Skip to page content
Office of Workers' Compensation Programs

Division of Federal Employees' Compensation (DFEC)

New Case Management Data Extract File Layout

Field #

Name

Field Type

Description

Value/Format

1

EXTRACT-RECORD-TYPE

CHAR(1)

Record type identifier

C = Change; D = Delete

2

CASE-NUMBER

CHAR(9)

Unique identifier assigned by OWCP

 

3

CASE-TYPE

CHAR(1)

Indicates the relationship between this case and associated cases for the same employee

I = Independent; M = Master;
S = Subsidiary

4

CASE-PTR

CHAR(9)

Uses the Case Type field to map cases to the master case

If Case Type = M, Case Pointer = total number of subsidiary cases associated with this master case
If Case Type = S, Case pointer = Master Case Number

5

LAST-NAME

CHAR(20)

Employee’s Last Name

 

6

FIRST-NAME

CHAR(20)

Employee’s First Name

 

7

MIDDLE-NAME

CHAR(20)

Employee’s Middle Name

 

8

SEX

CHAR(1)

Employee’s Gender

F = Female; M = Male

9

SSN

CHAR(9)

Employee’s Social Security Number

 

10

DOB

DATE (8)

Employee’s Date of Birth

YYYYMMDD

11

DOD

DATE (8)

Employee’s Date of Death

YYYYMMDD

12

ADDR-1

CHAR(70)

Employee’s Address Field 1

Employee’s address

13

ADDR-2

CHAR(70)

Employee’s Address Field 2

Address continued

14

ADDR-3

CHAR(70)

Employee’s Address Field 3

Address continued

15

CITY

CHAR(20)

Employee’s City

Address city

16

STATE

CHAR(2)

Employee’s State

State abbreviation code

17

ZIP

CHAR(9)

Employee’s Zip Code

Postal Zip Code

18

PHONE-NUMBER

CHAR(10)

Employee’s Phone Number

Area Code + Phone Number

19

EMP-DOI

DATE (8)

Employee’s Date of Injury

YYYYMMDD

20

INJ-ZIP

CHAR(9)

Zip Code of location where injury occurred

Postal Zip Code

21

EXTENT-OF-INJ

CHAR(1)

Indicates seriousness of injury

0 = fatal;      1 = no time lost
2 = first aid;  8 = inoculation
X = non-fatal, lost time

22

FATAL-IND

CHAR(1)

For fatal cases indicates claimed relationship of employee’s death to employment

0 = Not Related to Injury
1 = Immediate Death with Injury
2 = Related to Injury

23

ANAT-LOCN-CODE

CHAR(2)

Indicates the anatomical location of the reported injury/condition

See Appendix

24

NATURE-CODE

CHAR(2)

Nature of Injury Code

See Appendix

25

CAUSE-CODE

CHAR(2)

Cause of Injury Code

See Appendix

26

FORMS-RECVD

CHAR(1)

Indicates claim form type of used

1 = CA-1; 2 = CA-2; 5 = CA-5

27

LOST-TIME-FLAG

CHAR(1)

Lost Time (Per CA-1 Filing Instructions)

Y= Yes; N =No

Back to top

New Case Management Data Extract File Layout

Field #

Name

Field Type

Description

Value/Format

28

NLT-NO-EXPENSE-FLAG

CHAR(1)

No Lost Time, No Medical Expense Incurred (Per CA-1 Filing Instructions)

Y= Yes; N =No

29

NLT-YES-EXPENSE-FLAG

CHAR(1)

No Lost Time, Medical Expense Incurred (Per CA-1 Filing Instructions)

Y= Yes; N =No

30

FIRST-AID-INJURY-FLAG

CHAR(1)

First Aid Injury (Per CA-1 Filing Instructions)

Y= Yes; N =No

31

INJURED-IN-POD-FLAG

CHAR(1)

Injured during performance of duty indicator (Per CA-1 Report)

Y= Yes; N =No

32

COP-FLAG

CHAR(1)

Claimant utilized Continuation of Pay benefits (Per CA-1 Report)

Y= Yes; N =No

33

CNTRVTD-IND

CHAR(1)

COP claim controverted by agency (Per CA-1 Report)

Y= Yes; N =No

34

PAY-STOPPED-DT

DATE (8)

