STANDARD DATA DICTIONARY #6924 -- FSA-2162 REPORT FILE 3/24/25 PAGE 1
STORED IN ^ENG("FSA", *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 7.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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Information taken from accident reports.
DD ACCESS: #
WR ACCESS: E
DEL ACCESS: e
LAYGO ACCESS: E
CROSS
REFERENCED BY: LOCAL ENGINEERING #(B), CASE NUMBER(C), LAST NAME OF INVOLVED(D), SSN(E)
6924,.01 LOCAL ENGINEERING # 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:X[""""!($A(X)=45) X K:$L(X)>8!($L(X)<8)!'(X?8N)!(X'?.ANP) X I $D(X),$D(^ENG("FSA","B",X)) W !,*7,
"Sorry, number already taken" K X
LAST EDITED: FEB 23, 1998
HELP-PROMPT: Answer must be 8 characters in length.
DESCRIPTION: Computer generated record identfier in the form YYYYNNNN where YYYY is the four digit fiscal year
and NNNN is a computer generated sequential number.
CROSS-REFERENCE: 6924^B
1)= S ^ENG("FSA","B",$E(X,1,30),DA)=""
2)= K ^ENG("FSA","B",$E(X,1,30),DA)
6924,1 CASE NUMBER 0;2 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>4!($L(X)<4)!'(X?4N) X
HELP-PROMPT: ANSWER MUST BE 4 DIGITS IN LENGTH
DESCRIPTION:
Case number assigned by the site.
CROSS-REFERENCE: 6924^C
1)= S ^ENG("FSA","C",$E(X,1,30),DA)=""
2)= K ^ENG("FSA","C",$E(X,1,30),DA)
6924,2 REPORT TYPE 0;3 SET
'I' FOR INITIAL;
'S' FOR SUPPLEMENTAL;
'C' FOR CORRECTED;
DESCRIPTION:
Type of transaction being processed.
6924,3 RESULT 0;4 SET
'P' FOR PROPERTY ONLY;
'I' FOR INJURY or ILLNESS;
'B' FOR BOTH;
DESCRIPTION:
Result of the accident.
6924,4 ACCIDENT CLASS 0;5 SET
'A' FOR MOTOR VEHICLE;
'B' FOR LABORATORY;
'C' FOR OFFICE;
'G' FOR ASSEMBLY;
'J' FOR PATIENT CARE;
'L' FOR STORAGE;
'M' FOR GROUNDS;
'N' FOR DIETETICS;
'Z' FOR OTHER;
DESCRIPTION:
Classification of accident being reported.
6924,5 OCCURRENCE DATE 0;6 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:4001200X) X
LAST EDITED: FEB 25, 1998
HELP-PROMPT: TYPE A DATE BETWEEN 1980 AND 2100
DESCRIPTION:
Date of accident.
6924,6 OCCURRENCE TIME 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<4)!'(X?4N) X
HELP-PROMPT: ENTER MILITARY TIME (0000-2400 HRS.)
DESCRIPTION:
Time of accident (on a 24 hour clock).
6924,7 SITE 0;8 SET
'A' FOR ON REPORTING ACTIVITY PROPERTY;
'B' FOR OFF REPORTING ACTIVITY PROPERTY;
DESCRIPTION:
Classification of accident location.
6924,7.5 SPECIFIC LOCATION 0;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>25!($L(X)<4) X
HELP-PROMPT: ANSWER MUST BE 4-25 CHARACTERS IN LENGTH
DESCRIPTION:
Text description of location where accident happened.
6924,8 TORT CLAIM 0;10 SET
'Y' FOR YES, IS POSSIBLE;
'N' FOR NO, NOT POSSIBLE;
DESCRIPTION: Investigator's opinion as to whether or not legal action against the agency is likely because of
this accident.
6924,9 LAST NAME OF INVOLVED 1;1 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>16!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE LAST NAME, 3-16 CHARACTERS IN LENGTH
DESCRIPTION:
Name of person affected by accident.
