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...

Background and strategic fit

The purpose of this Integration is to pull over different incident information (Near Miss,Injury Illness, Vehicle and Environmental) to support our growing customer base to analyze the data they are entering through the ProcessMAP solution.This document provides information on how to consume the API's by the end Users.

Assumptions

  • Individual APIs being used for Near Miss, Injury Illness, Vehicle & Environmental incident types
  • For Injury/Illness the Incident type field will have comma separate value in case it is a combined Incident with other Incident Types
    • Data will be sent only for the Injury/Illness
  • ProcessMAP system User permissions would not be considered while exposing the data
  • ProcessMAP assumes anyone who is accessing the Outbound API has required authority to access Personal Information
  • User would have to input single Location Code(e.g. Westlake) each time to consume that Location data
  • Data to be accessed with a limitation of 2 years duration at a time to avoid any performance issues.
  • Data will be shown in Readable JSON format
  • Fields Names in the Response would be Product Field Naming. Customer will have to use mapping documentation
  • User accessing this endpoint through a valid Token & ConsumerId, provided by ProcessMAP, will have access to complete data
  • Witness Details  Information will be as nested
  • BodyParts -- Will be separated by , and side will be mentioned in braces Ex: Arm (L)(R)
  • For Nature, Cause and BodyParts -- IF Other(List) is selected then others description will be appended with '-' Ex: Other(List) --- Some Text
  • For Employee, Supervisor, Reported By  -- LastName, MiddleName, First name and Prefix will be combined as shown as single (Prefix(if available) + Firstname+ MiddleName(if available) + LastName)
  • For Witness the First Name, Middle Name, Last Name will not be appended as no field is mandatory
  • Incident Status will be included in the json output
  • DATETIME, INT and FLOAT data will be shown as NULL when there is no data
  • Pin Location Information and Default CAPA is not considered for this release
  • The data that is being shown in response is in EST Date time format ONLY
  • Certain fields are auto-populated in Application but the same will not reflect in JSON until the form is saved

User Interaction

Near Miss

...

Name        Description           Type      Additional information
locationCode

        Represents the unique code of location for which Incident records to return.

           string

      Required

dateFrom

        Represents the starting date of Incident records to return.

           date

      Required but value optional

dateTo

        Represents the ending date of Incident records to return.

           date

      Required but value optional

lastSyncedDate        Represents the data from incident created date or incident modified date.           date      Required but value optional

...

Name        Description           Type      Additional information
locationCode

        Represents the unique code of location for which Incident records to return.

           string

      Required

dateFrom

        Represents the starting date of Incident records to return.

           date

      Required but value optional

dateTo

        Represents the ending date of Incident records to return.

           date

      Required but value optional

lastSyncedDate        Represents the data from incident created date or incident modified date.           date      Required but value optional

...

Name       Description      Sample
Authorization       Represents the value of the authentication token.
       Allow multiple values: no.
      Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ...
ConsumerId       Represents the value of the consumer id.
       Allow multiple values: no.
      2222

Sample Response:

