NameDescriptionTypeAdditional information
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.
Location Code

string

None.
Location Name

string

None.
Incident Date

date

None.
Time of Incident

string

None.
Time Undetermined

string

None.
Day of Week

string

None.
Work Shift

string

None.
Time Work Day Began

string

None.
Incident Severity

string

None.
Incident Description

string

None.
Incident Occurred on Employer's Premises

string

None.
Address

string

None.
City

string

None.
County

string

None.
Country

string

None.
State

string

None.
Postal/Zip Code

string

None.
Department

string

None.
Was a contractor involved in the incident?

string

None.
Contractor Name

string

None.
Please provide Contractor Details (Name, Company, Phone, etc.)

string

None.
Was the contractor trained on company policies?

string

None.
Asset Involved Yes/No

string

None.
Assets

string

None.
Was a Corrective Action completed at time of reporting incident?

string

None.
Date Reported To Employer

date

None.
Time Reported To Employer

string

None.
Confirm Significance level of incident

string

None.
Environmental Incident Type

string

None.
Incident Cause Name

string

None.
What Occurred

string

None.
Weather

string

None.
Hazard Classification

string

None.
Severity

string

None.
ERCA

string

None.
Involved Shipping

string

None.
Carrier Name

string

None.
Contact Info

string

None.
Vehicle ID#

string

None.
Was the emergency Response Plan reviewed after the incident to see if changes are needed?

string

None.
Release Environment

string

None.
Was there a spill of substance?

string

None.
Was there any hazardous material involved ?

string

None.
If Yes, identify the Material

string

None.
Do you have MSDS?

string

None.
Was the facility evacuated?

string

None.
Describe any damage caused.

string

None.
Describe what caused the incident to occur.

string

None.
Describe work activity being performed during incident

string

None.
Was the applicable regulatory agency notified?

string

None.
Employee Details

Collection of EnvironmentalIncidentEmployeeDetails

None.
Substance Details

Collection of EnvironmentalIncidentSubstanceDetails

None.
Agency Details

Collection of EnvironmentalIncidentAgencyDetails

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 Details

Collection of EnvironmentalIncidentWitnessDetails

None.
Incident Status

string

None.
Created By

string

None.
Created Date

date

None.
Last Updated By

string

None.
Last Updated Date

string

None.
Investigation Responsibility Details

Collection of InvResponsilbilityDetails

None.
Investigation Responsibility assignee Details

Collection of InvResponsebilityAssignee

None.
Investigation questions Details

Collection of InvestigationQuestionsDetails

None.
Contributing Factors Details

Collection of ContributingFactor

None.
5Y Details

Collection of _5WhyMethodology

None.
5Ys

Collection of Why

None.
Root Cause Details

Collection of RootCause

None.
Release Impact Details

Collection of EnvironmentalIncidentReleaseImpactDetails

None.
Final root cause statement Details

Collection of FinalrootCauseSTMT

None.
Action Items Details

Collection of ActionItemsDetails

None.
Management review Details

Collection of ManagementReview

None.
ManagementReviewStatus

string

None.