CROSS-REFERENCE: 6924^D
1)= S ^ENG("FSA","D",$E(X,1,30),DA)=""
2)= K ^ENG("FSA","D",$E(X,1,30),DA)
6924,10 FIRST/MIDDLE INITIALS 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?.A) X
HELP-PROMPT: ANSWER MUST BE 1-2 CHARACTERS IN LENGTH
DESCRIPTION:
First name and middle initial of person affected by accident.
6924,11 SSN 1;3 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>10!($L(X)<9)!'(X?9N."P") X
OUTPUT TRANSFORM: $E(SSN,1,3)_"-"_$E(SSN,4,5)_"-"_$E(SSN,6,9)
HELP-PROMPT: ANSWER MUST BE 9DIGITS IN LENGTH, AFFIX 'P' FOR PSEUDO IF UNSURE
DESCRIPTION:
Social security number of person affected by accident.
CROSS-REFERENCE: 6924^E
1)= S ^ENG("FSA","E",$E(X,1,30),DA)=""
2)= K ^ENG("FSA","E",$E(X,1,30),DA)
6924,12 SEX 1;4 SET
'M' FOR MALE;
'F' FOR FEMALE;
DESCRIPTION:
Sex of person affected by accident.
6924,13 PERSONNEL STATUS 1;5 SET
'A' FOR EMPLOYEE;
'B' FOR VOLUNTEER;
'C' FOR CONTRACTOR;
'D' FOR INPATIENT;
'E' FOR OUTPATIENT;
'F' FOR STUDENT;
'G' FOR VISITOR;
'Z' FOR PERSON N.E.C.;
HELP-PROMPT: SELECT CODE, N.E.C. MEANS NOT ELSEWHERE CLASSIFIED
DESCRIPTION:
Employment status of person affected by accident at the reporting facility.
6924,14 AGE 1;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 1 AND 99
DESCRIPTION:
Age of person affected by accident at time of accident.
6924,15 PAY PLAN 1;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2)!'(X?2A) X
HELP-PROMPT: ANSWER MUST BE 2 CHARACTERS IN LENGTH, (e.g. GS, WG, WS, etc.)
DESCRIPTION:
Pay plan of person affected by accident, if said person is a government employee.
6924,16 OCCUPATIONAL CODE 1;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>5!($L(X)<5)!'(X?5N) X
HELP-PROMPT: ANSWER MUST BE 5 DIGITS IN LENGTH, (e.g. 00858)
DESCRIPTION:
Position classification (from position description).
6924,17 GRADE 1;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2)!'(X?2N) X
HELP-PROMPT: ANSWER MUST BE 2 DIGITS IN LENGTH, (e.g. 07)
DESCRIPTION:
Civil service pay grade of person affected by accident.
6924,18 HOME ADDRESS 2;0 WORD-PROCESSING #6924.01
DESCRIPTION:
Home address of person affected by accident.
HELP-PROMPT: ENTER STREET, CITY, STATE, AND ZIP CODE
6924,19 HOME PHONE # 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>12!($L(X)<7)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 7-12 CHARACTERS IN LENGTH (e.g. 215-555-1212)
DESCRIPTION:
Home phone number (including area code) of person affected by accident.
6924,20 WORK PHONE # 3;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>17!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-17 CHARACTERS IN LENGTH
DESCRIPTION:
Work phone (or extension) of person affected by accident.
6924,21 CA1/CA2 3;3 SET
'Y' FOR YES;
'N' FOR NO;
DESCRIPTION:
Is an Office of Workmen's Compensation claim being filed?
6924,22 TIME ON DUTY 3;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1N.N) X
HELP-PROMPT: ENTER NEAREST NUMBER OF WHOLE HOURS ON DUTY
DESCRIPTION:
Time an employee had been on duty (in hours) when accident happened.
6924,23 DUTY STATUS 3;5 SET
'A' FOR FULL TIME EMPL ON DUTY;
'B' FOR TEMP EMPLOYEE ON DUTY;
'C' FOR PART TIME EMPL ON DUTY;
'D' FOR NON-PAID EMPL ON DUTY;
'Z' FOR STATUS N.E.C.;
DESCRIPTION:
Official payroll status of person affected by accident.
