GET papi/v1/imsoutbound/injuryincidents?locationCode={locationCode}&dateFrom={dateFrom}&dateTo={dateTo}&lastSyncedDate={lastSyncedDate}
Security
Secured API
Request Information
URI Parameters
| Name | Description | Type | Additional information | 
|---|---|---|---|
| locationCode | string | 
                                 Required  | 
                |
| dateFrom | date | 
                                 Required  | 
                |
| dateTo | date | 
                                 Required  | 
                |
| lastSyncedDate | date | 
                                 Required  | 
                
Required Headers
| Name | Description | Sample | Type | Default | 
|---|---|---|---|---|
| Authorization | 
                        Represents the value of the authentication token. Allow multiple values: no.  | 
                    Bearer eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ... | string | None | 
| ConsumerId | 
                        Represents the value of the consumer id. Allow multiple values: no.  | 
                    2426 | integer | None | 
Optional Headers
| Name | Description | Sample | Type | Default | 
|---|---|---|---|---|
| ApplicationType | 
                        Represents the value of the consumer's application type. Allow multiple values: no.  | 
                    1 | ApplicationType | None | 
| Accept-Language | 
                        Represents the value of the desired language for translations. Allow multiple values: yes.  | 
                    es | string | en-US | 
Body Parameters
None.
Response Information
Resource Description
Collection of InjuryIncidentClaim| Name | Description | Type | Additional information | 
|---|---|---|---|
| Location Code | string | 
                             None.  | 
                |
| Location Name | string | 
                             None.  | 
                |
| Incident ID (System Generated) | string | 
                             None.  | 
                |
| Incident Internal Id (System Generated) | string | 
                             None.  | 
                |
| Incident Title (No Personal data to be entered) | string | 
                             None.  | 
                |
| Incident Type | string | 
                             None.  | 
                |
| Were multiple people injured as part of this incident? | string | 
                             None.  | 
                |
| Is this a MSHA Related Incident? | string | 
                             None.  | 
                |
| Is this a MSHA Related Incident Location? | string | 
                             None.  | 
                |
| Date of Incident | date | 
                             None.  | 
                |
| Time of Incident | string | 
                             None.  | 
                |
| Time undetermined | string | 
                             None.  | 
                |
| Day Of Week | string | 
                             None.  | 
                |
| Length of Normal Workday | string | 
                             None.  | 
                |
| Work Shift | string | 
                             None.  | 
                |
| Time Work Day Began | string | 
                             None.  | 
                |
| HasPotentialToSerious | string | 
                             None.  | 
                |
| Description of Incident | string | 
                             None.  | 
                |
| Incident Occurred on Employer's Premises | string | 
                             None.  | 
                |
| Address of Incident Location | string | 
                             None.  | 
                |
| City of Incident Location | string | 
                             None.  | 
                |
| County of Incident Location | string | 
                             None.  | 
                |
| Country of Incident Location | string | 
                             None.  | 
                |
| State/Province of Incident Location | string | 
                             None.  | 
                |
| Postal Code/Zip Code of Incident Location | string | 
                             None.  | 
                |
| Department | string | 
                             None.  | 
                |
| Pin Location | string | 
                             None.  | 
                |
| Responsible Department | string | 
                             None.  | 
                |
| Responsible Supervisor | string | 
                             None.  | 
                |
| Location of Injury Scene | string | 
                             None.  | 
                |
| Date Reported to Employer | date | 
                             None.  | 
                |
| Time Reported to Employer | string | 
                             None.  | 
                |
| ContractorInvolvedYN | string | 
                             None.  | 
                |
| ContractorName | string | 
                             None.  | 
                |
| ContractorDetails | string | 
                             None.  | 
                |
| ContractorTrainedYN | string | 
                             None.  | 
                |
| WasAssetinvolved | string | 
                             None.  | 
                |
| Assets | string | 
                             None.  | 
                |
| Confirm Significance Level ID Of Incident | string | 
                             None.  | 
                |
| Confirm Significance Level Of Incident | string | 
                             None.  | 
                |
| Would you like to submit a Workers Compensation claim? | string | 
                             None.  | 
                |
| Personnel Type ID | integer | 
                             None.  | 
                |
| Personnel Type | string | 
                             None.  | 
                |
| Employee / Individual Involved (Prefix, First, M.I., Last) | string | 
                             None.  | 
                |
| Employee Id | string | 
                             None.  | 
                |
| Employee's Social Security Number ** | string | 
                             None.  | 
                |
| Date of Birth ** | date | 
                             None.  | 
                |
| Gender | string | 
                             None.  | 
                |
| Occupation/Job Title | string | 
                             None.  | 
                |
| Hire Date | date | 
                             None.  | 
                |
| Pay Rate Type | string | 
                             None.  | 
                |
| Time in Current job | string | 
                             None.  | 
                |
| Time in Current job Unit | string | 
                             None.  | 
                |
| Employee / Individual Department | string | 
                             None.  | 
                |
| Supervisor (First, M.I., Last) | string | 
                             None.  | 
                |
| Supervisor's Email | string | 
                             None.  | 
                |
| Supervisor Phone | string | 
                             None.  | 
                |
| Employee Home Address | string | 
                             None.  | 
                |
| Employee City | string | 
                             None.  | 
                |
| Employee State | string | 
                             None.  | 
                |
| Employee Postal Code/Zip Code | string | 
                             None.  | 
                |
| Employee Home Phone Number | string | 
                             None.  | 
                |
| Marital Status | string | 
                             None.  | 
                |
| Years at Company | string | 
                             None.  | 
                |
| Number Of Dependents | integer | 
                             None.  | 
                |
| Type of Employment | string | 
                             None.  | 
                |
| Current Weekly Wage | decimal number | 
                             None.  | 
                |
| Hourly Wage | decimal number | 
                             None.  | 
                |
| Hours Worked per Week | decimal number | 
                             None.  | 
                |
| Days worked Per Week | integer | 
                             None.  | 
                |
| Hours worked Per Day | integer | 
                             None.  | 
                |
| State Hired | string | 
                             None.  | 
                |
| Employment Status | string | 
                             None.  | 
                |
| Was Employee Paid in Full for Date of Injury? | string | 
                             None.  | 
                |
| Any Prior WC Injuries? | string | 
                             None.  | 
                |
| Do you want to further classify Unsupervised Contract Employee | string | 
                             None.  | 
                |
| Type of Client Personnel | string | 
                             None.  | 
                |
| Client Company | string | 
                             None.  | 
                |
| Name of Contractor | string | 
                             None.  | 
                |
| Name of Sub-Contractor | string | 
                             None.  | 
                |
| Will employee's salary continue?r | string | 
                             None.  | 
                |
| Was Employee treated offsite? | string | 
                             None.  | 
                |
| Where was employee treated | string | 
                             None.  | 
                |
| Explain Why | string | 
                             None.  | 
                |
| If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality | string | 
                             None.  | 
                |
| Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye? | string | 
                             None.  | 
                |
| Has OSHA been contacted? | string | 
                             None.  | 
                |
| Please Identify OSHA Contact Details (Name and Phone Number) | string | 
                             None.  | 
                |
| Nature of Injury / Illness | string | 
                             None.  | 
                |
| Cause of Illness/Injury | string | 
                             None.  | 
                |
| Injured Body Part | string | 
                             None.  | 
                |
| What was the employee doing just before the incident occurred? | string | 
                             None.  | 
                |
| Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable' | string | 
                             None.  | 
                |
| Specific Work Activity when the incident occurred | string | 
                             None.  | 
                |
| Was any Machine / Equipment involved? | string | 
                             None.  | 
                |
| Machine/Equipment Number | string | 
                             None.  | 
                |
| Reviewed by EHS Representative | string | 
                             None.  | 
                |
| Review Date | date | 
                             None.  | 
                |
| Is this a Needlestick Injury? | string | 
                             None.  | 
                |
| Type | string | 
                             None.  | 
                |
| Brand | string | 
                             None.  | 
                |
| Model | string | 
                             None.  | 
                |
| Identify Initial Treatment | string | 
                             None.  | 
                |
| Was Drug Testing Performed | string | 
                             None.  | 
                |
| Explain why | string | 
                             None.  | 
                |
| RIDDOR Classification | Collection of RiddorClassificationDetails | 
                             None.  | 
                |
| Most Severe Case | string | 
                             None.  | 
                |
| Current Case | string | 
                             None.  | 
                |
| Health & Safety / WC Contact Name | string | 
                             None.  | 
                |
| Employer Telephone Number | string | 
                             None.  | 
                |
| Employer Title | string | 
                             None.  | 
                |
| Employer Mailing Address | string | 
                             None.  | 
                |
| Employer City | string | 
                             None.  | 
                |
| Employer State | string | 
                             None.  | 
                |
| Employer Postal Code/Zip Code | string | 
                             None.  | 
                |
| Employer Location Code | string | 
                             None.  | 
                |
| Employer SIC | string | 
                             None.  | 
                |
| Nature of Business | string | 
                             None.  | 
                |
| Employer FEIN Number | string | 
                             None.  | 
                |
| Employer Name | string | 
                             None.  | 
                |
| Workers Comp Claim | string | 
                             None.  | 
                |
| Is This Claim Work Related | string | 
                             None.  | 
                |
| Jurisdiction State | string | 
                             None.  | 
                |
| Did the incident result in fatality? | string | 
                             None.  | 
                |
| Date fatality occurred | date | 
                             None.  | 
                |
| Did the employee lose any time from work? | string | 
                             None.  | 
                |
| What was the first full day out? | date | 
                             None.  | 
                |
| Do you know the Date Employee Last Worked? | string | 
                             None.  | 
                |
| Date Employee Last Worked | date | 
                             None.  | 
                |
| Has the employee returned to work? | string | 
                             None.  | 
                |
| Date Returned to Work | date | 
                             None.  | 
                |
| Return to Work Status | string | 
                             None.  | 
                |
| Estimated Return to Work Date | date | 
                             None.  | 
                |
| Reqs Sharps Inj Log | string | 
                             None.  | 
                |
| Work Comp Id | string | 
                             None.  | 
                |
| Incident Reported By | string | 
                             None.  | 
                |
| Reporters Email | string | 
                             None.  | 
                |
| Reporters Phone | string | 
                             None.  | 
                |
| Injury Date | date | 
                             None.  | 
                |
| Injury Day | string | 
                             None.  | 
                |
| Injury Time | string | 
                             None.  | 
                |
| Claim Time Workday Began | string | 
                             None.  | 
                |
| Was employee sent to Hospital / Clinic to receive Medical Treatment? | string | 
                             None.  | 
                |
| Initial Medical Treatment | string | 
                             None.  | 
                |
| Hospital / Clinic Name | string | 
                             None.  | 
                |
| Hospital Address | string | 
                             None.  | 
                |
| Hospital City | string | 
                             None.  | 
                |
| Hospital State | string | 
                             None.  | 
                |
| Hospital Postal Code/Zip Code | string | 
                             None.  | 
                |
| Hospital Phone | string | 
                             None.  | 
                |
| Hospital Fax | string | 
                             None.  | 
                |
| Clinic/Doctor Name | string | 
                             None.  | 
                |
| Do you question the Validity of the claim? | string | 
                             None.  | 
