GET papi/v1/imsoutbound/injuryincidents?locationCode={locationCode}&dateFrom={dateFrom}&dateTo={dateTo}&lastSyncedDate={lastSyncedDate}

Security

Secured API

Request Information

URI Parameters

Name	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 InjuryIncidentClaim

Name	Type	Additional information
Location Code	string	None.
Location Name	string	None.
Incident ID (System Generated)	string	None.
Incident Internal Id (System Generated)	string	None.
Incident Title (No Personal data to be entered)	string	None.
Incident Type	string	None.
Were multiple people injured as part of this incident?	string	None.
Is this a MSHA Related Incident?	string	None.
Is this a MSHA Related Incident Location?	string	None.
Date of Incident	date	None.
Time of Incident	string	None.
Time undetermined	string	None.
Day Of Week	string	None.
Length of Normal Workday	string	None.
Work Shift	string	None.
Time Work Day Began	string	None.
HasPotentialToSerious	string	None.
Description of Incident	string	None.
Incident Occurred on Employer's Premises	string	None.
Address of Incident Location	string	None.
City of Incident Location	string	None.
County of Incident Location	string	None.
Country of Incident Location	string	None.
State/Province of Incident Location	string	None.
Postal Code/Zip Code of Incident Location	string	None.
Department	string	None.
Pin Location	string	None.
Responsible Department	string	None.
Responsible Supervisor	string	None.
Location of Injury Scene	string	None.
Date Reported to Employer	date	None.
Time Reported to Employer	string	None.
ContractorInvolvedYN	string	None.
ContractorName	string	None.
ContractorDetails	string	None.
ContractorTrainedYN	string	None.
WasAssetinvolved	string	None.
Assets	string	None.
Confirm Significance Level ID Of Incident	string	None.
Confirm Significance Level Of Incident	string	None.
Would you like to submit a Workers Compensation claim?	string	None.
Personnel Type ID	integer	None.
Personnel Type	string	None.
Employee / Individual Involved (Prefix, First, M.I., Last)	string	None.
Employee Id	string	None.
Employee's Social Security Number **	string	None.
Date of Birth **	date	None.
Gender	string	None.
Occupation/Job Title	string	None.
Hire Date	date	None.
Pay Rate Type	string	None.
Time in Current job	string	None.
Time in Current job Unit	string	None.
Employee / Individual Department	string	None.
Supervisor (First, M.I., Last)	string	None.
Supervisor's Email	string	None.
Supervisor Phone	string	None.
Employee Home Address	string	None.
Employee City	string	None.
Employee State	string	None.
Employee Postal Code/Zip Code	string	None.
Employee Home Phone Number	string	None.
Marital Status	string	None.
Years at Company	string	None.
Number Of Dependents	integer	None.
Type of Employment	string	None.
Current Weekly Wage	decimal number	None.
Hourly Wage	decimal number	None.
Hours Worked per Week	decimal number	None.
Days worked Per Week	integer	None.
Hours worked Per Day	integer	None.
State Hired	string	None.
Employment Status	string	None.
Was Employee Paid in Full for Date of Injury?	string	None.
Any Prior WC Injuries?	string	None.
Do you want to further classify Unsupervised Contract Employee	string	None.
Type of Client Personnel	string	None.
Client Company	string	None.
Name of Contractor	string	None.
Name of Sub-Contractor	string	None.
Will employee's salary continue?r	string	None.
Was Employee treated offsite?	string	None.
Where was employee treated	string	None.
Explain Why	string	None.
If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality	string	None.
Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?	string	None.
Has OSHA been contacted?	string	None.
Please Identify OSHA Contact Details (Name and Phone Number)	string	None.
Nature of Injury / Illness	string	None.
Cause of Illness/Injury	string	None.
Injured Body Part	string	None.
What was the employee doing just before the incident occurred?	string	None.
Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable'	string	None.
Specific Work Activity when the incident occurred	string	None.
Was any Machine / Equipment involved?	string	None.
Machine/Equipment Number	string	None.
Reviewed by EHS Representative	string	None.
Review Date	date	None.
Is this a Needlestick Injury?	string	None.
Type	string	None.
Brand	string	None.
Model	string	None.
Identify Initial Treatment	string	None.
Was Drug Testing Performed	string	None.
Explain why	string	None.
RIDDOR Classification	Collection of RiddorClassificationDetails	None.
Most Severe Case	string	None.
Current Case	string	None.
Health & Safety / WC Contact Name	string	None.
Employer Telephone Number	string	None.
Employer Title	string	None.
Employer Mailing Address	string	None.
Employer City	string	None.
Employer State	string	None.
Employer Postal Code/Zip Code	string	None.
Employer Location Code	string	None.
Employer SIC	string	None.
Nature of Business	string	None.
Employer FEIN Number	string	None.
Employer Name	string	None.
Workers Comp Claim	string	None.
Is This Claim Work Related	string	None.
Jurisdiction State	string	None.
Did the incident result in fatality?	string	None.
Date fatality occurred	date	None.
Did the employee lose any time from work?	string	None.
What was the first full day out?	date	None.
Do you know the Date Employee Last Worked?	string	None.
Date Employee Last Worked	date	None.
Has the employee returned to work?	string	None.
Date Returned to Work	date	None.
Return to Work Status	string	None.
Estimated Return to Work Date	date	None.
Reqs Sharps Inj Log	string	None.
Work Comp Id	string	None.
Incident Reported By	string	None.
Reporters Email	string	None.
Reporters Phone	string	None.
Injury Date	date	None.
Injury Day	string	None.
Injury Time	string	None.
Claim Time Workday Began	string	None.
Was employee sent to Hospital / Clinic to receive Medical Treatment?	string	None.
Initial Medical Treatment	string	None.
Hospital / Clinic Name	string	None.
Hospital Address	string	None.
Hospital City	string	None.
Hospital State	string	None.
Hospital Postal Code/Zip Code	string	None.
Hospital Phone	string	None.
Hospital Fax	string	None.
Clinic/Doctor Name	string	None.
Do you question the Validity of the claim?	string	None.
Provide details	string	None.
Other Comments	string	None.
Is Claim Form Completed?	string	None.
Claim Submission Status	string	None.
Claim Submitted By	string	None.
Claim Submitted Date	date	None.
Claim Status	string	None.
Date Claim Closed	date	None.
Total Cost Incurred	decimal number	None.
Total Cost Paid	decimal number	None.
Total Outstanding Cost	decimal number	None.
Total Developed Cost	decimal number	None.
Incident Severity ID	integer	None.
Incident Severity SIF	string	None.
Actual Severity	string	None.
Potential Secction YN	string	None.
Display Cause YN	string	None.
Are there any Witnesses identified?	string	None.
Witness Information	Collection of WitnessOutboundDetails	None.
Name	string	None.
Title	string	None.
Phone	string	None.
Incident Status	string	None.
Incident Created By Employee ID	string	None.
Incident Created By	string	None.
Incident Created Date	date	None.
Incident Last Updated By	string	None.
Incident Last Updated Date	date	None.
Was This Claim Work Related	string	None.
ManagementReviewStatus	string	None.
Lost Time Days	decimal number	None.
Restricted Duty Days	decimal number	None.
Recordable (Yes/No)	string	None.
Workers Comp Claim#	string	None.
Reason for Non Work Related Classification	string	None.
Is This a Company defined Recordable Case ?	string	None.
Worker Comp Id	string	None.
Please identify the severity of the Incident	string	None.
Filing State	string	None.
Is Claim Submission Required?	string	None.
Claim #	string	None.
Recent Cost Update	string	None.
Was employee sent to Hospital/Clinic to receive Medical Treatment?	string	None.
Root Cause Details	Collection of RootCause	None.
5Y Details	Collection of _5WhyMethodology	None.
5Ys	Collection of Why	None.
Investigation questions Details	Collection of InvestigationQuestionsDetails	None.
Investigation Responsibility Details	Collection of InvResponsilbilityDetails	None.
Investigation Responsibility assignee Details	Collection of InvResponsebilityAssignee	None.
Final root cause statement Details	Collection of FinalrootCauseSTMT	None.
Action Items Details	Collection of ActionItemsDetails	None.
Contributing Factors Details	Collection of ContributingFactor	None.
Ergo Details	Collection of ErgonomicDetails	None.
Case Classification	Collection of ClassificationOfCase	None.
Case Progression Tracking	Collection of CaseProgressionTracking	None.
WCC InjuryIllness	Collection of WCCInjuryIllness	None.
Employee first name	string	None.
Employee middle name	string	None.
Employee Last name	string	None.
Employee suffix	string	None.
supervisor first name	string	None.
supervisor middle name	string	None.
Supervisor Last name	string	None.
supervisor suffix	string	None.
Incident Own id	string	None.
USLocationYN	integer	None.
Work_activity_done	string	None.
OccuredDepartment	string	None.
InitialMedicalTreatment	string	None.