Date employee’s pay stopped

YYYYMMDD

35

DEPENDENT-FLAG

CHAR(1)

Employee has Dependent(s)

Y= Yes; N =No

36

PAY-GRADE

CHAR(4)

Grade at time of injury

e.g., GS09, WG10

37

PAY-STEP

CHAR(4)

Step at time of injury

 

38

OCC-CODE

CHAR(5)

Indicates employee’s occupation code at time of injury

See Appendix

39

INJURY-TYPE-CODE

CHAR(3)

Indicates type of injury reported

See Appendix

40

INJURY-SOURCE-CODE

CHAR(4)

Indicates source of reported injury

See Appendix

41

DEPT-AGENCY-CODE

CHAR(6)

Agency Code and Agency Building Code

4 digits plus 2 alpha-numeric
Lookup available on DOL web page

42

AGENCY-RECEIVED-DT

DATE (8)

Date CA-1/CA-2 claim was received by employing agency

YYYYMMDD

43

DOL-RECEIVED-DATE

DATE (8)

Date claim was received by OWCP

YYYYMMDD

44

DATE-CASE-CREATED

DATE (8)

Date the case was created by OWCP

YYYYMMDD

45

SFC-FLAG

CHAR(1)

Administrative acceptance and Short Form Closure of eligible traumatic injury case at time of creation

Y = Currently a Short Form Closure case;
N = Previous Short Form Closure case was reopened (see next data elements);
Blank = Not Applicable

46

SFC-REOPEN-CODE

CHAR(1)

Short Form Closure reopen code

See Appendix

47

SFC-REOPEN-DATE

DATE (8)

Short Form Closure reopen date

YYYYMMDD

48

REP-ACCPT-COND

CHAR(45)

Reported condition or accepted diagnosis

Narrative, or up to 6 ICD-9 codes

49

THIRD-PARTY-IND

CHAR(2)

Indicator of Third Party Status

See Appendix

50

THIRD-PARTY-DATE

DATE (8)

Third Party Status Date

YYYYMMDD

51

CURR-ADJUD-STATUS

CHAR(2)

Current Adjudication Status

See Appendix

52

CURR-ADJUD-STATUS-DATE

DATE (8)

Current Adjudication Status Date

YYYYMMDD

Back to top

New Case Management Data Extract File Layout

Field #

Name

Field Type

Description

Value/Format

53

CURR-CASE-STATUS

CHAR(2)

Current Case Status

See Appendix

54

CURR-CASE-STATUS-DATE

DATE (8)

Current Case Status Date

YYYYMMDD

55

PREV-CASE-STATUS

CHAR(2)

Previous Case Status

See Appendix

56

PREV-CASE-STATUS-DATE

DATE (8)

Previous Case Status Date

YYYYMMDD

57

PREV-ADJUD-STATUS

CHAR(2)

Previous Adjudication Status

See Appendix

58

PREV-ADJUD-DATE

DATE (8)

Previous Adjudication Status date

YYYYMMDD

59

INIT-ADJUD-STATUS

CHAR(2)

Initial Adjudication Status

See Appendix

60

INIT-ADJUD-DATE

DATE (8)

Initial Adjudication Status Date

YYYYMMDD

61

DATE-CLOSED

DATE (8)

Date the case was last closed (after previous not closed status)

YYYYMMDD

62

DATE-REOPENED

DATE (8)

Date the case was last reopened (after previous closed status)

YYYYMMDD

63

COMP-CLAIM-DATE

DATE (8)

First CA-7 Claim Received Date

YYYYMMDD

64

WAGE-LOSS-DATE

DATE (8)

Indicates the date wage loss began

YYYYMMDD

65

QCM-FLAG

CHAR(1)

Indicates case is under Quality Case Management (QCM) tracking

Y = Yes; N = No

66

RECURRENCE-NUMBER

CHAR(2)

Recurrence claim received number (last)

00 – 99

67

RTW-CODE

CHAR(2)

Indicates Return To Work information

See Appendix

68

RTW-DATE

DATE (8)

Return To Work Date

YYYYMMDD

69

PRM-FLAG

CHAR(1)

