Apple Reference & Presentation Library 6 (Internal Edition)

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MacBinary | 1990-11-16 | 34.0 KB | [STCK/KCFM]
open in:
MacOS 8.1 extracted |
Win98 extracted |
DOS extracted
view JSON data |
view as text

This file was processed as: MacBinary (archive/macBinary).

You can browse this item here: Work Injury⁄Illness-Spvr.
Confidence	Program	Detection	Match Type	Support
`10%`	dexvert	MacBinary `(archive/macBinary)`	fallback	Supported
`100%`	file	MacBinary II, inited, Mon Nov 5 06:59:04 1990, modified Fri Nov 16 10:44:14 1990, creator 'KCFM', type 'STCK', 33610 bytes "Work Injury/Illness-Spvr." , at 0x83ca 976 bytes resource	default (weak)
`99%`	file	data	default
`100%`	TrID	MacBinary 2	default (weak)
`100%`	siegfried	fmt/1762 MacBinary (II)	default
`100%`	lsar	MacBinary	default
id metadata
key	value
macFileType	`[STCK]`
macFileCreator	`[KCFM]`
hex view
+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 19 57 6f 72 6b 20 49 | 6e 6a 75 72 79 2f 49 6c |..Work I|njury/Il|
|00000010| 6c 6e 65 73 73 2d 53 70 | 76 72 2e 00 00 00 00 00 |lness-Sp|vr......|
|00000020| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000030| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000040| 00 53 54 43 4b 4b 43 46 | 4d 01 00 00 00 00 00 00 |.STCKKCF|M.......|
|00000050| 00 00 00 00 00 83 4a 00 | 00 03 d0 a3 5b 04 88 a3 |......J.|....[...|
|00000060| 69 b9 ce 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |i.......|........|
|00000070| 00 00 00 00 00 00 00 00 | 00 00 81 81 45 99 00 00 |........|....E...|
|00000080| 00 0c 00 02 00 00 00 30 | 00 00 67 8e 00 00 01 de |.......0|..g.....|
|00000090| 00 00 3d fc 00 00 3d fe | 00 00 82 2c 00 00 00 00 |..=...=.|...,....|
|000000a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000000b0| 09 90 0c 60 00 01 00 01 | 00 00 00 00 00 01 00 00 |...`....|........|
|000000c0| 00 00 00 00 00 03 00 01 | 00 01 00 03 00 00 00 48 |........|.......H|
|000000d0| 00 48 00 00 00 00 03 08 | 02 40 ff f8 ff ee 03 10 |.H......|.@......|
|000000e0| 02 52 03 47 05 28 03 fc | 00 02 00 00 00 48 00 48 |.R.G.(..|.....H.H|
|000000f0| 00 00 00 00 03 08 02 40 | 00 01 00 00 00 64 00 00 |.......@|.....d..|
|00000100| 00 01 00 01 01 01 00 00 | 00 01 27 0f 00 01 00 01 |........|..'.....|
|00000110| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 19 |........|........|
|00000120| 01 90 00 00 00 00 00 70 | 00 00 00 00 00 00 00 00 |.......p|........|
|00000130| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000140| 00 00 00 00 01 48 00 01 | 00 06 00 06 40 38 00 00 |.....H..|....@8..|
|00000150| 00 00 00 00 40 38 00 00 | 00 00 00 00 00 2f 00 02 |....@8..|...../..|
|00000160| 00 01 00 00 00 00 00 04 | 01 f4 01 26 00 34 00 30 |........|...&.4.0|
|00000170| 00 01 00 14 00 01 00 09 | 00 00 00 0d 00 00 00 15 |........|........|
