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JSON Field

ProcessMAP System Field

IncidentID

Incident ID (System Generated)

InternalIncidentID

IncidentTitle

Incident Title/Site

LocationCode

Location Code

Location

IncidentDate

Date of Incident

TimeofIncident

Time of Incident

TimeUndetermined

DayOfWeek

Day Of Week

JobShift

Job Shift

TimeWorkDayBegan

Time Work Day Began

hasthePotentialtobeSerious

Is this a serious Incident or has the Potential to be Serious?

DescriptionofIncident

Description of Incident

IncidentOccurredonEmployerPremises

Incident Occurred on Employer's Premises

Department

PinLocation

AddressofIncidentLocation

Address of Incident Location

City

City

County

County

Country

Country

State

State/Province

ZipCode

Postal Code/Zip Code

WasAssetinvolved

Was Asset involved?

Assets

Select Asset(s)

WasCorrectiveActioncompleted

ActionItemTitle

ActionTaken

PrimaryOwner

AssignedBy

CompletionDate

DateandTimeReportedtoEmployer

Date & Time Reported to Employer

ConfirmSignificancelevelofincident

Confirm Significance Level of Incident

EmployeeDetails

Employee / Individual Details

WasEmployeeinvolvedintheIncident

Was an Employee / Individual involved in the Incident?

PersonnelType

Personnel Type

EmployeeInvolved

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

EmployeeId

Employee Id

PayRateType

Pay Rate Type

EmployeeDepartment

Employee / Individual Department 

Contractor

Contractor 

DoyouwanttoclassifyUnsupervisedContractEmployee

Do you want to further classify Unsupervised Contract Employee

TypeofClientPersonnel

Type of Client Personnel

ClientCompany

Client Company

NameofContractor

Name of Contractor

NameofSubContractor

Name of SubContractor

WasMachineinvolved

MachineNumber

ReviewedbyEHSRepresentative

ReviewDate

PropertyDamageIncidentDetails

Property Damage Incident Details

IncidentType

Incident Type

IsthisachargeableIncident

Is this a chargeable Incident

CauseofIncident

Cause of Incident

DamageSummary

Damage Summary

Wascontractorinvolvedintheincident

Was contractor involved in the incident

PleaseprovideContractorDetails

Please provide Contractor Details

Wasthecontractortrainedoncompanypolicies

Was the contractor trained on company policies

Describeanydamagecaused

Describe any damage caused

Describewhatcausedtheincidenttooccur

Describe what caused the incident to occur

Describeworkactivitybeingperformedduringincident

Describe work activity being performed during incident

Wastheapplicableregulatoryagencynotified

Was the applicable regulatory agency notified

WitnessInformation

Witness Information

ArethereanyWitnessesidentified

Are there any Witnesses identified

NumberofWitnesses

Number of Witnesses

LastName

LastName

FirstName

FirstName

MiddleName

MiddleName

Notes

Notes

PhoneNumber

Phone Number

WitnessrealtiontoProcessMAP

Witness Relation to ProcessMAP
(Coworker, friend, public, supervisor, venue employee)

IncidentStatus

CreatedBy

CreatedDate

LastUpdatedDate

LastUpdatedBy

InvestigationResponsibility

Salutation

Salutation

FirstName

First Name

LastName

Last Name

TargetCompletionDate

Target Completion Date

Note

Note

NotifyImmediateSupervisor

Notify Immediate Supervisor

InvestigationDetails

All questions

ContributingFactors

ContributingFactorType

Contributing Factor Type

ContributingFactors

Contributing Factors

Comments

Comments

5WhyMethodology

SelectActionorConditionthatmayhavedirectlycausedincident

Select Action or Condition that may have directly caused incident

Whys

Whys

RootCauseStatement

RootcauseType

Root cause Type

RootCause

Root Cause

Comments

Comments

FinalRootCauseStatement

FinalRootCauseStatement

Final Root Cause Statement

PrimaryCountermeasure

Primary Counter measure

PrimaryRootCause

Primary Root Cause

Action Items

SourceID

Source ID

SourceTitle

Source Title

ActionItemTitle

Action Item Title

ActionItemCategory

Action Item Category

ActionItemType

Action Item Type

RootCause

Root Cause

ActionItemDescription

Action Item Description

ActionItemPriority

Action Item Priority

ActionItemDueDate

Action Item Due Date

Owners

Owner

ResponsibleDepartment

Responsible Department

Countermeasure 

Countermeasure 

ApplicabletoExpansion

Applicable to Expansion?

DescriptionofActionstobeExpanded 

Description of Actions to be Expanded  *

ApplicabletoEEMEPMInfo

Applicable to EEM/EPM Info?

EEMEPM 

EEM / EPM  *

EEMEPMInfoSubmitted

EEM/EPM Info Submitted?

DocumentNumber 

Document Number  *

AssignedBy

Assigned By

Verificationrequired

Verification required

VerifyUser

Verify User

ApprovalStatus

Approval Status

Approvers

Approvers

ApprovalComment

Approval Comment

ApprovalDate

Approval Date

ActionItemStatus

Action Item Status

ActionTaken

Action Taken

ActionitemCompletedBy

Action item Completed By

ActionitemCompletedDate

Action item Completed Date

DueDateExtension

Due Date Extension

RequestedDueDateExtension 

Requested Due Date Extension 

ReasonforDueDateExtension

Reason for Due Date Extension

DueDateExtensionRequestApproved

Due Date Extension Request Approved?

ReasonfornotextendingtheDueDate.

Reason for not extending the DueDate.

VerificationStatus

Verification Status

VerificationPerformed

Verification Performed

VerifiedBy

Verified By

VerificationDate

Verification Date

Comments

Comments

CapitalExpenditureinvolved

Capital Expenditure involved

Approximatecost

Approximate cost

EstimatedBudget

Estimated Budget

Additional Information

IncidentStatus

CreatedBy

CreatedDate

LastUpdatedDate

LastUpdatedBy

Management Review (Common to All Incident Types)