ReportPrepByName	string	None.
ReportPrepByPhone	string	None.
ReportPrepByTitle	string	None.
Management review Details	Collection of ManagementReview	None.
Status of Worker's compensation	string	None.
Chargable (Yes / No)	string	None.
Current Case Start Date	date	None.
Current Case End Date	date	None.
Date OSHARecordable Determined	date	None.

Response Formats

application/json, text/json

Sample:

[
  {
    "Location Code": "sample string 1",
    "Location Name": "sample string 2",
    "Incident ID (System Generated)": "sample string 3",
    "Incident Internal Id (System Generated)": "sample string 4",
    "Incident Title (No Personal data to be entered)": "sample string 5",
    "Incident Type": "sample string 6",
    "Were multiple people injured as part of this incident?": "sample string 7",
    "Is this a MSHA Related Incident?": "sample string 8",
    "Is this a MSHA Related Incident Location?": "sample string 9",
    "Date of Incident": "2025-02-11T23:39:47.116Z",
    "Time of Incident": "sample string 10",
    "Time undetermined": "sample string 11",
    "Day Of Week": "sample string 12",
    "Length of Normal Workday": "sample string 13",
    "Work Shift": "sample string 14",
    "Time Work Day Began": "sample string 15",
    "HasPotentialToSerious": "sample string 16",
    "Description of Incident": "sample string 17",
    "Incident Occurred on Employer's Premises": "sample string 18",
    "Address of Incident Location": "sample string 19",
    "City of Incident Location": "sample string 20",
    "County of Incident Location": "sample string 21",
    "Country of Incident Location": "sample string 22",
    "State/Province of Incident Location": "sample string 23",
    "Postal Code/Zip Code of Incident Location": "sample string 24",
    "Department": "sample string 25",
    "Pin Location": "sample string 26",
    "Responsible Department": "sample string 27",
    "Responsible Supervisor": "sample string 28",
    "Location of Injury Scene": "sample string 29",
    "Date Reported to Employer": "2025-02-11T23:39:47.116Z",
    "Time Reported to Employer": "sample string 30",
    "ContractorInvolvedYN": "sample string 31",
    "ContractorName": "sample string 32",
    "ContractorDetails": "sample string 33",
    "ContractorTrainedYN": "sample string 34",
    "WasAssetinvolved": "sample string 35",
    "Assets": "sample string 36",
    "Confirm Significance Level ID Of Incident": "sample string 37",
    "Confirm Significance Level Of Incident": "sample string 38",
    "Would you like to submit a Workers Compensation claim?": "sample string 39",
    "Personnel Type ID": 40,
    "Personnel Type": "sample string 41",
    "Employee / Individual Involved (Prefix, First, M.I., Last)": "sample string 42",
    "Employee Id": "sample string 43",
    "Employee's Social Security Number **": "sample string 44",
    "Date of Birth **": "2025-02-11T23:39:47.116Z",
    "Gender": "sample string 46",
    "Occupation/Job Title": "sample string 47",
    "Hire Date": "2025-02-11T23:39:47.116Z",
    "Pay Rate Type": "sample string 48",
    "Time in Current job": "sample string 49",
    "Time in Current job Unit": "sample string 50",
    "Employee / Individual Department": "sample string 51",
    "Supervisor (First, M.I., Last)": "sample string 52",
    "Supervisor's Email": "sample string 53",
    "Supervisor Phone": "sample string 54",
    "Employee Home Address": "sample string 55",
    "Employee City": "sample string 56",
    "Employee State": "sample string 57",
    "Employee Postal Code/Zip Code": "sample string 58",
    "Employee Home Phone Number": "sample string 59",
    "Marital Status": "sample string 60",
    "Years at Company": "sample string 61",
    "Number Of Dependents": 1,
    "Type of Employment": "sample string 62",
    "Current Weekly Wage": 1.1,
    "Hourly Wage": 1.1,
    "Hours Worked per Week": 1.1,
    "Days worked Per Week": 1,
    "Hours worked Per Day": 1,
    "State Hired": "sample string 63",
    "Employment Status": "sample string 64",
    "Was Employee Paid in Full for Date of Injury?": "sample string 65",
    "Any Prior WC Injuries?": "sample string 66",
    "Do you want to further classify Unsupervised Contract Employee": "sample string 67",
    "Type of Client Personnel": "sample string 68",
    "Client Company": "sample string 69",
    "Name of Contractor": "sample string 70",
    "Name of Sub-Contractor": "sample string 71",
    "Will employee's salary continue?r": "sample string 72",
    "Was Employee treated offsite?": "sample string 73",
    "Where was employee treated": "sample string 74",
    "Explain Why": "sample string 75",
    "If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality": "sample string 76",
    "Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?": "sample string 77",
    "Has OSHA been contacted?": "sample string 78",
    "Please Identify OSHA Contact Details (Name and Phone Number)": "sample string 79",
    "Nature of Injury / Illness": "sample string 80",
    "Cause of Illness/Injury": "sample string 81",
    "Injured Body Part": "sample string 82",
    "What was the employee doing just before the incident occurred?": "sample string 83",
    "Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable'": "sample string 84",
    "Specific Work Activity when the incident occurred": "sample string 85",
    " Was any Machine / Equipment involved?": "sample string 86",
    "Machine/Equipment Number": "sample string 87",
    "Reviewed by EHS Representative": "sample string 88",
    "Review Date": "2025-02-11T23:39:47.116Z",
    " Is this a Needlestick Injury?": "sample string 89",
    " Type": "sample string 90",
    "Brand": "sample string 91",
    "Model": "sample string 92",
    "Identify Initial Treatment": "sample string 93",
    "Was Drug Testing Performed": "sample string 94",
    "Explain why": "sample string 95",
    "RIDDOR Classification": [
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 7"
      },
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 7"
      }
    ],
    "Most Severe Case": "sample string 96",
    "Current Case": "sample string 97",
    "Health & Safety / WC Contact Name": "sample string 98",
    "Employer Telephone Number": "sample string 99",
    "Employer Title": "sample string 100",
    "Employer Mailing Address": "sample string 101",
    "Employer City": "sample string 102",
    "Employer State": "sample string 103",
    "Employer Postal Code/Zip Code": "sample string 104",
    "Employer Location Code": "sample string 105",
    "Employer SIC": "sample string 106",
    "Nature of Business": "sample string 107",
    "Employer FEIN Number": "sample string 108",
    "Employer Name": "sample string 109",
    "Workers Comp Claim": "sample string 110",
    "Is This Claim Work Related": "sample string 111",
    "Jurisdiction State": "sample string 112",
    "Did the incident result in fatality?": "sample string 113",
    "Date fatality occurred": "2025-02-11T23:39:47.116Z",
    "Did the employee lose any time from work?": "sample string 114",
    "What was the first full day out?": "2025-02-11T23:39:47.116Z",
    "Do you know the Date Employee Last Worked?": "sample string 115",
    "Date Employee Last Worked": "2025-02-11T23:39:47.116Z",
    "Has the employee returned to work?": "sample string 116",
    "Date Returned to Work": "2025-02-11T23:39:47.116Z",
    "Return to Work Status": "sample string 117",
    "Estimated Return to Work Date": "2025-02-11T23:39:47.116Z",
    "Reqs Sharps Inj Log": "sample string 118",
    "Work Comp Id": "sample string 119",
    "Incident Reported By": "sample string 120",
    "Reporters Email": "sample string 121",
    "Reporters Phone": "sample string 122",
    "Injury Date": "2025-02-11T23:39:47.116Z",
    "Injury Day": "sample string 123",
    "Injury Time": "sample string 124",
    "Claim Time Workday Began": "sample string 125",
    "Was employee sent to Hospital / Clinic to receive Medical Treatment?": "sample string 126",
    "Initial Medical Treatment": "sample string 127",
    "Hospital / Clinic Name": "sample string 128",
    "Hospital Address": "sample string 129",
    "Hospital City": "sample string 130",
    "Hospital State": "sample string 131",
    "Hospital Postal Code/Zip Code": "sample string 132",
    "Hospital Phone": "sample string 133",
    "Hospital Fax": "sample string 134",
    "Clinic/Doctor Name": "sample string 135",
    "Do you question the Validity of the claim?": "sample string 136",
    "Provide details": "sample string 137",
    "Other Comments": "sample string 138",
    "Is Claim Form Completed?": "sample string 139",
    "Claim Submission Status": "sample string 140",
    "Claim Submitted By": "sample string 141",
    "Claim Submitted Date": "2025-02-11T23:39:47.116Z",
    "Claim Status": "sample string 142",
    "Date Claim Closed": "2025-02-11T23:39:47.116Z",
    "Total Cost Incurred": 1.1,
    "Total Cost Paid": 1.1,
    "Total Outstanding Cost": 1.1,
    "Total Developed Cost": 1.1,
    "Incident Severity ID": 143,
    "Incident Severity SIF": "sample string 144",
    "Actual Severity": "sample string 145",
    "Potential Secction YN": "sample string 146",
    "Display Cause YN": "sample string 147",
    "Are there any Witnesses identified?": "sample string 148",
    "Witness Information": [
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      },
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      }
    ],
    "Name": "sample string 149",
    "Title": "sample string 150",
    "Phone": "sample string 151",
    "Incident Status": "sample string 152",
    "Incident Created By Employee ID": "sample string 153",
    "Incident Created By": "sample string 154",
