SOO_Attachment_E_Current_Database_Field_Descriptions-27Jul13-POSTED.docx

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Software as a Server (SaaS) for Reorting Incidents of Work Related Accidents, Injuries, Illnesses and Safety Stories and for Performing Workers' Compensation (WC) Case Management
Solicitation number
AG-7604-S-13-0033
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SOO Attachment E

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Albuquerque Service Center-Human Capital Management

Solicitation: AG-7604-S-13-0033

ATTACHMENT E: FIELD SPECIFICATIONS

Data Library
Field
Options
Additional Information
Incident Folder
Incident Type
1. Injury

1. Illness

1. Fatalities

1. Safety Story

· Incident records are indexed by:

· The user’s name

· Social Security Number

· Date of accident

· Organization Code

· Zip code of the accident location

· Non-employees in Incident reports will fall into several categories, including:

· Employee of another government agency

· Volunteer

· Job Corp worker

· Contractor

· Concessionaire

· Emergency worker

· Firefighter

· General public

Employee Folder
Type of Employee
1. Permanent Full-Time Employees

2. Part-Time Employees

3. Seasonal Employees

4. Call When Needed

5. Volunteers

6. Records for employees who are no longer with the agency

Motor Vehicle Accident (MVA) Module
Date of Incident

= Accident Date

Incident Time

= Accident Time

Road Type
1. FS Paved

2. FS High Clearance

3. FS Gravel or Dirt

4. FS Parking Lot

5. FS Motorized Trail

6. Non-FS

Motor Vehicle Accident (MVA) Module
Number of Vehicles Involved

Non-motorized vehicle persons involved (if any)

Incident formally investigated
1. None

2. FS

3. State Patrol

4. Other Law Enforcement

Vehicle Type
1. Sedan/Station Wagon

2. SUV

3. ½ to 1-ton truck

4. >1 ton truck

5. Motorcycle

6. Van

7. Boat

8. Snowmobile

9. Forklift

Estimated and Actual Costs for Damaged Vehicle

= Repair Costs

Citation Issued, Citation Type
1. None

2. Seat Belt

3. Alcohol or Drug

4. Speeding

5. Distraction

6. Fail to Yield

7. Other = Was there a citation?

Driver’s Age

From employee record

Driver’s Sex

From employee record

Ownership
1. FS

2. Cooperator

3. Contractor

4. Private

5. Visitor

Motor Vehicle Accident (MVA) Module
Indication of driver’s Optional Form 346

Was the driver trained in Defensive Driving record

Seat belt use

Driver duty status

Start Time, End Time

FS Driver Status
1. Permanent

2. Term

3. Seasonal

4. Volunteer

Number of non-driving occupants

Driver outcome?
1. Injury

2. No Injury

3. Fatal

Causal Factors
1. Alcohol

2. Drugs

3. Weather

4. Road/Trail Surface

5. Backing this vehicle

6. Distraction

7. Cell Phone

8. FS Radio

9. Other Passengers

10. Wildlife

11. Excess Speed

12. Fatigue

13. Driving After 12 hour shift

Aircraft Mishap Screen

Screen Header
Mishap Number

Auto generated number which increments by one

SAFECOM Number

User is able to enter the SAFECOM number in the alphanumeric field and/or click on an icon next to the SAFECOM Number to be directed to the “Manage SAFECOM Login” page on the internet.

Date of Mishap - Date field

Time of Mishap – Time field

Agency Name

Drop down option based on data from Reference Screen with internal agency listed

Operational Control Facility

Drop down option based on the data entered within the Facility screen

Home Base Facility

Drop down option based on the data entered within the Facility screen

Details Folder
Accident Location

Free form entry field

Accident State

Drop down option based off the reference type of States from the Reference screen

Event Type

Radio button with the options of Accident or Incident with Potential

Event Name

Free form entry field

Procurement

Drop down option based on a new reference type of Procurement in the Reference screen

Type of Mission

Drop down option based on a new reference type of Type of Mission in the Reference screen

Type of Flight Profile/Phase of Flight

Drop down option based on a new reference Type of Flight in the Reference screen.

