source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0255.txt@ 666

Last change on this file since 666 was 604, checked in by George Lilly, 15 years ago

Internationalization

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1English French Notes Complete/Exclude
2 23. NAME AND ADDRESS OF PHYSICIAN FIRST PROVIDING MEDICAL CARE
3245 NAME OF PHYSICIAN.............//^S X=PNAME;I X=
4246 STREET ADDRESS................//^S X=PADD
5249 ZIP CODE......................//^S X=PZIP
6250 24. 1ST DATE MEDICAL CARE RECEIVED
7251 25. DO MEDICAL REPORTS SHOW EMPLOYEE IS DISABLED FOR WORK
8252 26. DATE EMPLOYEE FIRST REPORTED CONDITION TO SUPERVISOR.
9253 27. DATE/TIME EMPLOYEE STOPPED WORK..
10254 28. DATE/TIME EMPLOYEE'S PAY STOPPED.
11255 29. DATE EMPLOYEE WAS LAST EXPOSED TO CONDITIONS ALLEGED TO HAVE CAUSED DISEASE OR ILLNESS...............
12256 30. DATE/TIME RETURNED TO WORK.......
13 31. IF EMPLOYEE HAS RETURNED TO WORK AND WORK ASSIGNMENT HAS CHANGED, DESCRIBE NEW DUTIES
14Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),
15. Please edit.
1661 OTHER RETIREMENT..............
17258 33. WAS INJURY CAUSED BY 3RD PARTY;I X=
18259 34. NAME OF THIRD PARTY...........
19260 STREET ADDRESS................
20263 ZIP CODE......................
21 Signature of Supervisor
22 NAME OF SUPERVISOR:
23269 OFFICE PHONE......
2426 GENERAL SETTING OF INCIDENT........;S X=X;
2527 LOCATION OF INJURY.................;S X=X;D CARE2^OOPSUTL2(IEN);
2628 DESCRIPTION OF INCIDENT............
2729.5 HOW IS INCIDENT RELATED TO MEDICAL EMERGENCY
2829 CHARACTERIZATION OF INJURY.........
2930 BODY PART MOST AFFECTED............
3030.1 ADDITIONAL BODY PART AFFECTED......
3131 SIDE OF BODY AFFECTED..............;S X=X;
3234 PATIENT SOURCE.....................
3336 PURPOSE OF SHARP OBJECT...........
3437 ACTIVITY AT TIME OF INJURY........
3538 OBJECT CAUSING INJURY.............;S X=X;
3683 DEVICE SIZE.......................
3741 BODILY FLUID EXPOSURE SOURCE.......
3842.5 WAS THERE AN EQUIPMENT/DEVICE/PRODUCT FAILURE//^S X=FAIL;I X=
3942 DESCRIBE EQUIPMENT/DEVICE/PRODUCT FAILURE..
4043 SAFETY DESIGN DEVICE USED....;S X=X;
4187 DID THE INJURY OCCUR BEFORE THE SAFETY DEVICE WAS ENGAGED..
4284 SAFETY CHARACTERISTICS.......
4385 EXPLAIN WHY A SAFETY DEVICE WAS NOT USED...
4432 DUTY RETURNED TO...................
4533 LOST TIME..........................;S X=X;
4647 CORRECTIVE ACTION............
47 for Continuation of Pay/Compensation (Form CA-1)
48130 17. AGENCY NAME...............//^S X=AGN;I X=
49131 STREET ADDRESS............//^S X=ADD
50134 ZIP CODE..................//^S X=ZIP
51176 18. EMPLOYEE'S DUTY STATION...
52177 STREET ADDRESS............
53180 ZIP CODE..................
5461 OTHER RETIREMENT...........
55 20. REGULAR WORK HOURS:
56 21. REGULAR WORK SCHEDULE.....:
574 22. DATE/TIME INJURY OCCURRED.......//^S X=DTINJ
58175 23. DATE OF NOTICE RECEIVED...//^S X=DT110
59142 24. DATE/TIME STOPPED WORK....
60143 25. DATE PAY STOPPED..........
61144 26. DATE 45 DAY PERIOD BEGAN..