    "Incident Created Date": "2025-02-11T23:39:47.116Z",
    "Incident Last Updated By": "sample string 155",
    "Incident Last Updated Date": "2025-02-11T23:39:47.116Z",
    "Was This Claim Work Related": "sample string 156",
    "ManagementReviewStatus": "sample string 157",
    "Lost Time Days": 1.1,
    "Restricted Duty Days": 1.1,
    "Recordable (Yes/No)": "sample string 158",
    "Workers Comp Claim#": "sample string 159",
    "Reason for Non Work Related Classification": "sample string 160",
    "Is This a Company defined Recordable Case ?": "sample string 161",
    "Worker Comp Id": "sample string 162",
    "Please identify the severity of the Incident": "sample string 163",
    "Filing State": "sample string 164",
    "Is Claim Submission Required?": "sample string 165",
    "Claim #": "sample string 166",
    "Recent Cost Update": "sample string 167",
    "Was employee sent to Hospital/Clinic to receive Medical Treatment?": "sample string 168",
    "Root Cause Details": [
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4"
      },
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4"
      }
    ],
    "5Y Details": [
      {
        "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"
      }
    ],
    "Investigation questions Details": [
      {
        "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"
      }
    ],
    "Investigation Responsibility Details": [
      {
        "Target Completion Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      },
      {
        "Target Completion Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      }
    ],
    "Investigation Responsibility  assignee Details": [
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      },
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      }
    ],
    "Final root cause statement Details": [
      {
        "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"
      }
    ],
    "Action Items Details": [
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-02-11T23:39:47.116Z",
        "Owner": "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": "2025-02-11T23:39:47.116Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-02-11T23:39:47.116Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-02-11T23:39:47.116Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 37"
      },
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-02-11T23:39:47.116Z",
        "Owner": "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": "2025-02-11T23:39:47.116Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-02-11T23:39:47.116Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-02-11T23:39:47.116Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 37"
      }
    ],
    "Contributing Factors Details": [
      {
        "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"
      }
    ],
    "Ergo Details": [
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      },
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      }
    ],
    "Case Classification": [
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-02-11T23:39:47.116Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      },
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-02-11T23:39:47.116Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      }
    ],
    "Case Progression Tracking": [
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-02-11T23:39:47.116Z",
        "Date First Aid Provided": "2025-02-11T23:39:47.116Z",
        "Date other Recordable case Occurred": "2025-02-11T23:39:47.116Z",
        "First Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "Last Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "First Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Last Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Date Fatality Occurred.": "2025-02-11T23:39:47.116Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-02-11T23:39:47.116Z"
      },
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-02-11T23:39:47.116Z",
        "Date First Aid Provided": "2025-02-11T23:39:47.116Z",
        "Date other Recordable case Occurred": "2025-02-11T23:39:47.116Z",
        "First Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "Last Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "First Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Last Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Date Fatality Occurred.": "2025-02-11T23:39:47.116Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-02-11T23:39:47.116Z"
      }
    ],
    "WCC InjuryIllness": [
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-02-11T23:39:47.116Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-02-11T23:39:47.116Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-02-11T23:39:47.116Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-02-11T23:39:47.116Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-02-11T23:39:47.116Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-02-11T23:39:47.116Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-02-11T23:39:47.116Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-02-11T23:39:47.116Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-02-11T23:39:47.116Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      },
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-02-11T23:39:47.116Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-02-11T23:39:47.116Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-02-11T23:39:47.116Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-02-11T23:39:47.116Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-02-11T23:39:47.116Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-02-11T23:39:47.116Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-02-11T23:39:47.116Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-02-11T23:39:47.116Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-02-11T23:39:47.116Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      }
    ],
    "Employee first name": "sample string 169",
    "Employee middle name": "sample string 170",
    "Employee Last name": "sample string 171",
    "Employee suffix": "sample string 172",
    "supervisor first name": "sample string 173",
    "supervisor middle name": "sample string 174",
    "Supervisor Last name": "sample string 175",
    "supervisor suffix": "sample string 176",
    "Incident Own id": "sample string 177",
    "USLocationYN": 178,
    "Work_activity_done": "sample string 179",
    "OccuredDepartment": "sample string 180",
    "InitialMedicalTreatment": "sample string 181",
    "ReportPrepByName": "sample string 182",
    "ReportPrepByPhone": "sample string 183",
    "ReportPrepByTitle": "sample string 184",
    "Management review Details": [
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      },
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      }
    ],
    "Status of Worker's compensation": "sample string 185",
    "Chargable (Yes / No)": "sample string 186",
    "Current Case Start Date": "2025-02-11T23:39:47.128Z",
    "Current Case End Date": "2025-02-11T23:39:47.128Z",
    "Date OSHARecordable Determined": "2025-02-11T23:39:47.128Z"
  },
  {
    "Location Code": "sample string 1",
    "Location Name": "sample string 2",
    "Incident ID (System Generated)": "sample string 3",
    "Incident Internal Id (System Generated)": "sample string 4",
    "Incident Title (No Personal data to be entered)": "sample string 5",
    "Incident Type": "sample string 6",
    "Were multiple people injured as part of this incident?": "sample string 7",
    "Is this a MSHA Related Incident?": "sample string 8",
    "Is this a MSHA Related Incident Location?": "sample string 9",
    "Date of Incident": "2025-02-11T23:39:47.116Z",
    "Time of Incident": "sample string 10",
    "Time undetermined": "sample string 11",
    "Day Of Week": "sample string 12",
    "Length of Normal Workday": "sample string 13",
    "Work Shift": "sample string 14",
    "Time Work Day Began": "sample string 15",
    "HasPotentialToSerious": "sample string 16",
    "Description of Incident": "sample string 17",
    "Incident Occurred on Employer's Premises": "sample string 18",
    "Address of Incident Location": "sample string 19",
    "City of Incident Location": "sample string 20",
    "County of Incident Location": "sample string 21",
    "Country of Incident Location": "sample string 22",
    "State/Province of Incident Location": "sample string 23",
    "Postal Code/Zip Code of Incident Location": "sample string 24",
    "Department": "sample string 25",
    "Pin Location": "sample string 26",
    "Responsible Department": "sample string 27",
    "Responsible Supervisor": "sample string 28",
    "Location of Injury Scene": "sample string 29",
    "Date Reported to Employer": "2025-02-11T23:39:47.116Z",
    "Time Reported to Employer": "sample string 30",
    "ContractorInvolvedYN": "sample string 31",
    "ContractorName": "sample string 32",
    "ContractorDetails": "sample string 33",
    "ContractorTrainedYN": "sample string 34",
    "WasAssetinvolved": "sample string 35",
    "Assets": "sample string 36",
    "Confirm Significance Level ID Of Incident": "sample string 37",
    "Confirm Significance Level Of Incident": "sample string 38",
    "Would you like to submit a Workers Compensation claim?": "sample string 39",
    "Personnel Type ID": 40,
    "Personnel Type": "sample string 41",
    "Employee / Individual Involved (Prefix, First, M.I., Last)": "sample string 42",
    "Employee Id": "sample string 43",
    "Employee's Social Security Number **": "sample string 44",
    "Date of Birth **": "2025-02-11T23:39:47.116Z",
    "Gender": "sample string 46",
    "Occupation/Job Title": "sample string 47",