[
{
"Injury/Illness Incident Detail": {
"Incident Details": {
"Incident ID": "sample",
"Incident Title/Site": "sample",
"Incident Type": "sample",
"Location Code": "sample",
"Location": "sample",
"Were multiple people injured as part of this incident?": "sample"
},
"General Details": {
"Date of Incident": "sample"
"Time of Incident": "sample",
"Time Undetermined": "sample",
"Day Of Week": "sample",
"Work Shift": "sample",
"Time Work Day Began": "sample",
"Description of Incident": "sample",
"Incident Occurred on Employer's Premises": "sample",
"Department": "sample",
"Location of Injury Scene": "sample"
},
"Employee / Individual Details": [
{
"Personnel Type": "sample",
"Employee": {
"Last Name": "sample",
"First Name": "sample",
"Middle Name": "sample",
"Salutation": "sample"
},
"Employee ID": "sample",
"Gender": "sample",
"Occupation/Job Title": "sample",
"Hire Date": "sample",
"Employee / Individual Department": "sample",
"Supervisor (Last,First,MI)": {
"Last Name": "sample",
"First Name": "sample",
"Middle Name": "sample"
},
"Supervisor's Email": "sample"
}
],
"Injury/Illness Summary": [
{
"Was employee taken offsite for evaluation by a medical professional?": "sample",
"Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?": "sample",
"Has OSHA been contacted?": "sample",
"Please Identify OSHA Contact Details ”Name and Phone Number”": "sample",
"Nature of Injury / Illness": "sample",
"Cause of Injury/Illness": "sample",
"Injured Body Parts": [
"Finger(s) (L)"
],
"What was the employee doing just before the incident occurred?": "sample",
"Please describe what object or substance directly harmed the employee?.If this question does not apply, enter “not applicable”?": "sample",
"Machine/Equipment Number": "sample",
"Type": "sample",
"Brand": "sample",
"Model": "sample"
}
],
"Witness Information": {
"Are there any Witnesses identified?": "sample",
"Number of Witnesses": 1,
"Witness Information": [
{
"First Name": "sample",
"Middle Name": "sample",
"Last Name": "sample",
"Phone Number": "sample",
"Notes": "sample"
}
]
},
"Additional Incident Information": {
"Incident Status": "sample",
"Created By": "sample",
"Created Date": "sample",
"Last Updated By": "sample",
"Last Updated Date": "sample"
}
},
"Case Management": {
"Classification of Case": [
{
"Case Number": "sample",
"Was this case Work-Related?": "sample",
"Describe the reason for the \"Non Work Related\" classification": "sample",
"Did this incident result in a fatality?": "sample",
"Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample",
"Did the incident result in work restrictions, lost time or job transfer?": "sample",
"Was Treatment Provided beyond First Aid? (Prescription strength medications, Application of wound closing devices, Intravenous Fluids)": "sample",
"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",
"Was treatment defined as \"First Aid\" provided?": "sample",
"This is a First Aid Case, identify the specific treatment(s) provided": "sample",
"Is This a Bunge (US OSHA) defined Recordable Case ?": "sample",
"Describe the reason for the \"Not Recordable\" classification": "sample",
"Is this Case Recordable According to Local Record keeping Requirements ?": "sample",
"Case Status": "sample",
"Comments": "sample",
"Completed By": "sample",
"Title": "sample",
"Phone": "sample"
}
],
"Case Classification and Progress Tracking": {
"Other Recordable/MAA": [
{
"Employee Name": "sample",
,
"Classification of Case": "sample",
"Date Other Recordable/MAA Case Occurred": "sample",
"Reason for Classification": "sample",
"Comments": "sample",
"Official Medical Diagnosis (Nature of Injury / Illness)": "sample",
"Was Treatment provided offsite?": "sample",
"Hospital / Clinic Name": "sample",
"Type": "sample",
"Physician/Healthcare Provider": "sample",
"Street": "sample",
"City": "sample",
"Country": "sample",
"State": "sample",
"Postal Code/Zip Code": "sample",
"Phone": "sample",
"Fax": "sample",
"Was the employee treated in an emergency room": "sample",
"Was employee hospitalized overnight as an in-patient": "sample",
"Recording/Revision Date": "sample"
}
]
}
},
"Claim": {
"Claim Information": [
{
"Do you want to file a claim for this incident?": "sample",
"Worker's Comp ID": "sample",
"Workers Comp Claim#": "sample",
"Incident Reported By": "sample",
"Reporter's Email": "sample",
"Reporter's Phone": "sample",
"Injury Date": "sample",
"Injury Day of Week": "sample",
"Time of Injury": "sample",
"Time Workday (Shift) Began": "sample",
"Incident id/Case No": "sample",
"Is this Claim work related?": "sample",
}
],
"Employee/Individual Details": [
{
"Employee Name First": "sample",
"Middle": "sample",
"Last": "sample",
"Home Address:Street": "sample",
"City": "sample",
"State": "sample",
"Zip": "sample",
"Home Phone Number": "sample",
"Gender": "sample",
"Date of Birth": "sample",
"Marital Status": "sample",
"Hire Date": "sample",
"Years at Bunge": "sample",
"Number of Dependants": 2,
"Type of Employment": "sample",
"Occupation": "sample",
"Department Name": "sample",
"State Hired": "sample",
"Supervisor Name": "sample",
"Supervisor Phone": "sample",
"Current Weekly Wage": "sample",
"Hourly Wage": "sample",
"Hours worked per Week": "sample",
"Days worked Per Week": "sample",
"Hours worked Per Day": "sample",
"Employment Status": "sample",
"Employee ID Number": "sample",
"Was Employee Paid in Full for Date of Injury": "sample",
"Any Prior WC Injuries": "sample",
"OSHA Reference No.": "sample",
"Will employee's salary continue?": "sample",
}
],
"Employer Information": [
{
"Health & Safety / WC Contact Name": "sample",
"Telephone Number": "sample",
"Title": "sample",
"Mailing Address": "sample",
"City": "sample",
"State": "sample",
"Zip": "sample",
"Employer Location Code": "sample",
"Employer SIC": "sample",
"Nature of Business": "sample",
"Employer Name": "sample"
}
],
"Accident Information": [
{
"Did the Accident Occur at the Work Location?": "sample",
"If no , where did the accident occur? Accident Address": "sample",
"City": "sample",
"State": "sample",
"Zip": "sample",
"Give a full Description of the Accident: (Be as Complete as Possible)": "sample",
"What was the employee doing just before the incident occurred?": "sample",
"Please describe what object or substance directly harmed the employee?": "sample",
"Jurisdiction State": "sample",
"Date and Time Reported to Employer": "sample",
"Hours: Minutes": "sample"
}
],
"Injury Information": [
{
"Did incident result in a fatality?": "sample",
"Date fatality occurred": "sample",
"Did the employee lose any time from work?": "sample",
"What was the first full day out": "sample",
"Do you know the Date Employee Last Worked?": "sample",
"Date Employee Last Worked": "sample",
"Has the employee returned to work?": "sample",
"Date Returned to Work": "sample",
"Return to Work Status": "sample",
"Estimated return to work date": "sample",
"Nature of Injury": "Cut / "sample",
"Cause of Injury/illness": "sample",
"Which Part of the Body was Injured?": [
"Finger(s)(L)"
],
"Part of the Body Location?": "sample",
"Needle Stick Injury": "sample",
"Reqs Sharps Inj Log": "sample"
}
],
"Medical Information": [
{
"Was employee sent to Hospital / Clinic to receive Medical Treatement?": "sample",
"Initial Medical Treatment": "sample",
"Hospital / Clinic Name": "sample",
"Address": "sample",
"City": "sample",
"State": "sample",
"Zip": "sample",
"Phone": "sample",
"Fax": "sample",
"Clinic/Doctor Name": "sample"
}
],
"Witness Information": [
{
"Were There Any Witnesses?": "sample",
"If Yes, Name": "sample",
"Contact": "sample"
}
],
"Additional Comments and Information": [
{
"Do you question the validity of the claim": "sample",
"If yes, provide Details": "sample",
"Other Comments": "sample"
}
],
"Report Prepared By": [
{
"Name": "sample",
"Title": "sample",
"Phone": "sample"
}
]
},
"Investigation Report": {
"Investigation Responsibility": { },
"Investigation Details": [
{
"Is this an Ergonomic injury?": "sample"
},
{
"Description of incident (please maintain in local language if other than English)": "sample"
},
{
"Is this an HPE incident?": "sample",
"Please select Non-HPE Type": "sample",
"HPE Type": "sample"
},
{
"Task at time of incident": "sample",
},
{
"Did incident interrupt normal operations?": "sample",
"Length of Downtime": "sample",
"Describe interruption:": "sample"
},
{
"Was it necessary to retain items involved with this incident? (tools, equipment, etc.)": "sample",
"If yes, please list items retained and current location": "sample"
},
{
"Were Local or Government Authorities contacted as a result of this incident?": "sample",
"Which agencies were contacted?": {
"Which agencies were contacted?": "sample",
"Please specify": "sample"
}
},
{
"Post Accident: Drug/Alcohol Screen Conducted": "sample"
},
{
"Date Reported to Management": "sample"
},
{
"Time Reported to Management": "sample"
},
{
"Length of Normal Workday": "sample"
},
{
"length of employment at current position": "sample"
},
{
"length of employment at current position Unit": "Years"
},
{
"Was any Machine / Equipment involved?": "sample",
"Machine/Equipment Number": "sample"
},
{
"Specific Work Activity when the incident occurred": "sample",
"Please specify:": "sample"
}
],
"Ergonomic Analysis": [ ],
"Contributing Factor/Immediate Cause": [
{
"Contributing Factor Type (Parent)": "sample",
"Contributing Factor/Immediate Cause": [
"sample"
],
"Comments": "sample"
},
{
"Contributing Factor Type (Parent)": "sample",
"Contributing Factor/Immediate Cause": [
"sample"
],
"Comments": "sample"
}
],
"5 Why? Methodology": [
{
"Select Action or Condition that may have directly caused incident": [
"sample"
],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "sample"
},
{
"Final Root Cause/Basic Cause Checked": "sample"
}
]
},
{
"Select Action or Condition that may have directly caused incident": [
"sample"
],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "sample"
},
{
"Final Root Cause/Basic Cause Checked": "sample"
}
]
}
],
"Root Cause/Basic Cause Analysis": [
{
"Root cause Type (Parent)": "sample",
"Root Cause/Basic Cause": [
"sample"
],
"Comments": "sample"
}
],
"Lessons Learned": [
{
"Lessons Learned": "sample"
}
]
},
"Action Items": [
{
"Source ID": "sample",
"Source Title": "sample",
"Action Item Title": "sample",
"Action Item Category": "Incident Management",
"Action Item Type": "Corrective Action",
"Action Item Description": "sample",
"Action Item Priority": "High",
"Action Item Due Date": "sample",
"Owners": [
"sample"
],
"Assigned By": "sample",
"Verification Required": "sample",
"Action Item Status": "sample",
"Action Taken": "sample",
"Action Item Completed By": "sample",
"Completed Date": "sample",
"Due Date Extension": "sample",
"Requested Due Date Extension": "sample",
"Reason for Due Date Extension": "sample",
"Due Date Extension Request Approved?": "sample",
"Reason for not extending the Due Date": "sample"
}
]
}
]

...

