Accident Details Tab

Use this tab to enter detailed information about the nature of the accident or illness.

Update this tab whenever an employee has been injured in a work-related accident, or reports an illness caused by working conditions.

Location

Field	Description
Accident Occurred on Employer's Premises	Select this check box if the accident or illness occurred on the employer's premises.
Accident Occurred on State Property	Select check box if the accident or illness occurred on state property.
Street Address of Accident	Enter the street address or other location where the accident occurred. You can enter a maximum of 40 characters in this optional field.
City	Use this drop-down list to select whether the accident or illness occurred in a City or a Country. In the unlabeled field to the right, enter a maximum of 30 alphanumeric characters for the name of the city or country.
Reported To	Enter, or use to select, the ID number of the employee to whom this accident or illness was reported. Employee IDs are validated against the Employee table. The name of the employee is displayed in the unlabeled field to the right of the ID. This is a required field
Witness Employee	Enter, or use to select, the ID number of the employee, if any, who witnessed this accident or illness. Employee IDs are validated against the Employee table. The name of the employee is displayed in the unlabeled field to the right of the ID. This is an optional field.

Injury/Illness Information

Field	Description
Machine, Tool, or Object Causing Injury or Illness	Enter a description of the machine, tool, or object that caused the employee's injury or illness. This is a required field.
Machine Part, Tool Part, etc.	Enter a description of the specific part of a machine, tool, and so on, that contributed to this employee's injury or illness. This is an optional field.
Safeguards Provided	Select this check box if safeguards were provided to reasonably protect against injury or illness.
Safeguards Utilized	Select this check box if safety equipment was being used or safeguards were being used or followed at the time of the accident or the onset of the illness.
Describe How Injury or Illness Occurred	Enter a description of how the injury or illness occurred. This is a required field.
Describe Nature of Injury or Illness	Enter a description of the injury or illness. Include the parts of the body that were affected and any machinery, tools, or objects involved. This is a required field.

Time

Field	Description
Date of Injury/Onset of Illness	Enter the date, in MM/DD/YYYY format, on which the injury or illness occurred. This is a required field.
Time of Event	Enter the time, in HHMM format, at which the injury or illness occurred. For example, if an accident occurred at 11:02 a.m., enter "1102AM." Costpoint automatically inserts the colon between the 11 and the 02. This is a required field.
Date Reported	Enter the date, in MM/DD/YYYY format, on which the injury or illness was reported to the employer. This is a required field.
Date of Incapacity	Enter the date, in MM/DD/YYYY format, on which the employee became unable to work because of this injury or illness. This is an optional field.
Time of Incapacity	Enter the time, in HHMM format, at which the employee became unable to work because of this injury or illness. For example, if an accident occurred at 11:02 a.m., enter "1102AM." Costpoint automatically inserts the colon between the 11 and the 02. This is an optional field.
Date of Death	If this injury or illness resulted in the employee's death, enter the date in MM/DD/YYYY format. This is an optional field.
Probable Length of Disability	Enter the amount of time this employee is expected to be disabled. Use the drop-down list to the right of this optional field to determine whether this amount represents days, months, or years.

Outcome Information

Use the options in this group box to enter data regarding the accident or illness.

Field	Description
Employee Paid for Day of Injury	Select this check box if the employee was paid for the day on which the accident or illness occurred.
Employee Paid for Day Incapacitated	Select this check box if the employee was paid for the day on which he became unable to work.
Employee Has Returned to Work	Select this check box if the employee has returned to work.
Date Returned	If the employee has returned to work, enter the date of return in MM/DD/YYYY format. If the employee has not returned to work, leave this field blank.
Wage Upon Return	If the employee has returned to work, enter the hourly rate that the employee was paid upon returning. If the employee has not returned to work, leave this field blank.

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Accident Details Tab

Use this tab to enter detailed information about the nature of the accident or illness.

Update this tab whenever an employee has been injured in a work-related accident, or reports an illness caused by working conditions.

Location

Field	Description
Accident Occurred on Employer's Premises	Select this check box if the accident or illness occurred on the employer's premises.
Accident Occurred on State Property	Select check box if the accident or illness occurred on state property.
Street Address of Accident	Enter the street address or other location where the accident occurred. You can enter a maximum of 40 characters in this optional field.
City	Use this drop-down list to select whether the accident or illness occurred in a City or a Country. In the unlabeled field to the right, enter a maximum of 30 alphanumeric characters for the name of the city or country.
Reported To	Enter, or use to select, the ID number of the employee to whom this accident or illness was reported. Employee IDs are validated against the Employee table. The name of the employee is displayed in the unlabeled field to the right of the ID. This is a required field
Witness Employee	Enter, or use to select, the ID number of the employee, if any, who witnessed this accident or illness. Employee IDs are validated against the Employee table. The name of the employee is displayed in the unlabeled field to the right of the ID. This is an optional field.

Injury/Illness Information

Field	Description
Machine, Tool, or Object Causing Injury or Illness	Enter a description of the machine, tool, or object that caused the employee's injury or illness. This is a required field.
Machine Part, Tool Part, etc.	Enter a description of the specific part of a machine, tool, and so on, that contributed to this employee's injury or illness. This is an optional field.
Safeguards Provided	Select this check box if safeguards were provided to reasonably protect against injury or illness.
Safeguards Utilized	Select this check box if safety equipment was being used or safeguards were being used or followed at the time of the accident or the onset of the illness.
Describe How Injury or Illness Occurred	Enter a description of how the injury or illness occurred. This is a required field.
Describe Nature of Injury or Illness	Enter a description of the injury or illness. Include the parts of the body that were affected and any machinery, tools, or objects involved. This is a required field.

Time

Field	Description
Date of Injury/Onset of Illness	Enter the date, in MM/DD/YYYY format, on which the injury or illness occurred. This is a required field.
Time of Event	Enter the time, in HHMM format, at which the injury or illness occurred. For example, if an accident occurred at 11:02 a.m., enter "1102AM." Costpoint automatically inserts the colon between the 11 and the 02. This is a required field.
Date Reported	Enter the date, in MM/DD/YYYY format, on which the injury or illness was reported to the employer. This is a required field.
Date of Incapacity	Enter the date, in MM/DD/YYYY format, on which the employee became unable to work because of this injury or illness. This is an optional field.
Time of Incapacity	Enter the time, in HHMM format, at which the employee became unable to work because of this injury or illness. For example, if an accident occurred at 11:02 a.m., enter "1102AM." Costpoint automatically inserts the colon between the 11 and the 02. This is an optional field.
Date of Death	If this injury or illness resulted in the employee's death, enter the date in MM/DD/YYYY format. This is an optional field.
Probable Length of Disability	Enter the amount of time this employee is expected to be disabled. Use the drop-down list to the right of this optional field to determine whether this amount represents days, months, or years.

Outcome Information

Use the options in this group box to enter data regarding the accident or illness.

Field	Description
Employee Paid for Day of Injury	Select this check box if the employee was paid for the day on which the accident or illness occurred.
Employee Paid for Day Incapacitated	Select this check box if the employee was paid for the day on which he became unable to work.
Employee Has Returned to Work	Select this check box if the employee has returned to work.
Date Returned	If the employee has returned to work, enter the date of return in MM/DD/YYYY format. If the employee has not returned to work, leave this field blank.
Wage Upon Return	If the employee has returned to work, enter the hourly rate that the employee was paid upon returning. If the employee has not returned to work, leave this field blank.