    "Hire Date": "2025-02-11T23:39:47.116Z",
    "Pay Rate Type": "sample string 48",
    "Time in Current job": "sample string 49",
    "Time in Current job Unit": "sample string 50",
    "Employee / Individual Department": "sample string 51",
    "Supervisor (First, M.I., Last)": "sample string 52",
    "Supervisor's Email": "sample string 53",
    "Supervisor Phone": "sample string 54",
    "Employee Home Address": "sample string 55",
    "Employee City": "sample string 56",
    "Employee State": "sample string 57",
    "Employee Postal Code/Zip Code": "sample string 58",
    "Employee Home Phone Number": "sample string 59",
    "Marital Status": "sample string 60",
    "Years at Company": "sample string 61",
    "Number Of Dependents": 1,
    "Type of Employment": "sample string 62",
    "Current Weekly Wage": 1.1,
    "Hourly Wage": 1.1,
    "Hours Worked per Week": 1.1,
    "Days worked Per Week": 1,
    "Hours worked Per Day": 1,
    "State Hired": "sample string 63",
    "Employment Status": "sample string 64",
    "Was Employee Paid in Full for Date of Injury?": "sample string 65",
    "Any Prior WC Injuries?": "sample string 66",
    "Do you want to further classify Unsupervised Contract Employee": "sample string 67",
    "Type of Client Personnel": "sample string 68",
    "Client Company": "sample string 69",
    "Name of Contractor": "sample string 70",
    "Name of Sub-Contractor": "sample string 71",
    "Will employee's salary continue?r": "sample string 72",
    "Was Employee treated offsite?": "sample string 73",
    "Where was employee treated": "sample string 74",
    "Explain Why": "sample string 75",
    "If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality": "sample string 76",
    "Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?": "sample string 77",
    "Has OSHA been contacted?": "sample string 78",
    "Please Identify OSHA Contact Details (Name and Phone Number)": "sample string 79",
    "Nature of Injury / Illness": "sample string 80",
    "Cause of Illness/Injury": "sample string 81",
    "Injured Body Part": "sample string 82",
    "What was the employee doing just before the incident occurred?": "sample string 83",
    "Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable'": "sample string 84",
    "Specific Work Activity when the incident occurred": "sample string 85",
    " Was any Machine / Equipment involved?": "sample string 86",
    "Machine/Equipment Number": "sample string 87",
    "Reviewed by EHS Representative": "sample string 88",
    "Review Date": "2025-02-11T23:39:47.116Z",
    " Is this a Needlestick Injury?": "sample string 89",
    " Type": "sample string 90",
    "Brand": "sample string 91",
    "Model": "sample string 92",
    "Identify Initial Treatment": "sample string 93",
    "Was Drug Testing Performed": "sample string 94",
    "Explain why": "sample string 95",
    "RIDDOR Classification": [
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 7"
      },
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 7"
      }
    ],
    "Most Severe Case": "sample string 96",
    "Current Case": "sample string 97",
    "Health & Safety / WC Contact Name": "sample string 98",
    "Employer Telephone Number": "sample string 99",
    "Employer Title": "sample string 100",
    "Employer Mailing Address": "sample string 101",
    "Employer City": "sample string 102",
    "Employer State": "sample string 103",
    "Employer Postal Code/Zip Code": "sample string 104",
    "Employer Location Code": "sample string 105",
    "Employer SIC": "sample string 106",
    "Nature of Business": "sample string 107",
    "Employer FEIN Number": "sample string 108",
    "Employer Name": "sample string 109",
    "Workers Comp Claim": "sample string 110",
    "Is This Claim Work Related": "sample string 111",
    "Jurisdiction State": "sample string 112",
    "Did the incident result in fatality?": "sample string 113",
    "Date fatality occurred": "2025-02-11T23:39:47.116Z",
    "Did the employee lose any time from work?": "sample string 114",
    "What was the first full day out?": "2025-02-11T23:39:47.116Z",
    "Do you know the Date Employee Last Worked?": "sample string 115",
    "Date Employee Last Worked": "2025-02-11T23:39:47.116Z",
    "Has the employee returned to work?": "sample string 116",
    "Date Returned to Work": "2025-02-11T23:39:47.116Z",
    "Return to Work Status": "sample string 117",
    "Estimated Return to Work Date": "2025-02-11T23:39:47.116Z",
    "Reqs Sharps Inj Log": "sample string 118",
    "Work Comp Id": "sample string 119",
    "Incident Reported By": "sample string 120",
    "Reporters Email": "sample string 121",
    "Reporters Phone": "sample string 122",
    "Injury Date": "2025-02-11T23:39:47.116Z",
    "Injury Day": "sample string 123",
    "Injury Time": "sample string 124",
    "Claim Time Workday Began": "sample string 125",
    "Was employee sent to Hospital / Clinic to receive Medical Treatment?": "sample string 126",
    "Initial Medical Treatment": "sample string 127",
    "Hospital / Clinic Name": "sample string 128",
    "Hospital Address": "sample string 129",
    "Hospital City": "sample string 130",
    "Hospital State": "sample string 131",
    "Hospital Postal Code/Zip Code": "sample string 132",
    "Hospital Phone": "sample string 133",
    "Hospital Fax": "sample string 134",
    "Clinic/Doctor Name": "sample string 135",
    "Do you question the Validity of the claim?": "sample string 136",
    "Provide details": "sample string 137",
    "Other Comments": "sample string 138",
    "Is Claim Form Completed?": "sample string 139",
    "Claim Submission Status": "sample string 140",
    "Claim Submitted By": "sample string 141",
    "Claim Submitted Date": "2025-02-11T23:39:47.116Z",
    "Claim Status": "sample string 142",
    "Date Claim Closed": "2025-02-11T23:39:47.116Z",
    "Total Cost Incurred": 1.1,
    "Total Cost Paid": 1.1,
    "Total Outstanding Cost": 1.1,
    "Total Developed Cost": 1.1,
    "Incident Severity ID": 143,
    "Incident Severity SIF": "sample string 144",
    "Actual Severity": "sample string 145",
    "Potential Secction YN": "sample string 146",
    "Display Cause YN": "sample string 147",
    "Are there any Witnesses identified?": "sample string 148",
    "Witness Information": [
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      },
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      }
    ],
    "Name": "sample string 149",
    "Title": "sample string 150",
    "Phone": "sample string 151",
    "Incident Status": "sample string 152",
    "Incident Created By Employee ID": "sample string 153",
    "Incident Created By": "sample string 154",
    "Incident Created Date": "2025-02-11T23:39:47.116Z",
    "Incident Last Updated By": "sample string 155",
    "Incident Last Updated Date": "2025-02-11T23:39:47.116Z",
    "Was This Claim Work Related": "sample string 156",
    "ManagementReviewStatus": "sample string 157",
    "Lost Time Days": 1.1,
    "Restricted Duty Days": 1.1,
    "Recordable (Yes/No)": "sample string 158",
    "Workers Comp Claim#": "sample string 159",
    "Reason for Non Work Related Classification": "sample string 160",
    "Is This a Company defined Recordable Case ?": "sample string 161",
    "Worker Comp Id": "sample string 162",
    "Please identify the severity of the Incident": "sample string 163",
    "Filing State": "sample string 164",
    "Is Claim Submission Required?": "sample string 165",
    "Claim #": "sample string 166",
    "Recent Cost Update": "sample string 167",
    "Was employee sent to Hospital/Clinic to receive Medical Treatment?": "sample string 168",
    "Root Cause Details": [
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4"
      },
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4"
      }
    ],
    "5Y Details": [
      {
        "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"
      }
    ],
    "Investigation questions Details": [
      {
        "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"
      }
    ],
    "Investigation Responsibility Details": [
      {
        "Target Completion Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      },
      {
        "Target Completion Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      }
    ],
    "Investigation Responsibility  assignee Details": [
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      },
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      }
    ],
    "Final root cause statement Details": [
      {
        "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"
      }
    ],
    "Action Items Details": [
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-02-11T23:39:47.116Z",
        "Owner": "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": "2025-02-11T23:39:47.116Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-02-11T23:39:47.116Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-02-11T23:39:47.116Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 37"
      },
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-02-11T23:39:47.116Z",
        "Owner": "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": "2025-02-11T23:39:47.116Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-02-11T23:39:47.116Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-02-11T23:39:47.116Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 37"
      }
    ],
    "Contributing Factors Details": [
      {
        "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"
      }
    ],
    "Ergo Details": [
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      },
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      }
