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JSON Field | ProcessMAP System Field |
IncidentID | Incident ID (System Generated) |
InternalIncidentID | |
IncidentTitle | Incident Title/Site |
IncidentType | |
LocationCode | Location Code |
Location | |
WouldyouliketosubmitaGenarlLiabilityClaim | |
GeneralLiabilityType | |
Sub-incidentType | |
DateOfIncident | Date of incident |
TimeOfIncident | Time of incident |
TimeUndetermined | |
DayOfWeek | Day Of Week |
WorkShift | Job Shift |
TimeWorkDayBegan | Time Work Day Began |
DescriptionofIncident | Description of Incident |
DateReportedtoEmployer | Date Reported to Employer |
TimeReportedtoEmployer | Time Reported to Employer |
IncidentOccurredonEmployerPremises | Incident Occurred on Employer's Premises |
WasAssetinvolved | Was Asset involved? |
Assets | Select Asset(s) |
Significance | Significance of Incident |
PersonDetails | Person Details |
WasEmployeeinvolvedintheIncident | Was an Employee / Individual involved in the Incident? |
Numberofinvolvedindividuals | No. of individual involved |
Name | |
Gender | |
DateOfBirth | |
HomeAddress | |
City | |
State | |
Zip | |
PhoneNumber | |
Whatwaspersondoingbeforeincident | |
Wasindividualinjuredintheincident | |
DidInjuryresultinaFatality | |
ResultofIncident | |
CauseofIncident | |
InjuredBodyPart | |
Pleasedescribepersoninjury | |
Waspersonconsideredminor | |
Pleaseprovideparentsname | |
Pleaseprovideparentsphonenumber | |
Takenfromsceneviaambulance | |
Whatshoeswasclaimantwearing | |
Wasclaimantstruckbyobject | |
Ifstruckbyobjectwhatobject | |
Didthepersonrefusetreatment | |
IfYesexplainwhy | |
Wastreatmentprovided | |
DidthepersonsignthemedicalreleaseformIfyespleaseattach | |
WereEmergencyServicescalled | |
EmployeeDetails | Employee / Individual Details |
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 |
LocationOfIncident | Location of Incident |
IncidentOccurredonEmployersPremises | |
AddressofIncidentLocation | |
City | |
Country | |
State | |
Zip | |
Department | |
PinLocation | |
LocationoftheIncident | |
StoreManagerName | |
StoreManagerPhone | |
DistrictManagerName | |
DistrictManagerPhoneWasanythingonfloor | |
Floorgroundscondition | |
Incidentoccurinsideoutside | |
Ifinsidestorewhere | |
IfInsidestorecause | |
IfinStockroomwhere | |
IfOutsidestorewhere | |
IfOutsidestorecause | |
Istherevideooftheincident | |
Ifvideonotobtainedwhy | |
IfEquipnotfunctionalwhy | |
Didtheincidentresultinanydamagetocompanyequipment | |
Pleasedescribeequipmentanddamage | |
Didtheincidentresultinanystructuraldamage | |
Pleasedescribedamage | |
Wastheincidentareresultoftheftorasecurityrelatedactivity | |
Pleasedescribetheftorsecurityrelatedincident | |
Isthisanassaultorrobbery | |
Weretheresuspects | |
Werearrestsuspects | |
Wastheapolicereport | |
LossPreventionreport | |
Askthemtotakephotographs | |
Incidentlocationdiagrammade | |
ProductLiability | |
IsthisclaimaProductLiabilityclaim | |
ProvideNameofProduct | |
ProvideProductCode | |
ManufacturersName | |
ManufacturerAddress1 | |
ManufacturerAddress2 | |
ManufacturerCity | |
ManufacturerState | |
ManufacturerPostalCode | |
ManufacturerPhone | |
Pleaseprovideadetaildescriptionoftheproduct | |
Wasstoreadvisedtoretaintheproduct | |
Isstoreincurrentpossessionofproduct | |
Briefdescriptionoffactsofloss | |
Responsibilityforroatingproduct | |
Didalocalvendorprovidethisproduct | |
VendorsName | |
VendorsPhoneNumber | |
MedicalInformation | |
WasindividualsenttoHospitalClinictoreceivemedicaltreatment | |
HospitalClinicName | |
Address | |
City | |
State | |
Zip | |
Fax | |
ClinicDoctorName | |
WitnessInformation | Witness Information |
ArethereanyWitnessesidentified | Are there any Witnesses identified |
NumberofWitnesses | Number of Witnesses |
LastName | LastName |
FirstName | FirstName |
MiddleName | MiddleName |
Notes | Notes |
PhoneNumber | Phone Number |
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 |
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 |