62145 27. DATE/TIME RETURNED TO WORK
63146 28. WAS EMPLOYEE INJURED IN PERFORMANCE OF DUTY;I X=
64148 29. WAS INJURY CAUSED BY EMPLOYEE'S WILLFUL MISCONDUCT, INTOXICATION, OR INTENT TO INJURE SELF OR ANOTHER;I X=
65150 30. WAS INJURY CAUSED BY 3RD PARTY;I X=
66 31. NAME AND ADDRESS OF THIRD PARTY:
67151 NAME OF THIRD PARTY.......;I X=
68152 STREET ADDRESS............
69155 ZIP CODE..................
70 32. NAME AND ADDRESS OF PHYSICIAN FIRST PROVIDING MEDICAL CARE:
71156 NAME OF PHYSICIAN.........//^S X=PNAME;I X=
72157 STREET ADDRESS............//^S X=PADD
73160 ZIP CODE..................//^S X=PZIP
74161 33. 1ST DATE MEDICAL CARE RECEIVED
75162 34. DO MEDICAL REPORTS SHOW EMPLOYEE IS DISABLED FOR WORK
76163 35. DOES YOUR KNOWLEDGE OF THE FACTS AGREE WITH STATEMENTS OF THE EMPLOYEE;I X=
77165 36. IF THE EMPLOYING AGENCY CONTROVERTS CONTINUATION OF PAY, STATE THE REASON IN DETAIL~
78 37. PAY RATE WHEN EMPLOYEE STOPPED WORK:
79 Signature of Supervisor and Filing Instructions
80 NAME OF SUPERVISOR:
81173 OFFICE PHONE.......
82174 39. FILING INSTRUCTIONS
83Required Cross Reference (
84) was not set up, call your IRM.
85) was not properly destroyed, call your IRM.
86Select Forms:
87 form CA1 (Injury)
88 form CA2 (Illness)
89 Select Forms
90WCES;1,3
91CA1ES;4,6
92CA2ES;4,6
93CA1ES;1,3
94CA2ES;1,3
95Your ES has been cleared. You will need to resign.
96Invalid character entered (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <)
97WAS THERE AN EQUIPMENT/DEVICE/PRODUCT FAILURE
98Enter Yes or No to indicate that it was a failure of an device.
99Was the exposed part:
100 Select the Area Type:
101GENERAL SETTING OF
102Select the area type to be used.
103NON-PATIENT
104CARE AREA:
105 Enter the employee's work schedule at the time of the incident.
106 The numbers 1-7 correspond to the days of the week.
107 Enter the day numbers as a range or list separated by commas.
108 Examples: For Mon-Fri enter 2-6 (or 2,3,4,5,6)
109 For Wed-Sat enter 4-7 (or 4,5,6,7)
110 For Mon,Wed,Fri enter 2,4,6
111 Range exceeds 1-7 limit.
112. A supervisor who knowingly certifies to any false statement,
113 misrepresentation, concealment of fact, etc., in respect of
114 this claim may also be subject to appropriate felony criminal
115 I certify that the information given above and that furnished
116 by the employee is true to the best of my knowledge with the
117 following exception.
118Sun,Mon,Tue,Wed,Thu,Fri,Sat
119 cannot be more than
120 years in the past.
121DOB cannot be after
122Enter the person's name, using the format LASTNAME,FIRSTNAME.
123Suffixes such as Sr, Jr, III can only be entered as a FIRSTNAME.
124There must be a LAST NAME and FIRST NAME separated by a comma.
125Spaces in the last name are not allowed and the only
126punctuation allowed is a hyphen (-) or comma (,).
127 Witness Data is incomplete for the following Witnesses, enter missing data.
128 is missing the
129 Date of Witness Signature cannot be prior to DATE/TIME OF OCCURRENCE.
130 Address or City contains invalid characters:
131(~,`,@,#,$,%,*,_,|,\,},{,[,],>,or <). Please Edit
132 YOU LAST SELECTED:
133. REGULAR WORK SCHEDULE:
134SELECT THE DAYS OF THE WEEK:
135ENTER THE NUMBER OF THE DAY/S OF THE WEEK WORKED
136 1-3,6,7 WOULD BE:
137 SUNDAY THRU TUESDAY, FRIDAY AND SATURDAY.
138 cannot be blank if date entered in
139Validating data on form
140This date cannot be prior to DATE/TIME INJURY OCCURRED entered on 2162.
141Invalid Physician Name format.
142Invalid Witness Name format.
143 REASON FOR CONTROVERT COP exceeds 528 character limit set by DOL.
144 SUPERVISOR NOT AGREE EXPLAIN exceeds 528 character limit set by DOL.
145RELATIONSHIP OF ILLNESS TO EMP exceeds 528 character limit set by DOL.