Indicates case is under Periodic Roll Management (PRM) tracking

Y = Yes; N = No

70

REHAB-IND

CHAR(1)

Indicates Vocational Rehabilitation Status

See Appendix

71

REHAB-DATE

DATE (8)

Vocational Rehabilitation Status Date

YYYYMMDD

72

RCE-ID

CHAR(3)

Responsible Claims Examiner Code

YYYYMMDD

73

DIST-OFFICE-NUMBER

CHAR(2)

District Office Number

See Appendix

74

DATE-LAST-CHANGE

DATE (8)

Date of last record update

YYYYMMDD

Including 74 field delimiters, the maximum possible record length is 706 (col 26 changed to CHAR(1)).

Back to top

APPENDIX

Anatomical Location Codes

A1 = Single Upper Arm
A2 = Both Upper Arms
A3 = Single Forearm
A4 = Both Forearms
A5 = Single Wrist
A6 = Both Wrists
AB = Arm And Wrist
AS = Arm Or Wrist
AX = Arm(S), Multiple Sites
AZ = Arm(S), Other
B1 = Single Breast
B2 = Both Breasts
B3 = Single Testicle
B4 = Both Testicles
B5 = Vulva/Vagina
BA = Abdomen
BC = Chest
BL = Lower Back
BP = Penis
BS = Side
BU = Upper Back
BW = Waist
BX = Undefined
BZ = Not Otherwise Classified
C1 = Single Ear Internal
C2 = Both Ears Internal
C3 = Single Eye Internal
C4 = Both Eyes Internal
CB = Brain
CC = Cranial Bones
CD =Teeth
CJ = Jaw
CK = Bones of Face, Other(S)
CL = Throat; Larynx
CM = Mouth
CN = Nose
CR = Throat; Other
CS = Sinus (ES)
CT = Tongue
CX = Head, Internal Multiple Sites
CZ = Not Otherwise Classified
EB = Both Elbows
ES = Single Elbow

F1 = Single First Finger
F2 = Both First Fingers
F3 = Single Second Finger
F4 = Both Second Fingers
F5 = Single Third Finger
F6 = Both Third Fingers
F7 = Single Fourth Finger
F8 = Both Fourth Fingers
FB = Multiple Fingers Both Hands
FS = Multiple Fingers Single Hand
G1 = Single Great Toe
G2 = Both Great Toes
G3 = Single Other Toes
G4 = Multiple Other Toes
H1 = Single Eye External
H2 = Both Eyes External
H3 = Single Ear External
H4 = Both Ears External
HC = Chin
HF = Face
HK = Neck/Throat
HM = Mouth/Lips
HN = Nose
HS = Scalp
HX = Head, External Multiple Sites
HZ = Head External Other
KB = Both Knees
KS = Single Knee
L1 = Single Hip/Thigh
L2 = Both Hips/Thighs
L3 = Single Lower Leg/Ankle
L4 = Both Lower Legs/Ankles
LB = Both Legs/Hips/Ankles/Buttocks
LS = Single Leg/Hip/Ankle/Buttock
LX = Leg(S)
LZ = Legs(S) other
MB = Both Hands
MS = Single Hand
PB = Both Feet
PS = Single Foot

R1 = Single Clavicle/Collar Bone
R2 = Both Clavicles/Collar Bones
R3 = Single Scapula/Shoulder Blade
R4 = Both Scapulae/Shoulder Blades
RB = Rib
RC = Ribs, Multiple
RP = Pelvis
RS = Sternum  Breast Bone
RV = Vertebrae  Spine; Disc
RX = Trunk, Multiple Bones
RZ = Trunk, Bones Unclassified
SB = Both Shoulders
SS = Single Shoulder
TB = Both Thumbs
TS = Single Thumb
V1 = Lung, Single
V2 = Lung, Both
V3 = Kidney, Single
V4 = Kidney, Both
V5 = Bladder, Urethra
VC = Spinal Cord
VH = Heart
VL = Liver
VS = Stomach
VI = Intestines
VL = Liver
VM = Spleen
VN = Nerve
VR = Reproductive Organs
VS = Stomach
VV = Intestines
VX = Trunk, Internal, Multiple Organs
VZ = Trunk, Internal Unclassified
XX = Multiple Anatomical Sites
XZ = Anatomic Site Not Mentioned, Other Site
00 = Mis-Coded
98 = Mis-Coded 98/All Other
99 = Old Converted