Name        Description           Type      Additional information
locationCode

        Represents the unique code of location for which Incident records to return.

           string

      Required

dateFrom

        Represents the starting date of Incident records to return.

           date

      Required but value optional

dateTo

        Represents the ending date of Incident records to return.

           date

      Required but value optional

lastSyncedDate        Represents the data from incident created date or incident modified date.           date      Required but value optional

...

Name       Description      Sample
Authorization       Represents the value of the authentication token.
       Allow multiple values: no.
      Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ...
ConsumerId       Represents the value of the consumer id.
       Allow multiple values: no.
      2222

Sample Response:

[
{
"Environmental Incident Details": {
"Incident Details": {
"Incident Internal ID": "US-WESTLAKE-17-I-0040",
"Incident ID (System Generated)": "US-WESTLAKE-17-E-0007",
"Incident Title/Site": "Multiple Injuries",
"Incident Type": "Environmental/Radiological",
"Location Code": "Westlake",
"Location": "Westlake"
},
"General Details": {
"Date of Incident": "2017-05-16T00:00:00.000Z",
"Time of Incident": "8:10",
"Time Undetermined": "No",
"Day Of Week": "Tuesday",
"Job Shift": "Morning",
"Time Work Day Began": "6:00",
"Is this a serious Incident or has the Potential to be Serious?": "",
"Description of Incident": "Forklift struck two pedestrians",
"Incident Occurred on Employer's Premises": "Yes",
"Address of Incident Location": "6100 Heisley Road",
"City": "West Windsor",
"County": "USA",
"Country": "United States",
"State/Province": "NJ-New Jersey",
"Postal Code/Zip Code": "08550",
"Department": "Warehouse",
"Was Asset involved": "Yes",
"Asset(s)": [ "Asset1", "Asset2" ],
"Date Reported to Employer": "2017-05-16T00:00:00.000Z",
"Time Reported To Employer": "15:05",
"Confirm Significance Level of Incident": "Level 2"
},
"Employee / Individual Details": [
{
"Was an Employee / Individual involved in the Incident?": "Yes",
"Personnel Type": "Employee",
"First Name of Employee": "Mark",
"Middle Name of Employee": "Middle Name",
"Last Name of Employee": "Bickle",
"Employee Id": "201612309"
},
{
"Was an Employee / Individual involved in the Incident?": "Yes",
"Personnel Type": "Employee",
"First Name of Employee": "Gary",
"Middle Name of Employee": "Middle Name",
"Last Name of Employee": "Avalos",
"Employee Id": "21146427"
}
],
"Environmental Incident Details": {
"Environmental Incident Type": "Discharge",
"Cause of Incident": "Chemical Contact",
"Hazard Classification": "Classification",
"Severity": "Severity",
"ERCA Required?": "ERCA",
"Weather conditions": "Bad Weather conditions",
"Did incident involve shipping of hazardous material": "Yes",
"Carrier Name": "Carrier Name",
"Contact Info": "Contact Info",
"Vehicle ID#": "123456",
"Was the emergency Response Plan reviewed after the incident to see if changes are needed?": "Yes",
"Was there a release to the environment?": "No",
"Was there a spill of substance?": "No"
},
"Substance Details": [
{
"Name of Substance": "Crude Oil",
"Percentage of Mix": 10,
"Amount Spilled": "20 KG",
"Amount Recovered": "30 Litres",
"Amount Disposed off": "40 Ounces"
},
{
"Name of Substance": "Diesel",
"Percentage of Mix": 10,
"Amount Spilled": "20 BBLS",
"Amount Recovered": "30 Gallons",
"Amount Disposed off": "50 KG"
}
],
"Damage Summary": {
"Was there any hazardous material involved ?": "Yes",
"If Yes, identify the Material": [ "Material1", "Material2" ],
"Do you have MSDS?": "No",
"Was the facility evacuated?": "No",
"Was a Contractor Involved in the Incident?": "No",
"Please Provide Contractor Details (Name, Company, Phone, etc.)": "John, PMAP,12345678",
"Was The Contractor Trained On Company Policies?": "Yes",
"Describe Any Damage Caused": "Damage Caused in company",
"Describe What Caused the Incident To Occur": "Damage Caused",
"Describe Work Activity Being Performed During Incident": "Damage Caused",
"Was the Applicable Regulatory Agency Notified?": "Damage Caused"
},
"Agency Details": [
{
"Agency Notified": "Mississippi Oil & Gas Board",
"Date of Notification": "2021-03-09T00:00:00.000Z",
"Time of Notification": "11:45",
"Contact Name": "Test",
"Contact Number": "1234567"
},
{
"Agency Notified": "LEPC",
"Date of Notification": "2021-03-09T00:00:00.000Z",
"Time of Notification": "12:50",
"Contact Name": "3453453453453",
"Contact Number": "65456456"
}
],
"Witness Information": [
{
"Are there any Witnesses identified?": "Yes",
"Number of Witnesses": 2
},
{
"Last Name": "Test",
"First Name": "Test",
"Middle Name": "Test",
"Phone Number": "12345678",
"Notes": "Test",
"Witness Relation to ProcessMAP(Coworker, friend, public, supervisor, venue employee)": "TEst"
},
{
"Last Name": "Last Name",
"First Name": "Last Name",
"Middle Name": "Last Name",
"Phone Number": "12345678",
"Notes": "Last Name",
"Witness Relation to ProcessMAP(Coworker, friend, public, supervisor, venue employee)": "Last Name"
}
],
"Additional Incident Information": {
"Incident Status": "Investigation Report Incomplete",
"Created By": "Tina Duffy",
"Created Date": "2017-05-16T12:02:59.183Z",
"Last Updated By": "Tina Duffy",
"Last Updated Date": "06/14/17 11:00:06 AM"
}
},
"Investigation Report": {
"Investigation Responsibility Details": [
{
"Target Completion Date": "2021-05-24T09:49:25.88Z",
"Comments": "sample string 1",
"Notify / YN": "sample string 2"
},
{
"Target Completion Date": "2021-05-24T09:49:25.88Z",
"Comments": "sample string 1",
"Notify / YN": "sample string 2"
}
],
"Investigation Responsibility assignee Details": [
{
"Salutation": "sample string 2",
"First Name": "sample string 3",
"Last Name": "sample string 4"
},
{
"Salutation": "sample string 2",
"First Name": "sample string 3",
"Last Name": "sample string 4"
}
],
"Investigation Details": [
{
"Was an asset involved in the Injury of the Employee?": "Yes",
"Asset ID Number": "123456 reg 19.1"
},
{
"Did affected employee(non-injured) voilate work rule?": "Yes",