                |
| Provide details | string | 
                             None.  | 
                |
| Other Comments | string | 
                             None.  | 
                |
| Is Claim Form Completed? | string | 
                             None.  | 
                |
| Claim Submission Status | string | 
                             None.  | 
                |
| Claim Submitted By | string | 
                             None.  | 
                |
| Claim Submitted Date | date | 
                             None.  | 
                |
| Claim Status | string | 
                             None.  | 
                |
| Date Claim Closed | date | 
                             None.  | 
                |
| Total Cost Incurred | decimal number | 
                             None.  | 
                |
| Total Cost Paid | decimal number | 
                             None.  | 
                |
| Total Outstanding Cost | decimal number | 
                             None.  | 
                |
| Total Developed Cost | decimal number | 
                             None.  | 
                |
| Incident Severity ID | integer | 
                             None.  | 
                |
| Incident Severity SIF | string | 
                             None.  | 
                |
| Actual Severity | string | 
                             None.  | 
                |
| Potential Secction YN | string | 
                             None.  | 
                |
| Display Cause YN | string | 
                             None.  | 
                |
| Are there any Witnesses identified? | string | 
                             None.  | 
                |
| Witness Information | Collection of WitnessOutboundDetails | 
                             None.  | 
                |
| Name | string | 
                             None.  | 
                |
| Title | string | 
                             None.  | 
                |
| Phone | string | 
                             None.  | 
                |
| Incident Status | string | 
                             None.  | 
                |
| Incident Created By Employee ID | string | 
                             None.  | 
                |
| Incident Created By | string | 
                             None.  | 
                |
| Incident Created Date | date | 
                             None.  | 
                |
| Incident Last Updated By | string | 
                             None.  | 
                |
| Incident Last Updated Date | date | 
                             None.  | 
                |
| Was This Claim Work Related | string | 
                             None.  | 
                |
| ManagementReviewStatus | string | 
                             None.  | 
                |
| Lost Time Days | decimal number | 
                             None.  | 
                |
| Restricted Duty Days | decimal number | 
                             None.  | 
                |
| Recordable (Yes/No) | string | 
                             None.  | 
                |
| Workers Comp Claim# | string | 
                             None.  | 
                |
| Reason for Non Work Related Classification | string | 
                             None.  | 
                |
| Is This a Company defined Recordable Case ? | string | 
                             None.  | 
                |
| Worker Comp Id | string | 
                             None.  | 
                |
| Please identify the severity of the Incident | string | 
                             None.  | 
                |
| Filing State | string | 
                             None.  | 
                |
| Is Claim Submission Required? | string | 
                             None.  | 
                |
| Claim # | string | 
                             None.  | 
                |
| Recent Cost Update | string | 
                             None.  | 
                |
| Was employee sent to Hospital/Clinic to receive Medical Treatment? | string | 
                             None.  | 
                |
| Root Cause Details | Collection of RootCause | 
                             None.  | 
                |
| 5Y Details | Collection of _5WhyMethodology | 
                             None.  | 
                |
| 5Ys | Collection of Why | 
                             None.  | 
                |
| Investigation questions Details | Collection of InvestigationQuestionsDetails | 
                             None.  | 
                |
| Investigation Responsibility Details | Collection of InvResponsilbilityDetails | 
                             None.  | 
                |
| Investigation Responsibility assignee Details | Collection of InvResponsebilityAssignee | 
                             None.  | 
                |
| Final root cause statement Details | Collection of FinalrootCauseSTMT | 
                             None.  | 
                |
| Action Items Details | Collection of ActionItemsDetails | 
                             None.  | 
                |
| Contributing Factors Details | Collection of ContributingFactor | 
                             None.  | 
                |
| Ergo Details | Collection of ErgonomicDetails | 
                             None.  | 
                |
| Case Classification | Collection of ClassificationOfCase | 
                             None.  | 
                |
| Case Progression Tracking | Collection of CaseProgressionTracking | 
                             None.  | 
                |
| WCC InjuryIllness | Collection of WCCInjuryIllness | 
                             None.  | 
                |
| Employee first name | string | 
                             None.  | 
                |
| Employee middle name | string | 
                             None.  | 
                |
| Employee Last name | string | 
                             None.  | 
                |
| Employee suffix | string | 
                             None.  | 
                |
| supervisor first name | string | 
                             None.  | 
                |
| supervisor middle name | string | 
                             None.  | 
                |
| Supervisor Last name | string | 
                             None.  | 
                |
| supervisor suffix | string | 
                             None.  | 
                |
| Incident Own id | string | 
                             None.  | 
                |
| USLocationYN | integer | 
                             None.  | 
                |
| Work_activity_done | string | 
                             None.  | 
                |
| OccuredDepartment | string | 
                             None.  | 
                |
| InitialMedicalTreatment | string | 
                             None.  | 
                |
| ReportPrepByName | string | 
                             None.  | 
                |
| ReportPrepByPhone | string | 
                             None.  | 
                |
| ReportPrepByTitle | string | 
                             None.  | 
                |
| Management review Details | Collection of ManagementReview | 
                             None.  | 
                |
| Status of Worker's compensation | string | 
                             None.  | 
                |
| Chargable (Yes / No) | string | 
                             None.  | 
                |
| Current Case Start Date | date | 
                             None.  | 
                |
| Current Case End Date | date | 
                             None.  | 
                |
| Date OSHARecordable Determined | date | 
                             None.  | 
                
Response Formats
application/json, text/json
[
  {
    "Location Code": "sample string 1",
    "Location Name": "sample string 2",
    "Incident ID (System Generated)": "sample string 3",
    "Incident Internal Id (System Generated)": "sample string 4",
    "Incident Title (No Personal data to be entered)": "sample string 5",
    "Incident Type": "sample string 6",
    "Were multiple people injured as part of this incident?": "sample string 7",
    "Is this a MSHA Related Incident?": "sample string 8",
    "Is this a MSHA Related Incident Location?": "sample string 9",
    "Date of Incident": "2025-11-04T16:08:13.008Z",
    "Time of Incident": "sample string 10",
    "Time undetermined": "sample string 11",
    "Day Of Week": "sample string 12",
    "Length of Normal Workday": "sample string 13",
    "Work Shift": "sample string 14",
    "Time Work Day Began": "sample string 15",
    "HasPotentialToSerious": "sample string 16",
    "Description of Incident": "sample string 17",
    "Incident Occurred on Employer's Premises": "sample string 18",
    "Address of Incident Location": "sample string 19",
    "City of Incident Location": "sample string 20",
    "County of Incident Location": "sample string 21",
    "Country of Incident Location": "sample string 22",
    "State/Province of Incident Location": "sample string 23",
    "Postal Code/Zip Code of Incident Location": "sample string 24",
    "Department": "sample string 25",
    "Pin Location": "sample string 26",
    "Responsible Department": "sample string 27",
    "Responsible Supervisor": "sample string 28",
    "Location of Injury Scene": "sample string 29",
    "Date Reported to Employer": "2025-11-04T16:08:13.008Z",
    "Time Reported to Employer": "sample string 30",
    "ContractorInvolvedYN": "sample string 31",
    "ContractorName": "sample string 32",
    "ContractorDetails": "sample string 33",
    "ContractorTrainedYN": "sample string 34",
    "WasAssetinvolved": "sample string 35",
    "Assets": "sample string 36",
    "Confirm Significance Level ID Of Incident": "sample string 37",
    "Confirm Significance Level Of Incident": "sample string 38",
    "Would you like to submit a Workers Compensation claim?": "sample string 39",
    "Personnel Type ID": 40,
    "Personnel Type": "sample string 41",
    "Employee / Individual Involved (Prefix, First, M.I., Last)": "sample string 42",
    "Employee Id": "sample string 43",
    "Employee's Social Security Number **": "sample string 44",
    "Date of Birth **": "2025-11-04T16:08:13.008Z",
    "Gender": "sample string 46",
    "Occupation/Job Title": "sample string 47",
    "Hire Date": "2025-11-04T16:08:13.008Z",
    "Pay Rate Type": "sample string 48",
    "Time in Current job": "sample string 49",
    "Time in Current job Unit": "sample string 50",
    "Employee / Individual Department": "sample string 51",
    "Supervisor (First, M.I., Last)": "sample string 52",
    "Supervisor's Email": "sample string 53",
    "Supervisor Phone": "sample string 54",
    "Employee Home Address": "sample string 55",
    "Employee City": "sample string 56",
    "Employee State": "sample string 57",
    "Employee Postal Code/Zip Code": "sample string 58",
    "Employee Home Phone Number": "sample string 59",
    "Marital Status": "sample string 60",
    "Years at Company": "sample string 61",
    "Number Of Dependents": 1,
    "Type of Employment": "sample string 62",
    "Current Weekly Wage": 1.1,
    "Hourly Wage": 1.1,
    "Hours Worked per Week": 1.1,
    "Days worked Per Week": 1,
    "Hours worked Per Day": 1,
    "State Hired": "sample string 63",
    "Employment Status": "sample string 64",
    "Was Employee Paid in Full for Date of Injury?": "sample string 65",
    "Any Prior WC Injuries?": "sample string 66",
    "Do you want to further classify Unsupervised Contract Employee": "sample string 67",
    "Type of Client Personnel": "sample string 68",
    "Client Company": "sample string 69",
    "Name of Contractor": "sample string 70",
    "Name of Sub-Contractor": "sample string 71",
    "Will employee's salary continue?r": "sample string 72",
    "Was Employee treated offsite?": "sample string 73",
    "Where was employee treated": "sample string 74",
    "Explain Why": "sample string 75",
    "If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality": "sample string 76",
    "Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?": "sample string 77",
    "Has OSHA been contacted?": "sample string 78",
    "Please Identify OSHA Contact Details (Name and Phone Number)": "sample string 79",
    "Nature of Injury / Illness": "sample string 80",
    "Cause of Illness/Injury": "sample string 81",
    "Injured Body Part": "sample string 82",
    "What was the employee doing just before the incident occurred?": "sample string 83",
    "Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable'": "sample string 84",
    "Specific Work Activity when the incident occurred": "sample string 85",
    " Was any Machine / Equipment involved?": "sample string 86",
    "Machine/Equipment Number": "sample string 87",
    "Reviewed by EHS Representative": "sample string 88",
    "Review Date": "2025-11-04T16:08:13.008Z",
    " Is this a Needlestick Injury?": "sample string 89",
    " Type": "sample string 90",
    "Brand": "sample string 91",
    "Model": "sample string 92",
    "Identify Initial Treatment": "sample string 93",
    "Was Drug Testing Performed": "sample string 94",
    "Explain why": "sample string 95",
    "RIDDOR Classification": [
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-11-04T16:08:13.008Z",
        "Comments": "sample string 7"
      },
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-11-04T16:08:13.008Z",
        "Comments": "sample string 7"
      }
    ],
    "Most Severe Case": "sample string 96",
    "Current Case": "sample string 97",
    "Health & Safety / WC Contact Name": "sample string 98",
    "Employer Telephone Number": "sample string 99",
    "Employer Title": "sample string 100",
    "Employer Mailing Address": "sample string 101",
    "Employer City": "sample string 102",
    "Employer State": "sample string 103",
    "Employer Postal Code/Zip Code": "sample string 104",
    "Employer Location Code": "sample string 105",
    "Employer SIC": "sample string 106",
    "Nature of Business": "sample string 107",
    "Employer FEIN Number": "sample string 108",
    "Employer Name": "sample string 109",
    "Workers Comp Claim": "sample string 110",
    "Is This Claim Work Related": "sample string 111",
    "Jurisdiction State": "sample string 112",
    "Did the incident result in fatality?": "sample string 113",
    "Date fatality occurred": "2025-11-04T16:08:13.008Z",
    "Did the employee lose any time from work?": "sample string 114",
    "What was the first full day out?": "2025-11-04T16:08:13.008Z",
    "Do you know the Date Employee Last Worked?": "sample string 115",
    "Date Employee Last Worked": "2025-11-04T16:08:13.008Z",
    "Has the employee returned to work?": "sample string 116",
    "Date Returned to Work": "2025-11-04T16:08:13.008Z",
    "Return to Work Status": "sample string 117",
    "Estimated Return to Work Date": "2025-11-04T16:08:13.008Z",
    "Reqs Sharps Inj Log": "sample string 118",
    "Work Comp Id": "sample string 119",
    "Incident Reported By": "sample string 120",
    "Reporters Email": "sample string 121",
    "Reporters Phone": "sample string 122",
    "Injury Date": "2025-11-04T16:08:13.008Z",
    "Injury Day": "sample string 123",
    "Injury Time": "sample string 124",
    "Claim Time Workday Began": "sample string 125",
    "Was employee sent to Hospital / Clinic to receive Medical Treatment?": "sample string 126",
    "Initial Medical Treatment": "sample string 127",
    "Hospital / Clinic Name": "sample string 128",
    "Hospital Address": "sample string 129",
    "Hospital City": "sample string 130",
    "Hospital State": "sample string 131",
    "Hospital Postal Code/Zip Code": "sample string 132",
    "Hospital Phone": "sample string 133",
    "Hospital Fax": "sample string 134",
    "Clinic/Doctor Name": "sample string 135",
    "Do you question the Validity of the claim?": "sample string 136",
    "Provide details": "sample string 137",
    "Other Comments": "sample string 138",
    "Is Claim Form Completed?": "sample string 139",
    "Claim Submission Status": "sample string 140",
    "Claim Submitted By": "sample string 141",
    "Claim Submitted Date": "2025-11-04T16:08:13.024Z",
    "Claim Status": "sample string 142",
    "Date Claim Closed": "2025-11-04T16:08:13.024Z",
    "Total Cost Incurred": 1.1,
    "Total Cost Paid": 1.1,
    "Total Outstanding Cost": 1.1,
