11</NotifyOwnersImmediately>
<ResponsibleDepartment>sample string 12</ResponsibleDepartment>
<CounterMeasure>sample string 13</CounterMeasure>
<ApplicableToExpansion>sample string 14</ApplicableToExpansion>
<DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
<ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
<EEMOrEPM>sample string 17</EEMOrEPM>
<EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
<DocumentNumber>sample string 19</DocumentNumber>
<AssignedBy>sample string 20</AssignedBy>
<IsVerificationRequired>21</IsVerificationRequired>
<VerificationRequired>sample string 22</VerificationRequired>
<VerifyUser>sample string 23</VerifyUser>
<ApprovalStatus>sample string 24</ApprovalStatus>
<Approvers>sample string 25</Approvers>
<ApprovalComment>sample string 26</ApprovalComment>
<ApprovalDate>2025-12-27T19:29:21.2858274-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T19:29:21.2858274-05:00</ActionItemCompletedDate>
<CapitalExpenditureInvolved>sample string 30</CapitalExpenditureInvolved>
<ApproximateCost>sample string 31</ApproximateCost>
<EstimatedBudget>sample string 32</EstimatedBudget>
<DueDateExtension>sample string 33</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T19:29:21.2858274-05:00</RequestedDueDateExtension>
<ReasonforDueDateExtension>sample string 34</ReasonforDueDateExtension>
<DueDateExtensionRequestApproved>sample string 35</DueDateExtensionRequestApproved>
<ReasonForNotExtendingTheDueDate>sample string 36</ReasonForNotExtendingTheDueDate>
<VerificationStatus>sample string 37</VerificationStatus>
<VerificationPerformed>sample string 38</VerificationPerformed>
<VerifiedBy>sample string 39</VerifiedBy>
<VerificationDate>2025-12-27T19:29:21.2858274-05:00</VerificationDate>
<Comments>sample string 40</Comments>
</ActionItemsDetail>
<ActionItemsDetail>
<SourceID>sample string 1</SourceID>
<SourceTitle>sample string 2</SourceTitle>
<ActionItemTitle>sample string 3</ActionItemTitle>
<ActionItemCategory>sample string 4</ActionItemCategory>
<ActionItemTypeId>5</ActionItemTypeId>
<ActionItemType>sample string 6</ActionItemType>
<RootCause>sample string 7</RootCause>
<ActionItemDescription>sample string 8</ActionItemDescription>
<ActionItemPriority>sample string 9</ActionItemPriority>
<ActionItemDueDate>2025-12-27T19:29:21.2858274-05:00</ActionItemDueDate>
<Owner>sample string 10</Owner>
<NotifyOwnersImmediately>sample string 11</NotifyOwnersImmediately>
<ResponsibleDepartment>sample string 12</ResponsibleDepartment>
<CounterMeasure>sample string 13</CounterMeasure>
<ApplicableToExpansion>sample string 14</ApplicableToExpansion>
<DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
<ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
<EEMOrEPM>sample string 17</EEMOrEPM>
<EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
<DocumentNumber>sample string 19</DocumentNumber>
<AssignedBy>sample string 20</AssignedBy>
<IsVerificationRequired>21</IsVerificationRequired>
<VerificationRequired>sample string 22</VerificationRequired>
<VerifyUser>sample string 23</VerifyUser>
<ApprovalStatus>sample string 24</ApprovalStatus>
<Approvers>sample string 25</Approvers>
<ApprovalComment>sample string 26</ApprovalComment>
<ApprovalDate>2025-12-27T19:29:21.2858274-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T19:29:21.2858274-05:00</ActionItemCompletedDate>
<CapitalExpenditureInvolved>sample string 30</CapitalExpenditureInvolved>
<ApproximateCost>sample string 31</ApproximateCost>
<EstimatedBudget>sample string 32</EstimatedBudget>
<DueDateExtension>sample string 33</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T19:29:21.2858274-05:00</RequestedDueDateExtension>
<ReasonforDueDateExtension>sample string 34</ReasonforDueDateExtension>
<DueDateExtensionRequestApproved>sample string 35</DueDateExtensionRequestApproved>
<ReasonForNotExtendingTheDueDate>sample string 36</ReasonForNotExtendingTheDueDate>
<VerificationStatus>sample string 37</VerificationStatus>
<VerificationPerformed>sample string 38</VerificationPerformed>
<VerifiedBy>sample string 39</VerifiedBy>
<VerificationDate>2025-12-27T19:29:21.2858274-05:00</VerificationDate>
<Comments>sample string 40</Comments>
</ActionItemsDetail>
</ActionItemsDetail>
<ManagementReviews>
<ManagementReviews>
<ROLE>sample string 1</ROLE>
<PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
<DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
<COMMENTS>sample string 4</COMMENTS>
<REVIEW_STATUS>sample string 5</REVIEW_STATUS>
<COMPLETED_BY>sample string 6</COMPLETED_BY>
<COMPLETED_DATE>sample string 7</COMPLETED_DATE>
</ManagementReviews>
<ManagementReviews>
<ROLE>sample string 1</ROLE>
<PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
<DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
<COMMENTS>sample string 4</COMMENTS>
<REVIEW_STATUS>sample string 5</REVIEW_STATUS>
<COMPLETED_BY>sample string 6</COMPLETED_BY>
<COMPLETED_DATE>sample string 7</COMPLETED_DATE>
</ManagementReviews>
</ManagementReviews>
</GeneralLiabilityOutbound>
</ArrayOfGeneralLiabilityOutbound>