"Name of employee": "Bettua John "
},
{
"What is the Job Number? (If not applicable enter 'NA')": "Test"
},
{
"EHS Category: Was Crane, Rigging, Lifting Devices or Vehicles involved?": "Yes",
"Crane, Rigging Devices, Lifting Devices or Vehicles?": {
"Crane, Rigging Devices, Lifting Devices or Vehicles?": "Crane",
"Crane Unit Number": "123456",
"Crane Make": "Test",
"Age of Crane (In Years)": "1-20",
"Crane Year Model": "2020",
"Crane Type": "Truck",
"Crane Last Annual Certification Date": "04/05/2021",
"Crane Last Monthly Inspection": "04/05/2021",
"Crane Daily Inspection": "No",
"Rigging Types": "Test",
"Rigging Make": "Test",
"Rigging Serial no": "Test",
"Rigging Capacity": "Test",
"Rigging Size/Length": "Sample",
"Rigging Date of Certification": "Sample",
"Rigging Date of Last Inspection": "Sample",
"Rigging Correct Color Code Inspection Tag": "Sample",
"Lifting Devices Types": "Sample",
"Lifting Devices Make": "Sample",
"Lifting Devices Serial No.": "Sample",
"Lifting Devices Unit No.": "Sample",
"Lifting Devices Capacity": "Sample",
"Lifting Devices Size/Length": "Sample",
"Spreader Bar Type": "Sample",
"Personnel Basket": "Sample",
"Lifting Devices Date of Certification": "Sample",
"Lifting Devices Date of Last Inspection": "Sample",
"Vehicle Types": "Sample",
"Vehicle Make": "Sample",
"Vehicle Model": "Sample",
"Vehicle Year": "Sample",
"Vehicle Unit No": "Sample",
"Vehicle Pre-Trip Inspection Completed?": "Sample",
"Vehicle Date of Last Inspection": "Sample"
}
},
{
"Did a contractor contribute to the incident?": "Yes",
"Was the contractor trained on site policies before starting work?": "Yes"
},
{
"Was the incident preventable?": "No",
"Describe how incident could have been prevented:": "Yes"
},
{
"Post-Incident Drugs & Alcohol Test?": "Yes",
"Test Type?": "DOT",
"Date of Testing": "04/05/2021",
"Why wasn't testing performed?": "Need to test"
},
{
"Employee(s) involved attended IIF Orientation?": "Yes"
},
{
"Employee(s) involved attended IIF Supervisor Skills Training?": "Yes"
},
{
"Employee(s) involved attended other IIF functions?": "No",
"If yes above, please describe:": "Sample Text"
},
{
"Did affected employee(non-injured) voilate work rule?": "No",
"Name of employee": "Sam Atom"
}
],
"Contributing Factors": [
{
"Contributing Factor Type (Parent)": "Material",
"Contributing Factors": [
"Hazardous substances"
],
"Comments": "Material"
}
],
"5 Why? Methodology": [
{
"Select Action or Condition that may have directly caused incident": [
"Sun in Eyes"
],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "Why 1"
},
{
"Why or what created the scenario above to affect the action or condition": "Why 2"
},
{
"Why or what created the scenario above to affect the action or condition": "Why 3"
},
{
"Final Root Cause Checked": "No"
}
]
}
],
"Root Cause Statement": [
{
"Root cause Type (Parent)": "Behavioral Factor's",
"Root Cause": [
"Anger/frustration"
],
"Comments": ""
},
{
"Root cause Type (Parent)": "High Potential & Exposures",
"Root Cause": [
"Falls from Height & into Water"
],
"Comments": ""
},
{
"Root cause Type (Parent)": "Unsafe Act-Competence/Knowledge",
"Root Cause": [
"B - Little or No Experience in Specific Job"
],
"Comments": ""
}
],
"Release Impact Details": [
{
"Impacts": "sample string 3",
"Comments": "sample string 4",
"Environmental Media": "sample string 5"
},
{
"Impacts": "sample string 3",
"Comments": "sample string 4",
"Environmental Media": "sample string 5"
}
],
"Final root cause statement Details": [
{
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
},
{
"FinalRootCauseStatement": "sample string 2",
"PrimaryCounterMeasure": "sample string 3",
"PrimaryRootCause": "sample string 4"
}
]
},
"Action Items": [
{
"Source ID": "CA-WESTLAKE-20_21-I-0276",
"Source Title": "Env Test",
"Action Item Title": "Action Item One",
"Action Item Category": "Incident Management",
"Action Item Type": "Preventative Action",
"Root Cause": [
"B - Little or No Experience in Specific Job",
"Falls from Height & into Water"
],
"Action Item Description": "Desc",
"Action Item Priority": "Reg 1921",
"Action Item Due Date": "2021-05-05T00:00:00.000Z",
"Owners": [
"Mahendra Nath",
"Ravi Ranjan",
"Satish Korupol"
],
"Responsible Department": "Contact Centers",
"Applicable to Expansion": "No",
"Description of Actions to be Expanded": "Sample",
"Applicable to EEM/EPM Info": "No",
"EEM / EPM": "Sample",
"EEM/EPM Info Submitted": "Sample",
"Document Number": "Sample",
"Assigned By": "Jo'hn Smith1",
"Verification Required": "No",
"Approval Status": "Open",
"Approvers": [ "Sample", "Sample", "Sample" ],
"Approval Comment": "",
"Approval Date": "2021-05-05T00:00:00.000Z",
"Action Item Status": "Open",
"Action Taken": "Sample",
"Action Item Completed By": "Sample",
"Completed Date": "2021-05-05T00:00:00.000Z",
"Due Date Extension": "",
"Requested Due Date Extension": "2021-05-05T00:00:00.000Z",
"Reason for Due Date Extension": "Sample",
"Due Date Extension Request Approved?": "Sample",
"Reason for not extending the Due Date": "Sample"
},
{
"Source ID": "CA-WESTLAKE-20_21-I-0276",
"Source Title": "Env Test",
"Action Item Title": "ytruw",
"Action Item Category": "Incident Management",
"Action Item Type": "Corrective Action",
"Root Cause": [],
"Action Item Description": "",
"Action Item Priority": "Reg 1921",
"Action Item Due Date": "2021-05-18T00:00:00.000Z",
"Owners": [
"Satish Korupol"
],
"Responsible Department": "Test C",
"Assigned By": "Jo'hn Smith1",
"Verification Required": "No",
"Action Item Status": "Open",
"Action Taken": "Sample",
"Action Item Completed By": "Sample",
"Completed Date": "2021-05-18T00:00:00.000Z",
"Due Date Extension": "",
"Requested Due Date Extension": "2021-05-18T00:00:00.000Z",
"Reason for Due Date Extension": "",
"Due Date Extension Request Approved?": "Sample",
"Reason for not extending the Due Date": "Sample"
}
],
"Management Review": [
{
"Role": "Level-1",
"Owner": [
" Jo'hn Smith1 "
],
"Approval Due Date": "05/25/21 4:20:38 PM",
"Comments": "Comments",
"Completed By": "John Mark",
"Completed Date": "2021-05-05T00:00:00.000Z"
},
{
"Management Review Status": "Open"
}
]
}
]

...