    ],
    "Case Classification": [
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-02-11T23:39:47.116Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      },
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-02-11T23:39:47.116Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-02-11T23:39:47.116Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      }
    ],
    "Case Progression Tracking": [
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-02-11T23:39:47.116Z",
        "Date First Aid Provided": "2025-02-11T23:39:47.116Z",
        "Date other Recordable case Occurred": "2025-02-11T23:39:47.116Z",
        "First Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "Last Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "First Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Last Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Date Fatality Occurred.": "2025-02-11T23:39:47.116Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-02-11T23:39:47.116Z"
      },
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-02-11T23:39:47.116Z",
        "Date First Aid Provided": "2025-02-11T23:39:47.116Z",
        "Date other Recordable case Occurred": "2025-02-11T23:39:47.116Z",
        "First Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "Last Day of Restricted Duty": "2025-02-11T23:39:47.116Z",
        "First Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Last Day of Lost Time": "2025-02-11T23:39:47.116Z",
        "Date Fatality Occurred.": "2025-02-11T23:39:47.116Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-02-11T23:39:47.116Z"
      }
    ],
    "WCC InjuryIllness": [
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-02-11T23:39:47.116Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-02-11T23:39:47.116Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-02-11T23:39:47.116Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-02-11T23:39:47.116Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-02-11T23:39:47.116Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-02-11T23:39:47.116Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-02-11T23:39:47.116Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-02-11T23:39:47.116Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-02-11T23:39:47.116Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      },
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-02-11T23:39:47.116Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-02-11T23:39:47.116Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-02-11T23:39:47.116Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-02-11T23:39:47.116Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-02-11T23:39:47.116Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-02-11T23:39:47.116Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-02-11T23:39:47.116Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-02-11T23:39:47.116Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-02-11T23:39:47.116Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      }
    ],
    "Employee first name": "sample string 169",
    "Employee middle name": "sample string 170",
    "Employee Last name": "sample string 171",
    "Employee suffix": "sample string 172",
    "supervisor first name": "sample string 173",
    "supervisor middle name": "sample string 174",
    "Supervisor Last name": "sample string 175",
    "supervisor suffix": "sample string 176",
    "Incident Own id": "sample string 177",
    "USLocationYN": 178,
    "Work_activity_done": "sample string 179",
    "OccuredDepartment": "sample string 180",
    "InitialMedicalTreatment": "sample string 181",
    "ReportPrepByName": "sample string 182",
    "ReportPrepByPhone": "sample string 183",
    "ReportPrepByTitle": "sample string 184",
    "Management review Details": [
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      },
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      }
    ],
    "Status of Worker's compensation": "sample string 185",
    "Chargable (Yes / No)": "sample string 186",
    "Current Case Start Date": "2025-02-11T23:39:47.128Z",
    "Current Case End Date": "2025-02-11T23:39:47.128Z",
    "Date OSHARecordable Determined": "2025-02-11T23:39:47.128Z"
  }
]

application/xml, text/xml

Sample:

<ArrayOfInjuryIncidentClaim xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <InjuryIncidentClaim>
    <LocationCode>sample string 1</LocationCode>
    <LocationName>sample string 2</LocationName>
    <IMSIncidentInternalID>sample string 3</IMSIncidentInternalID>
    <InjIncidentInternalID>sample string 4</InjIncidentInternalID>
    <IncidentTitle>sample string 5</IncidentTitle>
    <IncidentTypeNames>sample string 6</IncidentTypeNames>
    <MultipleInjuredYN>sample string 7</MultipleInjuredYN>
    <MshaYn>sample string 8</MshaYn>
    <MSHALocation>sample string 9</MSHALocation>
    <IncidentDate>2025-02-11T18:39:47.116259-05:00</IncidentDate>
    <TimeOfTheIncident>sample string 10</TimeOfTheIncident>
    <TimeUndetermined>sample string 11</TimeUndetermined>
    <DayOfWeek>sample string 12</DayOfWeek>
    <LengthOfNormalWorkDay>sample string 13</LengthOfNormalWorkDay>
    <WorkShift>sample string 14</WorkShift>
    <TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
    <HasPotentialToSerious>sample string 16</HasPotentialToSerious>
    <IncidentDescription>sample string 17</IncidentDescription>
    <IncidentOccurredonEmployersPremises>sample string 18</IncidentOccurredonEmployersPremises>
    <PremisesAddress>sample string 19</PremisesAddress>
    <PremisesCity>sample string 20</PremisesCity>
    <PremisesCounty>sample string 21</PremisesCounty>
    <PremisesCountry>sample string 22</PremisesCountry>
    <PremisesState>sample string 23</PremisesState>
    <PremisesZip>sample string 24</PremisesZip>
    <Department>sample string 25</Department>
    <PinLocation>sample string 26</PinLocation>
    <ResponsibleDepartment>sample string 27</ResponsibleDepartment>
    <ResponsibleSupervisor>sample string 28</ResponsibleSupervisor>
    <LocationOfInjuryScene>sample string 29</LocationOfInjuryScene>
    <DateReportedToEmployer>2025-02-11T18:39:47.116259-05:00</DateReportedToEmployer>
    <TimeReportedToEmployer>sample string 30</TimeReportedToEmployer>
    <ContractorInvolvedYN>sample string 31</ContractorInvolvedYN>
    <ContractorName>sample string 32</ContractorName>
    <ContractorDetails>sample string 33</ContractorDetails>
    <ContractorTrainedYN>sample string 34</ContractorTrainedYN>
    <WasAssetInvolvedYn>sample string 35</WasAssetInvolvedYn>
    <Assets>sample string 36</Assets>
    <SignificanceID>sample string 37</SignificanceID>
    <SignificanceName>sample string 38</SignificanceName>
    <SubmitClaimYN>sample string 39</SubmitClaimYN>
    <PersonnelTypeId>40</PersonnelTypeId>
    <PersonnelType>sample string 41</PersonnelType>
    <EmployeeName>sample string 42</EmployeeName>
    <EmployeeID>sample string 43</EmployeeID>
    <SSNumber>sample string 44</SSNumber>
    <DateOfBirth>2025-02-11T18:39:47.116259-05:00</DateOfBirth>
    <Gender>sample string 46</Gender>
    <Title>sample string 47</Title>
    <HireDate>2025-02-11T18:39:47.116259-05:00</HireDate>
    <PayRateType>sample string 48</PayRateType>
    <TimeInCurrentJob>sample string 49</TimeInCurrentJob>
    <TimeInCurrentJobUnit>sample string 50</TimeInCurrentJobUnit>
    <EmployeeDepartment>sample string 51</EmployeeDepartment>
    <SupervisorLastFirstMI>sample string 52</SupervisorLastFirstMI>
    <SupervisorEmail>sample string 53</SupervisorEmail>
    <SupervisorPhone>sample string 54</SupervisorPhone>
    <HomeAddress>sample string 55</HomeAddress>
    <City>sample string 56</City>
    <State>sample string 57</State>
    <PostalCodeZipCode>sample string 58</PostalCodeZipCode>
    <HomePhoneNumber>sample string 59</HomePhoneNumber>
    <MaritalStatus>sample string 60</MaritalStatus>
    <YearsatCompany>sample string 61</YearsatCompany>
    <NumberOfDependents>1</NumberOfDependents>
    <TypeofEmployment>sample string 62</TypeofEmployment>
    <CurrentWeeklyWage>1.1</CurrentWeeklyWage>
    <HourlyWage>1.1</HourlyWage>
    <HoursWorkedperWeek>1.1</HoursWorkedperWeek>
    <DaysworkedPerWeek>1</DaysworkedPerWeek>
    <HoursworkedPerDay>1</HoursworkedPerDay>
    <StateHired>sample string 63</StateHired>
    <EmploymentStatus>sample string 64</EmploymentStatus>
    <WasEmployeePaidinFullforDateofInjury>sample string 65</WasEmployeePaidinFullforDateofInjury>
    <AnyPriorWCInjuries>sample string 66</AnyPriorWCInjuries>
    <FurtherClassifyYN>sample string 67</FurtherClassifyYN>
    <ClientPersonnelType>sample string 68</ClientPersonnelType>
    <ClientCompany>sample string 69</ClientCompany>
    <NameofContractor>sample string 70</NameofContractor>
    <NameofSubContractor>sample string 71</NameofSubContractor>
    <EmpSalaryContinueYN>sample string 72</EmpSalaryContinueYN>
    <Wastreatmentprovidedoffsite>sample string 73</Wastreatmentprovidedoffsite>
    <WhereEmpTreated>sample string 74</WhereEmpTreated>
    <ExplainWhy>sample string 75</ExplainWhy>
    <Fatality>sample string 76</Fatality>
    <AmputationYN>sample string 77</AmputationYN>
    <OSHAContactedYN>sample string 78</OSHAContactedYN>
    <OSHAContactDetails>sample string 79</OSHAContactDetails>
    <NatureOfInjuryIllness>sample string 80</NatureOfInjuryIllness>
    <CauseOfInjuryIllness>sample string 81</CauseOfInjuryIllness>
    <BodyPart>sample string 82</BodyPart>
    <EMPLOYEE_ACTIVITY>sample string 83</EMPLOYEE_ACTIVITY>
    <OBJECT_INVOLVED>sample string 84</OBJECT_INVOLVED>
    <SpecificWorkActivityWhenTheIncidentOccurred>sample string 85</SpecificWorkActivityWhenTheIncidentOccurred>
