| Name | Description | Type | Additional 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 contractor involved ? | string |
None. |
|
| Contractor Name | string |
None. |
|
| Please provide Contractor Details | 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. |
|
| Employee Details | Collection of PropertyDamageIncidentEmployeeDetails |
None. |
|
| PD Incident Type | string |
None. |
|
| Is this a chargeable Incident ? | string |
None. |
|
| Cause of Incident | 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. |
|
| 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 PropertyDamageIncidentWitnessDetails |
None. |
|
| Incident Status | string |
None. |
|
| Created By | string |
None. |
|
| Created Date | date |
None. |
|
| Last Updated By | string |
None. |
|
| Last Updated Date | date |
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. |
|
| Final root cause statement Details | Collection of FinalrootCauseSTMT |
None. |
|
| Lessons Learned Statement Details | Collection of LessonLearnedSTMT |
None. |
|
| Action Items Details | Collection of ActionItemsDetails |
None. |
|
| Management review Details | Collection of ManagementReviewPD |
None. |
|
| ManagementReviewStatus | string |
None. |