Brief Description

Free form memo field

Probably Cause as determined by NTSB

Free form memo field

Tail Number

Free form text field

Aircraft ID

Free form text field

Manufacturer

Drop down based off of manufactures listed within the new Manufacturer screen outlined below

Model

Sub-category drop down based off of the information selected for Manufacturer and information populated within the model section of the Manufacturer screen

Type

Sub-category drop down based off of the manufacturer and model information selected previously. This information is also captured within the Manufacturer screen

Injury Incident Folder
Safety Incident Case Number

A grid will be used in order to link to all the injury incidents related to a particular aviation mishap for both US Forest Service employees and contractors

Employee/ Contractor Name

Job Title at Time of Incident

Degree of Injury

Cause of Injury

Flight Crew Information Folder Name
Vendor

Drop down option based on vendors listed within the Vendor screen outlined below

Contractor Name

Drop down option based on contractors listed within the Contractor screen who are associated with the vendor selected in column 1

Role
1. Seat Occupied – Free form entry field.

2. Seat Belt Used – Radio button with Yes/No options

3. Shoulder Harness used – Radio button with Yes/No options Drop down option based on a new Aviation Role reference type within Reference screen includes items such as pilot, co-pilot, and crew member

Passenger Information
Passenger Name

Free form entry field

Passenger Address

Free form entry field

Type of Passenger

Drop down option based on a new Passenger Role reference type within Reference screen to include items such as FAA, Crew, Non-Revenue, etc.

Injury Type

Free form entry field.

Total Number of Passengers

This field auto-populates based on the number of passengers entered within the passenger information grid. If the user would like to modify the number, he/she can do so manually

Total Number of Crew Members

This field auto-populates based on the number of crew members entered within the contractor information grid. If the user would like to modify the number, he/she do so manually

Total Number of Souls on Board

This is a calculated field summing the total number of passengers and the total number of crew members

Additional Information Folder
General Latent Condition

Drop down option based on latent conditions listed within the new Latent Condition screen outlined below

Specific Latent Condition

Drop down option based on sub-latent conditions listed within the Latent Condition screen

Comments

Free form entry field

General Programmatic Weakness

Drop down option based on programmatic weakness listed within the Programmatic Weakness screen

Specific Programmatic Weakness

Drop down option based on sub-programmatic weakness from main Programmatic Weakness screen

Comments

Free form entry field

Supervisor Name

Drop down based on employee and/or contractor/vendor databases

Role

Drop down option based on new reference type of Supervisory Role from the Reference screen

Weather Information Folder Name
Source of weather information

9 options

Method of briefing

6 options

Restriction to visibility

12 options

Type of turbulence

4 options

Severity of turbulence

5 options

Type of precipitation

14 options

Briefing type/completeness

6 options

Light condition

7 options

Sky/lowest cloud condition

7 options

Ceiling

6 options

Icing forecast

8 options

Icing actual

8 options

Wind direction

2 options with one free form entry field

Wind speed

2 options with one free form entry field

Weather observation facility name

Observation time

Observation time zone

Distance from accident site

Direction from accident site

Weather Information Folder Name
Visibility in miles

Lowest cloud condition height

Ceiling height

Temperature

Altimeter setting

Density altitude

Dew point

Human Factors Folder Name
General Human Factor

Drop down option based on human factors entered within the Human Factors screen

Sub-Human Factor

Drop down option based on sub-factors from main Human Factors screen

Comments

Free form entry field

Corrective Actions Folder
Corrective Action Number

Add/Delete buttons above the grid allow users to add or delete a corrective action association with the aviation mishap. Clicking on the Add button opens a new window with a standard Corrective Action screen. Users populate the data within this screen and upon closing/saving the record the following information appears within a read only grid

Facility Name

Responsible Party

Short Description

Images Folder

The Images folder allows the user to import images that apply to the mishap

Documents Folder

The Documents folder allows the user to link any documents/files that apply to the mishap

Notes Folder

The Notes folder is a free-form memo that allows for any notes to be recorded

Vendor Screen

Vendor Screen
Header

Free form entry; the add window and the screen header hold the Vendor Name field

Details Folder: Contact Information
Address

Free form entry

City

Free form entry

State

Drop down option; Based off of state reference type from Reference screen

Zip

Free form entry

Phone Number

Free form entry; Standard phone number formatting

Fax Number

Free form entry; Standard phone number formatting

Email

Free form entry

Details Folder: Staff/ Contacts Grid (Administrative Personnel)
Name

Free form entry

Type

Drop down option; Based on Contact Type reference type from Reference screen

Phone

Free form entry

Email

Free form entry

History Folder
Aviation Mishap Number

A grid is used to display aviation mishap associated with a particular vendor. Users are not able to modify any of the information located within this grid

