GET papi/v1/imsoutbound/injuryincidents?locationCode={locationCode}&dateFrom={dateFrom}&dateTo={dateTo}&lastSyncedDate={lastSyncedDate}
Security
Secured API
Request Information
URI Parameters
| Name | Description | Type | Additional information |
|---|---|---|---|
| locationCode | string |
Required |
|
| dateFrom | date |
Required |
|
| dateTo | date |
Required |
|
| lastSyncedDate | date |
Required |
Required Headers
| Name | Description | Sample | Type | Default |
|---|---|---|---|---|
| Authorization |
Represents the value of the authentication token. Allow multiple values: no. |
Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ... | string | None |
| ConsumerId |
Represents the value of the consumer id. Allow multiple values: no. |
2426 | integer | None |
Optional Headers
| Name | Description | Sample | Type | Default |
|---|---|---|---|---|
| ApplicationType |
Represents the value of the consumer's application type. Allow multiple values: no. |
1 | ApplicationType | None |
| Accept-Language |
Represents the value of the desired language for translations. Allow multiple values: yes. |
es | string | en-US |
Body Parameters
None.
Response Information
Resource Description
Collection of InjuryIncidentClaim| Name | Description | 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
[
{
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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 **": "2025-12-27T08:50:42.898Z",
"Gender": "sample string 46",
"Occupation/Job Title": "sample string 47",
"Hire Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
" 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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Did the employee lose any time from work?": "sample string 114",
"What was the first full day out?": "2025-12-27T08:50:42.898Z",
"Do you know the Date Employee Last Worked?": "sample string 115",
"Date Employee Last Worked": "2025-12-27T08:50:42.898Z",
"Has the employee returned to work?": "sample string 116",
"Date Returned to Work": "2025-12-27T08:50:42.898Z",
"Return to Work Status": "sample string 117",
"Estimated Return to Work Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Claim Status": "sample string 142",
"Date Claim Closed": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Incident Last Updated By": "sample string 155",
"Incident Last Updated Date": "2025-12-27T08:50:42.898Z",
"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",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
},
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
}
],
"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": "2025-12-27T08:50:42.898Z",
"Comments": "sample string 1",
"Notify / YN": "sample string 2"
},
{
"Target Completion Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-27T08:50:42.898Z",
"Due Date Extension": "sample string 30",
"Requested Due Date Extension": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-27T08:50:42.898Z",
"Due Date Extension": "sample string 30",
"Requested Due Date Extension": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Time Reported to Healthcare": "sample string 16",
"Case Status": "sample string 17",
"Title": "sample string 18",
"Phone": "sample string 19",
"Closed Date": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.898Z",
"Time Reported to Healthcare": "sample string 16",
"Case Status": "sample string 17",
"Title": "sample string 18",
"Phone": "sample string 19",
"Closed Date": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"Date First Aid Provided": "2025-12-27T08:50:42.914Z",
"Date other Recordable case Occurred": "2025-12-27T08:50:42.914Z",
"First Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"Last Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"First Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Last Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Date Fatality Occurred.": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z"
},
{
"Employee Name": "sample string 1",
"Classification Of Case Id": 2,
"Classification of Case": "sample string 3",
"Date Reported": "2025-12-27T08:50:42.914Z",
"Date First Aid Provided": "2025-12-27T08:50:42.914Z",
"Date other Recordable case Occurred": "2025-12-27T08:50:42.914Z",
"First Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"Last Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"First Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Last Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Date Fatality Occurred.": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z"
