Name | Description | Type | Additional information |
---|---|---|---|
Case Number (System Generated) | string |
None. |
|
Was this case Work-Related? | string |
None. |
|
Describe the reason for the Non Work Related classification | string |
None. |
|
Did this incident result in a fatality? | string |
None. |
|
Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness? | string |
None. |
|
Did the incident result in work restrictions, lost time or job transfer? | string |
None. |
|
Was Treatment Provided beyond First Aid? | string |
None. |
|
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? | string |
None. |
|
Was treatment defined as First Aid provided? | string |
None. |
|
This is a First Aid Case, identify the specific treatment(s) provided. | string |
None. |
|
Is This a Company defined Recordable Case ? | string |
None. |
|
Describe the reason for the Not Recordable classification | string |
None. |
|
Is this Case Recordable According to Local Record keeping Requirements ? | string |
None. |
|
Does this meet FCA's requirement for FAI Classification? | string |
None. |
|
Did this case involve a chronic injury, a strain or a sprain? | string |
None. |
|
Date Reported to Healthcare | date |
None. |
|
Time Reported to Healthcare | string |
None. |
|
Case Status | string |
None. |
|
Title | string |
None. |
|
Phone | string |
None. |
|
Closed Date | date |
None. |
|
Comments | string |
None. |
|
Completed By | string |
None. |