    <MACHINE_EQUIPMENT_YN>sample string 86</MACHINE_EQUIPMENT_YN>
    <MACHINE_EQUIPMENT_NO>sample string 87</MACHINE_EQUIPMENT_NO>
    <REVIEW_EHSREP>sample string 88</REVIEW_EHSREP>
    <Review_Date>2025-02-11T18:39:47.116259-05:00</Review_Date>
    <IsthisaNeedlestickInjury>sample string 89</IsthisaNeedlestickInjury>
    <NEEDLESTICK_INJURY_TYPE>sample string 90</NEEDLESTICK_INJURY_TYPE>
    <NEEDLESTICK_INJURY_BRAND>sample string 91</NEEDLESTICK_INJURY_BRAND>
    <NEEDLESTICK_INJURY_MODEL>sample string 92</NEEDLESTICK_INJURY_MODEL>
    <InitialTreatmentID>sample string 93</InitialTreatmentID>
    <DrugTestingPerformedYN>sample string 94</DrugTestingPerformedYN>
    <DrugTestingPerformedExplain>sample string 95</DrugTestingPerformedExplain>
    <RiddorClassifications>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-02-11T18:39:47.116259-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-02-11T18:39:47.116259-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
    </RiddorClassifications>
    <MostSevereCase>sample string 96</MostSevereCase>
    <CurrentCase>sample string 97</CurrentCase>
    <EmployerContactName>sample string 98</EmployerContactName>
    <EmployerTelephoneNumber>sample string 99</EmployerTelephoneNumber>
    <EmployerTitle>sample string 100</EmployerTitle>
    <EmployerAddress>sample string 101</EmployerAddress>
    <EmployerCity>sample string 102</EmployerCity>
    <EmployerState>sample string 103</EmployerState>
    <EmployerZip>sample string 104</EmployerZip>
    <EmployerLocCode>sample string 105</EmployerLocCode>
    <EmployerSIC>sample string 106</EmployerSIC>
    <EmployerNatureOfBusiness>sample string 107</EmployerNatureOfBusiness>
    <FEINNumber>sample string 108</FEINNumber>
    <EmployerName>sample string 109</EmployerName>
    <WorkersCompClaimID>sample string 110</WorkersCompClaimID>
    <ClaimWorkRelatedYn>sample string 111</ClaimWorkRelatedYn>
    <JurisdictionState>sample string 112</JurisdictionState>
    <FatalityYn>sample string 113</FatalityYn>
    <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
    <LostTimeYn>sample string 114</LostTimeYn>
    <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
    <DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
    <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
    <EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
    <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
    <EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
    <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
    <ReqNeedleStickYn>sample string 118</ReqNeedleStickYn>
    <WorkCompId>sample string 119</WorkCompId>
    <IncidentReportedBy>sample string 120</IncidentReportedBy>
    <ReportersEmail>sample string 121</ReportersEmail>
    <ReportersPhone>sample string 122</ReportersPhone>
    <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
    <InjuryDay>sample string 123</InjuryDay>
    <InjuryTime>sample string 124</InjuryTime>
    <ClaimTimeWorkdayBegan>sample string 125</ClaimTimeWorkdayBegan>
    <EmpSentToHospYn>sample string 126</EmpSentToHospYn>
    <InitialTreatmentYn>sample string 127</InitialTreatmentYn>
    <HospName>sample string 128</HospName>
    <HospAddress>sample string 129</HospAddress>
    <HospCity>sample string 130</HospCity>
    <HosplAddressState>sample string 131</HosplAddressState>
    <HospZip>sample string 132</HospZip>
    <HospPhone>sample string 133</HospPhone>
    <HospFax>sample string 134</HospFax>
    <DoctName>sample string 135</DoctName>
    <ValidityOfClaimYn>sample string 136</ValidityOfClaimYn>
    <ValidityOfClaimDetails>sample string 137</ValidityOfClaimDetails>
    <OtherComments>sample string 138</OtherComments>
    <IsClaimFormCompleted>sample string 139</IsClaimFormCompleted>
    <SubmissionStatus>sample string 140</SubmissionStatus>
    <ClaimSubmittedBy>sample string 141</ClaimSubmittedBy>
    <ClaimSubmittedDate>2025-02-11T18:39:47.116259-05:00</ClaimSubmittedDate>
    <ClaimStatus>sample string 142</ClaimStatus>
    <DateClaimClosed>2025-02-11T18:39:47.116259-05:00</DateClaimClosed>
    <TotalCostIncurred>1.1</TotalCostIncurred>
    <TotalCostPaid>1.1</TotalCostPaid>
    <TotalOutstandingCost>1.1</TotalOutstandingCost>
    <TotalDevelopedCost>1.1</TotalDevelopedCost>
    <IncidentSeverityID>143</IncidentSeverityID>
    <IncidentSeveritySIF>sample string 144</IncidentSeveritySIF>
    <ActualSeverity>sample string 145</ActualSeverity>
    <ProcessSafetyYN>sample string 146</ProcessSafetyYN>
    <ProcessSafetyClassification>sample string 147</ProcessSafetyClassification>
    <WitnessYN>sample string 148</WitnessYN>
    <WitnessDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
    </WitnessDetails>
    <PrepByName>sample string 149</PrepByName>
    <PrepByTitle>sample string 150</PrepByTitle>
    <PrepByPhone>sample string 151</PrepByPhone>
    <IncidentStatus>sample string 152</IncidentStatus>
    <CreatedByEmployeeId>sample string 153</CreatedByEmployeeId>
    <CreatedByName>sample string 154</CreatedByName>
    <CreatedDate>2025-02-11T18:39:47.116259-05:00</CreatedDate>
    <UpdatedByName>sample string 155</UpdatedByName>
    <UpdatedDate>2025-02-11T18:39:47.116259-05:00</UpdatedDate>
    <WasthiscaseWorkRelated>sample string 156</WasthiscaseWorkRelated>
    <ManagementReviewStatus>sample string 157</ManagementReviewStatus>
    <LostTimeDays>1.1</LostTimeDays>
    <RestrictedDutyDays>1.1</RestrictedDutyDays>
    <OSHARecordableYn>sample string 158</OSHARecordableYn>
    <WorkersCompClaim>sample string 159</WorkersCompClaim>
    <NonWorkRelatedComments>sample string 160</NonWorkRelatedComments>
    <IsThisaCompanydefinedRecordableCase>sample string 161</IsThisaCompanydefinedRecordableCase>
    <WorkerCompId>sample string 162</WorkerCompId>
    <InjuryorFatality>sample string 163</InjuryorFatality>
    <FilingState>sample string 164</FilingState>
    <IsClaimSubmissionRequired>sample string 165</IsClaimSubmissionRequired>
    <ClaimNum>sample string 166</ClaimNum>
    <RecentCostUpdate>sample string 167</RecentCostUpdate>
    <WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>sample string 168</WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>
    <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>
      </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>
      </RootCause>
    </RootCauseDetails>
    <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>
    <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>
    <InvResponsibilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-02-11T18:39:47.116259-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-02-11T18:39:47.116259-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
    </InvResponsibilityDetails>
    <InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
    </InvResponsebilityAssignee>
    <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>
    <ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-02-11T18:39:47.116259-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <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>2025-02-11T18:39:47.116259-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-02-11T18:39:47.116259-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-02-11T18:39:47.116259-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-02-11T18:39:47.116259-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-02-11T18:39:47.116259-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <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>2025-02-11T18:39:47.116259-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-02-11T18:39:47.116259-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-02-11T18:39:47.116259-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-02-11T18:39:47.116259-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
    </ActionItemsDetails>
    <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>
    <ErgoDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
    </ErgoDetails>
    <CaseClassification>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-02-11T18:39:47.116259-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-02-11T18:39:47.116259-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-02-11T18:39:47.116259-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-02-11T18:39:47.116259-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
    </CaseClassification>
    <CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <DateFirstAidProvided>2025-02-11T18:39:47.116259-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-02-11T18:39:47.116259-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-02-11T18:39:47.116259-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-02-11T18:39:47.116259-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-02-11T18:39:47.116259-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-02-11T18:39:47.116259-05:00</RecordingDate>
      </CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <DateFirstAidProvided>2025-02-11T18:39:47.116259-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-02-11T18:39:47.116259-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-02-11T18:39:47.116259-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-02-11T18:39:47.116259-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-02-11T18:39:47.116259-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-02-11T18:39:47.116259-05:00</RecordingDate>
      </CaseProgressionTracking>
    </CaseProgressionTracking>