6924,24 ACCIDENT ACTIVITY 3;6 POINTER TO FSA-ACCIDENT ACTIVITY FILE (#6924.1)
HELP-PROMPT: SELECT MOST APPROPRIATE ACTIVITY
DESCRIPTION:
Classification of accident in accordance with standardized schema.
6924,25 SERVICE/DIVISION # 3;7 POINTER TO FSA-DIVISION/SERVICE FILE (#6924.3)
DESCRIPTION:
Service affiliation of person affected by accident.
6924,26 SEVERITY OF INJURY 4;1 SET
'1' FOR NO TREATMENT REQUIRED;
'2' FOR FIRST AID ONLY;
'3' FOR MEDICAL TREATMENT ONLY;
'4' FOR DIAGNOSIS OF ILLNESS;
'5' FOR DISABLING;
'8' FOR FATALITY;
DESCRIPTION:
Extent of injury sustained.
6924,27 CULMINATION 4;2 SET
'1' FOR NO RESTRICTION;
'2' FOR RESTRICTED;
'4' FOR PERMANENT TRANSFER;
'5' FOR TERMINATED;
DESCRIPTION:
Outcome of accident with respect to employment status of person affected.
6924,28 RESTRICTED WORK DAYS 4;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<4)!'(X?4N) X
HELP-PROMPT: ANSWER MUST BE 4 DIGITS IN LENGTH, (e.g. 0012)
DESCRIPTION: Number of days for which person affected by accident was restricted from performance of normal
duties.
6924,29 LOST WORK DAYS 4;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<4)!'(X?4N) X
HELP-PROMPT: ANSWER MUST BE 4 DIGITS IN LENGTH, (e.g. 0004)
DESCRIPTION:
Number of days that person affected by accident was unable to report for work.
6924,30 INJURY/ILLNESS NATURE 4;5 POINTER TO FSA-ACCIDENT NATURE FILE (#6924.2)
DESCRIPTION:
Classification of accident or illness in accordance with standardized schema.
6924,31 BODY PART AFFECTED 4;6 SET
'01' FOR HEAD;
'16' FOR CHEST OR ABDOMEN;
'45' FOR BACK;
'46' FOR SHOULDER/ARM/HAND;
'61' FOR HIP/LEG/FOOT;
LAST EDITED: AUG 07, 1986
DESCRIPTION:
Indicator of anatomical region most affected by accident.
6924,32 CAUSE OF INJURY 4;7 SET
'A' FOR STRUCK AGAINST;
'B' FOR STRUCK BY;
'D' FOR SLIP/TRIP/FALL;
'F' FOR CAUGHT IN/UNDER OR BETWEEN;
'I' FOR ILLNESS;
'J' FOR OVER EXERTION;
'K' FOR ELECTRIC CURRENT;
'L' FOR EXTREME TEMPERATURE;
'M' FOR CHEMICALS;
'O' FOR RADIATION;
'T' FOR ASSULT;
'X' FOR CAUSE N.E.C.;
LAST EDITED: AUG 07, 1986
DESCRIPTION:
Indicator of type of accident.
6924,32.5 NEEDLE STICK? 4;8 SET
'Y' FOR YES INJURY INVOLVED NEEDLE;
'N' FOR NO INJURY DID NOT INVOLVE NEEDLE;
LAST EDITED: AUG 07, 1986
DESCRIPTION:
Is this accident an inadvertent skin puncture involving a hypodermic needle?
6924,33 PROPERTY OWNERSHIP 5;1 SET
'A' FOR VETERANS ADMINISTRATION;
'C' FOR OTHER FEDERAL AGENCY;
'H' FOR PRIVATE;
'L' FOR OWNERSHIP N.E.C.;
DESCRIPTION:
Ownership of property (if any) involved in accident.
6924,34 AMOUNT OF DAMAGE 5;2 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
LAST EDITED: APR 29, 1993
HELP-PROMPT: Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
DESCRIPTION:
Estimate of damage resulting from the accident.