}
],
"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": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"EmpMaritialStatus": "sample string 23",
"EmpHireDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"TimeReported": "sample string 62",
"FatalityYn": "sample string 63",
"FatalityDate": "2025-12-27T08:50:42.914Z",
"LostTimeYn": "sample string 64",
"FirstFullDayOut": "2025-12-27T08:50:42.914Z",
"DateEmployeeLastWorkedYN": "sample string 65",
"DateEmployeeLastWorked": "2025-12-27T08:50:42.914Z",
"EmpReturnToWorkYn": "sample string 66",
"DateReturnToWork": "2025-12-27T08:50:42.914Z",
"EmpReturnWorkStatus": "sample string 67",
"EstReturnToWorkDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"EmpMaritialStatus": "sample string 23",
"EmpHireDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"TimeReported": "sample string 62",
"FatalityYn": "sample string 63",
"FatalityDate": "2025-12-27T08:50:42.914Z",
"LostTimeYn": "sample string 64",
"FirstFullDayOut": "2025-12-27T08:50:42.914Z",
"DateEmployeeLastWorkedYN": "sample string 65",
"DateEmployeeLastWorked": "2025-12-27T08:50:42.914Z",
"EmpReturnToWorkYn": "sample string 66",
"DateReturnToWork": "2025-12-27T08:50:42.914Z",
"EmpReturnWorkStatus": "sample string 67",
"EstReturnToWorkDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"Current Case End Date": "2025-12-27T08:50:42.914Z",
"Date OSHARecordable Determined": "2025-12-27T08:50:42.914Z"
},
{
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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 **": "2025-12-27T08:50:42.898Z",
"Gender": "sample string 46",
"Occupation/Job Title": "sample string 47",
"Hire Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
" 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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Did the employee lose any time from work?": "sample string 114",
"What was the first full day out?": "2025-12-27T08:50:42.898Z",
"Do you know the Date Employee Last Worked?": "sample string 115",
"Date Employee Last Worked": "2025-12-27T08:50:42.898Z",
"Has the employee returned to work?": "sample string 116",
"Date Returned to Work": "2025-12-27T08:50:42.898Z",
"Return to Work Status": "sample string 117",
"Estimated Return to Work Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Claim Status": "sample string 142",
"Date Claim Closed": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Incident Last Updated By": "sample string 155",
"Incident Last Updated Date": "2025-12-27T08:50:42.898Z",
"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",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
},
{
"Parent Root Cause Name": "sample string 2",
"Root Cause Name": "sample string 3",
"Comments": "sample string 4",
"Root Cause Category": "sample string 5",
"Management System Element": "sample string 6"
}
],
"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": "2025-12-27T08:50:42.898Z",
"Comments": "sample string 1",
"Notify / YN": "sample string 2"
},
{
"Target Completion Date": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-27T08:50:42.898Z",
"Due Date Extension": "sample string 30",
"Requested Due Date Extension": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Action Item Status": "sample string 27",
"Action Taken": "sample string 28",
"Action item Completed By": "sample string 29",
"Action item Completed Date": "2025-12-27T08:50:42.898Z",
"Due Date Extension": "sample string 30",
"Requested Due Date Extension": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"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": "2025-12-27T08:50:42.898Z",
"Time Reported to Healthcare": "sample string 16",
"Case Status": "sample string 17",
"Title": "sample string 18",
"Phone": "sample string 19",
"Closed Date": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.898Z",
"Time Reported to Healthcare": "sample string 16",
"Case Status": "sample string 17",
"Title": "sample string 18",
"Phone": "sample string 19",
"Closed Date": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"Date First Aid Provided": "2025-12-27T08:50:42.914Z",
"Date other Recordable case Occurred": "2025-12-27T08:50:42.914Z",
"First Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"Last Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"First Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Last Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Date Fatality Occurred.": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z"
