SOO Appendix E_Current Database Field Descriptions_2182021v1.docx
DOCX document 75 KB Posted
- Attached to
- 2021 eSafety Recompete Federal contract opportunity
- Solicitation number
- 12760421Q0122
- Issued by
- Department of Agriculture Forest Service
About this file
This document contains field specifications for an integrated Workers' Compensation and Safety and Occupational Health case management, recording and reporting software as a service solution. Key details include that the solicitation is for a software as a service licensing solution that will be all-inclusive and include regular maintenance and training. The solution will support incident and employee records, motor vehicle accidents, human factors, corrective actions, aviation mishaps, and other related modules. The federal agency involved is the Department of Agriculture Forest Service.
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| RFP 12760421Q0122_ V2- Final 092621.pdf | ||
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| SOO Appendix F_Commonly Used Forms_2182021v1.zip | ZIP file | |
| 12760421Q0122 - RFP Final.pdf | ||
| ATTACHMENT 2.pdf | ||
| ATTACHMENT 1.pdf |
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Text version
Albuquerque Service Center-Human Capital Management
Solicitation: AG-XXXX
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-traditional employees in Incident reports will fall into several categories, including:
· Employee of another government agency
· Volunteer
· Job Corp worker
· Contractor
· Administratively Determined employee
· Concessionaire
· Cooperator
· Emergency worker
· 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
Screen Header
1.
| Passenger Information |
| Passenger Name |
Passenger Address
Type of Passenger
Injury Type
Total Number of Passengers
Total Number of Crew Members
Total Number of Souls on Board
| Additional Information Folder |
| General Latent Condition |
Specific Latent Condition
Comments
General Programmatic Weakness
Specific Programmatic Weakness
Comments
Supervisor Name
Role
| Weather Information Folder Name |
| Source of weather information |
Method of briefing
Restriction to visibility
Type of turbulence
Severity of turbulence
Type of precipitation
Briefing type/completeness
Light condition
Sky/lowest cloud condition
Ceiling
Icing forecast
Icing actual
Wind direction
Wind speed
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 |
Sub-Human Factor
Comments
| Corrective Actions Folder |
| Corrective Action Number |
Facility Name
Responsible Party
Short Description
Images Folder
Documents Folder
Notes Folder
| Vendor Screen |
| Header |
| Details Folder: Contact Information |
| Address |
City
State
Zip
Phone Number
Fax Number
| Details Folder: Staff/ Contacts Grid (Administrative Personnel) |
| Name |
Type
Phone
| History Folder |
| Aviation Mishap Number |
Date
Event Name
Description
Images Folder
Documents Folder
Notes Folder
| Header |
| First Name |
Last Name
| Details Folder |
| Social Security Number |
| Details Folder: Contact Information |
| Address |
City
State
Zip
Phone Number
Fax Number
| Details Folder: Certificate Frame |
| Certificate Number |
Pilot Certificate(s)
Medical Certificate
Medical Certificate Limitations
Medical Certificate Waivers
| History Folder |
| Aviation Mishap Number |
Date
Event Name
Description
Vendor
Images Folder
Documents Folder
Notes Folder
| Header |
| Manufacturer Name |
| Details Folder |
| Model |
Type
| History Folder |
| Aviation Mishap Number |
Date
Event Name
Description
Vendor
Images Folder
Documents Folder
Notes Folder
| Header |
| General Human Factor |
| Details Folder |
| Specific Human Factor |
Additional Information
| History Folder |
| Aviation Mishap Number |
Date
Event Name
Description
Images Folder
Documents Folder
Notes Folder
| Header |
| Latent Condition |
| Details Folder |
| Specific latent condition |
| History Folder |
| Aviation Mishap Number |
Date
Event Name
Description
Images Folder
Documents Folder
Notes Folder
| WC_SH_Draft_Business_Process_Standardization_v0 93_20121128 | Page 2 of 1 |
| Created on [Insert Creation Date] | Last Updated on [Insert Date] |
Attachment I: Field Specifications Page 13 of 13 image2.jpeg image1.png
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