New Case Management Data Extract File Layout

Field 

# 

Name Field 

Type 

Description Va

1 EXTRACT-RECORD-TYPE CHAR(1) Record type identifier C = Change; D 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 = IndependenS = Subsidiary 

4 

CASE-PTR CHAR(9) Uses the Case Type field to map cases to the 

master case 

If Case Type = number of subwith this masteIf Case Type = 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 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 add13 ADDR-2 CHAR(70) Employee’s Address Field 2 Address continu14 ADDR-3 CHAR(70) Employee’s Address Field 3 Address continu15 CITY CHAR(20) Employee’s City Address city 16 STATE CHAR(2) Employee’s State State abbreviat17 ZIP CHAR(9) Employee’s Zip Code Postal Zip Code 18 PHONE-NUMBER CHAR(10) Employee’s Phone Number Area Code + Ph19 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 

2 = first aid; 8 X = non-fatal, l

22 

FATAL-IND CHAR(1) For fatal cases indicates claimed relationship 

of employee’s death to employment 

0 = Not Related 1 = Immediate 2 = Related to 

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 = 27 LOST-TIME-FLAG CHAR(1) Lost Time (Per CA-1 Filing Instructions) Y= Yes; N =No 
New Case Management Data Extract File Layout

Field 

# 

Name Field 

Type 

Description Va

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, WG37 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 a

Lookup availab

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 case; N = Previous Swas reopened (

Blank = Not Ap

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 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-STATUSDATE DATE (8) Current Adjudication Status Date YYYYMMDD 
New Case Management Data Extract File Layout

Field 

# 

Name Field 

Type 

Description Va

53 CURR-CASE-STATUS CHAR(2) Current Case Status See Appendix 54 

CURR-CASE-STATUSDATE 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 = N

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 = N

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)). 
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
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 
APPENDIX 

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
APPENDIX 

Cause of Injury Codes

00 = Legacy Case Use 47 = Handling 

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 

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 
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 
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

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 
APPENDIX 

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 

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 

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

Adjudication Status Codes 

00 = No Status D1 = Denied - 

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 

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 

Case Status Codes 

C1 = Closed - No Time Lost C2 = Closed - Leave Elected 
APPENDIX 

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 

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 

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 

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