SectionField NameDatabase Column Size
Incident Detail  

Incident ID *NVARCHAR(400)

Internal Incident IDNVARCHAR(200)

Incident Title/Site*NVARCHAR(400)

Incident Type *INT

Were multiple people injured as part of this incident?NVARCHAR(50)
General Details  

Date of Incident *DATETIME

Time of Incident *NVARCHAR(100)

Time undeterminedNVARCHAR(10)

Day Of Week **NVARCHAR(100)

Work Shift **NVARCHAR(1000)

Time Work Day Began **NVARCHAR(200)

Is this a serious Incident or has the Potential to be Serious?NVARCHAR(200)

Description of Incident *NVARCHAR(8000)

Incident Occurred on Employer's Premises *NVARCHAR(100)

Address of Incident Location *NVARCHAR(1000)

City *NVARCHAR(100)

CountyNVARCHAR(100)

Country * NVARCHAR(100)

State/Province *NVARCHAR(100)

Postal Code/Zip CodeNVARCHAR(100)

Department *NVARCHAR(1000)

Department where the incident/injury occurredNVARCHAR(1000)

Was Asset involvedNVARCHAR(100)

Asset(s)NVARCHAR(1000)

Date and Time Reported to Employer DATETIME

TimeNVARCHAR(200)

Confirm Significance level of incidentNVARCHAR(1000)
Employee / Individual Details  

Was an Employee / Individual involved in the Incident?NVARCHAR(100)

Personnel Type *NVARCHAR(100)

Employee / Individual Involved ( Last, First, M.I.) *NVARCHAR(200),
NVARCHAR(200),
NVARCHAR(200)

Employee Id *NVARCHAR(200)

Do you want to further classify Unsupervised Contract EmployeeNVARCHAR(50) 

Type of Client PersonnelNVARCHAR(20)

Client CompanyNVARCHAR(100)

Name of ContractorNVARCHAR(800)

Name of Sub-ContractorNVARCHAR(800)

Was any Machine / Equipment involved?NVARCHAR(100)

Machine/Equipment NumberNVARCHAR(400)

Reviewed by EHS RepresentativeNVARCHAR(800)

Review DateDateTime
Substance Details  

Name of SubstanceNVARCHAR(1000)

Percentage of MixINT

Amount SpilledNVARCHAR(200)

Amount Spilled UnitsINT

Amount Recovered QtyNVARCHAR(200)

Amount Recovered UnitsINT

Amount Disposed QtyNVARCHAR(200)

Amount Disposed UnitsINT
Agency Details 

Agency NotifiedNVARCHAR(1000)

Date of NotificationDATETIME

Time of NotificationNVARCHAR(50) 

Contact NameNVARCHAR(100)

Contact NumberNVARCHAR(100)
Environmental Incident Details

Environmental Incident TypeNVARCHAR(50)

Cause of IncidentNVARCHAR (50)

Hazard ClassificationNVARCHAR (400)

SeverityNVARCHAR(50)

ERCA Required?NVARCHAR(50)

Weather conditionsNVARCHAR(500) 

Note quantity/units spilled/leaked/emittedNVARCHAR(100)

Did incident involve shipping of hazardous materialNVARCHAR(50)

Carrier NameNVARCHAR(50)

Contact InfoNVARCHAR(50)

Vehicle ID#NVARCHAR(50)

Was the emergency Response Plan reviewed after the incident to see if changes are needed?NVARCHAR(50)

Was there a release to the environment?NVARCHAR(50) 

Was there a spill of substance?NVARCHAR(50)
Damage Summary 

Was there any hazardous material involved ?NVARCHAR(50)

If Yes, identify the MaterialNNVARCHAR(MAX)

Do you have MSDS?NVARCHAR(500)

Was the facility evacuated?NVARCHAR(500)

Was a Contractor Involved in the Incident?NVARCHAR(50)

Please Provide Contractor Details (Name, Company, Phone, etc.)NVARCHAR(50)

Was The Contractor Trained On Company Policies?NVARCHAR(500)

Describe Any Damage CausedNVARCHAR(50)

Describe What Caused the Incident To OccurNVARCHAR(50)

Describe Work Activity Being Performed During IncidentNVARCHAR(50)

Was the Applicable Regulatory Agency Notified?NVARCHAR(50)
Witness Information  

Are there any Witnesses identified?NVARCHAR(20)

Number of Witnesses                                  INT

Last NameNVARCHAR(50)

First NameNVARCHAR(50)

Middle NameNVARCHAR(50)

Phone NumberNVARCHAR(100)

NotesNVARCHAR(2000)

Witness relation to <CUSTOMER> Coworker, friend, public, supervisor, venue employeeNVARCHAR(500)
Additional Incident Information

Incident StatusNVARCHAR(100)

Created ByNVARCHAR(100)

Created DateDATETIME

Last Updated ByNVARCHAR(100)

Last Updated DateDATETIME

...

Section Field NameDatabase Column Size
Source Details  

Source IDNVARCHAR(400)

Source TitleNVARCHAR(400)

Management Review RoleVARCHAR(50)

TMS Enabled DepartmentNVARCHAR(50)

TMS Work Order NumberNVARCHAR(100)
Create  

Action Item TitleNVARCHAR(50)

Action Item CategoryNVARCHAR(2000)

Action Item TypeNVARCHAR(50)

Root CauseNVARCHAR(2000)

Action Item DescriptionNVARCHAR(2000)

Action Item PriorityNVARCHAR(1000)

Action Item Due DateDATETIME

Owner NVARCHAR(1000)

Responsible DepartmentNVARCHAR(1000)

Countermeasure NVARCHAR(1000)

Applicable to Expansion?NVARCHAR(10) 

Description of Actions to be Expanded  *NVARCHAR(1000) 

Applicable to EEM/EPM Info ?NVARCHAR(10) 

EEM / EPM  *NVARCHAR(10) 

EEM/EPM Info Submitted ?NVARCHAR(10) 

Document Number  *NVARCHAR(200)

Assigned ByVARCHAR(50)

Verification requiredNVARCHAR(100)

Verify UserNVARCHAR(2000)
Approval  

Approval StatusINT

ApproversNVARCHAR(2000)

Approval CommentNVARCHAR(2000)

Approval DateDATETIME
Complete  

Action Item StatusNVARCHAR(100)

Action TakenNVARCHAR(2000)

Action item Completed ByVARCHAR(50)

Action item Completed DateDATETIME

Due Date ExtensionNVARCHAR(50)

Requested Due Date Extension NCHAR(10)

Reason for Due Date ExtensionNVARCHAR(2000)

Due Date Extension Request Approved?NVARCHAR(2000)

Reason for not extending the Due Date.DATETIME
Review/Verify  

Verification StatusINT

Verification PerformedVARCHAR(50)

Verified ByINT

Verification DateDATETIME

CommentsNVARCHAR(2000)
Cost Information  

Capital Expenditure involved

Approximate cost

Estimated Budget

Management Review (Common to All Incident Types)

SectionField NameDatabase Column Size

RoleNVARCHAR(100)

OwnerNVARCHAR(2000)

Approval Due DateDATETIME

CommentsNVARCHAR(1000)

Completed ByNVARCHAR(100)

Management Review StatusVARCHAR(50)

Vehicle Details:

Incident Details

Request

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

Ex: papi/v1/imsoutbound/vehicleincidents?locationCode=westlake&dateFrom=2019-07-01&dateTo=2019-07-30&lastSyncedDate=2019-01-01

...

When DateFrom, DateTo and LastSyncedDate are provided, data will be returned based on LastSyncedDate only.