Back to top

APPENDIX

Nature of Injury Codes

99 = OTHER (DISEASE)
C9 = CARDIOVASCULAR DISEASE, OTHER
CA = ANGINA
CB = BLOOD DISORDER
CH = HYPERTENSION
CM = MYOCARDIAL INFARCTION
CP = VARICOSE VEINS, PHLEBITIS, THROMBOPHLEBITIS
CS = CEREBROVASCULAR ACCIDENT
D1 = PARALYSIS, ONE LIMB
DA = HEADACHES
DB = SEIZURES, CONVULSIONS
DC = COMA
DE = OCCUPATIONAL EXPOSURE TO CHEMICALS/TOXINS/BIOLOGICAL SUBSTANCE, ETC.
DF = GENERAL SYMPTOMS: SYNCOPE, DIZZINESS, VERTIGO, FATIGUE, NUMBNESS OF BODY PART
DH = HEARING LOSS
DI = LOSS OF VISION
DM = MENTAL, EMOTIONAL, NERVOUS CONDITIONS
DN = NERVE CONDITION (INCLUDING PARALYSIS) AFTER EXPOSURE TO TOXINS
DR = EFFECTS OF EXPOSURE TO RADIATION
DT = TUMORS, CANCER AND RELATED CONDITIONS
G9 = GASTROINTESTINAL CONDITION, NOT SPECIFIED
GD = DIARRHEA, WITH/WITHOUT VOMITING
GH = HERNIA, HIATAL
GO = HERNIA, OTHER
GP = ABDOMINAL PAIN
GU = ULCER, GASTRIC, DUODENAL, PEPTIC
M9 = MUSCULOSKELETAL CONDITION, OTHER
MA = ARTHRITIS/OSTEOARTHRITIS
MB = BACK SPRAIN/STRAIN, BACK PAIN, SUBLUXATION
MC = CARPAL TUNNEL SYNDROME/CUBITAL TUNNEL SYNDROME
MD = INTERVERTEBRAL DISC DISORDERS
MI = CONDITIONS OF TENDONS, ETC.
MK = CHONDROMALACIA
MP = PAIN/SWELLING/STIFFNESS/REDNESS IN JOINT
MS = PAIN/SWELLING/STIFFNESS/REDNESS NOT IN JOINT
OF = FOOD POISONING
OG = TOOTH AND GUM PROBLEMS
OL = HERNIA, INGUINAL
OP = PREGNANCY (PEACE CORPS ONLY)
R9 = RESPIRATORY CONDITION, OTHER
RA = ASBESTOSIS
RB = BRONCHITIS
RC = ASTHMA
RE = EMPHYSEMA
RP = PNEUMOCONIOSIS
RR = REACTION TO SMOKE, FUMES, CHEMICALS
RS = SILICOSIS
S9 = SKIN CONDITION, OTHER
SB = CONTACT DERMATITIS
SC = CHEMICAL
SL = CALLUS, CORN
T0 = NO INJURY STATED
T1 = NERVOUS SYSTEM INJURIES
T2 = ACOUSTIC TRAUMA
T3 = CARDIOVASCULAR CONDITIONS
T4 = MENTAL, EMOTIONAL, NERVOUS CONDITIONS
T5 = HEADACHES
T6 = DEATH SUDDEN/VIOLENT
T7 = GENERAL SYMPTOMS
T8 = TRAUMATIC INJURY - UNCLASS. (EXCEPT DISEASE, ILLNESS)
TA = AMPUTATION
TB = BACK SPRAIN/STRAIN, BACK PAIN, SUBLUXATION, IVD DISORDERS
TC = CONTUSION
TD = DISLOCATION
TE = INJURY DUE TO ENVIRONMENTAL CAUSES
TF = FRACTURE
TG = EFFECTS OF ELECTRICAL CURRENT
TH = INGUINAL HERNIA
TI = SKIN CONDITIONS: ALLERGY, ECZEMA, DERMATITIS
TJ = CRUSH INJURY
TK = CONCUSSION
TL = LACERATION
TM = EXPOSURE TO ALL CHEMICAL OR BIOLOGICAL CAUSES
TN = SUPERFICIAL WOUNDS
TO = PAIN, SWELLING, REDNESS, STIFFNESS, NOT IN JOINT
TP = PUNCTURE WOUND
TQ = GASTROINTESTINAL CONDITIONS
TR = RESPIRATORY CONDITIONS
TS = SPRAIN/STRAIN OF LIGAMENT, MUSCLE, TENDON, NOT BACK
TT = INJURIES TO TEETH
TU = BURNS
TV = FOREIGN BODY IN ANY BODY PART
TW = TB INCLUDING EXPOSURE AND POSITIVE SKIN TEST
TX = INFECTIOUS DISEASES: BACTERIA, VIRUSES, PARASITES
TY = INSECT BITE
TZ = PAIN/SWELLING/STIFFNESS/REDNESS IN JOINT
V1 = FEVER, WITH OR WITHOUT CHILLS, FATIGUE, ETC.
V9 = INFECTIOUS OR PARASITIC DISEASE, OTHER
VA = ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)
VB = BRUCELLOSIS
VC = COCCIDIODOMYCOSIS
VD = ANTHRAX
VF = RABIES (INCLUDES EXPOSURE)
VH = HEPATITIS
VL = LYME DISEASE
VM = MALARIA
VP = PARASITIC DISEASES
VR = ROCKY MOUNTAIN SPOTTED FEVER
VS = STAPHYLOCOCCUS
VT = TB INCLUDING EXPOSURE AND POSITIVE SKIN TEST