    "Total Developed Cost": 1.1,
    "Incident Severity ID": 143,
    "Incident Severity SIF": "sample string 144",
    "Actual Severity": "sample string 145",
    "Potential Secction YN": "sample string 146",
    "Display Cause YN": "sample string 147",
    "Are there any Witnesses identified?": "sample string 148",
    "Witness Information": [
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      },
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      }
    ],
    "Name": "sample string 149",
    "Title": "sample string 150",
    "Phone": "sample string 151",
    "Incident Status": "sample string 152",
    "Incident Created By Employee ID": "sample string 153",
    "Incident Created By": "sample string 154",
    "Incident Created Date": "2025-11-04T16:08:13.024Z",
    "Incident Last Updated By": "sample string 155",
    "Incident Last Updated Date": "2025-11-04T16:08:13.024Z",
    "Was This Claim Work Related": "sample string 156",
    "ManagementReviewStatus": "sample string 157",
    "Lost Time Days": 1.1,
    "Restricted Duty Days": 1.1,
    "Recordable (Yes/No)": "sample string 158",
    "Workers Comp Claim#": "sample string 159",
    "Reason for Non Work Related Classification": "sample string 160",
    "Is This a Company defined Recordable Case ?": "sample string 161",
    "Worker Comp Id": "sample string 162",
    "Please identify the severity of the Incident": "sample string 163",
    "Filing State": "sample string 164",
    "Is Claim Submission Required?": "sample string 165",
    "Claim #": "sample string 166",
    "Recent Cost Update": "sample string 167",
    "Was employee sent to Hospital/Clinic to receive Medical Treatment?": "sample string 168",
    "Root Cause Details": [
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4",
        "Root Cause Category": "sample string 5",
        "Management System Element": "sample string 6"
      },
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4",
        "Root Cause Category": "sample string 5",
        "Management System Element": "sample string 6"
      }
    ],
    "5Y Details": [
      {
        "Evaluation ID": 1,
        "Contact Type": "sample string 2",
        "Others Description": "sample string 3",
        "Contact ID": "sample string 4"
      },
      {
        "Evaluation ID": 1,
        "Contact Type": "sample string 2",
        "Others Description": "sample string 3",
        "Contact ID": "sample string 4"
      }
    ],
    "5Ys": [
      {
        "Evaluation ID": 1,
        "Why Label": "sample string 2",
        "Why Check": "sample string 3"
      },
      {
        "Evaluation ID": 1,
        "Why Label": "sample string 2",
        "Why Check": "sample string 3"
      }
    ],
    "Investigation questions Details": [
      {
        "Question ID": 2,
        "Question": "sample string 3",
        "Answer": {},
        "Answer ID": 5,
        "Parent Question ID": 6,
        "Parent Question": "sample string 7"
      },
      {
        "Question ID": 2,
        "Question": "sample string 3",
        "Answer": {},
        "Answer ID": 5,
        "Parent Question ID": 6,
        "Parent Question": "sample string 7"
      }
    ],
    "Investigation Responsibility Details": [
      {
        "Target Completion Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      },
      {
        "Target Completion Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      }
    ],
    "Investigation Responsibility  assignee Details": [
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      },
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      }
    ],
    "Final root cause statement Details": [
      {
        "IMSIncidentID": 1,
        "FinalRootCauseStatement": "sample string 2",
        "PrimaryCounterMeasure": "sample string 3",
        "PrimaryRootCause": "sample string 4"
      },
      {
        "IMSIncidentID": 1,
        "FinalRootCauseStatement": "sample string 2",
        "PrimaryCounterMeasure": "sample string 3",
        "PrimaryRootCause": "sample string 4"
      }
    ],
    "Action Items Details": [
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-11-04T16:08:13.024Z",
        "Owner": "sample string 11",
        "Responsible Department": "sample string 12",
        "Counter Measure": "sample string 13",
        "Applicable to Expansion?": "sample string 14",
        "Description of Actions to be Expanded": "sample string 15",
        "Applicable to EEM/EPM Info?": "sample string 16",
        "EEM / EPM": "sample string 17",
        "EEM/EPM Info Submitted ?": "sample string 18",
        "Document Number ": "sample string 19",
        "Assigned By": "sample string 20",
        "Is Verification Required": 21,
        "Verification Required": "sample string 22",
        "VerifyUser": "sample string 23",
        "Approval Status": "sample string 24",
        "Approvers": "sample string 25",
        "Approval Comment": "sample string 26",
        "Approval Date": "2025-11-04T16:08:13.024Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-11-04T16:08:13.024Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-11-04T16:08:13.024Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 37"
      },
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-11-04T16:08:13.024Z",
        "Owner": "sample string 11",
        "Responsible Department": "sample string 12",
        "Counter Measure": "sample string 13",
        "Applicable to Expansion?": "sample string 14",
        "Description of Actions to be Expanded": "sample string 15",
        "Applicable to EEM/EPM Info?": "sample string 16",
        "EEM / EPM": "sample string 17",
        "EEM/EPM Info Submitted ?": "sample string 18",
        "Document Number ": "sample string 19",
        "Assigned By": "sample string 20",
        "Is Verification Required": 21,
        "Verification Required": "sample string 22",
        "VerifyUser": "sample string 23",
        "Approval Status": "sample string 24",
        "Approvers": "sample string 25",
        "Approval Comment": "sample string 26",
        "Approval Date": "2025-11-04T16:08:13.024Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-11-04T16:08:13.024Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-11-04T16:08:13.024Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 37"
      }
    ],
    "Contributing Factors Details": [
      {
        "Parent Contributing Factor ID": 1,
        "Contributing Factor ID": 2,
        "Contributing Factor Name": "sample string 3",
        "Comments": "sample string 4"
      },
      {
        "Parent Contributing Factor ID": 1,
        "Contributing Factor ID": 2,
        "Contributing Factor Name": "sample string 3",
        "Comments": "sample string 4"
      }
    ],
    "Ergo Details": [
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      },
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      }
    ],
    "Case Classification": [
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-11-04T16:08:13.024Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      },
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-11-04T16:08:13.024Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      }
    ],
    "Case Progression Tracking": [
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-11-04T16:08:13.024Z",
        "Date First Aid Provided": "2025-11-04T16:08:13.024Z",
        "Date other Recordable case Occurred": "2025-11-04T16:08:13.024Z",
        "First Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "Last Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "First Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Last Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Date Fatality Occurred.": "2025-11-04T16:08:13.024Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-11-04T16:08:13.024Z"
      },
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-11-04T16:08:13.024Z",
        "Date First Aid Provided": "2025-11-04T16:08:13.024Z",
        "Date other Recordable case Occurred": "2025-11-04T16:08:13.024Z",
        "First Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "Last Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "First Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Last Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Date Fatality Occurred.": "2025-11-04T16:08:13.024Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-11-04T16:08:13.024Z"
      }
    ],
    "WCC InjuryIllness": [
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-11-04T16:08:13.024Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-11-04T16:08:13.024Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-11-04T16:08:13.024Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-11-04T16:08:13.024Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-11-04T16:08:13.024Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-11-04T16:08:13.024Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-11-04T16:08:13.024Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-11-04T16:08:13.024Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-11-04T16:08:13.024Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      },
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-11-04T16:08:13.024Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-11-04T16:08:13.024Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-11-04T16:08:13.024Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-11-04T16:08:13.024Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-11-04T16:08:13.024Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-11-04T16:08:13.024Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-11-04T16:08:13.024Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-11-04T16:08:13.024Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-11-04T16:08:13.024Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      }
    ],
    "Employee first name": "sample string 169",
    "Employee middle name": "sample string 170",
    "Employee Last name": "sample string 171",
    "Employee suffix": "sample string 172",
    "supervisor first name": "sample string 173",
    "supervisor middle name": "sample string 174",
    "Supervisor Last name": "sample string 175",
    "supervisor suffix": "sample string 176",
    "Incident Own id": "sample string 177",
    "USLocationYN": 178,
    "Work_activity_done": "sample string 179",
    "OccuredDepartment": "sample string 180",
    "InitialMedicalTreatment": "sample string 181",
    "ReportPrepByName": "sample string 182",
    "ReportPrepByPhone": "sample string 183",
    "ReportPrepByTitle": "sample string 184",
    "Management review Details": [
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      },
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      }
    ],
    "Status of Worker's compensation": "sample string 185",
    "Chargable (Yes / No)": "sample string 186",
    "Current Case Start Date": "2025-11-04T16:08:13.024Z",
    "Current Case End Date": "2025-11-04T16:08:13.024Z",
    "Date OSHARecordable Determined": "2025-11-04T16:08:13.024Z"
  },
  {
    "Location Code": "sample string 1",
    "Location Name": "sample string 2",
    "Incident ID (System Generated)": "sample string 3",
    "Incident Internal Id (System Generated)": "sample string 4",
    "Incident Title (No Personal data to be entered)": "sample string 5",
    "Incident Type": "sample string 6",
    "Were multiple people injured as part of this incident?": "sample string 7",
    "Is this a MSHA Related Incident?": "sample string 8",
    "Is this a MSHA Related Incident Location?": "sample string 9",
    "Date of Incident": "2025-11-04T16:08:13.008Z",
    "Time of Incident": "sample string 10",
    "Time undetermined": "sample string 11",
    "Day Of Week": "sample string 12",
    "Length of Normal Workday": "sample string 13",
    "Work Shift": "sample string 14",
    "Time Work Day Began": "sample string 15",
    "HasPotentialToSerious": "sample string 16",
    "Description of Incident": "sample string 17",
    "Incident Occurred on Employer's Premises": "sample string 18",
    "Address of Incident Location": "sample string 19",
    "City of Incident Location": "sample string 20",
    "County of Incident Location": "sample string 21",
    "Country of Incident Location": "sample string 22",
    "State/Province of Incident Location": "sample string 23",
    "Postal Code/Zip Code of Incident Location": "sample string 24",
    "Department": "sample string 25",
    "Pin Location": "sample string 26",
    "Responsible Department": "sample string 27",
    "Responsible Supervisor": "sample string 28",
    "Location of Injury Scene": "sample string 29",
    "Date Reported to Employer": "2025-11-04T16:08:13.008Z",
    "Time Reported to Employer": "sample string 30",
    "ContractorInvolvedYN": "sample string 31",
    "ContractorName": "sample string 32",
    "ContractorDetails": "sample string 33",
    "ContractorTrainedYN": "sample string 34",
    "WasAssetinvolved": "sample string 35",
    "Assets": "sample string 36",
    "Confirm Significance Level ID Of Incident": "sample string 37",
    "Confirm Significance Level Of Incident": "sample string 38",
    "Would you like to submit a Workers Compensation claim?": "sample string 39",
    "Personnel Type ID": 40,
    "Personnel Type": "sample string 41",
    "Employee / Individual Involved (Prefix, First, M.I., Last)": "sample string 42",
    "Employee Id": "sample string 43",
    "Employee's Social Security Number **": "sample string 44",
    "Date of Birth **": "2025-11-04T16:08:13.008Z",
    "Gender": "sample string 46",
    "Occupation/Job Title": "sample string 47",
    "Hire Date": "2025-11-04T16:08:13.008Z",
    "Pay Rate Type": "sample string 48",
    "Time in Current job": "sample string 49",
    "Time in Current job Unit": "sample string 50",
    "Employee / Individual Department": "sample string 51",
    "Supervisor (First, M.I., Last)": "sample string 52",
    "Supervisor's Email": "sample string 53",
    "Supervisor Phone": "sample string 54",
    "Employee Home Address": "sample string 55",
    "Employee City": "sample string 56",
    "Employee State": "sample string 57",
    "Employee Postal Code/Zip Code": "sample string 58",
    "Employee Home Phone Number": "sample string 59",
    "Marital Status": "sample string 60",
    "Years at Company": "sample string 61",
    "Number Of Dependents": 1,
    "Type of Employment": "sample string 62",
    "Current Weekly Wage": 1.1,
    "Hourly Wage": 1.1,
    "Hours Worked per Week": 1.1,
    "Days worked Per Week": 1,
    "Hours worked Per Day": 1,
    "State Hired": "sample string 63",
    "Employment Status": "sample string 64",
    "Was Employee Paid in Full for Date of Injury?": "sample string 65",
    "Any Prior WC Injuries?": "sample string 66",
    "Do you want to further classify Unsupervised Contract Employee": "sample string 67",
    "Type of Client Personnel": "sample string 68",
    "Client Company": "sample string 69",
    "Name of Contractor": "sample string 70",
    "Name of Sub-Contractor": "sample string 71",
    "Will employee's salary continue?r": "sample string 72",
    "Was Employee treated offsite?": "sample string 73",
    "Where was employee treated": "sample string 74",
    "Explain Why": "sample string 75",
    "If this injury had occurred in a slightly different matter, could it have caused a serious injury or fatality": "sample string 76",
    "Did this incident involve an in-patient hospitalization, amputation, or a loss of an eye?": "sample string 77",
    "Has OSHA been contacted?": "sample string 78",
    "Please Identify OSHA Contact Details (Name and Phone Number)": "sample string 79",
    "Nature of Injury / Illness": "sample string 80",
    "Cause of Illness/Injury": "sample string 81",
    "Injured Body Part": "sample string 82",
    "What was the employee doing just before the incident occurred?": "sample string 83",
    "Please describe what object or substance directly harmed the employee? If this question does not apply, enter 'not applicable'": "sample string 84",
    "Specific Work Activity when the incident occurred": "sample string 85",
    " Was any Machine / Equipment involved?": "sample string 86",
    "Machine/Equipment Number": "sample string 87",
    "Reviewed by EHS Representative": "sample string 88",
    "Review Date": "2025-11-04T16:08:13.008Z",