Name        Description           Type      Additional information
locationCode

        Represents the unique code of location for which Incident records to return.

           string

      Required

dateFrom

        Represents the starting date of Incident records to return.

           date

      Required but value optional

dateTo

        Represents the ending date of Incident records to return.

           date

      Required but value optional

lastSyncedDate        Represents the data from incident created date or incident modified date.           date      Required but value optional

Headers

Name       Description      Sample
Authorization       Represents the value of the authentication token.
       Allow multiple values: no.
      Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ...
ConsumerId       Represents the value of the consumer id.
       Allow multiple values: no.
      2222

Sample response:

[
{
"Detail Report": {
"Incident Details": {
"Incident ID (System Generated)": "US-WESTLAKE-20_21-I-0360",
"Incident Internal ID": "US-WESTLAKE-20_21-V-0107",
"Incident Title/Site": "US-WESTLAKE-20_21-I-0360",
"Incident Type": " Vehicle"
},
"General Details": {
"Date of Incident": "2021-05-01T00:00:00.000Z",
"Time of Incident": "sample",
"Time Undetermined": "Yes",
"Day Of Week": "Saturday",
"Job Shift": "Morning",
"Time Work Day Began": "2:00",
"Description of Incident": "Vehicle Incident",
"Incident Occurred on Employer's Premises": "No",
"Address of Incident Location": "A59",
"City": "ABC City",
"County": "ABC County",
"Country": "United States",
"State/Province": "AL-Alabama",
"Postal Code/Zip Code": "9000000",
"Operating Unit": "sample",
"Confirm Significance Level of Incident": "Level 1"
},
"Employee / Individual Details": {
"Would you like to submit a Vehicle claim?": "Yes",
"Personnel Type": "Subcontractor",
"First Name of Employee": "Sub",
"Middle Name of Employee": " ",
"Last Name of Employee": "Contractor",
"Employee Id": "Sub123",
"Occupation/Job Title": "Raw Materials Collector"
},
"Vehicle Incident Summary": {
"Please identify the weight of the vehicle?": "Less than 10,000 lbs",
"Company Vehicle Type (please provide description of Vehicle)": "Veh M88",
"Please identify the condition of the employee?": "Employee Hospitalized - Overnight Stay Required",
"Length of Service (L.O.S.) as Company Driver": "1 Years 9 Weeks",
"Is company driver a Commercial Driver's License holder?": "No",
"State of License": "British Columbia",
"Date of Expiration": "2020-03-20T00:00:00.000Z"
},
"Vehicle Details": [
{
"Vehicle Number": "12334212",
"Year of Vehicle": "2018",
"Make of Vehicle": "Make 67P",
"Model of Vehicle": "2018",
"VIN Number": "352352352352",
"License Tag Number": "LT12424232523",
"State of License Plate Tag": "Arkansas",
"Trailer (if Applicable)": "ABC Trailer",
"Model of Trailer": "M98",
"Damage to Company Vehicle?": "No",
"Was vehicle towed as a result of the incident?": "No",
"Please explain who towed the vehicle?": "sample",
"Address / Location of Incident / Cross Section": "CS 67",
"City": "CTY city",
"State": "ABC State",
"Did incident occur within a construction zone?": "No",
"Please select scenario that best represents traffic / road condition?": " Frozen and Icy",
"Scenario That Best Represents The Weather Conditions At The Time Of The Incident": " Clear Skies, Dust"
}
],
"Insurance Information (Vehicle 1 is always Company Vehicle)": [
{
"Please identify number of vehicles / parties involved in accident": 1
},
{
"Name of Individual": "John Harry",
"Insurance Company": "Insurance Company Abc",
"Insurance Company Policy Number": "98A5G",
"Address": "A56",
"Phone Number": "9898989898",
"Names of all passengers involved in vehicle": "John,Peter,James",
"Additional Comments / Notes": "Abc Comments"
}
],
"Witness Information": [
{
"Are there any Witnesses identified?": "Yes",
"Number of Witnesses": 1
},
{
"Last Name": "John",
"First Name": "Peter",
"Middle Name": "Harry",
"Phone Number": "8888888888",
"Notes": "Notes Abc",
"Witness Relation to ProcessMAP(Coworker, friend, public, supervisor, venue employee)": "public"
}
],
"Additional Incident Information": {
"Incident Status": "Detail Report Completed",
"Created By": "John Smith1",
"Created Date": "2021-05-19T16:29:47.797Z",
"Last Updated By": "John Smith1",
"Last Updated Date": "2021-05-25T16:33:19.747Z"
}
},
"Reportability & Chargeability": {
"Did the incident result in a fatality for company driver / passenger?": "Yes",
"Were there any non-employees (other parties) injured as a result of the incident?": "Yes",
"Did the incident result in a fatality for any parties involved (non-employees)?": "Yes",
"Were any of the parties involved treated away from the scene (i.e., transported by ambulance from scene)?": "Yes",
"Were there any Hazardous Materials spilled": "Yes",
"Does this incident need to be reported to the Department of Transportation (DOT)?": "Yes",
"Please identify DOT Reportable Type": "Ambulance + Driver Cited",
"Please provide any comments necessary for verifying DOT Reportable Classification": "Classification",
"Last Federal Annual Inspection Date": "05/25/21 12:00:00 AM",
"Last Driver Vehicle Inspection Report Date": "2021-05-25T00:00:00.000Z",
"Please identify if a chargeable accident for Company Vehicle": "Chargeable Vehicle Accident (CVA)",
"Please select the expected payout / cost associated with the Vehicle Accident?": "Less than $100",
"Please provide the total payout cost": 34,
"Comments": "Comments"
},
"Summary of Injured Parties": {
"Summary of Injured Parties": [
{
"Injured Party Type": "Driver (Employee driving Co.'s Vehicle)",
"Name Of Involved Person": "Sub Contractor",
"Age": 66,
"Residential Address": "Address A",
"City": "City A",
"State": "State A",
"Postal Code/Zip Code": "7878787",
"Phone Number": "7878787878",
"Injuries Resulted in a Fatality": "1",
"Date of Fatality": null,
"Was individual hospitalized as a result of injuries?": "0",
"Hospital Name": "General Hospital",
"Hospital Address": "1234 Emergency St",
"Hospital City": "Fenton",
"Hospital State": "Michigan",
"Hospital Zip": "48430",
"Hospital Phone": "123-456-7890",
"Hospital Fax": "sample",
"Doctor Name": "Dr. Smith"
},
{
"Injured Party Type": "Passenger (Employee riding Co.'s Vehicle)",
"Name Of Involved Person": "James John",
"Age": 55,
"Residential Address": "A56",
"City": "City A",
"State": "State A",
"Postal Code/Zip Code": "7878787",
"Phone Number": "898989898989",
"Injuries Resulted in a Fatality": "0",
"Date of Fatality": "2021-05-25T00:00:00.000Z",
"Was individual hospitalized as a result of injuries?": "0",
"Hospital Name": "General Hospital",
"Hospital Address": "1234 Emergency St",
"Hospital City": "Fenton",
"Hospital State": "Michigan",
"Hospital Zip": "48430",
"Hospital Phone": "123-456-7890",
"Hospital Fax": "sample",
"Doctor Name": "Dr. Smith"
}
],
"Total Number of Injured": 1,
"Total Number of Deaths": 1
},
"Investigation Report": {
"Investigation Responsibility": {},
"Investigation Details": [
{
"Was an asset involved in the Injury of the Employee?": "No",