Back to top

APPENDIX

Cause of Injury Codes

00 = Legacy Case Use 
01 = Railroad or Street Cars
02 = Aircraft
03 = Watercraft              
04 = Elevator
05 = Vehicle Accident (Driver)
06 = Vehicle Accident (Passenger)
07 = Vehicle Accident (Pedestrian)
08 = Working On/Around Vehicles
09 = Pressure Equipment    
10 = Explosion
11 = Fire/Smoke
12 = Electricity                     
13 = Flash Burn
14 = Galvo Fume Poisoning
15 = Paint/Paint Fumes/Lead  
16 = Carbon Monoxide
17 = Oil
18 = Zinc                                 
19 = Solvents
1A = Anthrax
1F = Fumes/Solvents                  
1M =Immunization
1P = Personal Protective Equipment
1R = Respiratory Distress             
1S = Smallpox
1T = Terrorism Catastrophe
20 = Fiberglass                               
21 = Carbon Dioxide
22 = Silica
23 = Dust/Gas/Chemical                   
24 = Handling Packaged Material, Weight Stated
25 = Handling Packaged Material, Weight Not Stated
26 = Handling Fabrication Metals
27 = Handling Vehicular Equipment
28 = Handling Machinery
29 = Handling Tools or Instruments
30 = Handling Fabric Containers
31 = Handling Mail Containers
32 = Handling Lumber or Dunnage
33 = Handling Furniture/Office Equip
34 = Handling Hand Trucks/Dollies
35 = Handling Munitions
36 = Handling Cable/Rope/Nets/Chains
37 = Using Windows or Doors
38 = Handling Wire                   
39 = Handling Stone/Clay/Glass/Cement
40 = Handling Trash
41 = Handling or Using Ladders
42 = Handling or Using Scaffolds
43 = Using Gangways or Platforms
44 = Handling Pallets/Hatchboards
45 = Handling Electrical Equipment
46 = Handling Magazines or Papers