|00000180| 00 03 00 0c 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000190| 00 00 00 00 00 00 00 00 | 00 03 00 03 00 00 ff ff |........|........|
|000001a0| ff ff ff ff ff ff 00 02 | 00 02 00 25 ae 32 00 25 |........|...%.2.%|
|000001b0| ae 38 00 20 4e d2 00 20 | 4e d2 00 00 00 00 00 00 |.8. N.. |N.......|
|000001c0| 00 01 00 01 00 01 00 01 | 00 01 00 01 00 00 00 00 |........|........|
|000001d0| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 48 |........|.......H|
|000001e0| 00 07 00 00 00 01 09 90 | 0c 60 00 20 00 48 0c 3d |........|.`. .H.=|
|000001f0| 09 45 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.E......|........|
|00000200| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000210| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000220| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000230| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000240| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000250| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 09 |........|........|
|00000260| 00 00 01 c4 0b 90 00 4c | 0c 47 09 44 00 01 00 00 |.......L|.G.D....|
|00000270| 00 14 00 01 00 12 00 00 | 00 03 00 03 00 00 00 00 |........|........|
|00000280| 00 04 10 50 00 02 00 01 | 00 03 00 00 00 00 00 00 |...P....|........|
|00000290| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000002a0| 00 00 00 03 00 03 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000002b0| 01 20 01 20 00 3c 00 28 | 00 00 00 39 00 2c 00 00 |. . .<.(|...9.,..|
|000002c0| 00 00 00 01 00 00 00 01 | 00 00 00 00 00 ae 00 02 |........|........|
|000002d0| 0b 90 00 4c 0b cc 09 45 | 01 01 80 81 00 14 00 0c |...L...E|........|
|000002e0| 00 00 00 00 00 03 00 02 | 00 01 00 75 50 6c 65 61 |........|...uPlea|
|000002f0| 73 65 20 62 65 20 73 75 | 72 65 20 74 6f 20 70 72 |se be su|re to pr|
|00000300| 69 6e 74 20 77 69 74 68 | 20 22 50 72 69 6e 74 20 |int with| "Print |
|00000310| 77 69 74 68 20 50 61 72 | 74 20 4c 61 62 65 6c 73 |with Par|t Labels|
|00000320| 22 20 6f 70 74 69 6f 6e | 20 73 65 6c 65 63 74 65 |" option| selecte|
|00000330| 64 2e 20 20 46 6f 6c 64 | 20 61 6e 64 20 4d 61 69 |d.  Fold| and Mai|
|00000340| 6c 20 74 6f 20 74 68 65 | 20 44 65 70 61 72 74 6d |l to the| Departm|
|00000350| 65 6e 74 20 6c 69 73 74 | 65 64 20 62 65 6c 6f 77 |ent list|ed below|
|00000360| 2e 2c 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |.,......|........|
|00000370| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 a9 52 69 |........|......Ri|
|00000380| 73 6b 20 4d 61 6e 61 67 | 65 6d 65 6e 74 20 44 65 |sk Manag|ement De|
|00000390| 70 61 72 74 6d 65 6e 74 | 20 2d 20 4d 2f 53 20 32 |partment| - M/S 2|
|000003a0| 38 47 2c 52 69 73 6b 20 | 4d 61 6e 61 67 65 6d 65 |8G,Risk |Manageme|
|000003b0| 6e 74 20 44 65 70 61 72 | 74 6d 65 6e 74 20 20 2d |nt Depar|tment  -|
|000003c0| 20 4d 2f 53 20 32 38 47 | 2c 45 6e 76 69 72 6f 6e | M/S 28G|,Environ|