"Asset ID Number": "sample"
},
{
"Did affected employee(non-injured) voilate work rule?": "No",
"Name of employee": "sample"
},
{
"What is the Job Number? (If not applicable enter 'NA')": "66"
},
{
"EHS Category: Was Crane, Rigging, Lifting Devices or Vehicles involved?": "Yes",
"Crane, Rigging Devices, Lifting Devices or Vehicles?": {
"Crane, Rigging Devices, Lifting Devices or Vehicles?": "Crane",
"Crane Unit Number": "A7",
"Crane Make": "C5",
"Age of Crane (In Years)": "1-20",
"Crane Year Model": "M55",
"Crane Type": "Crawler",
"Crane Last Annual Certification Date": "05/25/2021",
"Crane Last Monthly Inspection": "05/25/2021",
"Crane Daily Inspection": "Yes",
"Rigging Types": "sample",
"Rigging Make": "sample",
"Rigging Serial no": "sample",
"Rigging Capacity": "sample",
"Rigging Size/Length": "sample",
"Rigging Date of Certification": "sample",
"Rigging Date of Last Inspection": "sample",
"Rigging Correct Color Code Inspection Tag": "sample",
"Lifting Devices Types": "sample",
"Lifting Devices Make": "sample",
"Lifting Devices Serial No.": "sample",
"Lifting Devices Unit No.": "sample",
"Lifting Devices Capacity": "sample",
"Lifting Devices Size/Length": "sample",
"Spreader Bar Type": "sample",
"Personnel Basket": "sample",
"Lifting Devices Date of Certification": "sample",
"Lifting Devices Date of Last Inspection": "sample",
"Vehicle Types": "sample",
"Vehicle Make": "sample",
"Vehicle Model": "sample",
"Vehicle Year": "sample",
"Vehicle Unit No": "sample",
"Vehicle Pre-Trip Inspection Completed?": "sample",
"Vehicle Date of Last Inspection": "sample"
}
},
{
"CSA points assessed against the driver for this accident?": "Yes",
"How many points assessed?": "99",
"Including this incident, total CSA points on driver's record:": "88"
},
{
"Has driver had any prior incidents in the past 5 years?": "Yes",
"Explain prior incident(s)": "Incident Abc"
},
{
"Has driver received Smith Driver Training?": "Yes"
},
{
"List any additional Defensive Driver Training (If not applicable, enter 'NA'):": "Training details"
},
{
"Total years of CDL driving experience?": "8"
},
{
"Years of consecutive CDL driving experience at time of incident?": "3"
},
{
"Years of consecutive CDL driving experience for the company\"sample": "3"
},
{
"Were seat belts used?": "Yes"
},
{
"Post Accident Alcohol / Drug Test conducted?": "Yes",
"What type of drug screening test?": "DOT",
"What is the date of the Post Accident Drug/Alcohol Screening?": "05/25/2021",
"Explain why post accident drug & alcohol testing was not conducted:": "sample"
},
{
"Did the incident occur on a public road?": "Yes"
},
{
"What was the estimated speed at the time of the incident?": "9 kmph"
},
{
"Property damage to non-company vehicles and/or surrounding property?": "Yes",
"Please describe damage:": "damage description"
},
{
"Were any other vehicles (non-company) involved in the incident towed as a result of the incident?": "Yes",
"Please explain who towed the vehicle?": "Abc"
},
{
"Was the incident preventable?": "Yes",
"Preventable Incident Classification": "Backing",
"Non-Preventable Incident Classification": "sample"
},
{
"Please explain who was at fault?": "Driver"
},
{
"Was a Citation issued?": "Yes",
"Please explain who was issued a Citation?": "Person Detail"
},
{
"Was any equipment involved in the Incident?": "Yes",
"Please identify the type of equipment involved.": "Boom"
},
{
"Employee(s) involved attended IIF Orientation?": "Yes"
},
{
"Employee(s) involved attended IIF Supervisor Skills Training?": "Yes"
},
{
"Employee(s) involved attended other IIF functions?": "Yes",
"If yes above, please describe:": "Yes Description"
}
],
"Contributing Factors": [
{
"Contributing Factor Type (Parent)": "Material",
"Contributing Factors": [
"Hazardous substances",
"Hot Surface"
],
"Comments": "Material"
}
],
"5 Why? Methodology": [
{
"Select Action or Condition that may have directly caused incident": ["sample"],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "W1"
},
{
"Why or what created the scenario above to affect the action or condition": "W2"
},
{
"Why or what created the scenario above to affect the action or condition": "W3"
},
{
"Why or what created the scenario above to affect the action or condition": "W4"
},
{
"Why or what created the scenario above to affect the action or condition": "W5"
},
{
"Final Root Cause Checked": "No"
}
]
},
{
"Select Action or Condition that may have directly caused incident": ["sample"],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "W11"
},
{
"Why or what created the scenario above to affect the action or condition": "W22"
},
{
"Why or what created the scenario above to affect the action or condition": "W33"
},
{
"Why or what created the scenario above to affect the action or condition": "W44"
},
{
"Why or what created the scenario above to affect the action or condition": "W55"
},
{
"Final Root Cause Checked": "No"
}
]
},
{
"Select Action or Condition that may have directly caused incident": ["sample"],
"Whys": [
{
"Why or what created the scenario above to affect the action or condition": "W31"
},
{
"Why or what created the scenario above to affect the action or condition": "W32"
},
{
"Why or what created the scenario above to affect the action or condition": "W33"
},
{
"Why or what created the scenario above to affect the action or condition": "W34"
},
{
"Why or what created the scenario above to affect the action or condition": "W35"
},
{
"Final Root Cause Checked": "No"
}
]
}
],
"Root Cause Statement": [
{
"Root cause Type (Parent)": "Behavioral Factor's",
"Root Cause": [
"Anger/frustration",
"Horseplay"
],
"Comments": "sample"
},
{
"Root cause Type (Parent)": "Unsafe Act-Attitude/Behavior",
"Root Cause": [
"A - Negligence"
],
"Comments": "sample"
}
],
"Final Root Cause Statement": [
{
"Final Root Cause Statement": "A Final cause",
"Primary Countermeasure": "Implementing Proficiency Testing",
"Primary Root Cause Category": "Anger/frustration"
}
]
},
"Action Items": [],
"Management Review": [
{
"Role": "Investigation Responsible",
"Owner": [],
"Approval Due Date": "05/25/21 5:00:22 PM",
"Comments": "sample",
"Completed By": "sample",
"Completed Date": "sample"
},
{
"Role": "Management Level 1",
"Owner": [
" Cleveland Brown ",
" Alex Llama ",
" Dan Balles ",
" aamer hussain ",
" Helen Ramsay "
],
"Approval Due Date": "05/26/21 5:00:22 PM",
"Comments": "sample",
"Completed By": "sample",
"Completed Date": "sample"
},
{
"Role": "Level-1",
"Owner": [
" Dan Balles ",
" Helen Ramsay "
],
"Approval Due Date": "05/26/21 5:00:22 PM",
"Comments": "sample",
"Completed By": "sample",
"Completed Date": "sample"
},
{
"Role": "Performance Coach",
"Owner": [
" Helen Ramsay "
],
"Approval Due Date": "05/30/21 5:00:22 PM",
"Comments": "sample",
"Completed By": "sample",
"Completed Date": "sample"
},
{
"Role": "Corporate Health & Safety",
"Owner": [
" Sushma Baliza "
],
"Approval Due Date": "05/30/21 5:00:22 PM",
"Comments": "sample",
"Completed By": "sample",
"Completed Date": "sample"
},
{
"Management Review Status": "sample"
}
]
}
]