Date

Event Name

Description

Images Folder

The Images folder allows the user to import images that apply to the vendor

Documents Folder

The Documents folder will allow the user to link any documents/files that apply to the vendor

Notes Folder

The Documents folder will allow the user to link any documents/files that apply to the vendor

Contractor Screen

Header
First Name

Free form entry

Last Name

Free form entry

Details Folder
Social Security Number

Free form entry; Standard SSN formatting

Details Folder: Contact Information
Address

Free form entry

City

Free form entry

State

Drop down option; Based off of state reference type from Reference screen

Zip

Free form entry

Phone Number

Free form entry

Fax Number

Free form entry

Email

Free form entry

Details Folder: Certificate Frame
Certificate Number

Free form entry

Pilot Certificate(s)

Check boxes consisting of 11 options

Medical Certificate

Free form entry

Medical Certificate Limitations

Free form memo

Medical Certificate Waivers

Free form memo

History Folder
Aviation Mishap Number

A grid is used to capture aviation mishap associated with a particular contractor. Users are not able to modify any of the information located within this grid

Date

Event Name

Description

Vendor

Images Folder

The Images folder allows the user to import images that apply to the vendor

Documents Folder

The Documents folder allows the user to link any documents/files that apply to the vendor

Notes Folder

The Notes folder is a free-form memo that allows notes to be recorded

Manufacturer Screen

Header
Manufacturer Name

Free form entry

Details Folder
Model

Free form entry; A grid will be used to capture the multiple planes associated with a particular manufacturer

Type

History Folder
Aviation Mishap Number

A grid is used to capture aviation mishap history associated with a particular manufacturer. Users are not able to modify any of the information located within this grid

Date

Event Name

Description

Vendor

Images Folder

The Images folder allows the user to import images that apply to the vendor

Documents Folder

The Documents folder will allow the user to link any documents/files that apply to the vendor

Notes Folder

The Notes folder will be a free-form memo that will allow for any notes to be recorded.

Human Factors Screen

Header
General Human Factor

Free form entry

Details Folder
Specific Human Factor

Free form entry

Additional Information

Free form entry; This field will be directly related to the Sub-Factor above

History Folder
Aviation Mishap Number

A grid is used to display aviation mishaps associated with a particular human factor. Users are not able to modify any of the information located within this grid

Date

Event Name

Description

Images Folder

The Images folder allows the user to import any images that apply

Documents Folder

The Documents folder allows the user to link any documents/files that apply

Notes Folder

The Notes folder is a free-form memo that allows for any notes to be recorded

Latent Conditions Screen

Header
Latent Condition
Details Folder
Specific latent condition

Free form entry; a grid is used to capture the sub-categories associated with latent conditions with a free form entry for the specific latent condition

History Folder
Aviation Mishap Number

A grid is used to display aviation mishap associated with a particular latent conditions. Users are not able to modify any of the information located within this grid

Date

Event Name

Description

Images Folder

The Images folder allows the user to import any images that apply

Documents Folder

The Documents folder allows the user to link any documents/files that apply

Notes Folder

The Notes folder is be a free-form memo that allows for any notes to be recorded

Programmatic Weakness Screen

Header
Programmatic Weakness

Free form entry

Details Folder
Specific Programmatic Weakness

Free form entry; a grid will be used to capture the sub-categories associated with programmatic weakness with a free form entry for each Specific Weakness

History Folder
Aviation Mishap Number

A grid is used to display aviation mishaps associated with a particular programmatic weakness. Users are not able to modify any of the information located within this grid.

Date

Event Name

Description

Images Folder
The Images folder will allow the user to import in any images that apply.

The Images folder will allow the user to import in any images that apply.

Documents Folder
The Documents folder allows the user to link any documents/files that apply.

The Documents folder allows the user to link any documents/files that apply.

Notes Folder
The Notes folder is a free-form memo that allows notes to be recorded.

The Notes folder is a free-form memo that allows notes to be recorded.

Aviation Flight Hours
Year

Free form entry

Months (Jan – Dec)

Free form entry

WC_SH_Draft_Business_Process_Standardization_v0 93_20121128Page 2 of 1
Created on [Insert Creation Date]Last Updated on [Insert Date]
Attachment I: Field SpecificationsPage 13 of 13
Created on: January 31, 2013Last Updated on: February 4, 2013

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