146NATURE OF DISEASE/ILLNESS exceededs 264 character limit set by DOL.
147CLAIM NOT FILED exceeds 528 character limit set by DOL.
148EMPLOYEE STATEMENT DELAYED exceeds 528 character limit set by DOL.
149MEDICAL REPORT DELAYED exceeds 528 character limit set by DOL.
150WORK DUTY CHANGED exceeds 528 character limit set by DOL.
151OOPS SIGNATURE SECURITY
152OK to transmit to DOL
153My consent is given for the release of case number
154information for review by local bargaining units for accident and
155illness tracking purposes only. Name, address, social security
156number, date of birth, and telephone number will not be included
157in the information provided to the bargaining units.
158With your consent, the following information will be provided
159to the local bargaining unit for your review.
160Dt/Tme Occurrence:
161 Personnel Status:
162 Station Number:
163 Cost Center/Org:
164Type Incid:
165 Secondary Super:
16672Consent Given://^S X=
167If you give consent, you will be prompted to select the
168Union to send the bulletin to. The bulletin will be sent
169immediately after the Union has been selected.
170Select UNION to send bulletin to:
171Cannot sent a bulletin to Union, No Union Representative name was selected
172or one is not on file. Contact your Workers' Compensation Specialist.
173You '^'d out, Do you want to Sign
174OOPS(2260,IEN,
175Are you signing for the Supervisor
176The Supervisor has not signed the
177. To continue
178editing, you will need to sign as Supervisor.
179Sign as Supervisor
180Supervisor has not signed
181This person is not in the PAID Employee File and does not appear
182eligible to submit a claim to DOL. Please check with your
183Human Resources Department for assistance. Sending a paper
184hardcopy may be necessary, if allowable.
185This person does not appear to be eligible for submitting a claim
186to DOL, please review the RETIREMENT, GRADE, STEP, PAY
187PLAN, PAY RATE and PAY RATE PER Fields. You may need to
188contact your Human Resources Department or IRM for assistance.
189Worker's Comp edit of special fields occurred, Supervisor
190signature fields cleared, you will need to sign as Supervisor.
191 Worker's Compensation Signing for Supervisor
192 Signature of Supervisor and Filing Instructions
193 NAME OF SUPERVISOR.:
194173 OFFICE PHONE.......;I X=
195 Worker's Comp Edit of Supervisor's Report
19673 OWCP DISTRICT OFFICE......//^S X=WCPDO
19770 OWCP CHARGEBACK CODE......//^S X=OWCP
19862 OWCP NOI CODE.............
199NOI Code must begin with a T for a CA1.
200122 14a. OCCUPATION CODE...........
201123 14b. TYPE CODE.................
202124 14c. SOURCE CODE...............
203130 17. AGENCY NAME...............//^S X=AGN;I X=
204131 STREET ADDRESS............//^S X=ADD
205134 ZIP CODE..................//^S X=ZIP
206176 18. EMPLOYEE'S DUTY STATION...
207177 STREET ADDRESS............
208180 ZIP CODE..................
20961 OTHER RETIREMENT..........
210 20. REGULAR WORK HOURS:
211 21. REGULAR WORK SCHEDULE.....:
2124 22. DATE/TIME INJURY OCCURRED.......//^S X=DTINJ
213175 23. DATE OF NOTICE RECEIVED...//^S X=DT110
214142 24. DATE/TIME STOPPED WORK....
215143 25. DATE PAY STOPPED..........
216144 26. DATE 45 DAY PERIOD BEGAN..
217145 27. DATE/TIME RETURNED TO WORK
218146 28. WAS EMPLOYEE INJURED IN PERFORMANCE OF DUTY;I X=
219148 29. WAS INJURY CAUSED BY EMPLOYEE'S WILLFUL MISCONDUCT, INTOXICATION, OR INTENT TO INJURE SELF OR ANOTHER;I X=
220150 30. WAS INJURY CAUSED BY 3RD PARTY;I X=
221 31. NAME AND ADDRESS OF THIRD PARTY:
222151 NAME OF THIRD PARTY.......;I X=
223152 STREET ADDRESS............
224155 ZIP CODE..................
225 32. NAME AND ADDRESS OF PHYSICIAN FIRST PROVIDING MEDICAL CARE:
226156 NAME OF PHYSICIAN.........//^S X=PNAME;I X=
227157 STREET ADDRESS............//^S X=PADD
228160 ZIP CODE..................//^S X=PZIP
229161 33. 1ST DATE MEDICAL CARE RECEIVED
230162 34. DO MEDICAL REPORTS SHOW EMPLOYEE IS DISABLED FOR WORK
231163 35. DOES YOUR KNOWLEDGE OF THE FACTS AGREE WITH STATEMENTS OF THE EMPLOYEE;I X=
232165.1 36a. DOES THE AGENCY CONTROVERT THIS CLAIM;S CONT=X
233165.2 36b. DOES THE AGENCY DISPUTE THIS CLAIM...