Vehicle Incident field list:

SectionFiels nameDatabase column size
Incident Detail

Incident ID 

Internal Incident ID

Incident Title/Site

Incident Type 
General Details

Date of Incident

Time of Incident

Time undetermined

Day Of Week 

Work Shift 

Time Work Day Began 

Description of Incident 

Incident Occurred on Employer's Premises 

Address of Incident Location 

City 

County

Country 

State/Province 

Postal Code/Zip Code

Department 

Pin Location

Was a Corrective Action completed at time of reporting incident?

Action Item Title

Action Taken

Primary Owner

Assigned By

Completion Date

Date and Time Reported to Employer




Confirm Significance level of incident
Employee / Individual Details

Would you like to submit a Vehicle claim? 

Personnel Type 

Employee / Individual Involved ( Last, First, M.I.) *

Employee Id 

Occupation/Job Title 

Do you want to further classify Unsupervised Contract Employee

Type of Client Personnel

Client Company

Name of Contractor

Name of Sub-Contractor
Vehicle Incident Summary

Please identify the weight of the vehicle? 

Company Vehicle Type (please provide description of Vehicle)

Please identify the condition of the employee?

Length of Service (L.O.S.) as Company Driver

Is company driver a Commercial Driver's License holder?

Please select Type of Commercial Drivers License

Driver’s License Number

State of License 

Date of Expiration 

Vehicle Ownership 

Vehicle Incident Type/Cause 
Vehicle Details

Vehicle Number

Year of Vehicle

Make of Vehicle

Model of Vehicle

VIN Number

License Tag Number

State of License Plate Tag

Trailer (if Applicable)

Model of Trailer

Damage to Company Vehicle? 

Please describe damage to vehicle

Was vehicle towed as a result of the incident? 

Please explain who towed the vehicle?

Address / Location of Incident / Cross Section 

City 

State 

Did incident occur within a construction zone? 

Please select scenario that best represents traffic / road condition? 

Please select scenario that best represents the weather conditions at the time of the incident? 
Insurance Information

Please identify number of vehicles / parties involved in accident.

Name of Individual

Insurance Company

Insurance Company Policy Number

Address

Phone Number

Names of all Passengers involved in vehicle

Additional Comments / Notes
Witness Information

Are there any Witnesses identified?

Number of Witnesses                                  

Last Name

First Name

Middle Name

Notes

Witness realtion to <CUSTOMER> Coworker, friend, public, supervisor, venue employee
Additional Incident Information

Incident Status

Created By

Created Date

Last Updated By

Last Updated Date

Investigation section:

SectionFieldDatabase field size
Investigation Responsibility

Responsible Team

Target Completion Date

Note/Comments
Investigation Questions

All Questions

All Answers

All Dependencies

Questions Configuration based on Business Types & Operation Types (Near Miss & Injury / Illness)
Ergonomic Analysis

All Questions

All Answers

All Picklist Answer

All Dependencies

Incident Specific Questions and its answers
Contributing Factors

Contributing Factors
5 Why ? Methodology

Root Cause Evaluation

Contributing Factors

Whys

Check this box (If the above is FINAL ROOT CAUSE)
Root Cause Analysis

Root Cause analysis

Comments
Final Root Cause Statement

Final Root cause statement

Primary Countermeasure

Primary Root Cause

Reportability & Chargeability:


SectionFieldDatabase size
Reportability & Chargeability

Did the incident result in a fatality for company driver / passenger?

Were there any non-employees (other parties) injured as a result of the incident?

Did the incident result in a fatality for any parties involved (non-employees)?

Were any of the parties involved treated away from the scene (i.e., transported by ambulance from scene)?

Were there any Hazardous Materials spilled

Does this incident need to be reported to the Department of Transportation (DOT)?

Please identify DOT Reportable Type

Please provide any comments necessary for verifying DOT Reportable Classification.

Last Federal Annual Inspection

Last Driver Vehicle Inspection Report (DVIR)


Please identify if a chargeable accident for Company Vehicle




Please select the expected payout / cost associated with the Vehicle Accident?

Please provide the total payout cost:

Comments

Summary of Injured Parties:


SectionFieldDatabase size
Summary of Injured Parties

Injured Party Type

Name of Involved Person

Age

Residential Address

City

State

Zip

Phone Number

Injuries resulted in Fatality?

Date of Fatality 

Was individual hospitalized?

Hospital Name

Hospital Address

City

State

Zip

Phone Number

Fax

Doctor Name:

Total Number of Injured

Total Number of Deaths

Action Item Field List (Common to All Incident Types)

Section Field NameDatabase Column Size
Source Details    

Source IDNVARCHAR(400)

Source TitleNVARCHAR(400)

Management Review RoleVARCHAR(50)

TMS Enabled DepartmentNVARCHAR(50)

TMS Work Order NumberNVARCHAR(100)
Create 

Action Item TitleNVARCHAR(50)

Action Item Category

Action Item TypeNVARCHAR(50)

Root Cause

Action Item DescriptionNVARCHAR(2000)

Action Item Priority

Action Item Due DateDATETIME

OwnerINT, NVARCHAR(50)

Responsible DepartmentINT

Countermeasure INT

Applicable to Expansion?NVARCHAR(10) 

Description of Actions to be Expanded NVARCHAR(1000) 

Applicable to EEM/EPM Info ?NVARCHAR(10) 

EEM / EPM NVARCHAR(10) 

EEM/EPM Info Submitted ?NVARCHAR(10) 

Document Number NVARCHAR(200)

Assigned ByVARCHAR(50)

Verification requiredINT

Verify User
Approval  Approval  Approval  

Approval StatusINT

Approvers

Approval CommentNVARCHAR(2000)

Approval DateDATETIME
Complete  

Action Item Status

Action TakenNVARCHAR(2000)

Action item Completed ByVARCHAR(50)

Action item Completed DateDATETIME

Due Date ExtensionNVARCHAR(50)

Requested Due Date Extension NCHAR(10)

Reason for Due Date ExtensionNVARCHAR(2000)

Due Date Extension Request Approved?NVARCHAR(2000)

Reason for not extending the Due Date.DATETIME
Review/Verify

Verification StatusINT

Verification PerformedVARCHAR(50)

Verified ByINT

Verification DateDATETIME

CommentsNVARCHAR(2000)
Cost Information   

Capital Expenditure involved

Approximate cost

Estimated Budget

Management Review:


SectionFieldDatabase size
Management Review

Role

Owner

Approval Due Date

Comments 

Completed By

Completed Date

Management Review Status


Errors/Validation Messages

...