    " Is this a Needlestick Injury?": "sample string 89",
    " Type": "sample string 90",
    "Brand": "sample string 91",
    "Model": "sample string 92",
    "Identify Initial Treatment": "sample string 93",
    "Was Drug Testing Performed": "sample string 94",
    "Explain why": "sample string 95",
    "RIDDOR Classification": [
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-11-04T16:08:13.008Z",
        "Comments": "sample string 7"
      },
      {
        "Emp Name": "sample string 2",
        "RIDDOR Classification": "sample string 3",
        "Riddor Sent To HSE": "sample string 4",
        "HSE Ref ID": "sample string 5",
        "Date Sent On": "2025-11-04T16:08:13.008Z",
        "Comments": "sample string 7"
      }
    ],
    "Most Severe Case": "sample string 96",
    "Current Case": "sample string 97",
    "Health & Safety / WC Contact Name": "sample string 98",
    "Employer Telephone Number": "sample string 99",
    "Employer Title": "sample string 100",
    "Employer Mailing Address": "sample string 101",
    "Employer City": "sample string 102",
    "Employer State": "sample string 103",
    "Employer Postal Code/Zip Code": "sample string 104",
    "Employer Location Code": "sample string 105",
    "Employer SIC": "sample string 106",
    "Nature of Business": "sample string 107",
    "Employer FEIN Number": "sample string 108",
    "Employer Name": "sample string 109",
    "Workers Comp Claim": "sample string 110",
    "Is This Claim Work Related": "sample string 111",
    "Jurisdiction State": "sample string 112",
    "Did the incident result in fatality?": "sample string 113",
    "Date fatality occurred": "2025-11-04T16:08:13.008Z",
    "Did the employee lose any time from work?": "sample string 114",
    "What was the first full day out?": "2025-11-04T16:08:13.008Z",
    "Do you know the Date Employee Last Worked?": "sample string 115",
    "Date Employee Last Worked": "2025-11-04T16:08:13.008Z",
    "Has the employee returned to work?": "sample string 116",
    "Date Returned to Work": "2025-11-04T16:08:13.008Z",
    "Return to Work Status": "sample string 117",
    "Estimated Return to Work Date": "2025-11-04T16:08:13.008Z",
    "Reqs Sharps Inj Log": "sample string 118",
    "Work Comp Id": "sample string 119",
    "Incident Reported By": "sample string 120",
    "Reporters Email": "sample string 121",
    "Reporters Phone": "sample string 122",
    "Injury Date": "2025-11-04T16:08:13.008Z",
    "Injury Day": "sample string 123",
    "Injury Time": "sample string 124",
    "Claim Time Workday Began": "sample string 125",
    "Was employee sent to Hospital / Clinic to receive Medical Treatment?": "sample string 126",
    "Initial Medical Treatment": "sample string 127",
    "Hospital / Clinic Name": "sample string 128",
    "Hospital Address": "sample string 129",
    "Hospital City": "sample string 130",
    "Hospital State": "sample string 131",
    "Hospital Postal Code/Zip Code": "sample string 132",
    "Hospital Phone": "sample string 133",
    "Hospital Fax": "sample string 134",
    "Clinic/Doctor Name": "sample string 135",
    "Do you question the Validity of the claim?": "sample string 136",
    "Provide details": "sample string 137",
    "Other Comments": "sample string 138",
    "Is Claim Form Completed?": "sample string 139",
    "Claim Submission Status": "sample string 140",
    "Claim Submitted By": "sample string 141",
    "Claim Submitted Date": "2025-11-04T16:08:13.024Z",
    "Claim Status": "sample string 142",
    "Date Claim Closed": "2025-11-04T16:08:13.024Z",
    "Total Cost Incurred": 1.1,
    "Total Cost Paid": 1.1,
    "Total Outstanding Cost": 1.1,
    "Total Developed Cost": 1.1,
    "Incident Severity ID": 143,
    "Incident Severity SIF": "sample string 144",
    "Actual Severity": "sample string 145",
    "Potential Secction YN": "sample string 146",
    "Display Cause YN": "sample string 147",
    "Are there any Witnesses identified?": "sample string 148",
    "Witness Information": [
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      },
      {
        "LastName": "sample string 2",
        "FirstName": "sample string 3",
        "MiddleName": "sample string 4",
        "PhoneNumber": "sample string 5",
        "Notes": "sample string 6"
      }
    ],
    "Name": "sample string 149",
    "Title": "sample string 150",
    "Phone": "sample string 151",
    "Incident Status": "sample string 152",
    "Incident Created By Employee ID": "sample string 153",
    "Incident Created By": "sample string 154",
    "Incident Created Date": "2025-11-04T16:08:13.024Z",
    "Incident Last Updated By": "sample string 155",
    "Incident Last Updated Date": "2025-11-04T16:08:13.024Z",
    "Was This Claim Work Related": "sample string 156",
    "ManagementReviewStatus": "sample string 157",
    "Lost Time Days": 1.1,
    "Restricted Duty Days": 1.1,
    "Recordable (Yes/No)": "sample string 158",
    "Workers Comp Claim#": "sample string 159",
    "Reason for Non Work Related Classification": "sample string 160",
    "Is This a Company defined Recordable Case ?": "sample string 161",
    "Worker Comp Id": "sample string 162",
    "Please identify the severity of the Incident": "sample string 163",
    "Filing State": "sample string 164",
    "Is Claim Submission Required?": "sample string 165",
    "Claim #": "sample string 166",
    "Recent Cost Update": "sample string 167",
    "Was employee sent to Hospital/Clinic to receive Medical Treatment?": "sample string 168",
    "Root Cause Details": [
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4",
        "Root Cause Category": "sample string 5",
        "Management System Element": "sample string 6"
      },
      {
        "Parent Root Cause Name": "sample string 2",
        "Root Cause Name": "sample string 3",
        "Comments": "sample string 4",
        "Root Cause Category": "sample string 5",
        "Management System Element": "sample string 6"
      }
    ],
    "5Y Details": [
      {
        "Evaluation ID": 1,
        "Contact Type": "sample string 2",
        "Others Description": "sample string 3",
        "Contact ID": "sample string 4"
      },
      {
        "Evaluation ID": 1,
        "Contact Type": "sample string 2",
        "Others Description": "sample string 3",
        "Contact ID": "sample string 4"
      }
    ],
    "5Ys": [
      {
        "Evaluation ID": 1,
        "Why Label": "sample string 2",
        "Why Check": "sample string 3"
      },
      {
        "Evaluation ID": 1,
        "Why Label": "sample string 2",
        "Why Check": "sample string 3"
      }
    ],
    "Investigation questions Details": [
      {
        "Question ID": 2,
        "Question": "sample string 3",
        "Answer": {},
        "Answer ID": 5,
        "Parent Question ID": 6,
        "Parent Question": "sample string 7"
      },
      {
        "Question ID": 2,
        "Question": "sample string 3",
        "Answer": {},
        "Answer ID": 5,
        "Parent Question ID": 6,
        "Parent Question": "sample string 7"
      }
    ],
    "Investigation Responsibility Details": [
      {
        "Target Completion Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      },
      {
        "Target Completion Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 1",
        "Notify / YN": "sample string 2"
      }
    ],
    "Investigation Responsibility  assignee Details": [
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      },
      {
        "UserID": 1,
        "Salutation": "sample string 2",
        "First Name": "sample string 3",
        "Last Name": "sample string 4"
      }
    ],
    "Final root cause statement Details": [
      {
        "IMSIncidentID": 1,
        "FinalRootCauseStatement": "sample string 2",
        "PrimaryCounterMeasure": "sample string 3",
        "PrimaryRootCause": "sample string 4"
      },
      {
        "IMSIncidentID": 1,
        "FinalRootCauseStatement": "sample string 2",
        "PrimaryCounterMeasure": "sample string 3",
        "PrimaryRootCause": "sample string 4"
      }
    ],
    "Action Items Details": [
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-11-04T16:08:13.024Z",
        "Owner": "sample string 11",
        "Responsible Department": "sample string 12",
        "Counter Measure": "sample string 13",
        "Applicable to Expansion?": "sample string 14",
        "Description of Actions to be Expanded": "sample string 15",
        "Applicable to EEM/EPM Info?": "sample string 16",
        "EEM / EPM": "sample string 17",
        "EEM/EPM Info Submitted ?": "sample string 18",
        "Document Number ": "sample string 19",
        "Assigned By": "sample string 20",
        "Is Verification Required": 21,
        "Verification Required": "sample string 22",
        "VerifyUser": "sample string 23",
        "Approval Status": "sample string 24",
        "Approvers": "sample string 25",
        "Approval Comment": "sample string 26",
        "Approval Date": "2025-11-04T16:08:13.024Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-11-04T16:08:13.024Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-11-04T16:08:13.024Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 37"
      },
      {
        "Source ID": "sample string 2",
        "Source Title": "sample string 3",
        "Action Item Title": "sample string 4",
        "Action Item Category": "sample string 5",
        "Action Item Type Id": 6,
        "Action Item Type": "sample string 7",
        "Root Cause": "sample string 8",
        "Action Item Description": "sample string 9",
        "Action Item Priority": "sample string 10",
        "Action Item Due Date": "2025-11-04T16:08:13.024Z",
        "Owner": "sample string 11",
        "Responsible Department": "sample string 12",
        "Counter Measure": "sample string 13",
        "Applicable to Expansion?": "sample string 14",
        "Description of Actions to be Expanded": "sample string 15",
        "Applicable to EEM/EPM Info?": "sample string 16",
        "EEM / EPM": "sample string 17",
        "EEM/EPM Info Submitted ?": "sample string 18",
        "Document Number ": "sample string 19",
        "Assigned By": "sample string 20",
        "Is Verification Required": 21,
        "Verification Required": "sample string 22",
        "VerifyUser": "sample string 23",
        "Approval Status": "sample string 24",
        "Approvers": "sample string 25",
        "Approval Comment": "sample string 26",
        "Approval Date": "2025-11-04T16:08:13.024Z",
        "Action Item Status": "sample string 27",
        "Action Taken": "sample string 28",
        "Action item Completed By": "sample string 29",
        "Action item Completed Date": "2025-11-04T16:08:13.024Z",
        "Due Date Extension": "sample string 30",
        "Requested Due Date Extension": "2025-11-04T16:08:13.024Z",
        "Reason for Due Date Extension": "sample string 31",
        "Due Date Extension Request Approved?": "sample string 32",
        "Reason for not extending the Due Date": "sample string 33",
        "Verification Status": "sample string 34",
        "Verification Performed": "sample string 35",
        "Verified By": "sample string 36",
        "Verification Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 37"
      }
    ],
    "Contributing Factors Details": [
      {
        "Parent Contributing Factor ID": 1,
        "Contributing Factor ID": 2,
        "Contributing Factor Name": "sample string 3",
        "Comments": "sample string 4"
      },
      {
        "Parent Contributing Factor ID": 1,
        "Contributing Factor ID": 2,
        "Contributing Factor Name": "sample string 3",
        "Comments": "sample string 4"
      }
    ],
    "Ergo Details": [
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      },
      {
        "Question ID": 1,
        "Dependency Question ID": 2,
        "Question Lable": "sample string 3",
        "Answer ID": "sample string 4"
      }
    ],
    "Case Classification": [
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-11-04T16:08:13.024Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      },
      {
        "Case Number  (System Generated)": "sample string 1",
        "Was this case Work-Related?": "sample string 2",
        "Describe the reason for the Non Work Related classification": "sample string 3",
        "Did this incident result in a fatality?": "sample string 4",
        "Did this incident result in an amputation, fractured/cracked bone(s) (including teeth), or loss of consciousness?": "sample string 5",
        "Did the incident result in work restrictions, lost time or job transfer?": "sample string 6",
        "Was Treatment Provided beyond First Aid?": "sample string 7",
        "Did the injury involve a needlestick and cut(s) from sharp objects that are contaminated with another person's blood or other potentially infectious material?": "sample string 8",
        "Was treatment defined as First Aid provided?": "sample string 9",
        "This is a First Aid Case, identify the specific treatment(s) provided.": "sample string 10",
        "Is This a Company defined Recordable Case ?": "sample string 11",
        "Describe the reason for the Not Recordable classification": "sample string 12",
        "Is this Case Recordable According to Local Record keeping Requirements ?": "sample string 13",
        "Does this meet FCA's requirement for FAI Classification?": "sample string 14",
        "Did this case involve a chronic injury, a strain or a sprain?": "sample string 15",
        "Date Reported to Healthcare": "2025-11-04T16:08:13.024Z",
        "Time Reported to Healthcare": "sample string 16",
        "Case Status": "sample string 17",
        "Title": "sample string 18",
        "Phone": "sample string 19",
        "Closed Date": "2025-11-04T16:08:13.024Z",
        "Comments": "sample string 20",
        "Completed By": "sample string 21"
      }
    ],
    "Case Progression Tracking": [
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-11-04T16:08:13.024Z",
        "Date First Aid Provided": "2025-11-04T16:08:13.024Z",
        "Date other Recordable case Occurred": "2025-11-04T16:08:13.024Z",
        "First Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "Last Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "First Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Last Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Date Fatality Occurred.": "2025-11-04T16:08:13.024Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-11-04T16:08:13.024Z"
      },
      {
        "Employee Name": "sample string 1",
        "Classification Of Case Id": 2,
        "Classification of Case": "sample string 3",
        "Date Reported": "2025-11-04T16:08:13.024Z",
        "Date First Aid Provided": "2025-11-04T16:08:13.024Z",
        "Date other Recordable case Occurred": "2025-11-04T16:08:13.024Z",
        "First Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "Last Day of Restricted Duty": "2025-11-04T16:08:13.024Z",
        "First Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Last Day of Lost Time": "2025-11-04T16:08:13.024Z",
        "Date Fatality Occurred.": "2025-11-04T16:08:13.024Z",
        "Reason for Classification": "sample string 4",
        "Reason for Classification Pick List": "sample string 5",
        "Is This A Defense Based Act Case?": "sample string 6",
        "Is This A Compensable Case?": "sample string 7",
        "Comments": "sample string 8",
        "Official Medical Diagnosis (Nature of Injury / Illness)": "sample string 9",
        "Was the Corporate Medical Director contacted?": "sample string 10",
        "Was Medical Treatment Rejected?": "sample string 11",
        "Reason for Refusal": "sample string 12",
        "Was Treatment Provided beyond First Aid?": "sample string 13",
        "Was Treatment provided offsite?": "sample string 14",
        "Hospital/Clinic Name": "sample string 15",
        "Type": "sample string 16",
        "Physician/Health care Provider": "sample string 17",
        "Street": "sample string 18",
        "City": "sample string 19",
        "Country": "sample string 20",
        "State": "sample string 21",
        "Postal Code/Zip Code": "sample string 22",
        "Phone": "sample string 23",
        "FAX": "sample string 24",
        "Was the employee treated in an emergency room": "sample string 25",