234165 36. IF THE EMPLOYING AGENCY CONTROVERTS CONTINUATION OF PAY, STATE THE REASON IN DETAIL~
235 37. PAY RATE WHEN EMPLOYEE STOPPED WORK:
236174 39. FILING INSTRUCTIONS
237 Worker's Comp Edit of the Supervisor's Report
238NOI Code cannot begin with a T for a CA2.
239224 9a. OCCUPATION CODE...............
240226 14b. TYPE CODE.....................
241227 14c. SOURCE CODE...................
242230 19. AGENCY NAME...................//^S X=AGN;I X=
243231 STREET ADDRESS................//^S X=ADD
244234 AGENCY ZIP CODE...............//^S X=ZIP
245237 20. EMPLOYEE'S DUTY STATION.......
246238 STREET ADDRESS................
247241 ZIP CODE......................
248 21. REGULAR WORK HOURS:
249 22. REGULAR WORK SCHEDULE.........:
250 23. NAME AND ADDRESS OF PHYSICIAN FIRST PROVIDING MEDICAL CARE
251245 NAME OF PHYSICIAN.............//^S X=PNAME;I X=
252246 STREET ADDRESS................//^S X=PADD
253249 ZIP CODE......................//^S X=PZIP
254270 PHYSICIAN TITLE...............//^S X=PTITLE
255250 24. 1ST DATE MEDICAL CARE RECEIVED
256251 25. DO MEDICAL REPORTS SHOW EMPLOYEE IS DISABLED FOR WORK
257252 26. DATE EMPLOYEE FIRST REPORTED CONDITION TO SUPERVISOR.
258253 27. DATE/TIME EMPLOYEE STOPPED WORK..
259254 28. DATE/TIME EMPLOYEE'S PAY STOPPED.
260255 29. DATE EMPLOYEE WAS LAST EXPOSED TO CONDITIONS ALLEGED TO HAVE CAUSED DISEASE OR ILLNESS...............
261256 30. DATE/TIME RETURNED TO WORK.......
262 31. IF EMPLOYEE HAS RETURNED TO WORK AND WORK ASSIGNMENT HAS CHANGED, DESCRIBE NEW DUTIES
263Invalid character entered, (~,`,@ ,#,$,%,^,*,_,|,\,},{,[,],>, or <),
264 Workers Comp signing for Supervisor
265 if you continue, your ES will be removed
266The SAFETY DEVICE USED Field (#43) in the ASISTS ACCIDENT REPORTING
267File (#2260) has been changed. Unknown has been removed as a
268valid code for this field. All records with Unknown will be
269changed to 'N'o.
270OOPS*1.0*11
271Data Conversion in Progress...
272Safety Device changed from Unknown to No for this case
273Station # for Case #:
274, could not be Converted,
275Update Manually.
276ASISTS Cases have been Updated with Station Number.
277Hollow Bore Needlestick
278Exposure to Body Fluids/Splash
279Suture Needlestick
280Drill bit/burr
281Blunt Suture Needle
282Table Files have been Updated.
283The PAY RATE PER Field (#167) in the ASISTS ACCIDENT REPORTING
284File (#2260) has been changed from a free text field to a
285set of codes field.
286This routine will convert the current data in the PAY RATE PER
287field for cases that a valid code can be determined.
288The Set of Codes are:
289Any case that the correct code cannot be determined for will
290be included in the install file and the PAY RATE PER data deleted.
291An option is provided with the patch that will allow
292a user to correct the data after installation of the patch.
293If required (cases are present with data that could not be
294converted), install the option as a secondary menu on the
295appropriate users' menu and instruct them to make the data
296OOPS*1.0*8
297Pay Rate Per cannot be converted for Case
298Pay Rate Per Conversion complete.
299Table updates completed.
300Modifying ASISTS DOL CAUSE OF INJURY CODE Table File (#2263.2)
301Modifying ASISTS DOL SOURCE OF INJURY CODES Table File (#2263.1)
302Hand tool (powered: saw
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