U.S. Department of Agriculture
Departmental Administration
Human Resources Management
U.S. Department of Agriculture
Departmental Administration
Human Resources Management
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APPENDIX B.
100 STRUCK
110 Struck by
111 Struck by falling object
120 Struck against
200 FELL, SLIPPED, TRIPPED
210 Fell on same level
220 Fell on different level
230 Slipped, tripped (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 (motion of person)
520 Contact by (motion of object)
600 EXERTION
610 Lifted, strained by (single action)
620 Stressed by (repeated action)
700 EXPOSURE
710 Inhalation
720 Ingestion
730 Absorption
800 TRAVELING IN
999 UNCLASSIFIED OR INSUFFICIENT DATA
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
Note: Select most specific type and source for event which initiated injury/illness.
Use heading as "other" for that category.
Use TYPE as "verb" and SOURCE as "noun" to describe incident.
EXAMPLE: Employee slipped on ice, cut hand on rock.
TYPE: 210, fell on same level
SOURCE: 0220, weather
For Postal Service employees, the occupation code consists of the characters "PS" plus the first four numbers of the appropriate occupation code. For all other Federal employees, the code begins with the two letters of the employee's pay plan (i.e., "GS", "GM", "WG", etc.) followed by the four numbers of the occupation series. For workers who perform services for the Federal government but who do not have job titles which fall under the usual job classification systems, a list of "non-standard" occupation codes and titles follows. Each code begins with the characters "??" instead of the usual pay plan letters.
Alpha/
Numeric
CodeTitle
??013600 Peace Corps Volunteer
??008300 Non-Federal Law Enforcement Officer
??002100 VISTA Volunteer
??024300 Job Corps Enrollee
??030200 Mail Messenger
??350100 Contract Job Cleaner
??062100 Student Nurse
??046200 Forest Service Volunteer
??134100 Volunteer Weather Observer
??009900 State Maritime Academy Cadet
??009900 ROTC Cadet
??093000 Federal Juror
??218100 Civil Air Patrol Volunteer
??068500 Volunteer Hospital Worker
??024300 Youth Conservation Corps Volunteer
??047500 County Agent, Dept. of Agriculture
??350600 Student Aide
??982500 Seaman
??020400 Coast Guard Reserve Member
??024000 Coast Guard Auxiliary Member
??002300 National Park Service Collaborator
??009900 College Work/Study Participant
??006000 Chaplain
??186300 State/Local Agriculture Inspector
Alpha/
Numeric
CodeTitle
??003000 Sports Clinic Performer
??018800 Entertainer/Armed Forces
??024300 Vocational Trainee
??046000 Forest Service Cooperator
??131600 Gage Reader, Corps of Engineers
??470100 Maintenance Worker, Dept. of Housing and Urban Development
??002600 National Park Service Volunteer
??020400 National Defense Executive Reserve
??174000 National Teacher Corps Member
??061000 Contract Nurse
??060200Contract Physician
??063000 Nutritional Aide, USDA
??174000 Reader for the Blind
??101600 Trust Employee, Smithsonian Institution
??045700 Soil/Water Conservation District Employee
??024300 Youth/Adult Conservation Corps Enrollee
??009900 Military Academy Cadet
??000600 Volunteer Trainee Probation Officer
??000600 Urban Crime Prevention Program Volunteer
??034500 Congressional Staff Member
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LAST UPDATE: 07/27/00