        "Was employee hospitalized overnight as an in-patient": "sample string 26",
        "Recording/Revision Date": "2025-11-04T16:08:13.024Z"
      }
    ],
    "WCC InjuryIllness": [
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-11-04T16:08:13.024Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-11-04T16:08:13.024Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-11-04T16:08:13.024Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-11-04T16:08:13.024Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-11-04T16:08:13.024Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-11-04T16:08:13.024Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-11-04T16:08:13.024Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-11-04T16:08:13.024Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-11-04T16:08:13.024Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      },
      {
        "IMSIncidentID": 1,
        "IncidentClaimYN": "sample string 2",
        "WorkCompId": "sample string 3",
        "TPAID": "sample string 4",
        "IncidentReportedBy": "sample string 5",
        "ReportersEmail": "sample string 6",
        "ReportersPhone": "sample string 7",
        "InjuryDate": "2025-11-04T16:08:13.024Z",
        "InjuryDay": "sample string 8",
        "InjuryTime": "sample string 9",
        "TimeWorkdayBegan": "sample string 10",
        "IncidentInternalId": "sample string 11",
        "ClaimWorkRelatedYn": "sample string 12",
        "EmpSSN": "sample string 13",
        "EmpFirstName": "sample string 14",
        "EmpMiddleName": "sample string 15",
        "EmpLastName": "sample string 16",
        "EmpStreet": "sample string 17",
        "EmpCity": "sample string 18",
        "EmpState": "sample string 19",
        "EmpZip": "sample string 20",
        "EmpPhone": "sample string 21",
        "EmpGender": "sample string 22",
        "EmpDOB": "2025-11-04T16:08:13.024Z",
        "EmpMaritialStatus": "sample string 23",
        "EmpHireDate": "2025-11-04T16:08:13.024Z",
        "EmpYearsAtComp": "sample string 24",
        "EmpNoOfDependents": 25,
        "EmpTypeOfEmployement": "sample string 26",
        "EmpDepartment": "sample string 27",
        "EmpStateHired": "sample string 28",
        "EmpSupervisorName": "sample string 29",
        "EmpSupervisorPhone": "sample string 30",
        "EmpWeeklyWage": 31.1,
        "EmpHourlyWage": 32.1,
        "EmpHoursPerWeek": 33.1,
        "EmpDaysPerWeek": 34.1,
        "EmpHoursPerDay": 35.1,
        "EmployementStatus": "sample string 36",
        "EmployeeID": "sample string 37",
        "EmpPaidInFull": "sample string 38",
        "EmpAnyPriorInjuriesYn": "sample string 39",
        "EmpSalaryContinueYN": "sample string 40",
        "EmployerContactName": "sample string 41",
        "EmployerTelephoneNumber": "sample string 42",
        "EmployerTitle": "sample string 43",
        "EmployerAddress": "sample string 44",
        "EmployerCity": "sample string 45",
        "EmployerState": "sample string 46",
        "EmployerZip": "sample string 47",
        "EmployerLocCode": "sample string 48",
        "EmployerSIC": "sample string 49",
        "EmployerNatureOfBusiness": "sample string 50",
        "EmployerName": "sample string 51",
        "FEINNumber": "sample string 52",
        "AccidentOccuredAtWorkYn": "sample string 53",
        "AccidentAddress": "sample string 54",
        "AccidentCity": "sample string 55",
        "AccidentState": "sample string 56",
        "AccidentZip": "sample string 57",
        "AccidentDescription": "sample string 58",
        "EmpActivityBeforeAccident": "sample string 59",
        "ObjectInvolved": "sample string 60",
        "JurisdictionState": "sample string 61",
        "DateReported": "2025-11-04T16:08:13.024Z",
        "TimeReported": "sample string 62",
        "FatalityYn": "sample string 63",
        "FatalityDate": "2025-11-04T16:08:13.024Z",
        "LostTimeYn": "sample string 64",
        "FirstFullDayOut": "2025-11-04T16:08:13.024Z",
        "DateEmployeeLastWorkedYN": "sample string 65",
        "DateEmployeeLastWorked": "2025-11-04T16:08:13.024Z",
        "EmpReturnToWorkYn": "sample string 66",
        "DateReturnToWork": "2025-11-04T16:08:13.024Z",
        "EmpReturnWorkStatus": "sample string 67",
        "EstReturnToWorkDate": "2025-11-04T16:08:13.024Z",
        "NatureOfinjury": "sample string 68",
        "CauseOfinjury": "sample string 69",
        "PartOfBody": "sample string 70",
        "PartOfBodyLocation": "sample string 71",
        "NeedleStickInjuryYn": "sample string 72",
        "ReqNeedleStickYn": "sample string 73",
        "EmpSentToHospYn": "sample string 74",
        "InitialTreatmentYn": "sample string 75",
        "HospName": "sample string 76",
        "HospAddress": "sample string 77",
        "HospCity": "sample string 78",
        "HosplAddressState": "sample string 79",
        "HospZip": "sample string 80",
        "HospPhone": "sample string 81",
        "HospFax": "sample string 82",
        "DoctName": "sample string 83",
        "WitnessYn": "sample string 84",
        "WitnessName": "sample string 85",
        "WitnessContact": "sample string 86",
        "ValidityOfClaimYn": "sample string 87",
        "ValidityOfClaimDetails": "sample string 88",
        "OtherComments": "sample string 89",
        "PrepByName": "sample string 90",
        "PrepByPhone": "sample string 91",
        "PrepByTitle": "sample string 92",
        "EmpOccupation": "sample string 93",
        "OshaReference": "sample string 94"
      }
    ],
    "Employee first name": "sample string 169",
    "Employee middle name": "sample string 170",
    "Employee Last name": "sample string 171",
    "Employee suffix": "sample string 172",
    "supervisor first name": "sample string 173",
    "supervisor middle name": "sample string 174",
    "Supervisor Last name": "sample string 175",
    "supervisor suffix": "sample string 176",
    "Incident Own id": "sample string 177",
    "USLocationYN": 178,
    "Work_activity_done": "sample string 179",
    "OccuredDepartment": "sample string 180",
    "InitialMedicalTreatment": "sample string 181",
    "ReportPrepByName": "sample string 182",
    "ReportPrepByPhone": "sample string 183",
    "ReportPrepByTitle": "sample string 184",
    "Management review Details": [
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      },
      {
        "ROLE": "sample string 1",
        " PRIMARY_OWNER": "sample string 2",
        "DEFAULT_APPR_DUEDATE": "sample string 3",
        "COMMENTS": "sample string 4",
        "REVIEW_STATUS": "sample string 5",
        "COMPLETED_BY": "sample string 6",
        "COMPLETED_DATE": "sample string 7",
        "IMSIncidentID": 8
      }
    ],
    "Status of Worker's compensation": "sample string 185",
    "Chargable (Yes / No)": "sample string 186",
    "Current Case Start Date": "2025-11-04T16:08:13.024Z",
    "Current Case End Date": "2025-11-04T16:08:13.024Z",
    "Date OSHARecordable Determined": "2025-11-04T16:08:13.024Z"
  }
]
        application/xml, text/xml
<ArrayOfInjuryIncidentClaim xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <InjuryIncidentClaim>
    <LocationCode>sample string 1</LocationCode>
    <LocationName>sample string 2</LocationName>
    <IMSIncidentInternalID>sample string 3</IMSIncidentInternalID>
    <InjIncidentInternalID>sample string 4</InjIncidentInternalID>
    <IncidentTitle>sample string 5</IncidentTitle>
    <IncidentTypeNames>sample string 6</IncidentTypeNames>
    <MultipleInjuredYN>sample string 7</MultipleInjuredYN>
    <MshaYn>sample string 8</MshaYn>
    <MSHALocation>sample string 9</MSHALocation>
    <IncidentDate>2025-11-04T11:08:13.0088892-05:00</IncidentDate>
    <TimeOfTheIncident>sample string 10</TimeOfTheIncident>
    <TimeUndetermined>sample string 11</TimeUndetermined>
    <DayOfWeek>sample string 12</DayOfWeek>
    <LengthOfNormalWorkDay>sample string 13</LengthOfNormalWorkDay>
    <WorkShift>sample string 14</WorkShift>
    <TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
    <HasPotentialToSerious>sample string 16</HasPotentialToSerious>
    <IncidentDescription>sample string 17</IncidentDescription>
    <IncidentOccurredonEmployersPremises>sample string 18</IncidentOccurredonEmployersPremises>
    <PremisesAddress>sample string 19</PremisesAddress>
    <PremisesCity>sample string 20</PremisesCity>
    <PremisesCounty>sample string 21</PremisesCounty>
    <PremisesCountry>sample string 22</PremisesCountry>
    <PremisesState>sample string 23</PremisesState>
    <PremisesZip>sample string 24</PremisesZip>
    <Department>sample string 25</Department>
    <PinLocation>sample string 26</PinLocation>
    <ResponsibleDepartment>sample string 27</ResponsibleDepartment>
    <ResponsibleSupervisor>sample string 28</ResponsibleSupervisor>
    <LocationOfInjuryScene>sample string 29</LocationOfInjuryScene>
    <DateReportedToEmployer>2025-11-04T11:08:13.0088892-05:00</DateReportedToEmployer>
    <TimeReportedToEmployer>sample string 30</TimeReportedToEmployer>
    <ContractorInvolvedYN>sample string 31</ContractorInvolvedYN>
    <ContractorName>sample string 32</ContractorName>
    <ContractorDetails>sample string 33</ContractorDetails>
    <ContractorTrainedYN>sample string 34</ContractorTrainedYN>
    <WasAssetInvolvedYn>sample string 35</WasAssetInvolvedYn>
    <Assets>sample string 36</Assets>
    <SignificanceID>sample string 37</SignificanceID>
    <SignificanceName>sample string 38</SignificanceName>
    <SubmitClaimYN>sample string 39</SubmitClaimYN>
    <PersonnelTypeId>40</PersonnelTypeId>
    <PersonnelType>sample string 41</PersonnelType>
    <EmployeeName>sample string 42</EmployeeName>
    <EmployeeID>sample string 43</EmployeeID>
    <SSNumber>sample string 44</SSNumber>
    <DateOfBirth>2025-11-04T11:08:13.0088892-05:00</DateOfBirth>
    <Gender>sample string 46</Gender>
    <Title>sample string 47</Title>
    <HireDate>2025-11-04T11:08:13.0088892-05:00</HireDate>
    <PayRateType>sample string 48</PayRateType>
    <TimeInCurrentJob>sample string 49</TimeInCurrentJob>
    <TimeInCurrentJobUnit>sample string 50</TimeInCurrentJobUnit>
    <EmployeeDepartment>sample string 51</EmployeeDepartment>
    <SupervisorLastFirstMI>sample string 52</SupervisorLastFirstMI>
    <SupervisorEmail>sample string 53</SupervisorEmail>
    <SupervisorPhone>sample string 54</SupervisorPhone>
    <HomeAddress>sample string 55</HomeAddress>
    <City>sample string 56</City>
    <State>sample string 57</State>
    <PostalCodeZipCode>sample string 58</PostalCodeZipCode>
    <HomePhoneNumber>sample string 59</HomePhoneNumber>
    <MaritalStatus>sample string 60</MaritalStatus>
    <YearsatCompany>sample string 61</YearsatCompany>
    <NumberOfDependents>1</NumberOfDependents>
    <TypeofEmployment>sample string 62</TypeofEmployment>
    <CurrentWeeklyWage>1.1</CurrentWeeklyWage>
    <HourlyWage>1.1</HourlyWage>
    <HoursWorkedperWeek>1.1</HoursWorkedperWeek>
    <DaysworkedPerWeek>1</DaysworkedPerWeek>
    <HoursworkedPerDay>1</HoursworkedPerDay>
    <StateHired>sample string 63</StateHired>
    <EmploymentStatus>sample string 64</EmploymentStatus>
    <WasEmployeePaidinFullforDateofInjury>sample string 65</WasEmployeePaidinFullforDateofInjury>
    <AnyPriorWCInjuries>sample string 66</AnyPriorWCInjuries>
    <FurtherClassifyYN>sample string 67</FurtherClassifyYN>
    <ClientPersonnelType>sample string 68</ClientPersonnelType>
    <ClientCompany>sample string 69</ClientCompany>
    <NameofContractor>sample string 70</NameofContractor>
    <NameofSubContractor>sample string 71</NameofSubContractor>
    <EmpSalaryContinueYN>sample string 72</EmpSalaryContinueYN>
    <Wastreatmentprovidedoffsite>sample string 73</Wastreatmentprovidedoffsite>
    <WhereEmpTreated>sample string 74</WhereEmpTreated>
    <ExplainWhy>sample string 75</ExplainWhy>
    <Fatality>sample string 76</Fatality>
    <AmputationYN>sample string 77</AmputationYN>
    <OSHAContactedYN>sample string 78</OSHAContactedYN>
    <OSHAContactDetails>sample string 79</OSHAContactDetails>
    <NatureOfInjuryIllness>sample string 80</NatureOfInjuryIllness>
    <CauseOfInjuryIllness>sample string 81</CauseOfInjuryIllness>
    <BodyPart>sample string 82</BodyPart>
    <EMPLOYEE_ACTIVITY>sample string 83</EMPLOYEE_ACTIVITY>
    <OBJECT_INVOLVED>sample string 84</OBJECT_INVOLVED>
    <SpecificWorkActivityWhenTheIncidentOccurred>sample string 85</SpecificWorkActivityWhenTheIncidentOccurred>
    <MACHINE_EQUIPMENT_YN>sample string 86</MACHINE_EQUIPMENT_YN>
    <MACHINE_EQUIPMENT_NO>sample string 87</MACHINE_EQUIPMENT_NO>
    <REVIEW_EHSREP>sample string 88</REVIEW_EHSREP>
    <Review_Date>2025-11-04T11:08:13.0088892-05:00</Review_Date>
    <IsthisaNeedlestickInjury>sample string 89</IsthisaNeedlestickInjury>
    <NEEDLESTICK_INJURY_TYPE>sample string 90</NEEDLESTICK_INJURY_TYPE>
    <NEEDLESTICK_INJURY_BRAND>sample string 91</NEEDLESTICK_INJURY_BRAND>
    <NEEDLESTICK_INJURY_MODEL>sample string 92</NEEDLESTICK_INJURY_MODEL>
    <InitialTreatmentID>sample string 93</InitialTreatmentID>
    <DrugTestingPerformedYN>sample string 94</DrugTestingPerformedYN>
    <DrugTestingPerformedExplain>sample string 95</DrugTestingPerformedExplain>
    <RiddorClassifications>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-11-04T11:08:13.0088892-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-11-04T11:08:13.0088892-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
    </RiddorClassifications>
    <MostSevereCase>sample string 96</MostSevereCase>
    <CurrentCase>sample string 97</CurrentCase>
    <EmployerContactName>sample string 98</EmployerContactName>
    <EmployerTelephoneNumber>sample string 99</EmployerTelephoneNumber>
    <EmployerTitle>sample string 100</EmployerTitle>
    <EmployerAddress>sample string 101</EmployerAddress>
    <EmployerCity>sample string 102</EmployerCity>
    <EmployerState>sample string 103</EmployerState>
    <EmployerZip>sample string 104</EmployerZip>
    <EmployerLocCode>sample string 105</EmployerLocCode>
    <EmployerSIC>sample string 106</EmployerSIC>
    <EmployerNatureOfBusiness>sample string 107</EmployerNatureOfBusiness>
    <FEINNumber>sample string 108</FEINNumber>
    <EmployerName>sample string 109</EmployerName>
    <WorkersCompClaimID>sample string 110</WorkersCompClaimID>
    <ClaimWorkRelatedYn>sample string 111</ClaimWorkRelatedYn>
    <JurisdictionState>sample string 112</JurisdictionState>
    <FatalityYn>sample string 113</FatalityYn>
    <FatalityDate>2025-11-04T11:08:13.0088892-05:00</FatalityDate>
    <LostTimeYn>sample string 114</LostTimeYn>
    <FirstFullDayOut>2025-11-04T11:08:13.0088892-05:00</FirstFullDayOut>
    <DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
    <DateEmployeeLastWorked>2025-11-04T11:08:13.0088892-05:00</DateEmployeeLastWorked>
    <EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
    <DateReturnToWork>2025-11-04T11:08:13.0088892-05:00</DateReturnToWork>
    <EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
    <EstReturnToWorkDate>2025-11-04T11:08:13.0088892-05:00</EstReturnToWorkDate>
    <ReqNeedleStickYn>sample string 118</ReqNeedleStickYn>
    <WorkCompId>sample string 119</WorkCompId>
    <IncidentReportedBy>sample string 120</IncidentReportedBy>
    <ReportersEmail>sample string 121</ReportersEmail>
    <ReportersPhone>sample string 122</ReportersPhone>
    <InjuryDate>2025-11-04T11:08:13.0088892-05:00</InjuryDate>
    <InjuryDay>sample string 123</InjuryDay>
    <InjuryTime>sample string 124</InjuryTime>
    <ClaimTimeWorkdayBegan>sample string 125</ClaimTimeWorkdayBegan>
    <EmpSentToHospYn>sample string 126</EmpSentToHospYn>
    <InitialTreatmentYn>sample string 127</InitialTreatmentYn>
    <HospName>sample string 128</HospName>
    <HospAddress>sample string 129</HospAddress>
    <HospCity>sample string 130</HospCity>
    <HosplAddressState>sample string 131</HosplAddressState>
    <HospZip>sample string 132</HospZip>
    <HospPhone>sample string 133</HospPhone>
    <HospFax>sample string 134</HospFax>
    <DoctName>sample string 135</DoctName>
    <ValidityOfClaimYn>sample string 136</ValidityOfClaimYn>
    <ValidityOfClaimDetails>sample string 137</ValidityOfClaimDetails>
    <OtherComments>sample string 138</OtherComments>
    <IsClaimFormCompleted>sample string 139</IsClaimFormCompleted>