6924,35 PROPERTY DAMAGED 5;3 SET
'AA' FOR MOTOR VEHICLE;
'AG' FOR OTHER VEHICLE;
'EA' FOR BLDG./STRUCTURE;
'FA' FOR EQUIPMENT;
'GA' FOR SUPPLIES;
'IA' FOR FURNITURE;
'JA' FOR RECORDS;
'KA' FOR TREES/GRASS/PLANTS;
'BA' FOR BEDDING/CLOTHES;
'CA' FOR INTERIOR FINISH;
'HA' FOR TRASH/RUBBISH;
'ZA' FOR PROPERTY N.E.C.;
DESCRIPTION:
Type of property (if any) damaged in the accident.
6924,36 YEAR MANUFACTURED 5;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2)!'(X?2N) X
HELP-PROMPT: ANSWER MUST BE 2 DIGITS IN LENGTH (e.g. 85)
DESCRIPTION:
Last two digits of year in which damaged property (if any) was manufactured.
6924,37 WEATHER FACTOR 6;1 SET
'A' FOR SNOW/ICE;
'B' FOR DUST STORM;
'C' FOR LIGHTNING;
'D' FOR HIGH TEMPERATURE;
'E' FOR LOW TEMPERATURE;
'F' FOR HUMIDITY;
'H' FOR FOG;
'J' FOR RAIN;
'N' FOR WIND STORM;
'P' FOR WEATHER N.E.C.;
'Z' FOR WEATHER NOT A FACTOR;
DESCRIPTION:
Weather conditions at time of accident.
6924,38 SOURCE OF ACCIDENT 6;2 SET
'01AA' FOR UNPOWERED EQUIP/FURNISHINGS/SUPPLIES;
'11AA' FOR POWERED EQUIP/APPLIANCES/MACHINES;
'33AA' FOR BLDG MATERIAL, FEATURE OR CONDITION;
'44AA' FOR TOXIC SUBSTANCE/RADIATION EXPOSURE;
'77AA' FOR VEHICLE;
'81AA' FOR PERSON;
'82ZZ' FOR SOURCE N.E.C.;
DESCRIPTION:
Causative agent of damage to people and/or property.
6924,39 CAUSE OF ACCIDENT 6;3 SET
'AA' FOR EQUIPMENT OR ENVIRONMENT;
'BA' FOR PERSON;
'CA' FOR NATURE;
'FA' FOR CAUSE UNKNOWN;
DESCRIPTION:
Investigator's opinion as to principal cause of accident.
6924,40 ADDITIONAL CAUSE 6;4 SET
'AA' FOR EQUIPMENT OR ENVIRONMENT;
'BA' FOR PERSON;
'CA' FOR NATURE;
'ZZ' FOR NO ADDITIONAL CAUSE;
DESCRIPTION:
Secondary cause of accident.
6924,41 FIRE-FORM OF IGNITION 6;5 SET
'21' FOR ELECTRICAL ARC;
'31' FOR SMOKING MATERIAL (CIGARETTES,ETC);
'61' FOR SOURCE N.E.C.;
'71' FOR SOURCE UNKNOWN;
HELP-PROMPT: LEAVE BLANK IF FIRE NOT INVOLVED
DESCRIPTION:
Means by which fire was ignited. Leave blank for other types of accidents.
6924,42 FIRE..MATERIAL BURNED 6;6 SET
'11' FOR GAS;
'21' FOR LIQUID;
'31' FOR SOLID;
'41' FOR LIQUID & GAS;
'71' FOR SOLID & GAS;
'81' FOR SOLID & LIQUID;
HELP-PROMPT: LEAVE BLANK IF NO FIRE
DESCRIPTION:
Principal fuel for the fire. Leave blank for other types of accidents.
6924,43 FIRE..MATERIAL FORM 6;7 SET
'GZ' FOR ALL FIRES;
HELP-PROMPT: ENTER 'GZ' FOR ALL FIRES, OTHERWISE LEAVE BLANK
DESCRIPTION:
Indicates that accident was a fire.