    <WccInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-02-11T18:39:47.116259-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-02-11T18:39:47.116259-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-02-11T18:39:47.116259-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-02-11T18:39:47.116259-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
    </WccInjuryIllness>
    <EmployeeFirstName>sample string 169</EmployeeFirstName>
    <EmployeeMiddleName>sample string 170</EmployeeMiddleName>
    <EmployeeLastName>sample string 171</EmployeeLastName>
    <EmpSuffix>sample string 172</EmpSuffix>
    <SupervisorFirstName>sample string 173</SupervisorFirstName>
    <SupervisorMiddleName>sample string 174</SupervisorMiddleName>
    <SupervisorLastName>sample string 175</SupervisorLastName>
    <SupervisorSuffix>sample string 176</SupervisorSuffix>
    <IncidentOwnID>sample string 177</IncidentOwnID>
    <USLocationYN>178</USLocationYN>
    <Work_activity_done>sample string 179</Work_activity_done>
    <OccuredDepartment>sample string 180</OccuredDepartment>
    <InitialMedicalTreatment>sample string 181</InitialMedicalTreatment>
    <ReportPrepByName>sample string 182</ReportPrepByName>
    <ReportPrepByPhone>sample string 183</ReportPrepByPhone>
    <ReportPrepByTitle>sample string 184</ReportPrepByTitle>
    <ManagementReview>
      <ManagementReview>
        <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>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
      <ManagementReview>
        <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>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
    </ManagementReview>
    <WCCClaimStatus>sample string 185</WCCClaimStatus>
    <ChargableYN>sample string 186</ChargableYN>
    <CurrentCaseStartDate>2025-02-11T18:39:47.1285316-05:00</CurrentCaseStartDate>
    <CurrentCaseEndDate>2025-02-11T18:39:47.1285316-05:00</CurrentCaseEndDate>
    <dateOSHARecordableDetermined>2025-02-11T18:39:47.1285316-05:00</dateOSHARecordableDetermined>
  </InjuryIncidentClaim>
  <InjuryIncidentClaim>
    <LocationCode>sample string 1</LocationCode>
    <LocationName>sample string 2</LocationName>
    <IMSIncidentInternalID>sample string 3</IMSIncidentInternalID>
    <InjIncidentInternalID>sample string 4</InjIncidentInternalID>
    <IncidentTitle>sample string 5</IncidentTitle>
    <IncidentTypeNames>sample string 6</IncidentTypeNames>
    <MultipleInjuredYN>sample string 7</MultipleInjuredYN>
    <MshaYn>sample string 8</MshaYn>
    <MSHALocation>sample string 9</MSHALocation>
    <IncidentDate>2025-02-11T18:39:47.116259-05:00</IncidentDate>
    <TimeOfTheIncident>sample string 10</TimeOfTheIncident>
    <TimeUndetermined>sample string 11</TimeUndetermined>
    <DayOfWeek>sample string 12</DayOfWeek>
    <LengthOfNormalWorkDay>sample string 13</LengthOfNormalWorkDay>
    <WorkShift>sample string 14</WorkShift>
    <TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
    <HasPotentialToSerious>sample string 16</HasPotentialToSerious>
    <IncidentDescription>sample string 17</IncidentDescription>
    <IncidentOccurredonEmployersPremises>sample string 18</IncidentOccurredonEmployersPremises>
    <PremisesAddress>sample string 19</PremisesAddress>
    <PremisesCity>sample string 20</PremisesCity>
    <PremisesCounty>sample string 21</PremisesCounty>
    <PremisesCountry>sample string 22</PremisesCountry>
    <PremisesState>sample string 23</PremisesState>
    <PremisesZip>sample string 24</PremisesZip>
    <Department>sample string 25</Department>
    <PinLocation>sample string 26</PinLocation>
    <ResponsibleDepartment>sample string 27</ResponsibleDepartment>
    <ResponsibleSupervisor>sample string 28</ResponsibleSupervisor>
    <LocationOfInjuryScene>sample string 29</LocationOfInjuryScene>
    <DateReportedToEmployer>2025-02-11T18:39:47.116259-05:00</DateReportedToEmployer>
    <TimeReportedToEmployer>sample string 30</TimeReportedToEmployer>
    <ContractorInvolvedYN>sample string 31</ContractorInvolvedYN>
    <ContractorName>sample string 32</ContractorName>
    <ContractorDetails>sample string 33</ContractorDetails>
    <ContractorTrainedYN>sample string 34</ContractorTrainedYN>
    <WasAssetInvolvedYn>sample string 35</WasAssetInvolvedYn>
    <Assets>sample string 36</Assets>
    <SignificanceID>sample string 37</SignificanceID>
    <SignificanceName>sample string 38</SignificanceName>
    <SubmitClaimYN>sample string 39</SubmitClaimYN>
    <PersonnelTypeId>40</PersonnelTypeId>
    <PersonnelType>sample string 41</PersonnelType>
    <EmployeeName>sample string 42</EmployeeName>
    <EmployeeID>sample string 43</EmployeeID>
    <SSNumber>sample string 44</SSNumber>
    <DateOfBirth>2025-02-11T18:39:47.116259-05:00</DateOfBirth>
    <Gender>sample string 46</Gender>
    <Title>sample string 47</Title>
    <HireDate>2025-02-11T18:39:47.116259-05:00</HireDate>
    <PayRateType>sample string 48</PayRateType>
    <TimeInCurrentJob>sample string 49</TimeInCurrentJob>
    <TimeInCurrentJobUnit>sample string 50</TimeInCurrentJobUnit>
    <EmployeeDepartment>sample string 51</EmployeeDepartment>
    <SupervisorLastFirstMI>sample string 52</SupervisorLastFirstMI>
    <SupervisorEmail>sample string 53</SupervisorEmail>
    <SupervisorPhone>sample string 54</SupervisorPhone>
    <HomeAddress>sample string 55</HomeAddress>
    <City>sample string 56</City>
    <State>sample string 57</State>
    <PostalCodeZipCode>sample string 58</PostalCodeZipCode>
    <HomePhoneNumber>sample string 59</HomePhoneNumber>
    <MaritalStatus>sample string 60</MaritalStatus>
    <YearsatCompany>sample string 61</YearsatCompany>
    <NumberOfDependents>1</NumberOfDependents>
    <TypeofEmployment>sample string 62</TypeofEmployment>
    <CurrentWeeklyWage>1.1</CurrentWeeklyWage>
    <HourlyWage>1.1</HourlyWage>
    <HoursWorkedperWeek>1.1</HoursWorkedperWeek>
    <DaysworkedPerWeek>1</DaysworkedPerWeek>
    <HoursworkedPerDay>1</HoursworkedPerDay>
    <StateHired>sample string 63</StateHired>
    <EmploymentStatus>sample string 64</EmploymentStatus>
    <WasEmployeePaidinFullforDateofInjury>sample string 65</WasEmployeePaidinFullforDateofInjury>
    <AnyPriorWCInjuries>sample string 66</AnyPriorWCInjuries>
    <FurtherClassifyYN>sample string 67</FurtherClassifyYN>
    <ClientPersonnelType>sample string 68</ClientPersonnelType>
    <ClientCompany>sample string 69</ClientCompany>
    <NameofContractor>sample string 70</NameofContractor>
    <NameofSubContractor>sample string 71</NameofSubContractor>
    <EmpSalaryContinueYN>sample string 72</EmpSalaryContinueYN>
    <Wastreatmentprovidedoffsite>sample string 73</Wastreatmentprovidedoffsite>
    <WhereEmpTreated>sample string 74</WhereEmpTreated>
    <ExplainWhy>sample string 75</ExplainWhy>
    <Fatality>sample string 76</Fatality>
    <AmputationYN>sample string 77</AmputationYN>
    <OSHAContactedYN>sample string 78</OSHAContactedYN>
    <OSHAContactDetails>sample string 79</OSHAContactDetails>
    <NatureOfInjuryIllness>sample string 80</NatureOfInjuryIllness>
    <CauseOfInjuryIllness>sample string 81</CauseOfInjuryIllness>
    <BodyPart>sample string 82</BodyPart>
    <EMPLOYEE_ACTIVITY>sample string 83</EMPLOYEE_ACTIVITY>
    <OBJECT_INVOLVED>sample string 84</OBJECT_INVOLVED>
    <SpecificWorkActivityWhenTheIncidentOccurred>sample string 85</SpecificWorkActivityWhenTheIncidentOccurred>
    <MACHINE_EQUIPMENT_YN>sample string 86</MACHINE_EQUIPMENT_YN>
    <MACHINE_EQUIPMENT_NO>sample string 87</MACHINE_EQUIPMENT_NO>
    <REVIEW_EHSREP>sample string 88</REVIEW_EHSREP>
    <Review_Date>2025-02-11T18:39:47.116259-05:00</Review_Date>
    <IsthisaNeedlestickInjury>sample string 89</IsthisaNeedlestickInjury>
    <NEEDLESTICK_INJURY_TYPE>sample string 90</NEEDLESTICK_INJURY_TYPE>
    <NEEDLESTICK_INJURY_BRAND>sample string 91</NEEDLESTICK_INJURY_BRAND>
    <NEEDLESTICK_INJURY_MODEL>sample string 92</NEEDLESTICK_INJURY_MODEL>
    <InitialTreatmentID>sample string 93</InitialTreatmentID>
    <DrugTestingPerformedYN>sample string 94</DrugTestingPerformedYN>
    <DrugTestingPerformedExplain>sample string 95</DrugTestingPerformedExplain>
    <RiddorClassifications>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-02-11T18:39:47.116259-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-02-11T18:39:47.116259-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
    </RiddorClassifications>
    <MostSevereCase>sample string 96</MostSevereCase>
    <CurrentCase>sample string 97</CurrentCase>
    <EmployerContactName>sample string 98</EmployerContactName>
    <EmployerTelephoneNumber>sample string 99</EmployerTelephoneNumber>
    <EmployerTitle>sample string 100</EmployerTitle>
    <EmployerAddress>sample string 101</EmployerAddress>
    <EmployerCity>sample string 102</EmployerCity>
    <EmployerState>sample string 103</EmployerState>
    <EmployerZip>sample string 104</EmployerZip>
    <EmployerLocCode>sample string 105</EmployerLocCode>
    <EmployerSIC>sample string 106</EmployerSIC>
    <EmployerNatureOfBusiness>sample string 107</EmployerNatureOfBusiness>
    <FEINNumber>sample string 108</FEINNumber>
    <EmployerName>sample string 109</EmployerName>
    <WorkersCompClaimID>sample string 110</WorkersCompClaimID>
    <ClaimWorkRelatedYn>sample string 111</ClaimWorkRelatedYn>
    <JurisdictionState>sample string 112</JurisdictionState>
    <FatalityYn>sample string 113</FatalityYn>
    <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
    <LostTimeYn>sample string 114</LostTimeYn>
    <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
    <DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
    <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
    <EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
    <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
    <EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