    <SubmissionStatus>sample string 140</SubmissionStatus>
    <ClaimSubmittedBy>sample string 141</ClaimSubmittedBy>
    <ClaimSubmittedDate>2025-11-04T11:08:13.0245068-05:00</ClaimSubmittedDate>
    <ClaimStatus>sample string 142</ClaimStatus>
    <DateClaimClosed>2025-11-04T11:08:13.0245068-05:00</DateClaimClosed>
    <TotalCostIncurred>1.1</TotalCostIncurred>
    <TotalCostPaid>1.1</TotalCostPaid>
    <TotalOutstandingCost>1.1</TotalOutstandingCost>
    <TotalDevelopedCost>1.1</TotalDevelopedCost>
    <IncidentSeverityID>143</IncidentSeverityID>
    <IncidentSeveritySIF>sample string 144</IncidentSeveritySIF>
    <ActualSeverity>sample string 145</ActualSeverity>
    <ProcessSafetyYN>sample string 146</ProcessSafetyYN>
    <ProcessSafetyClassification>sample string 147</ProcessSafetyClassification>
    <WitnessYN>sample string 148</WitnessYN>
    <WitnessDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
    </WitnessDetails>
    <PrepByName>sample string 149</PrepByName>
    <PrepByTitle>sample string 150</PrepByTitle>
    <PrepByPhone>sample string 151</PrepByPhone>
    <IncidentStatus>sample string 152</IncidentStatus>
    <CreatedByEmployeeId>sample string 153</CreatedByEmployeeId>
    <CreatedByName>sample string 154</CreatedByName>
    <CreatedDate>2025-11-04T11:08:13.0245068-05:00</CreatedDate>
    <UpdatedByName>sample string 155</UpdatedByName>
    <UpdatedDate>2025-11-04T11:08:13.0245068-05:00</UpdatedDate>
    <WasthiscaseWorkRelated>sample string 156</WasthiscaseWorkRelated>
    <ManagementReviewStatus>sample string 157</ManagementReviewStatus>
    <LostTimeDays>1.1</LostTimeDays>
    <RestrictedDutyDays>1.1</RestrictedDutyDays>
    <OSHARecordableYn>sample string 158</OSHARecordableYn>
    <WorkersCompClaim>sample string 159</WorkersCompClaim>
    <NonWorkRelatedComments>sample string 160</NonWorkRelatedComments>
    <IsThisaCompanydefinedRecordableCase>sample string 161</IsThisaCompanydefinedRecordableCase>
    <WorkerCompId>sample string 162</WorkerCompId>
    <InjuryorFatality>sample string 163</InjuryorFatality>
    <FilingState>sample string 164</FilingState>
    <IsClaimSubmissionRequired>sample string 165</IsClaimSubmissionRequired>
    <ClaimNum>sample string 166</ClaimNum>
    <RecentCostUpdate>sample string 167</RecentCostUpdate>
    <WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>sample string 168</WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>
    <RootCauseDetails>
      <RootCause>
        <PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
        <ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
        <COMMENTS>sample string 4</COMMENTS>
        <RootCauseCategory>sample string 5</RootCauseCategory>
        <ManagementSystemElement>sample string 6</ManagementSystemElement>
      </RootCause>
      <RootCause>
        <PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
        <ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
        <COMMENTS>sample string 4</COMMENTS>
        <RootCauseCategory>sample string 5</RootCauseCategory>
        <ManagementSystemElement>sample string 6</ManagementSystemElement>
      </RootCause>
    </RootCauseDetails>
    <FiveWhyMethodology>
      <_5WhyMethodology>
        <RT_Eval_ID>1</RT_Eval_ID>
        <CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
        <Others_Description>sample string 3</Others_Description>
        <CONT_FACT_ID>sample string 4</CONT_FACT_ID>
      </_5WhyMethodology>
      <_5WhyMethodology>
        <RT_Eval_ID>1</RT_Eval_ID>
        <CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
        <Others_Description>sample string 3</Others_Description>
        <CONT_FACT_ID>sample string 4</CONT_FACT_ID>
      </_5WhyMethodology>
    </FiveWhyMethodology>
    <FiveWhys>
      <Why>
        <RT_Eval_ID>1</RT_Eval_ID>
        <WHY_LABEL>sample string 2</WHY_LABEL>
        <WHY_CHECK>sample string 3</WHY_CHECK>
      </Why>
      <Why>
        <RT_Eval_ID>1</RT_Eval_ID>
        <WHY_LABEL>sample string 2</WHY_LABEL>
        <WHY_CHECK>sample string 3</WHY_CHECK>
      </Why>
    </FiveWhys>
    <InvestigationQuestionsDetails>
      <InvestigationQuestionsDetails>
        <QuestionID>2</QuestionID>
        <Question>sample string 3</Question>
        <Answer />
        <AnswerID>5</AnswerID>
        <ParentQuestionID>6</ParentQuestionID>
        <ParentQuestion>sample string 7</ParentQuestion>
      </InvestigationQuestionsDetails>
      <InvestigationQuestionsDetails>
        <QuestionID>2</QuestionID>
        <Question>sample string 3</Question>
        <Answer />
        <AnswerID>5</AnswerID>
        <ParentQuestionID>6</ParentQuestionID>
        <ParentQuestion>sample string 7</ParentQuestion>
      </InvestigationQuestionsDetails>
    </InvestigationQuestionsDetails>
    <InvResponsibilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-11-04T11:08:13.0245068-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-11-04T11:08:13.0245068-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
    </InvResponsibilityDetails>
    <InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
    </InvResponsebilityAssignee>
    <FinalrootCauseSTMT>
      <FinalrootCauseSTMT>
        <IMSIncidentID>1</IMSIncidentID>
        <FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
        <PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
        <PrimaryRootCause>sample string 4</PrimaryRootCause>
      </FinalrootCauseSTMT>
      <FinalrootCauseSTMT>
        <IMSIncidentID>1</IMSIncidentID>
        <FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
        <PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
        <PrimaryRootCause>sample string 4</PrimaryRootCause>
      </FinalrootCauseSTMT>
    </FinalrootCauseSTMT>
    <ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-11-04T11:08:13.0245068-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <ResponsibleDepartment>sample string 12</ResponsibleDepartment>
        <CounterMeasure>sample string 13</CounterMeasure>
        <ApplicableToExpansion>sample string 14</ApplicableToExpansion>
        <DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
        <ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
        <EEMOrEPM>sample string 17</EEMOrEPM>
        <EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
        <DocumentNumber>sample string 19</DocumentNumber>
        <AssignedBy>sample string 20</AssignedBy>
        <IsVerificationRequired>21</IsVerificationRequired>
        <VerificationRequired>sample string 22</VerificationRequired>
        <VerifyUser>sample string 23</VerifyUser>
        <ApprovalStatus>sample string 24</ApprovalStatus>
        <Approvers>sample string 25</Approvers>
        <ApprovalComment>sample string 26</ApprovalComment>
        <ApprovalDate>2025-11-04T11:08:13.0245068-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-11-04T11:08:13.0245068-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-11-04T11:08:13.0245068-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-11-04T11:08:13.0245068-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-11-04T11:08:13.0245068-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <ResponsibleDepartment>sample string 12</ResponsibleDepartment>
        <CounterMeasure>sample string 13</CounterMeasure>
        <ApplicableToExpansion>sample string 14</ApplicableToExpansion>
        <DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
        <ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
        <EEMOrEPM>sample string 17</EEMOrEPM>
        <EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
        <DocumentNumber>sample string 19</DocumentNumber>
        <AssignedBy>sample string 20</AssignedBy>
        <IsVerificationRequired>21</IsVerificationRequired>
        <VerificationRequired>sample string 22</VerificationRequired>
        <VerifyUser>sample string 23</VerifyUser>
        <ApprovalStatus>sample string 24</ApprovalStatus>
        <Approvers>sample string 25</Approvers>
        <ApprovalComment>sample string 26</ApprovalComment>
        <ApprovalDate>2025-11-04T11:08:13.0245068-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-11-04T11:08:13.0245068-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-11-04T11:08:13.0245068-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-11-04T11:08:13.0245068-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
    </ActionItemsDetails>
    <ContributingFactorsDetails>
      <ContributingFactor>
        <PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
        <Comments>sample string 4</Comments>
      </ContributingFactor>
      <ContributingFactor>
        <PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
        <Comments>sample string 4</Comments>
      </ContributingFactor>
    </ContributingFactorsDetails>
    <ErgoDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
    </ErgoDetails>
    <CaseClassification>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-11-04T11:08:13.0245068-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-11-04T11:08:13.0245068-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-11-04T11:08:13.0245068-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-11-04T11:08:13.0245068-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
    </CaseClassification>
    <CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <DateFirstAidProvided>2025-11-04T11:08:13.0245068-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-11-04T11:08:13.0245068-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-11-04T11:08:13.0245068-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-11-04T11:08:13.0245068-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-11-04T11:08:13.0245068-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-11-04T11:08:13.0245068-05:00</RecordingDate>
      </CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <DateFirstAidProvided>2025-11-04T11:08:13.0245068-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-11-04T11:08:13.0245068-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-11-04T11:08:13.0245068-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-11-04T11:08:13.0245068-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-11-04T11:08:13.0245068-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-11-04T11:08:13.0245068-05:00</RecordingDate>
      </CaseProgressionTracking>
    </CaseProgressionTracking>
    <WccInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-11-04T11:08:13.0245068-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-11-04T11:08:13.0245068-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-11-04T11:08:13.0245068-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-11-04T11:08:13.0245068-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-11-04T11:08:13.0245068-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-11-04T11:08:13.0245068-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-11-04T11:08:13.0245068-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-11-04T11:08:13.0245068-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-11-04T11:08:13.0245068-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-11-04T11:08:13.0245068-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-11-04T11:08:13.0245068-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-11-04T11:08:13.0245068-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-11-04T11:08:13.0245068-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-11-04T11:08:13.0245068-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-11-04T11:08:13.0245068-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-11-04T11:08:13.0245068-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
    </WccInjuryIllness>
    <EmployeeFirstName>sample string 169</EmployeeFirstName>
    <EmployeeMiddleName>sample string 170</EmployeeMiddleName>
    <EmployeeLastName>sample string 171</EmployeeLastName>
    <EmpSuffix>sample string 172</EmpSuffix>
    <SupervisorFirstName>sample string 173</SupervisorFirstName>
    <SupervisorMiddleName>sample string 174</SupervisorMiddleName>
    <SupervisorLastName>sample string 175</SupervisorLastName>
    <SupervisorSuffix>sample string 176</SupervisorSuffix>
    <IncidentOwnID>sample string 177</IncidentOwnID>
    <USLocationYN>178</USLocationYN>
    <Work_activity_done>sample string 179</Work_activity_done>
    <OccuredDepartment>sample string 180</OccuredDepartment>
    <InitialMedicalTreatment>sample string 181</InitialMedicalTreatment>
    <ReportPrepByName>sample string 182</ReportPrepByName>
    <ReportPrepByPhone>sample string 183</ReportPrepByPhone>
    <ReportPrepByTitle>sample string 184</ReportPrepByTitle>
    <ManagementReview>
      <ManagementReview>
        <ROLE>sample string 1</ROLE>
        <PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
        <DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
        <COMMENTS>sample string 4</COMMENTS>
        <REVIEW_STATUS>sample string 5</REVIEW_STATUS>
        <COMPLETED_BY>sample string 6</COMPLETED_BY>
        <COMPLETED_DATE>sample string 7</COMPLETED_DATE>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
      <ManagementReview>
        <ROLE>sample string 1</ROLE>
        <PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
        <DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
        <COMMENTS>sample string 4</COMMENTS>
        <REVIEW_STATUS>sample string 5</REVIEW_STATUS>
        <COMPLETED_BY>sample string 6</COMPLETED_BY>
        <COMPLETED_DATE>sample string 7</COMPLETED_DATE>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
    </ManagementReview>
    <WCCClaimStatus>sample string 185</WCCClaimStatus>
    <ChargableYN>sample string 186</ChargableYN>
    <CurrentCaseStartDate>2025-11-04T11:08:13.0245068-05:00</CurrentCaseStartDate>
    <CurrentCaseEndDate>2025-11-04T11:08:13.0245068-05:00</CurrentCaseEndDate>
    <dateOSHARecordableDetermined>2025-11-04T11:08:13.0245068-05:00</dateOSHARecordableDetermined>
  </InjuryIncidentClaim>
  <InjuryIncidentClaim>
    <LocationCode>sample string 1</LocationCode>
    <LocationName>sample string 2</LocationName>
    <IMSIncidentInternalID>sample string 3</IMSIncidentInternalID>
    <InjIncidentInternalID>sample string 4</InjIncidentInternalID>
    <IncidentTitle>sample string 5</IncidentTitle>
    <IncidentTypeNames>sample string 6</IncidentTypeNames>
    <MultipleInjuredYN>sample string 7</MultipleInjuredYN>
    <MshaYn>sample string 8</MshaYn>
    <MSHALocation>sample string 9</MSHALocation>
    <IncidentDate>2025-11-04T11:08:13.0088892-05:00</IncidentDate>
    <TimeOfTheIncident>sample string 10</TimeOfTheIncident>
    <TimeUndetermined>sample string 11</TimeUndetermined>
    <DayOfWeek>sample string 12</DayOfWeek>
    <LengthOfNormalWorkDay>sample string 13</LengthOfNormalWorkDay>
    <WorkShift>sample string 14</WorkShift>
    <TimeWorkDayBegan>sample string 15</TimeWorkDayBegan>
    <HasPotentialToSerious>sample string 16</HasPotentialToSerious>
    <IncidentDescription>sample string 17</IncidentDescription>
    <IncidentOccurredonEmployersPremises>sample string 18</IncidentOccurredonEmployersPremises>
    <PremisesAddress>sample string 19</PremisesAddress>
    <PremisesCity>sample string 20</PremisesCity>
    <PremisesCounty>sample string 21</PremisesCounty>
    <PremisesCountry>sample string 22</PremisesCountry>
    <PremisesState>sample string 23</PremisesState>
    <PremisesZip>sample string 24</PremisesZip>
    <Department>sample string 25</Department>
    <PinLocation>sample string 26</PinLocation>
    <ResponsibleDepartment>sample string 27</ResponsibleDepartment>
    <ResponsibleSupervisor>sample string 28</ResponsibleSupervisor>
    <LocationOfInjuryScene>sample string 29</LocationOfInjuryScene>
    <DateReportedToEmployer>2025-11-04T11:08:13.0088892-05:00</DateReportedToEmployer>
    <TimeReportedToEmployer>sample string 30</TimeReportedToEmployer>
    <ContractorInvolvedYN>sample string 31</ContractorInvolvedYN>
    <ContractorName>sample string 32</ContractorName>
    <ContractorDetails>sample string 33</ContractorDetails>
    <ContractorTrainedYN>sample string 34</ContractorTrainedYN>
    <WasAssetInvolvedYn>sample string 35</WasAssetInvolvedYn>
    <Assets>sample string 36</Assets>
    <SignificanceID>sample string 37</SignificanceID>
    <SignificanceName>sample string 38</SignificanceName>