47 = Handling Tool Boxes
48 = Handling Fire Extinguishers
49 = Cranking Motors
50 = Changing Tires
51 = Handling Manual Equipment
52 = Falling Desk or Chair
53 = Falling Work Bench or Table
54 = Falling Hand Truck or Dollie
55 = Falling Ladder
56 = Falling Scaffold
57 = Falling Window
58 = Falling Shelving
59 = Falling Cargo
60 = Falling Walls or Ceilings
61 = Falling Filing Cabinet
62 = Falling Machinery
63 = Falling Objects
64 = Fall On Floor/Work Surface/Aisle
65 = Fall On Stairway or Steps
66 = Fall On Walkways/Curbs/Porches
67 = Fall From Scaffold or Platform
68 = Fall From Ladder
69 = Fall From Chair/Stool/Restbar
70 = Fall From Desk/Table/Workbench
71 = Fall Into Hole/Hatch/Chute
72 = Fall On Deck
73 = Fall On Road/Highway/Street
74 = Fall From Stacked Cargo
75 = Fall On Hill or Slope
76 = Fall From Ramp/Runway/Gangplank
77 = Fall Off Dock
78 = Fall From Machinery
79 = Fall From Stopped Vehicle
80 = Fall Getting On/Off Elevator
81 = Fall Inside Moving Vehicle
82 = Fall
83 = Jumping To/From Places
84 = Striking Against Material Equip
85 = Flying Particles
86 = Hand Tools
87 = Machinery
88 = Cave-In
89 = Drowning
90 = Violence
91 = Slip - Not Falling
92 = Slip/Twist/Trip - Not Falling
93 = Weather Exposure
94 = Poison Oak/Ivy/Sumac
95 = Animals/Insects
96 = Accidental Shooting
97 = Enemy Action
98 = Dog Bite
99 = Cause Unknown

Back to top

APPENDIX

Occupation Codes

01 = Aeronautics Engineer
02 = Ash/Trash Collector
03 = Blacksmith
04 = Boilermaker
05 = Brakeman
06 = Heavy Equipment Operator
07 = Air Traffic Controller
08 = Carpenter
09 = Charwoman
10 = Chauffeur
11 = Checker
12 = Chemical Engineer
13 = Chipper/Caulker
14 = Civil Engineer
15 = Cook
16 = Reader
17 = Carrier - Rural Mail
18 = Core Maker
19 = Crane Operator
20 = Crater
21 = Doctor/Dentist
22 = Draftsman/Tracer
23 = Driver/Mechanic
24 = Electrical Engineer
25 = Electrician/Lineman
26 = Elevator Operator
27 = Engineering Aide/Helper
28 = Firefighter
29 = Fireman
30 = Fleet Workman
31 = Foreman
32 = Forester
33 = Forest Ranger
34 = Forklift/Tug/Tractor Operator
35 = Guard
36 = Inspector
37 = Instrument Worker
38 = Investigator
39 = Iron Worker
40 = Janitor
41 = Laboratory Worker
42 = Laborer
43 = Laundry Worker
44 = Lockman
45 = Longshoreman
46 = Machinist
47 =Carrier - City Mail
48 = Mail Clerk
49 = Mail Handler
50 = Mason

51 =Meat Cutter
52 = Meat Inspector
53 = Mechanic/Repairman
54 = Mechanical Engineer
55 = Melter
56 = Mess Attendant
57 = Messenger - Not Postal
58 = Mimeograph Operator
59 = Moulder
60 = Munition Handler
61 = Nurse
62 = Office Worker
63 = Oiler
64 = Operating Engineer
65 = Packer
66 = Painter
67 = Patrolman
68 = Pattern Maker
69 = Pile Driver
70 = Pipe Coverer
71 = Pipe Fitter
72 = Plasterer
73 = Plumber
74 = Pressman
75 = Printer
76 = Radio Engineer/Technician
77 = Railroad Worker
78 = Railway Postal Personnel
79 = Rigger
80 = Safety Engineer
81 = Sand Blaster
82 = Seaman/Crew Member/Deckhand
83 = Sewer
84 = Sheetmetal Worker
85 = Shipfitter
86 = Shipwright
87 = Soil Conservationist
88 = Stationary Engineer
89 = Stock Clerk
90 = Storekeeper
91 = Eam Operator
92 = Tool Maker
93 = Truck Driver
94 = Veterinarian
95 = Warehouseman/Freight Handler
96 = Ward Attendant
97 = Welder
98 = Teacher
99 = Unclassified Occupation

Back to top

APPENDIX

Injury Type Codes

100 = Struck
110 = Struck by
111 = Struck by falling object
120 = Struck against
200 = Fall, Slip, Trip
210 = Fell, same level
220 = Fell, different level
230 = Slip, trip, no fall
300 = Caught
310 = Caught on

320 = Caught in
330 = Caught between
400 = Punctured, Lacerated
410 = Punctured by
420 = Cut by
430 = Stung by
440 = Bitten by
500 = Contact
510 = Contact with
520 = Contact by