|000003d0| 6d 65 6e 74 61 6c 20 48 | 65 61 6c 74 68 20 26 20 |mental H|ealth & |
|000003e0| 53 61 66 65 74 79 20 44 | 65 70 74 2e 20 2d 20 4d |Safety D|ept. - M|
|000003f0| 2f 53 20 35 36 41 2c 48 | 75 6d 61 6e 20 52 65 73 |/S 56A,H|uman Res|
|00000400| 6f 75 72 63 65 73 20 4c | 69 61 69 73 6f 6e 2c 20 |ources L|iaison, |
|00000410| 53 75 70 65 72 76 69 73 | 6f 72 2f 4d 61 6e 61 67 |Supervis|or/Manag|
|00000420| 65 72 20 43 6f 70 79 00 | 00 03 00 00 00 34 00 24 |er Copy.|.....4.$|
|00000430| 00 4c 0b d0 09 44 00 01 | 00 01 00 03 00 01 ff ff |.L...D..|........|
|00000440| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000450| 00 01 00 28 00 28 00 28 | 00 28 00 00 00 00 00 00 |...(.(.(|.(......|
|00000460| 00 00 00 0d 00 00 00 88 | 09 f0 00 b4 0a e0 09 24 |........|.......$|
|00000470| 00 00 00 02 00 02 00 02 | 00 02 00 02 00 03 00 00 |........|........|
|00000480| 00 34 0a 08 00 b4 0a e0 | 09 10 00 01 00 00 00 03 |.4......|........|
|00000490| 00 00 ff ff ff ff ff ff | ff ff 00 00 aa 55 aa 55 |........|.....U.U|
|000004a0| aa 55 aa 55 00 01 00 00 | 00 00 00 00 00 00 00 00 |.U.U....|........|
|000004b0| 00 00 00 00 00 00 00 03 | 00 00 00 34 09 f0 00 c8 |........|...4....|
|000004c0| 0a cc 09 24 00 01 00 00 | 00 03 00 00 ff ff ff ff |...$....|........|
|000004d0| ff ff ff ff 00 00 00 00 | 00 00 00 00 00 00 00 01 |........|........|
|000004e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000004f0| 00 07 00 00 00 e2 00 a0 | 01 3c 01 04 09 24 00 01 |........|.<...$..|
|00000500| 00 00 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00000510| 00 00 00 02 00 a0 01 3c | 01 04 09 24 00 00 00 00 |.......<|...$....|
|00000520| 00 14 00 0c 00 00 00 00 | 00 01 00 01 00 02 00 8e |........|........|
|00000530| 43 6f 6d 70 6c 65 74 65 | 20 77 69 74 68 69 6e 20 |Complete| within |
|00000540| 32 34 20 68 6f 75 72 73 | 20 6f 66 20 61 20 77 6f |24 hours| of a wo|
|00000550| 72 6b 20 69 6e 6a 75 72 | 79 20 2f 20 69 6c 6c 6e |rk injur|y / illn|
|00000560| 65 73 73 2e 20 20 49 6e | 20 74 68 65 20 65 76 65 |ess.  In| the eve|
|00000570| 6e 74 20 6f 66 20 73 65 | 72 69 6f 75 73 20 69 6e |nt of se|rious in|
|00000580| 6a 75 72 79 20 6f 72 20 | 64 65 61 74 68 20 69 6d |jury or |death im|
|00000590| 6d 65 64 69 61 74 65 6c | 79 20 6e 6f 74 69 66 79 |mediatel|y notify|
|000005a0| 20 41 70 70 6c 65 20 53 | 65 63 75 72 69 74 79 20 | Apple S|ecurity |
|000005b0| 61 6e 64 2f 6f 72 20 53 | 61 66 65 74 79 2e 00 00 |and/or S|afety...|
|000005c0| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|000005d0| 00 0c 00 00 00 00 00 00 | 00 0d 00 00 00 88 01 10 |........|........|
|000005e0| 00 b0 03 24 09 20 00 00 | 00 00 00 00 00 01 00 01 |...$. ..|........|
|000005f0| 00 02 00 03 00 00 00 34 | 01 2c 00 b0 03 24 09 0b |.......4|.,...$..|
|00000600| 00 01 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000610| 00 00 aa 55 aa 55 aa 55 | aa 55 00 01 00 00 00 00 |...U.U.U|.U......|