    <SubmitClaimYN>sample string 39</SubmitClaimYN>
    <PersonnelTypeId>40</PersonnelTypeId>
    <PersonnelType>sample string 41</PersonnelType>
    <EmployeeName>sample string 42</EmployeeName>
    <EmployeeID>sample string 43</EmployeeID>
    <SSNumber>sample string 44</SSNumber>
    <DateOfBirth>2025-11-04T11:08:13.0088892-05:00</DateOfBirth>
    <Gender>sample string 46</Gender>
    <Title>sample string 47</Title>
    <HireDate>2025-11-04T11:08:13.0088892-05:00</HireDate>
    <PayRateType>sample string 48</PayRateType>
    <TimeInCurrentJob>sample string 49</TimeInCurrentJob>
    <TimeInCurrentJobUnit>sample string 50</TimeInCurrentJobUnit>
    <EmployeeDepartment>sample string 51</EmployeeDepartment>
    <SupervisorLastFirstMI>sample string 52</SupervisorLastFirstMI>
    <SupervisorEmail>sample string 53</SupervisorEmail>
    <SupervisorPhone>sample string 54</SupervisorPhone>
    <HomeAddress>sample string 55</HomeAddress>
    <City>sample string 56</City>
    <State>sample string 57</State>
    <PostalCodeZipCode>sample string 58</PostalCodeZipCode>
    <HomePhoneNumber>sample string 59</HomePhoneNumber>
    <MaritalStatus>sample string 60</MaritalStatus>
    <YearsatCompany>sample string 61</YearsatCompany>
    <NumberOfDependents>1</NumberOfDependents>
    <TypeofEmployment>sample string 62</TypeofEmployment>
    <CurrentWeeklyWage>1.1</CurrentWeeklyWage>
    <HourlyWage>1.1</HourlyWage>
    <HoursWorkedperWeek>1.1</HoursWorkedperWeek>
    <DaysworkedPerWeek>1</DaysworkedPerWeek>
    <HoursworkedPerDay>1</HoursworkedPerDay>
    <StateHired>sample string 63</StateHired>
    <EmploymentStatus>sample string 64</EmploymentStatus>
    <WasEmployeePaidinFullforDateofInjury>sample string 65</WasEmployeePaidinFullforDateofInjury>
    <AnyPriorWCInjuries>sample string 66</AnyPriorWCInjuries>
    <FurtherClassifyYN>sample string 67</FurtherClassifyYN>
    <ClientPersonnelType>sample string 68</ClientPersonnelType>
    <ClientCompany>sample string 69</ClientCompany>
    <NameofContractor>sample string 70</NameofContractor>
    <NameofSubContractor>sample string 71</NameofSubContractor>
    <EmpSalaryContinueYN>sample string 72</EmpSalaryContinueYN>
    <Wastreatmentprovidedoffsite>sample string 73</Wastreatmentprovidedoffsite>
    <WhereEmpTreated>sample string 74</WhereEmpTreated>
    <ExplainWhy>sample string 75</ExplainWhy>
    <Fatality>sample string 76</Fatality>
    <AmputationYN>sample string 77</AmputationYN>
    <OSHAContactedYN>sample string 78</OSHAContactedYN>
    <OSHAContactDetails>sample string 79</OSHAContactDetails>
    <NatureOfInjuryIllness>sample string 80</NatureOfInjuryIllness>
    <CauseOfInjuryIllness>sample string 81</CauseOfInjuryIllness>
    <BodyPart>sample string 82</BodyPart>
    <EMPLOYEE_ACTIVITY>sample string 83</EMPLOYEE_ACTIVITY>
    <OBJECT_INVOLVED>sample string 84</OBJECT_INVOLVED>
    <SpecificWorkActivityWhenTheIncidentOccurred>sample string 85</SpecificWorkActivityWhenTheIncidentOccurred>
    <MACHINE_EQUIPMENT_YN>sample string 86</MACHINE_EQUIPMENT_YN>
    <MACHINE_EQUIPMENT_NO>sample string 87</MACHINE_EQUIPMENT_NO>
    <REVIEW_EHSREP>sample string 88</REVIEW_EHSREP>
    <Review_Date>2025-11-04T11:08:13.0088892-05:00</Review_Date>
    <IsthisaNeedlestickInjury>sample string 89</IsthisaNeedlestickInjury>
    <NEEDLESTICK_INJURY_TYPE>sample string 90</NEEDLESTICK_INJURY_TYPE>
    <NEEDLESTICK_INJURY_BRAND>sample string 91</NEEDLESTICK_INJURY_BRAND>
    <NEEDLESTICK_INJURY_MODEL>sample string 92</NEEDLESTICK_INJURY_MODEL>
    <InitialTreatmentID>sample string 93</InitialTreatmentID>
    <DrugTestingPerformedYN>sample string 94</DrugTestingPerformedYN>
    <DrugTestingPerformedExplain>sample string 95</DrugTestingPerformedExplain>
    <RiddorClassifications>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-11-04T11:08:13.0088892-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
      <RiddorClassificationDetails>
        <IMSIncidentID>1</IMSIncidentID>
        <EmpName>sample string 2</EmpName>
        <RiddorClassification>sample string 3</RiddorClassification>
        <RiddorSentToHSE>sample string 4</RiddorSentToHSE>
        <HSERefID>sample string 5</HSERefID>
        <DateSentOn>2025-11-04T11:08:13.0088892-05:00</DateSentOn>
        <Comments>sample string 7</Comments>
      </RiddorClassificationDetails>
    </RiddorClassifications>
    <MostSevereCase>sample string 96</MostSevereCase>
    <CurrentCase>sample string 97</CurrentCase>
    <EmployerContactName>sample string 98</EmployerContactName>
    <EmployerTelephoneNumber>sample string 99</EmployerTelephoneNumber>
    <EmployerTitle>sample string 100</EmployerTitle>
    <EmployerAddress>sample string 101</EmployerAddress>
    <EmployerCity>sample string 102</EmployerCity>
    <EmployerState>sample string 103</EmployerState>
    <EmployerZip>sample string 104</EmployerZip>
    <EmployerLocCode>sample string 105</EmployerLocCode>
    <EmployerSIC>sample string 106</EmployerSIC>
    <EmployerNatureOfBusiness>sample string 107</EmployerNatureOfBusiness>
    <FEINNumber>sample string 108</FEINNumber>
    <EmployerName>sample string 109</EmployerName>
    <WorkersCompClaimID>sample string 110</WorkersCompClaimID>
    <ClaimWorkRelatedYn>sample string 111</ClaimWorkRelatedYn>
    <JurisdictionState>sample string 112</JurisdictionState>
    <FatalityYn>sample string 113</FatalityYn>
    <FatalityDate>2025-11-04T11:08:13.0088892-05:00</FatalityDate>
    <LostTimeYn>sample string 114</LostTimeYn>
    <FirstFullDayOut>2025-11-04T11:08:13.0088892-05:00</FirstFullDayOut>
    <DateEmployeeLastWorkedYN>sample string 115</DateEmployeeLastWorkedYN>
    <DateEmployeeLastWorked>2025-11-04T11:08:13.0088892-05:00</DateEmployeeLastWorked>
    <EmpReturnWorkStatus>sample string 116</EmpReturnWorkStatus>
    <DateReturnToWork>2025-11-04T11:08:13.0088892-05:00</DateReturnToWork>
    <EmpReturnToWorkYn>sample string 117</EmpReturnToWorkYn>
    <EstReturnToWorkDate>2025-11-04T11:08:13.0088892-05:00</EstReturnToWorkDate>
    <ReqNeedleStickYn>sample string 118</ReqNeedleStickYn>
    <WorkCompId>sample string 119</WorkCompId>
    <IncidentReportedBy>sample string 120</IncidentReportedBy>
    <ReportersEmail>sample string 121</ReportersEmail>
    <ReportersPhone>sample string 122</ReportersPhone>
    <InjuryDate>2025-11-04T11:08:13.0088892-05:00</InjuryDate>
    <InjuryDay>sample string 123</InjuryDay>
    <InjuryTime>sample string 124</InjuryTime>
    <ClaimTimeWorkdayBegan>sample string 125</ClaimTimeWorkdayBegan>
    <EmpSentToHospYn>sample string 126</EmpSentToHospYn>
    <InitialTreatmentYn>sample string 127</InitialTreatmentYn>
    <HospName>sample string 128</HospName>
    <HospAddress>sample string 129</HospAddress>
    <HospCity>sample string 130</HospCity>
    <HosplAddressState>sample string 131</HosplAddressState>
    <HospZip>sample string 132</HospZip>
    <HospPhone>sample string 133</HospPhone>
    <HospFax>sample string 134</HospFax>
    <DoctName>sample string 135</DoctName>
    <ValidityOfClaimYn>sample string 136</ValidityOfClaimYn>
    <ValidityOfClaimDetails>sample string 137</ValidityOfClaimDetails>
    <OtherComments>sample string 138</OtherComments>
    <IsClaimFormCompleted>sample string 139</IsClaimFormCompleted>
    <SubmissionStatus>sample string 140</SubmissionStatus>
    <ClaimSubmittedBy>sample string 141</ClaimSubmittedBy>
    <ClaimSubmittedDate>2025-11-04T11:08:13.0245068-05:00</ClaimSubmittedDate>
    <ClaimStatus>sample string 142</ClaimStatus>
    <DateClaimClosed>2025-11-04T11:08:13.0245068-05:00</DateClaimClosed>
    <TotalCostIncurred>1.1</TotalCostIncurred>
    <TotalCostPaid>1.1</TotalCostPaid>
    <TotalOutstandingCost>1.1</TotalOutstandingCost>
    <TotalDevelopedCost>1.1</TotalDevelopedCost>
    <IncidentSeverityID>143</IncidentSeverityID>
    <IncidentSeveritySIF>sample string 144</IncidentSeveritySIF>
    <ActualSeverity>sample string 145</ActualSeverity>
    <ProcessSafetyYN>sample string 146</ProcessSafetyYN>
    <ProcessSafetyClassification>sample string 147</ProcessSafetyClassification>
    <WitnessYN>sample string 148</WitnessYN>
    <WitnessDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
      <WitnessOutboundDetails>
        <LastName>sample string 2</LastName>
        <FirstName>sample string 3</FirstName>
        <MiddleName>sample string 4</MiddleName>
        <PhoneNumber>sample string 5</PhoneNumber>
        <Notes>sample string 6</Notes>
      </WitnessOutboundDetails>
    </WitnessDetails>
    <PrepByName>sample string 149</PrepByName>
    <PrepByTitle>sample string 150</PrepByTitle>
    <PrepByPhone>sample string 151</PrepByPhone>
    <IncidentStatus>sample string 152</IncidentStatus>
    <CreatedByEmployeeId>sample string 153</CreatedByEmployeeId>
    <CreatedByName>sample string 154</CreatedByName>
    <CreatedDate>2025-11-04T11:08:13.0245068-05:00</CreatedDate>
    <UpdatedByName>sample string 155</UpdatedByName>
    <UpdatedDate>2025-11-04T11:08:13.0245068-05:00</UpdatedDate>
    <WasthiscaseWorkRelated>sample string 156</WasthiscaseWorkRelated>
    <ManagementReviewStatus>sample string 157</ManagementReviewStatus>
    <LostTimeDays>1.1</LostTimeDays>
    <RestrictedDutyDays>1.1</RestrictedDutyDays>
    <OSHARecordableYn>sample string 158</OSHARecordableYn>
    <WorkersCompClaim>sample string 159</WorkersCompClaim>
    <NonWorkRelatedComments>sample string 160</NonWorkRelatedComments>
    <IsThisaCompanydefinedRecordableCase>sample string 161</IsThisaCompanydefinedRecordableCase>
    <WorkerCompId>sample string 162</WorkerCompId>
    <InjuryorFatality>sample string 163</InjuryorFatality>
    <FilingState>sample string 164</FilingState>
    <IsClaimSubmissionRequired>sample string 165</IsClaimSubmissionRequired>
    <ClaimNum>sample string 166</ClaimNum>
    <RecentCostUpdate>sample string 167</RecentCostUpdate>
    <WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>sample string 168</WasIndividualSentToHospatalClinicToReceiveMedicalTreatment>
    <RootCauseDetails>
      <RootCause>
        <PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
        <ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
        <COMMENTS>sample string 4</COMMENTS>
        <RootCauseCategory>sample string 5</RootCauseCategory>
        <ManagementSystemElement>sample string 6</ManagementSystemElement>
      </RootCause>
      <RootCause>
        <PARENT_ROOT_CAUSE_NAME>sample string 2</PARENT_ROOT_CAUSE_NAME>
        <ROOT_CAUSE_NAME>sample string 3</ROOT_CAUSE_NAME>
        <COMMENTS>sample string 4</COMMENTS>
        <RootCauseCategory>sample string 5</RootCauseCategory>
        <ManagementSystemElement>sample string 6</ManagementSystemElement>
      </RootCause>
    </RootCauseDetails>
    <FiveWhyMethodology>
      <_5WhyMethodology>
        <RT_Eval_ID>1</RT_Eval_ID>
        <CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
        <Others_Description>sample string 3</Others_Description>
        <CONT_FACT_ID>sample string 4</CONT_FACT_ID>
      </_5WhyMethodology>
      <_5WhyMethodology>
        <RT_Eval_ID>1</RT_Eval_ID>
        <CONT_FACT_TYPE>sample string 2</CONT_FACT_TYPE>
        <Others_Description>sample string 3</Others_Description>
        <CONT_FACT_ID>sample string 4</CONT_FACT_ID>
      </_5WhyMethodology>
    </FiveWhyMethodology>
    <FiveWhys>
      <Why>
        <RT_Eval_ID>1</RT_Eval_ID>
        <WHY_LABEL>sample string 2</WHY_LABEL>
        <WHY_CHECK>sample string 3</WHY_CHECK>
      </Why>
      <Why>
        <RT_Eval_ID>1</RT_Eval_ID>
        <WHY_LABEL>sample string 2</WHY_LABEL>
        <WHY_CHECK>sample string 3</WHY_CHECK>
      </Why>
    </FiveWhys>
    <InvestigationQuestionsDetails>
      <InvestigationQuestionsDetails>
        <QuestionID>2</QuestionID>
        <Question>sample string 3</Question>
        <Answer />
        <AnswerID>5</AnswerID>
        <ParentQuestionID>6</ParentQuestionID>
        <ParentQuestion>sample string 7</ParentQuestion>
      </InvestigationQuestionsDetails>
      <InvestigationQuestionsDetails>
        <QuestionID>2</QuestionID>
        <Question>sample string 3</Question>
        <Answer />
        <AnswerID>5</AnswerID>
        <ParentQuestionID>6</ParentQuestionID>
        <ParentQuestion>sample string 7</ParentQuestion>
      </InvestigationQuestionsDetails>
    </InvestigationQuestionsDetails>
    <InvResponsibilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-11-04T11:08:13.0245068-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
      <InvResponsilbilityDetails>
        <TargetCompletionDate>2025-11-04T11:08:13.0245068-05:00</TargetCompletionDate>
        <Comments>sample string 1</Comments>
        <NotifyYN>sample string 2</NotifyYN>
      </InvResponsilbilityDetails>
    </InvResponsibilityDetails>
    <InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
      <InvResponsebilityAssignee>
        <UserID>1</UserID>
        <Salutation>sample string 2</Salutation>
        <First_Name>sample string 3</First_Name>
        <Last_Name>sample string 4</Last_Name>
      </InvResponsebilityAssignee>
    </InvResponsebilityAssignee>
    <FinalrootCauseSTMT>
      <FinalrootCauseSTMT>
        <IMSIncidentID>1</IMSIncidentID>
        <FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
        <PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
        <PrimaryRootCause>sample string 4</PrimaryRootCause>
      </FinalrootCauseSTMT>
      <FinalrootCauseSTMT>
        <IMSIncidentID>1</IMSIncidentID>
        <FinalRootCauseStatement>sample string 2</FinalRootCauseStatement>
        <PrimaryCounterMeasure>sample string 3</PrimaryCounterMeasure>
        <PrimaryRootCause>sample string 4</PrimaryRootCause>
      </FinalrootCauseSTMT>
    </FinalrootCauseSTMT>
    <ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-11-04T11:08:13.0245068-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <ResponsibleDepartment>sample string 12</ResponsibleDepartment>
        <CounterMeasure>sample string 13</CounterMeasure>
        <ApplicableToExpansion>sample string 14</ApplicableToExpansion>
        <DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
        <ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
        <EEMOrEPM>sample string 17</EEMOrEPM>
        <EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
        <DocumentNumber>sample string 19</DocumentNumber>
        <AssignedBy>sample string 20</AssignedBy>
        <IsVerificationRequired>21</IsVerificationRequired>
        <VerificationRequired>sample string 22</VerificationRequired>
        <VerifyUser>sample string 23</VerifyUser>
        <ApprovalStatus>sample string 24</ApprovalStatus>
        <Approvers>sample string 25</Approvers>
        <ApprovalComment>sample string 26</ApprovalComment>
        <ApprovalDate>2025-11-04T11:08:13.0245068-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-11-04T11:08:13.0245068-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-11-04T11:08:13.0245068-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-11-04T11:08:13.0245068-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
      <ActionItemsDetails>
        <SourceID>sample string 2</SourceID>
        <SourceTitle>sample string 3</SourceTitle>
        <ActionItemTitle>sample string 4</ActionItemTitle>
        <ActionItemCategory>sample string 5</ActionItemCategory>
        <ActionItemTypeId>6</ActionItemTypeId>
        <ActionItemType>sample string 7</ActionItemType>
        <RootCause>sample string 8</RootCause>
        <ActionItemDescription>sample string 9</ActionItemDescription>
        <ActionItemPriority>sample string 10</ActionItemPriority>
        <ActionItemDueDate>2025-11-04T11:08:13.0245068-05:00</ActionItemDueDate>
        <Owner>sample string 11</Owner>
        <ResponsibleDepartment>sample string 12</ResponsibleDepartment>
        <CounterMeasure>sample string 13</CounterMeasure>
        <ApplicableToExpansion>sample string 14</ApplicableToExpansion>
        <DescriptionOfActionsToBeExpanded>sample string 15</DescriptionOfActionsToBeExpanded>
        <ApplicableToEEMOrEPMInfo>sample string 16</ApplicableToEEMOrEPMInfo>
        <EEMOrEPM>sample string 17</EEMOrEPM>
        <EEMOrEPMInfoSubmitted>sample string 18</EEMOrEPMInfoSubmitted>
        <DocumentNumber>sample string 19</DocumentNumber>
        <AssignedBy>sample string 20</AssignedBy>
        <IsVerificationRequired>21</IsVerificationRequired>