6924,44 BEST PREVENTATIVE 6;8 SET
'A' FOR TRAINING;
'B' FOR MORE STAFF;
'C' FOR MOTIVATION;
'D' FOR BETTER EQUIPMENT/MATERIAL;
'E' FOR BETTER PLANNING & COORDINATION;
'F' FOR IMPROVED WRITTEN PROCEDURES;
'G' FOR MORE FUNDS FOR HAZARD ELIMINATION;
'H' FOR PERSONNEL ACTION;
'I' FOR PREVENTATIVE N.E.C.;
'Z' FOR NONE;
LAST EDITED: APR 27, 1992
DESCRIPTION:
Investigator's opinion as to the best safeguard against future incidents of this kind.
6924,45 CORRECTIVE ACTION 6;9 SET
'A' FOR TAKEN;
'B' FOR REQUIRED & ANTICIPATED;
'C' FOR REQUESTED;
'D' FOR NONE;
DESCRIPTION:
Status of corrective action(s) at time of this report.
6924,46 ACCIDENT NARRATIVE 7;0 WORD-PROCESSING #6924.02
DESCRIPTION:
Detailed description of the accident, including events leading up to it.
HELP-PROMPT: PROVIDE INFORMATION TO FULLY DESCRIBE INCIDENT
6924,47 WITNESSES 6;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>65!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-65 CHARACTERS IN LENGTH
DESCRIPTION:
Names of individuals who witnessed the accident.
6924,48 CORRECTIVE NARRATION 8;0 WORD-PROCESSING #6924.03
DESCRIPTION:
Detailed description of action(s) taken or planned to prevent similar incidents in the future.
HELP-PROMPT: DESCRIBE CORRECTIVE ACTION TAKEN OR PLANNED
6924,49 INITIATOR NAME 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3)!'(X'?.C) X
LAST EDITED: APR 30, 1993
HELP-PROMPT: ANSWER MUST BE 3-20 CHARACTERS IN LENGTH
DESCRIPTION:
Name of person who initiated this report.
6924,50 INITIATOR TITLE 9;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<2)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 2-20 CHARACTERS IN LENGTH
DESCRIPTION:
Job title of initiator.
6924,51 INITIATOR DATE SIGNED 9;3 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:4001200X) X
LAST EDITED: FEB 25, 1998
HELP-PROMPT: TYPE A DATE BETWEEN 1980 AND 2100
DESCRIPTION:
Date on which accident report was signed by initiator.
6924,52 INITIATOR PHONE # 9;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>12!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-12 CHARACTERS IN LENGTH
DESCRIPTION:
Phone number (or extension) of person who initiated this report.
6924,53 REVIEW AUTHORITY NAME 9;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-20 CHARACTERS IN LENGTH
DESCRIPTION:
Name of reviewing official.
6924,54 REVIEW AUTHORITY TITLE 9;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-20 CHARACTERS IN LENGTH
DESCRIPTION:
Job title of reviewing official.
6924,55 REVIEW AUTHORITY DATE 9;7 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:4001200X) X
LAST EDITED: FEB 25, 1998
HELP-PROMPT: TYPE A DATE BETWEEN 1980 AND 2100
DESCRIPTION:
Date on which review of accident by reviewing official was completed.
6924,56 REVIEW AUTHORITY PHONE 9;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>12!($L(X)<3)!'(X'?.C) X
HELP-PROMPT: ANSWER MUST BE 3-12 DIGITS IN LENGTH
DESCRIPTION:
Telephone number (or extension) of reviewing official.
6924,57 EVALUATION OF REPORT 10;0 WORD-PROCESSING #6924.04
DESCRIPTION:
Reviewer's notes on the result of his/her investigation.
HELP-PROMPT: SAFETY PERSON'S EVALUATION, BE BRIEF PLEASE
6924,57.5 REPORT STATUS 9;9 SET
'Y' FOR YES, 2162 REPORT COMPLETED;
'N' FOR NO 2162 REPORT NOT COMPLETED;
DESCRIPTION:
Completion status of this report.
FILES POINTED TO FIELDS
FSA-ACCIDENT ACTIVITY (#6924.1) ACCIDENT ACTIVITY (#24)
FSA-ACCIDENT NATURE (#6924.2) INJURY/ILLNESS NATURE (#30)
FSA-DIVISION/SERVICE (#6924.3) SERVICE/DIVISION # (#25)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
ENFSA1 JUL 23, 1993@15:48 USER #5 @
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):