},
{
"Employee Name": "sample string 1",
"Classification Of Case Id": 2,
"Classification of Case": "sample string 3",
"Date Reported": "2025-12-27T08:50:42.914Z",
"Date First Aid Provided": "2025-12-27T08:50:42.914Z",
"Date other Recordable case Occurred": "2025-12-27T08:50:42.914Z",
"First Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"Last Day of Restricted Duty": "2025-12-27T08:50:42.914Z",
"First Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Last Day of Lost Time": "2025-12-27T08:50:42.914Z",
"Date Fatality Occurred.": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z"
}
],
"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": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"EmpMaritialStatus": "sample string 23",
"EmpHireDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"TimeReported": "sample string 62",
"FatalityYn": "sample string 63",
"FatalityDate": "2025-12-27T08:50:42.914Z",
"LostTimeYn": "sample string 64",
"FirstFullDayOut": "2025-12-27T08:50:42.914Z",
"DateEmployeeLastWorkedYN": "sample string 65",
"DateEmployeeLastWorked": "2025-12-27T08:50:42.914Z",
"EmpReturnToWorkYn": "sample string 66",
"DateReturnToWork": "2025-12-27T08:50:42.914Z",
"EmpReturnWorkStatus": "sample string 67",
"EstReturnToWorkDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"EmpMaritialStatus": "sample string 23",
"EmpHireDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"TimeReported": "sample string 62",
"FatalityYn": "sample string 63",
"FatalityDate": "2025-12-27T08:50:42.914Z",
"LostTimeYn": "sample string 64",
"FirstFullDayOut": "2025-12-27T08:50:42.914Z",
"DateEmployeeLastWorkedYN": "sample string 65",
"DateEmployeeLastWorked": "2025-12-27T08:50:42.914Z",
"EmpReturnToWorkYn": "sample string 66",
"DateReturnToWork": "2025-12-27T08:50:42.914Z",
"EmpReturnWorkStatus": "sample string 67",
"EstReturnToWorkDate": "2025-12-27T08:50:42.914Z",
"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": "2025-12-27T08:50:42.914Z",
"Current Case End Date": "2025-12-27T08:50:42.914Z",
"Date OSHARecordable Determined": "2025-12-27T08:50:42.914Z"
}
]
application/xml, text/xml
<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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateOfBirth>
<Gender>sample string 46</Gender>
<Title>sample string 47</Title>
<HireDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</FatalityDate>
<LostTimeYn>sample string 114</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.8988008-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.8988008-05:00</DateEmployeeLastWorked>
<EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
<DateReturnToWork>2025-12-27T03:50:42.8988008-05:00</DateReturnToWork>
<EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
<EstReturnToWorkDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ClaimSubmittedDate>
<ClaimStatus>sample string 142</ClaimStatus>
<DateClaimClosed>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</CreatedDate>
<UpdatedByName>sample string 155</UpdatedByName>
<UpdatedDate>2025-12-27T03:50:42.8988008-05:00</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>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
</RootCauseDetails>
<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>2025-12-27T03:50:42.8988008-05:00</TargetCompletionDate>
<Comments>sample string 1</Comments>
<NotifyYN>sample string 2</NotifyYN>
</InvResponsilbilityDetails>
<InvResponsilbilityDetails>
<TargetCompletionDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T03:50:42.8988008-05:00</ActionItemCompletedDate>
<DueDateExtension>sample string 30</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T03:50:42.8988008-05:00</ActionItemCompletedDate>
<DueDateExtension>sample string 30</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateReportedtoHealthcare>
<TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
<CaseStatus>sample string 17</CaseStatus>
<Title>sample string 18</Title>
<Phone>sample string 19</Phone>
<ClosedDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateReportedtoHealthcare>
<TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
<CaseStatus>sample string 17</CaseStatus>
<Title>sample string 18</Title>
<Phone>sample string 19</Phone>
<ClosedDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<DateFirstAidProvided>2025-12-27T03:50:42.9144227-05:00</DateFirstAidProvided>