600 = Exertion
610 = Lifted, strained by
620 = Stressed by
700 = Exposure
710 = inhalation
720 = Ingestion
730 = Absorption
800 = Traveling in
999 = Unclassified

Back to top

APPENDIX

Source of Injury Codes

0100 = Building or Working Area
0110 = Walking/Working Surface (Floor, Street, Curbs, Porches)
0120 = Stairs, Steps
0130 = Ladder
0140 = Furniture, Furnishings, Office Equipment
0150 = Boiler, Pressure Vessel
0160 = Equipment Layout (Ergonomic)
0170 = Windows, Doors
0180 = Electric, Electricity
0200 = Environmental Condition
0210 = Temperature Extreme (Indoor)
0220 = Weather (Ice, Rain, Heat, Etc.)
0230 = Fire, Flame, Smoke (Not Tobacco)
0240 = Noise
0250 = Radiation
0260 = Light
0270 = Ventilation
0271 = Tobacco Smoke
0280 = Stress (Emotional)
0290 = Confined Space
0300 = Machine or Tool
0310 = Hand Tool (Powered: Saw, Grinder, Etc.)
0320 = Hand Tool (Non-Powered)
0330 = Mechanical Power Transmission Apparatus
0340 = Guard, Shield (Fixed, Moveable, Deadman)
0350 = Video Display Terminal
0360 = Pump, Compressor, Air Pressure Tool
0370 = Heating Equipment
0380 = Welding Equipment
0400 = Vehicle
0410 = Privately-Owned Vehicle (Includes Rental)
0411 = As Driver
0412 = As Passenger
0420 = Government-Owned Vehicle
0421 = As Driver
0422 = As Passenger
0430 = Common Carrier (Airline, Bus, Etc.)
0440 = Aircraft (Not Commercially Scheduled)
0450 = Boat, Ship, Barge
0500 = Material Handling Equipment
0510 = Earthmover (Tractor, Backhoe, Etc.)
0520 = Conveyor (For Material and Equipment)
0530 = Elevator, Escalator, Personnel Hoist
0540 = Hoist, Sling Chain, Jack (For Material and Equipment)
0550 = Forklift, Crane
0560 = Handtrucks, Dollies
0600 = Dust, Mist, Vapor, Etc.

0610 = Dust (Silica, Coal, Grain, Cotton)
0620 = Fibers
0621 = Asbestos
0630 = Gases
0631 = Carbon Monoxide
0640 = Mist, Steam, Vapor, Fume
0650 = Particles (Unidentified)
0700 = Chemical, Plastic, Etc.
0710 = Chemical Dry
0711 = Corrosive
0712 = Toxic
0713 = Explosive
0714 = Flammable
0720 = Chemical Liquid
0721 = Corrosive
0722 = Toxic
0723 = Explosive
0724 = Flammable
0730 = Plastic
0740 = Water
0750 = Medicine
0800 = Inanimate Object
0810 = Box, Barrel, Container, Etc.
0820 = Paper
0830 = Metal Item, Mineral
0831 = Needle
0840 = Glass
0850 = Scrap, Trash
0860 = Wood
0870 = Food
0880 = Personal Clothing, Apparel, Shoes
0900 = Animate Object
0910 = Animal
0911 = Bite (Dog)
0912 = Bite (Other)
0920 = Plant
0930 = Insect
0940 = Human (Violence)
0950 = Human (Communicable Disease)
0960 = Bacteria, Virus (Not Human Contact)
1000 = Personal Protective Equipment
1010 = Protective Clothing, Shoes, Glasses/Goggles
1020 = Respirator, Mask
1021 = Diving Equipment
1030 = Safety Belt, Harness
1040 = Parachute
9999 = Unclassified Or Insufficient Data

Back to top

APPENDIX

Lost Time/No Lost Time Reopen Codes
1 = Reopened SFC: medical bills exceed $1500
2 = Reopened SFC: compensation claim received
3 = Reopened SFC: case controverted
4 = Reopened SFC: other reason
C = Reopened SFC: "referred" cop/rtw case with no rtw
U = Reopened SFC: Surgery required
V = Reopened SFC: Date of first treatment is less than DOI
X = Reopened SFC: Recurrence claim received
Y = Reopened SFC: RTW date is missing
Z = Reopened SFC: RTW = Less than regular duty full time restrictions within 14 days of TCM call