|00000620| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000630| 00 34 01 10 00 c4 03 10 | 09 20 00 01 00 00 00 03 |.4......|. ......|
|00000640| 00 00 ff ff ff ff ff ff | ff ff 00 00 00 00 00 00 |........|........|
|00000650| 00 00 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000660| 00 00 00 00 00 00 00 0d | 00 00 00 88 03 40 00 b0 |........|.....@..|
|00000670| 07 0c 09 20 00 00 00 00 | 00 00 00 01 00 01 00 02 |... ....|........|
|00000680| 00 03 00 00 00 34 03 60 | 00 b0 07 0c 09 0b 00 01 |.....4.`|........|
|00000690| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 00 |........|........|
|000006a0| aa 55 aa 55 aa 55 aa 55 | 00 01 00 00 00 00 00 00 |.U.U.U.U|........|
|000006b0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 00 34 |........|.......4|
|000006c0| 03 40 00 c4 06 f8 09 20 | 00 01 00 00 00 03 00 00 |.@..... |........|
|000006d0| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|000006e0| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000006f0| 00 00 00 00 00 06 00 00 | 02 b0 03 da 00 70 05 fa |........|.....p..|
|00000700| 00 a8 00 01 00 00 03 da | 00 70 05 fa 00 a8 00 30 |........|.p.....0|
|00000710| 00 28 02 a0 00 60 00 00 | 00 00 02 7e 00 00 00 00 |.(...`..|...~....|
|00000720| 00 00 00 00 00 00 00 00 | 00 00 00 00 02 7e ff ff |........|.....~..|
|00000730| ff ff 00 9b 00 0d 11 01 | a0 00 82 a1 00 96 00 0c |........|........|
|00000740| 01 00 01 0e 02 00 01 0e | 00 00 00 00 a1 00 9a 00 |........|........|
|00000750| 08 ff fc 00 00 00 4c 00 | 00 03 00 14 04 01 0d 00 |......L.|........|
|00000760| 0a 28 00 50 ff ba 14 49 | 4e 43 49 44 45 4e 54 20 |.(.P...I|NCIDENT |
|00000770| 49 4e 46 4f 52 4d 41 54 | 49 4f 4e 01 00 0a 00 00 |INFORMAT|ION.....|
|00000780| 00 00 00 9a 00 0c 90 00 | 04 00 00 00 00 00 80 00 |........|........|
|00000790| 20 00 00 00 00 00 80 00 | 20 00 1a 00 00 00 9a 00 | .......| .......|
|000007a0| 20 00 01 00 00 00 00 1f | c0 00 00 1f c0 00 00 13 | .......|........|
|000007b0| 00 00 00 06 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|000007c0| 40 00 00 00 00 00 00 07 | 00 00 00 0f 80 00 00 18 |@.......|........|
|000007d0| c0 00 00 10 40 00 00 18 | c0 00 00 0f 80 00 00 07 |....@...|........|
|000007e0| 00 00 00 10 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|000007f0| 40 00 00 00 00 00 00 18 | 00 00 00 18 40 00 00 1f |@.......|....@...|
|00000800| c0 00 00 1f c0 00 00 18 | 40 00 00 18 40 00 00 01 |........|@...@...|
|00000810| c0 00 00 07 c0 00 00 1f | 40 00 00 1f 40 00 00 07 |........|@...@...|
|00000820| c0 00 00 01 c0 00 00 10 | 40 00 00 1f c0 00 00 1f |........|@.......|
|00000830| c0 00 00 1e 40 00 00 07 | 80 00 00 07 80 00 00 1e |....@...|........|
|00000840| 40 00 00 1f c0 00 00 1f | c0 00 00 10 40 00 00 00 |@.......|....@...|
|00000850| 00 00 00 0c 40 00 00 1e | c0 00 00 13 c0 00 00 13 |....@...|........|