        <VerificationRequired>sample string 22</VerificationRequired>
        <VerifyUser>sample string 23</VerifyUser>
        <ApprovalStatus>sample string 24</ApprovalStatus>
        <Approvers>sample string 25</Approvers>
        <ApprovalComment>sample string 26</ApprovalComment>
        <ApprovalDate>2025-11-04T11:08:13.0245068-05:00</ApprovalDate>
        <ActionItemStatus>sample string 27</ActionItemStatus>
        <ActionTaken>sample string 28</ActionTaken>
        <ActionItemCompletedBy>sample string 29</ActionItemCompletedBy>
        <ActionItemCompletedDate>2025-11-04T11:08:13.0245068-05:00</ActionItemCompletedDate>
        <DueDateExtension>sample string 30</DueDateExtension>
        <RequestedDueDateExtension>2025-11-04T11:08:13.0245068-05:00</RequestedDueDateExtension>
        <ReasonforDueDateExtension>sample string 31</ReasonforDueDateExtension>
        <DueDateExtensionRequestApproved>sample string 32</DueDateExtensionRequestApproved>
        <ReasonForNotExtendingTheDueDate>sample string 33</ReasonForNotExtendingTheDueDate>
        <VerificationStatus>sample string 34</VerificationStatus>
        <VerificationPerformed>sample string 35</VerificationPerformed>
        <VerifiedBy>sample string 36</VerifiedBy>
        <VerificationDate>2025-11-04T11:08:13.0245068-05:00</VerificationDate>
        <Comments>sample string 37</Comments>
      </ActionItemsDetails>
    </ActionItemsDetails>
    <ContributingFactorsDetails>
      <ContributingFactor>
        <PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
        <Comments>sample string 4</Comments>
      </ContributingFactor>
      <ContributingFactor>
        <PARENT_CONTRIBUTING_FACTOR_ID>1</PARENT_CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_ID>2</CONTRIBUTING_FACTOR_ID>
        <CONTRIBUTING_FACTOR_NAME>sample string 3</CONTRIBUTING_FACTOR_NAME>
        <Comments>sample string 4</Comments>
      </ContributingFactor>
    </ContributingFactorsDetails>
    <ErgoDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
      <ErgonomicDetails>
        <QUESTION_ID>1</QUESTION_ID>
        <DEPENDENCY_QUESTION_ID>2</DEPENDENCY_QUESTION_ID>
        <QUESTION_LABEL>sample string 3</QUESTION_LABEL>
        <ANSWER_ID>sample string 4</ANSWER_ID>
      </ErgonomicDetails>
    </ErgoDetails>
    <CaseClassification>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-11-04T11:08:13.0245068-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-11-04T11:08:13.0245068-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
      <ClassificationOfCase>
        <CaseNumber>sample string 1</CaseNumber>
        <WorkRelatedYN>sample string 2</WorkRelatedYN>
        <NonWorkRelatedComments>sample string 3</NonWorkRelatedComments>
        <Fatality>sample string 4</Fatality>
        <AmputationFracturedCracked>sample string 5</AmputationFracturedCracked>
        <LostTimeOrJobTransfer>sample string 6</LostTimeOrJobTransfer>
        <WasTreatmentProvidedBeyondFirstAid>sample string 7</WasTreatmentProvidedBeyondFirstAid>
        <DidTheInjuryInvolveANeedlestick>sample string 8</DidTheInjuryInvolveANeedlestick>
        <WasTreatmentDefinedAsFirstAidProvided>sample string 9</WasTreatmentDefinedAsFirstAidProvided>
        <IdentifyTheSpecificTreatmentsProvided>sample string 10</IdentifyTheSpecificTreatmentsProvided>
        <IsThisACompanyDefinedRecordableCase>sample string 11</IsThisACompanyDefinedRecordableCase>
        <NotRecordableClassification>sample string 12</NotRecordableClassification>
        <LocalRecordKeepingRequirements>sample string 13</LocalRecordKeepingRequirements>
        <FCARequirementForFAIClassification>sample string 14</FCARequirementForFAIClassification>
        <DidThisCaseInvolveAChronicInjury>sample string 15</DidThisCaseInvolveAChronicInjury>
        <DateReportedtoHealthcare>2025-11-04T11:08:13.0245068-05:00</DateReportedtoHealthcare>
        <TimeReportedToHealthCare>sample string 16</TimeReportedToHealthCare>
        <CaseStatus>sample string 17</CaseStatus>
        <Title>sample string 18</Title>
        <Phone>sample string 19</Phone>
        <ClosedDate>2025-11-04T11:08:13.0245068-05:00</ClosedDate>
        <Comments>sample string 20</Comments>
        <CompletedBy>sample string 21</CompletedBy>
      </ClassificationOfCase>
    </CaseClassification>
    <CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <DateFirstAidProvided>2025-11-04T11:08:13.0245068-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-11-04T11:08:13.0245068-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-11-04T11:08:13.0245068-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-11-04T11:08:13.0245068-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-11-04T11:08:13.0245068-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-11-04T11:08:13.0245068-05:00</RecordingDate>
      </CaseProgressionTracking>
      <CaseProgressionTracking>
        <EmployeeName>sample string 1</EmployeeName>
        <ClassificationOfCaseId>2</ClassificationOfCaseId>
        <ClassificationOfCase>sample string 3</ClassificationOfCase>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <DateFirstAidProvided>2025-11-04T11:08:13.0245068-05:00</DateFirstAidProvided>
        <DateOtherRecordableCaseOccurred>2025-11-04T11:08:13.0245068-05:00</DateOtherRecordableCaseOccurred>
        <FirstDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</FirstDayofRestrictedDuty>
        <LastDayofRestrictedDuty>2025-11-04T11:08:13.0245068-05:00</LastDayofRestrictedDuty>
        <FirstDayofLostTime>2025-11-04T11:08:13.0245068-05:00</FirstDayofLostTime>
        <LastDayofLostTime>2025-11-04T11:08:13.0245068-05:00</LastDayofLostTime>
        <DateFatalityOccurred>2025-11-04T11:08:13.0245068-05:00</DateFatalityOccurred>
        <ReasonForClassification>sample string 4</ReasonForClassification>
        <ReasonForClassificationPickList>sample string 5</ReasonForClassificationPickList>
        <IsThisADefenseBasedActCase>sample string 6</IsThisADefenseBasedActCase>
        <IsThisACompensableCase>sample string 7</IsThisACompensableCase>
        <Comments>sample string 8</Comments>
        <MedicalDiagnosis>sample string 9</MedicalDiagnosis>
        <DirectorContacted>sample string 10</DirectorContacted>
        <WasMedicalTreatmentRejected>sample string 11</WasMedicalTreatmentRejected>
        <ReasonForRefusal>sample string 12</ReasonForRefusal>
        <WasTreatmentProvidedBeyondFirstAid>sample string 13</WasTreatmentProvidedBeyondFirstAid>
        <WasTreatmentProvidedOffsite>sample string 14</WasTreatmentProvidedOffsite>
        <HospitalName>sample string 15</HospitalName>
        <Type>sample string 16</Type>
        <PhysicianName>sample string 17</PhysicianName>
        <Street>sample string 18</Street>
        <City>sample string 19</City>
        <Country>sample string 20</Country>
        <State>sample string 21</State>
        <PostalCode>sample string 22</PostalCode>
        <Phone>sample string 23</Phone>
        <FAX>sample string 24</FAX>
        <WasEmployeeTreatedAnEmergencyRoom>sample string 25</WasEmployeeTreatedAnEmergencyRoom>
        <WasEmployeeHospitalizedOvernightInPatient>sample string 26</WasEmployeeHospitalizedOvernightInPatient>
        <RecordingDate>2025-11-04T11:08:13.0245068-05:00</RecordingDate>
      </CaseProgressionTracking>
    </CaseProgressionTracking>
    <WccInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-11-04T11:08:13.0245068-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-11-04T11:08:13.0245068-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-11-04T11:08:13.0245068-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-11-04T11:08:13.0245068-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-11-04T11:08:13.0245068-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-11-04T11:08:13.0245068-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-11-04T11:08:13.0245068-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-11-04T11:08:13.0245068-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
      <WCCInjuryIllness>
        <IMSIncidentID>1</IMSIncidentID>
        <IncidentClaimYN>sample string 2</IncidentClaimYN>
        <WorkCompId>sample string 3</WorkCompId>
        <TPAID>sample string 4</TPAID>
        <IncidentReportedBy>sample string 5</IncidentReportedBy>
        <ReportersEmail>sample string 6</ReportersEmail>
        <ReportersPhone>sample string 7</ReportersPhone>
        <InjuryDate>2025-11-04T11:08:13.0245068-05:00</InjuryDate>
        <InjuryDay>sample string 8</InjuryDay>
        <InjuryTime>sample string 9</InjuryTime>
        <TimeWorkdayBegan>sample string 10</TimeWorkdayBegan>
        <IncidentInternalId>sample string 11</IncidentInternalId>
        <ClaimWorkRelatedYn>sample string 12</ClaimWorkRelatedYn>
        <EmpSSN>sample string 13</EmpSSN>
        <EmpFirstName>sample string 14</EmpFirstName>
        <EmpMiddleName>sample string 15</EmpMiddleName>
        <EmpLastName>sample string 16</EmpLastName>
        <EmpStreet>sample string 17</EmpStreet>
        <EmpCity>sample string 18</EmpCity>
        <EmpState>sample string 19</EmpState>
        <EmpZip>sample string 20</EmpZip>
        <EmpPhone>sample string 21</EmpPhone>
        <EmpGender>sample string 22</EmpGender>
        <EmpDOB>2025-11-04T11:08:13.0245068-05:00</EmpDOB>
        <EmpMaritialStatus>sample string 23</EmpMaritialStatus>
        <EmpHireDate>2025-11-04T11:08:13.0245068-05:00</EmpHireDate>
        <EmpYearsAtComp>sample string 24</EmpYearsAtComp>
        <EmpNoOfDependents>25</EmpNoOfDependents>
        <EmpTypeOfEmployement>sample string 26</EmpTypeOfEmployement>
        <EmpDepartment>sample string 27</EmpDepartment>
        <EmpStateHired>sample string 28</EmpStateHired>
        <EmpSupervisorName>sample string 29</EmpSupervisorName>
        <EmpSupervisorPhone>sample string 30</EmpSupervisorPhone>
        <EmpWeeklyWage>31.1</EmpWeeklyWage>
        <EmpHourlyWage>32.1</EmpHourlyWage>
        <EmpHoursPerWeek>33.1</EmpHoursPerWeek>
        <EmpDaysPerWeek>34.1</EmpDaysPerWeek>
        <EmpHoursPerDay>35.1</EmpHoursPerDay>
        <EmployementStatus>sample string 36</EmployementStatus>
        <EmployeeID>sample string 37</EmployeeID>
        <EmpPaidInFull>sample string 38</EmpPaidInFull>
        <EmpAnyPriorInjuriesYn>sample string 39</EmpAnyPriorInjuriesYn>
        <EmpSalaryContinueYN>sample string 40</EmpSalaryContinueYN>
        <EmployerContactName>sample string 41</EmployerContactName>
        <EmployerTelephoneNumber>sample string 42</EmployerTelephoneNumber>
        <EmployerTitle>sample string 43</EmployerTitle>
        <EmployerAddress>sample string 44</EmployerAddress>
        <EmployerCity>sample string 45</EmployerCity>
        <EmployerState>sample string 46</EmployerState>
        <EmployerZip>sample string 47</EmployerZip>
        <EmployerLocCode>sample string 48</EmployerLocCode>
        <EmployerSIC>sample string 49</EmployerSIC>
        <EmployerNatureOfBusiness>sample string 50</EmployerNatureOfBusiness>
        <EmployerName>sample string 51</EmployerName>
        <FEINNumber>sample string 52</FEINNumber>
        <AccidentOccuredAtWorkYn>sample string 53</AccidentOccuredAtWorkYn>
        <AccidentAddress>sample string 54</AccidentAddress>
        <AccidentCity>sample string 55</AccidentCity>
        <AccidentState>sample string 56</AccidentState>
        <AccidentZip>sample string 57</AccidentZip>
        <AccidentDescription>sample string 58</AccidentDescription>
        <EmpActivityBeforeAccident>sample string 59</EmpActivityBeforeAccident>
        <ObjectInvolved>sample string 60</ObjectInvolved>
        <JurisdictionState>sample string 61</JurisdictionState>
        <DateReported>2025-11-04T11:08:13.0245068-05:00</DateReported>
        <TimeReported>sample string 62</TimeReported>
        <FatalityYn>sample string 63</FatalityYn>
        <FatalityDate>2025-11-04T11:08:13.0245068-05:00</FatalityDate>
        <LostTimeYn>sample string 64</LostTimeYn>
        <FirstFullDayOut>2025-11-04T11:08:13.0245068-05:00</FirstFullDayOut>
        <DateEmployeeLastWorkedYN>sample string 65</DateEmployeeLastWorkedYN>
        <DateEmployeeLastWorked>2025-11-04T11:08:13.0245068-05:00</DateEmployeeLastWorked>
        <EmpReturnToWorkYn>sample string 66</EmpReturnToWorkYn>
        <DateReturnToWork>2025-11-04T11:08:13.0245068-05:00</DateReturnToWork>
        <EmpReturnWorkStatus>sample string 67</EmpReturnWorkStatus>
        <EstReturnToWorkDate>2025-11-04T11:08:13.0245068-05:00</EstReturnToWorkDate>
        <NatureOfinjury>sample string 68</NatureOfinjury>
        <CauseOfinjury>sample string 69</CauseOfinjury>
        <PartOfBody>sample string 70</PartOfBody>
        <PartOfBodyLocation>sample string 71</PartOfBodyLocation>
        <NeedleStickInjuryYn>sample string 72</NeedleStickInjuryYn>
        <ReqNeedleStickYn>sample string 73</ReqNeedleStickYn>
        <EmpSentToHospYn>sample string 74</EmpSentToHospYn>
        <InitialTreatmentYn>sample string 75</InitialTreatmentYn>
        <HospName>sample string 76</HospName>
        <HospAddress>sample string 77</HospAddress>
        <HospCity>sample string 78</HospCity>
        <HosplAddressState>sample string 79</HosplAddressState>
        <HospZip>sample string 80</HospZip>
        <HospPhone>sample string 81</HospPhone>
        <HospFax>sample string 82</HospFax>
        <DoctName>sample string 83</DoctName>
        <WitnessYn>sample string 84</WitnessYn>
        <WitnessName>sample string 85</WitnessName>
        <WitnessContact>sample string 86</WitnessContact>
        <ValidityOfClaimYn>sample string 87</ValidityOfClaimYn>
        <ValidityOfClaimDetails>sample string 88</ValidityOfClaimDetails>
        <OtherComments>sample string 89</OtherComments>
        <PrepByName>sample string 90</PrepByName>
        <PrepByPhone>sample string 91</PrepByPhone>
        <PrepByTitle>sample string 92</PrepByTitle>
        <EmpOccupation>sample string 93</EmpOccupation>
        <OshaReference>sample string 94</OshaReference>
      </WCCInjuryIllness>
    </WccInjuryIllness>
    <EmployeeFirstName>sample string 169</EmployeeFirstName>
    <EmployeeMiddleName>sample string 170</EmployeeMiddleName>
    <EmployeeLastName>sample string 171</EmployeeLastName>
    <EmpSuffix>sample string 172</EmpSuffix>
    <SupervisorFirstName>sample string 173</SupervisorFirstName>
    <SupervisorMiddleName>sample string 174</SupervisorMiddleName>
    <SupervisorLastName>sample string 175</SupervisorLastName>
    <SupervisorSuffix>sample string 176</SupervisorSuffix>
    <IncidentOwnID>sample string 177</IncidentOwnID>
    <USLocationYN>178</USLocationYN>
    <Work_activity_done>sample string 179</Work_activity_done>
    <OccuredDepartment>sample string 180</OccuredDepartment>
    <InitialMedicalTreatment>sample string 181</InitialMedicalTreatment>
    <ReportPrepByName>sample string 182</ReportPrepByName>
    <ReportPrepByPhone>sample string 183</ReportPrepByPhone>
    <ReportPrepByTitle>sample string 184</ReportPrepByTitle>
    <ManagementReview>
      <ManagementReview>
        <ROLE>sample string 1</ROLE>
        <PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
        <DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
        <COMMENTS>sample string 4</COMMENTS>
        <REVIEW_STATUS>sample string 5</REVIEW_STATUS>
        <COMPLETED_BY>sample string 6</COMPLETED_BY>
        <COMPLETED_DATE>sample string 7</COMPLETED_DATE>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
      <ManagementReview>
        <ROLE>sample string 1</ROLE>
        <PRIMARY_OWNER_NAME>sample string 2</PRIMARY_OWNER_NAME>
        <DEFAULT_APPR_DUEDATE>sample string 3</DEFAULT_APPR_DUEDATE>
        <COMMENTS>sample string 4</COMMENTS>
        <REVIEW_STATUS>sample string 5</REVIEW_STATUS>
        <COMPLETED_BY>sample string 6</COMPLETED_BY>
        <COMPLETED_DATE>sample string 7</COMPLETED_DATE>
        <IMSIncidentID>8</IMSIncidentID>
      </ManagementReview>
    </ManagementReview>
    <WCCClaimStatus>sample string 185</WCCClaimStatus>
    <ChargableYN>sample string 186</ChargableYN>
    <CurrentCaseStartDate>2025-11-04T11:08:13.0245068-05:00</CurrentCaseStartDate>
    <CurrentCaseEndDate>2025-11-04T11:08:13.0245068-05:00</CurrentCaseEndDate>
    <dateOSHARecordableDetermined>2025-11-04T11:08:13.0245068-05:00</dateOSHARecordableDetermined>
  </InjuryIncidentClaim>
</ArrayOfInjuryIncidentClaim>