Back to top

APPENDIX

Third Party Indicator Codes
00 = no third party potential
01 = identified as third party not referred to sol
02 = referred to solicitor
03 = usps case, responsibility of usps
04 = closed - minor not economical to pursue
05 = closed - other
06 = settled - no refund due
07 = settled - refund not received
08 = settled - refund received no credit remaining
09 = settled - refund received credit against future compensation
10 = closed - the applicable statute of limitation has expired
11 = closed - the negligent 3rd party can not be identified
12 = closed - the negligent 3rd party has left the jurisdiction and recovery can not be pursued
13 = closed - the negligent 3rd party has no assets from which recovery can be made
14 = closed - the 3rd party identified is clearly not liable

Back to top

APPENDIX

Adjudication Status Codes

00 = No Status
A0 = Accepted - No Payments Due
AC = Accepted - COP Elected
AD = Accepted - Daily Roll Payment
AF = Accepted - Fatal
AL = Accepted - Leave Elected
AM = Accepted - Medical Payments Only
AP = Accepted - Periodic Roll Payment
AR = Administratively Reviewed
AT = Accepted - Medical Payments Only - Compensation Denied
BK = Blank in System
D0 = Disallowed

D1 = Denied - Time Limitations Expired
D2 = Denied - Not Civil Employee of US Govt
D3 = Denied - Fact of Injury Not Established
D4 = Denied - Injury Not in Performance of Duty
D5 = Denied - Condition Not Related to Injury
D7 = Denied - Case Remanded by ECAB
D8 = Denied - Case Remanded by Hearings and Review
D9 = Reconsideration Request Case
SU = Suspension - Claimant Failed to Report for Examination
UD = Legacy Cases Only
UN = Unadjudicated

Back to top

APPENDIX

Case Status Codes

C1 = Closed - No Time Lost
C2 = Closed - Leave Elected
C3 = Closed - Benefits Denied
C4 = Closed - COP Accepted
C5 = Closed - All Benefits Paid
CL = Closed - Administrative
DE = Payment of Death Benefits
DR = Payment on Daily Roll
MC = Medical Benefits Only

ON = Overpayment - Compensation Terminated
OP = Overpayment - Compensation Being Paid
PN = Periodic Roll with No Re-employment Potential
PR = Payment on Periodic Roll
PS = Payment of Schedule Award
PW = Periodic Roll with LWEC
RT = Retired
UD = Under Development
UN = Unreviewed

Back to top

APPENDIX

Return to Work Codes

FF = Full duty, full time
FP = Full duty, part time
LF = Light duty, full time, w/out wage loss
LP = Light duty, Part time
L$ = Light duty, Full time, wage loss

NL = No lost tine
PS = RTW, private sector
XX = Final decision w/no RTW
X1 = Migrated Data Information unavailable
UN = Unknown

Back to top

APPENDIX

Rehabilitation Indicator Codes

1 = Closed on referral
2 = Closed Rehabilitated
3 = Closed Rehabilitated, New Employer
4 = Closed Rehabilitated, Previously Reemployed
5 = Closed, not rehabilitated,
6 = Closed with post employment services
7 = Returned to work, nurse intervention
8 = Returned to work, without VR assistance
A = Initial Interview held
B = Nurse Intervention
C = Returned to CE
D = Plan Development
E = Employed
G = Placement Assisted Reemployment

I = Plan Approved
L= Part time Light Duty
M = Medical Rehabilitation
N = Placement previous employer
P = Placement, new employer
Q = Screened
R = Referred to RS $default add status
S = Self-employed
T = Training
U = Closed by nurse, not RTW
V = Employed, assisted reemployment
W = Placement previous employer with other services
Y = Closed on referral
Z = Post employment service

Back to top

APPENDIX

District Office Number
01 = Boston
02 = New York
03 = Philadelphia
06 = Jacksonville
09 = Cleveland
10 = Chicago
11 = Kansas City
12 = Denver
13 = San Francisco
14 = Seattle
16 = Dallas
25 = Washington
50 = National Office

Back to top