<DateOtherRecordableCaseOccurred>2025-12-27T03:50:42.9144227-05:00</DateOtherRecordableCaseOccurred>
<FirstDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</FirstDayofRestrictedDuty>
<LastDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</LastDayofRestrictedDuty>
<FirstDayofLostTime>2025-12-27T03:50:42.9144227-05:00</FirstDayofLostTime>
<LastDayofLostTime>2025-12-27T03:50:42.9144227-05:00</LastDayofLostTime>
<DateFatalityOccurred>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</RecordingDate>
</CaseProgressionTracking>
<CaseProgressionTracking>
<EmployeeName>sample string 1</EmployeeName>
<ClassificationOfCaseId>2</ClassificationOfCaseId>
<ClassificationOfCase>sample string 3</ClassificationOfCase>
<DateReported>2025-12-27T03:50:42.9144227-05:00</DateReported>
<DateFirstAidProvided>2025-12-27T03:50:42.9144227-05:00</DateFirstAidProvided>
<DateOtherRecordableCaseOccurred>2025-12-27T03:50:42.9144227-05:00</DateOtherRecordableCaseOccurred>
<FirstDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</FirstDayofRestrictedDuty>
<LastDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</LastDayofRestrictedDuty>
<FirstDayofLostTime>2025-12-27T03:50:42.9144227-05:00</FirstDayofLostTime>
<LastDayofLostTime>2025-12-27T03:50:42.9144227-05:00</LastDayofLostTime>
<DateFatalityOccurred>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</EmpDOB>
<EmpMaritialStatus>sample string 23</EmpMaritialStatus>
<EmpHireDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<TimeReported>sample string 62</TimeReported>
<FatalityYn>sample string 63</FatalityYn>
<FatalityDate>2025-12-27T03:50:42.9144227-05:00</FatalityDate>
<LostTimeYn>sample string 64</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.9144227-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.9144227-05:00</DateEmployeeLastWorked>
<EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
<DateReturnToWork>2025-12-27T03:50:42.9144227-05:00</DateReturnToWork>
<EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
<EstReturnToWorkDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</EmpDOB>
<EmpMaritialStatus>sample string 23</EmpMaritialStatus>
<EmpHireDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<TimeReported>sample string 62</TimeReported>
<FatalityYn>sample string 63</FatalityYn>
<FatalityDate>2025-12-27T03:50:42.9144227-05:00</FatalityDate>
<LostTimeYn>sample string 64</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.9144227-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.9144227-05:00</DateEmployeeLastWorked>
<EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
<DateReturnToWork>2025-12-27T03:50:42.9144227-05:00</DateReturnToWork>
<EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
<EstReturnToWorkDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</CurrentCaseStartDate>
<CurrentCaseEndDate>2025-12-27T03:50:42.9144227-05:00</CurrentCaseEndDate>
<dateOSHARecordableDetermined>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateOfBirth>
<Gender>sample string 46</Gender>
<Title>sample string 47</Title>
<HireDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</FatalityDate>
<LostTimeYn>sample string 114</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.8988008-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.8988008-05:00</DateEmployeeLastWorked>
<EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
<DateReturnToWork>2025-12-27T03:50:42.8988008-05:00</DateReturnToWork>
<EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
<EstReturnToWorkDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ClaimSubmittedDate>
<ClaimStatus>sample string 142</ClaimStatus>
<DateClaimClosed>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</CreatedDate>
<UpdatedByName>sample string 155</UpdatedByName>
<UpdatedDate>2025-12-27T03:50:42.8988008-05:00</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>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
<RootCause>
<PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
<ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
<COMMENTS>sample string 4</COMMENTS>
<RootCauseCategory>sample string 5</RootCauseCategory>
<ManagementSystemElement>sample string 6</ManagementSystemElement>
</RootCause>
</RootCauseDetails>
<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>2025-12-27T03:50:42.8988008-05:00</TargetCompletionDate>
<Comments>sample string 1</Comments>
<NotifyYN>sample string 2</NotifyYN>