    <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
    <ReqNeedleStickYn>sample string 118</ReqNeedleStickYn>
    <WorkCompId>sample string 119</WorkCompId>
    <IncidentReportedBy>sample string 120</IncidentReportedBy>
    <ReportersEmail>sample string 121</ReportersEmail>
    <ReportersPhone>sample string 122</ReportersPhone>
    <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
    <InjuryDay>sample string 123</InjuryDay>
    <InjuryTime>sample string 124</InjuryTime>
    <ClaimTimeWorkdayBegan>sample string 125</ClaimTimeWorkdayBegan>
    <EmpSentToHospYn>sample string 126</EmpSentToHospYn>
    <InitialTreatmentYn>sample string 127</InitialTreatmentYn>
    <HospName>sample string 128</HospName>
    <HospAddress>sample string 129</HospAddress>
    <HospCity>sample string 130</HospCity>
    <HosplAddressState>sample string 131</HosplAddressState>
    <HospZip>sample string 132</HospZip>
    <HospPhone>sample string 133</HospPhone>
    <HospFax>sample string 134</HospFax>
    <DoctName>sample string 135</DoctName>
    <ValidityOfClaimYn>sample string 136</ValidityOfClaimYn>
    <ValidityOfClaimDetails>sample string 137</ValidityOfClaimDetails>
    <OtherComments>sample string 138</OtherComments>
    <IsClaimFormCompleted>sample string 139</IsClaimFormCompleted>
    <SubmissionStatus>sample string 140</SubmissionStatus>
    <ClaimSubmittedBy>sample string 141</ClaimSubmittedBy>
    <ClaimSubmittedDate>2025-02-11T18:39:47.116259-05:00</ClaimSubmittedDate>
    <ClaimStatus>sample string 142</ClaimStatus>
    <DateClaimClosed>2025-02-11T18:39:47.116259-05:00</DateClaimClosed>
    <TotalCostIncurred>1.1</TotalCostIncurred>
    <TotalCostPaid>1.1</TotalCostPaid>
    <TotalOutstandingCost>1.1</TotalOutstandingCost>
    <TotalDevelopedCost>1.1</TotalDevelopedCost>
    <IncidentSeverityID>143</IncidentSeverityID>
    <IncidentSeveritySIF>sample string 144</IncidentSeveritySIF>
    <ActualSeverity>sample string 145</ActualSeverity>
    <ProcessSafetyYN>sample string 146</ProcessSafetyYN>
    <ProcessSafetyClassification>sample string 147</ProcessSafetyClassification>
    <WitnessYN>sample string 148</WitnessYN>
    <WitnessDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
    </WitnessDetails>
    <PrepByName>sample string 149</PrepByName>
    <PrepByTitle>sample string 150</PrepByTitle>
    <PrepByPhone>sample string 151</PrepByPhone>
    <IncidentStatus>sample string 152</IncidentStatus>
    <CreatedByEmployeeId>sample string 153</CreatedByEmployeeId>
    <CreatedByName>sample string 154</CreatedByName>
    <CreatedDate>2025-02-11T18:39:47.116259-05:00</CreatedDate>
    <UpdatedByName>sample string 155</UpdatedByName>
    <UpdatedDate>2025-02-11T18:39:47.116259-05:00</UpdatedDate>
    <WasthiscaseWorkRelated>sample string 156</WasthiscaseWorkRelated>
    <ManagementReviewStatus>sample string 157</ManagementReviewStatus>
    <LostTimeDays>1.1</LostTimeDays>
    <RestrictedDutyDays>1.1</RestrictedDutyDays>
    <OSHARecordableYn>sample string 158</OSHARecordableYn>
    <WorkersCompClaim>sample string 159</WorkersCompClaim>
    <NonWorkRelatedComments>sample string 160</NonWorkRelatedComments>
    <IsThisaCompanydefinedRecordableCase>sample string 161</IsThisaCompanydefinedRecordableCase>
    <WorkerCompId>sample string 162</WorkerCompId>
    <InjuryorFatality>sample string 163</InjuryorFatality>
    <FilingState>sample string 164</FilingState>
    <IsClaimSubmissionRequired>sample string 165</IsClaimSubmissionRequired>
    <ClaimNum>sample string 166</ClaimNum>
    <RecentCostUpdate>sample string 167</RecentCostUpdate>
    <WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>sample string 168</WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>
    <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>
      </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>
      </RootCause>
    </RootCauseDetails>
    <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>
    <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>
    <InvResponsibilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-02-11T18:39:47.116259-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-02-11T18:39:47.116259-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
    </InvResponsibilityDetails>
    <InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
    </InvResponsebilityAssignee>
    <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>
    <ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-02-11T18:39:47.116259-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <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>2025-02-11T18:39:47.116259-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-02-11T18:39:47.116259-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-02-11T18:39:47.116259-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-02-11T18:39:47.116259-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-02-11T18:39:47.116259-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <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>2025-02-11T18:39:47.116259-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-02-11T18:39:47.116259-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-02-11T18:39:47.116259-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-02-11T18:39:47.116259-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
    </ActionItemsDetails>
    <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>
    <ErgoDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
    </ErgoDetails>
    <CaseClassification>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-02-11T18:39:47.116259-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-02-11T18:39:47.116259-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-02-11T18:39:47.116259-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-02-11T18:39:47.116259-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
    </CaseClassification>
    <CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <DateFirstAidProvided>2025-02-11T18:39:47.116259-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-02-11T18:39:47.116259-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-02-11T18:39:47.116259-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-02-11T18:39:47.116259-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-02-11T18:39:47.116259-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-02-11T18:39:47.116259-05:00</RecordingDate>
      </CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <DateFirstAidProvided>2025-02-11T18:39:47.116259-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-02-11T18:39:47.116259-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-02-11T18:39:47.116259-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-02-11T18:39:47.116259-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-02-11T18:39:47.116259-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-02-11T18:39:47.116259-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-02-11T18:39:47.116259-05:00</RecordingDate>
      </CaseProgressionTracking>
    </CaseProgressionTracking>
    <WccInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-02-11T18:39:47.116259-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-02-11T18:39:47.116259-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-02-11T18:39:47.116259-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-02-11T18:39:47.116259-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-02-11T18:39:47.116259-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-02-11T18:39:47.116259-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-02-11T18:39:47.116259-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-02-11T18:39:47.116259-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-02-11T18:39:47.116259-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-02-11T18:39:47.116259-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-02-11T18:39:47.116259-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
    </WccInjuryIllness>
    <EmployeeFirstName>sample string 169</EmployeeFirstName>
    <EmployeeMiddleName>sample string 170</EmployeeMiddleName>
    <EmployeeLastName>sample string 171</EmployeeLastName>
    <EmpSuffix>sample string 172</EmpSuffix>
    <SupervisorFirstName>sample string 173</SupervisorFirstName>
    <SupervisorMiddleName>sample string 174</SupervisorMiddleName>
    <SupervisorLastName>sample string 175</SupervisorLastName>
    <SupervisorSuffix>sample string 176</SupervisorSuffix>
    <IncidentOwnID>sample string 177</IncidentOwnID>
    <USLocationYN>178</USLocationYN>
    <Work_activity_done>sample string 179</Work_activity_done>
    <OccuredDepartment>sample string 180</OccuredDepartment>
    <InitialMedicalTreatment>sample string 181</InitialMedicalTreatment>
    <ReportPrepByName>sample string 182</ReportPrepByName>
    <ReportPrepByPhone>sample string 183</ReportPrepByPhone>
    <ReportPrepByTitle>sample string 184</ReportPrepByTitle>
    <ManagementReview>
      <ManagementReview>
        <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>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
      <ManagementReview>
        <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>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
    </ManagementReview>
    <WCCClaimStatus>sample string 185</WCCClaimStatus>
    <ChargableYN>sample string 186</ChargableYN>
    <CurrentCaseStartDate>2025-02-11T18:39:47.1285316-05:00</CurrentCaseStartDate>
    <CurrentCaseEndDate>2025-02-11T18:39:47.1285316-05:00</CurrentCaseEndDate>
    <dateOSHARecordableDetermined>2025-02-11T18:39:47.1285316-05:00</dateOSHARecordableDetermined>
  </InjuryIncidentClaim>
</ArrayOfInjuryIncidentClaim>