</InvResponsilbilityDetails>
<InvResponsilbilityDetails>
<TargetCompletionDate>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T03:50:42.8988008-05:00</ActionItemCompletedDate>
<DueDateExtension>sample string 30</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</ApprovalDate>
<ActionItemStatus>sample string 27</ActionItemStatus>
<ActionTaken>sample string 28</ActionTaken>
<ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
<ActionItemCompletedDate>2025-12-27T03:50:42.8988008-05:00</ActionItemCompletedDate>
<DueDateExtension>sample string 30</DueDateExtension>
<RequestedDueDateExtension>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateReportedtoHealthcare>
<TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
<CaseStatus>sample string 17</CaseStatus>
<Title>sample string 18</Title>
<Phone>sample string 19</Phone>
<ClosedDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.8988008-05:00</DateReportedtoHealthcare>
<TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
<CaseStatus>sample string 17</CaseStatus>
<Title>sample string 18</Title>
<Phone>sample string 19</Phone>
<ClosedDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<DateFirstAidProvided>2025-12-27T03:50:42.9144227-05:00</DateFirstAidProvided>
<DateOtherRecordableCaseOccurred>2025-12-27T03:50:42.9144227-05:00</DateOtherRecordableCaseOccurred>
<FirstDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</FirstDayofRestrictedDuty>
<LastDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</LastDayofRestrictedDuty>
<FirstDayofLostTime>2025-12-27T03:50:42.9144227-05:00</FirstDayofLostTime>
<LastDayofLostTime>2025-12-27T03:50:42.9144227-05:00</LastDayofLostTime>
<DateFatalityOccurred>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</RecordingDate>
</CaseProgressionTracking>
<CaseProgressionTracking>
<EmployeeName>sample string 1</EmployeeName>
<ClassificationOfCaseId>2</ClassificationOfCaseId>
<ClassificationOfCase>sample string 3</ClassificationOfCase>
<DateReported>2025-12-27T03:50:42.9144227-05:00</DateReported>
<DateFirstAidProvided>2025-12-27T03:50:42.9144227-05:00</DateFirstAidProvided>
<DateOtherRecordableCaseOccurred>2025-12-27T03:50:42.9144227-05:00</DateOtherRecordableCaseOccurred>
<FirstDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</FirstDayofRestrictedDuty>
<LastDayofRestrictedDuty>2025-12-27T03:50:42.9144227-05:00</LastDayofRestrictedDuty>
<FirstDayofLostTime>2025-12-27T03:50:42.9144227-05:00</FirstDayofLostTime>
<LastDayofLostTime>2025-12-27T03:50:42.9144227-05:00</LastDayofLostTime>
<DateFatalityOccurred>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</EmpDOB>
<EmpMaritialStatus>sample string 23</EmpMaritialStatus>
<EmpHireDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<TimeReported>sample string 62</TimeReported>
<FatalityYn>sample string 63</FatalityYn>
<FatalityDate>2025-12-27T03:50:42.9144227-05:00</FatalityDate>
<LostTimeYn>sample string 64</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.9144227-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.9144227-05:00</DateEmployeeLastWorked>
<EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
<DateReturnToWork>2025-12-27T03:50:42.9144227-05:00</DateReturnToWork>
<EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
<EstReturnToWorkDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</EmpDOB>
<EmpMaritialStatus>sample string 23</EmpMaritialStatus>
<EmpHireDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</DateReported>
<TimeReported>sample string 62</TimeReported>
<FatalityYn>sample string 63</FatalityYn>
<FatalityDate>2025-12-27T03:50:42.9144227-05:00</FatalityDate>
<LostTimeYn>sample string 64</LostTimeYn>
<FirstFullDayOut>2025-12-27T03:50:42.9144227-05:00</FirstFullDayOut>
<DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
<DateEmployeeLastWorked>2025-12-27T03:50:42.9144227-05:00</DateEmployeeLastWorked>
<EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
<DateReturnToWork>2025-12-27T03:50:42.9144227-05:00</DateReturnToWork>
<EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
<EstReturnToWorkDate>2025-12-27T03:50:42.9144227-05:00</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>2025-12-27T03:50:42.9144227-05:00</CurrentCaseStartDate>
<CurrentCaseEndDate>2025-12-27T03:50:42.9144227-05:00</CurrentCaseEndDate>
<dateOSHARecordableDetermined>2025-12-27T03:50:42.9144227-05:00</dateOSHARecordableDetermined>
</InjuryIncidentClaim>
</ArrayOfInjuryIncidentClaim>