|00000860| 40 00 00 1f c0 00 00 1f | c0 00 00 10 40 00 00 07 |@.......|....@...|
|00000870| 00 00 00 0f 80 00 00 18 | c0 00 00 10 40 00 00 18 |........|....@...|
|00000880| c0 00 00 0f 80 00 00 07 | 00 00 00 18 00 00 00 1a |........|........|
|00000890| 00 00 00 12 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|000008a0| 40 00 00 10 00 00 00 1f | c0 00 00 1f c0 00 00 13 |@.......|........|
|000008b0| 00 00 00 06 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|000008c0| 40 00 00 10 40 00 00 1f | c0 00 00 1f c0 00 00 10 |@...@...|........|
|000008d0| 40 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 18 |@.......|........|
|000008e0| 00 00 00 18 40 00 00 1f | c0 00 00 1f c0 00 00 18 |....@...|........|
|000008f0| 40 00 00 18 00 00 00 1f | c0 00 00 1f c0 00 00 13 |@.......|........|
|00000900| 00 00 00 06 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|00000910| 40 00 00 00 00 00 00 18 | c0 00 00 1a c0 00 00 12 |@.......|........|
|00000920| 40 00 00 1f c0 00 00 1f | c0 00 00 10 40 00 00 07 |@.......|....@...|
|00000930| 00 00 00 0f 80 00 00 18 | c0 00 00 10 40 00 00 1f |........|....@...|
|00000940| c0 00 00 1f c0 00 00 10 | 40 00 00 10 40 00 00 1f |........|@...@...|
|00000950| c0 00 00 1f c0 00 00 10 | 40 00 00 18 80 00 00 18 |........|@.......|
|00000960| c0 00 00 10 40 00 00 10 | 40 00 00 18 c0 00 00 0f |....@...|@.......|
|00000970| 80 00 00 17 00 00 00 1f | c0 00 00 1f c0 00 00 13 |........|........|
|00000980| 00 00 00 06 40 00 00 1f | c0 00 00 1f c0 00 00 10 |....@...|........|
|00000990| 40 00 00 10 40 00 00 1f | c0 00 00 1f c0 00 00 10 |@...@...|........|
|000009a0| 40 00 00 a0 00 97 a0 00 | 83 ff 00 07 00 00 00 7e |@.......|.......~|
|000009b0| 00 38 01 3c 00 a4 09 20 | 00 01 00 00 ff ff ff ff |.8.<... |........|
|000009c0| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 00 38 |........|.......8|
|000009d0| 01 3c 00 a4 09 20 00 00 | 00 00 00 14 00 0e 00 01 |.<... ..|........|
|000009e0| 00 00 00 03 00 03 00 01 | 00 29 57 4f 52 4b 20 49 |........|.)WORK I|
|000009f0| 4e 4a 55 52 59 20 2f 20 | 49 4c 4c 4e 45 53 53 20 |NJURY / |ILLNESS |
|00000a00| 52 45 50 4f 52 54 20 2d | 20 53 55 50 45 52 56 49 |REPORT -| SUPERVI|
|00000a10| 53 4f 52 39 00 00 00 16 | 00 01 00 00 00 00 00 0f |SOR9....|........|
|00000a20| 00 0c 00 14 01 00 00 0e | 00 00 00 00 00 00 00 0d |........|........|
|00000a30| 00 00 00 cc 00 5c 00 94 | 00 d0 00 fc 00 00 00 00 |.....\..|........|
|00000a40| 00 00 00 00 00 00 00 02 | 00 07 00 00 00 56 00 5c |........|.....V.\|
|00000a50| 00 94 00 d0 00 fa 00 01 | 00 00 ff ff ff ff ff ff |........|........|
|00000a60| ff ff 00 01 00 00 00 00 | 00 00 00 02 00 5c 00 94 |........|.....\..|
|00000a70| 00 d0 00 fa 00 00 00 00 | 00 14 00 18 00 00 00 00 |........|........|
|00000a80| 00 03 00 03 00 01 00 01 | f0 35 00 00 00 16 00 01 |........|.5......|
|00000a90| 00 00 00 00 00 18 00 12 | 00 14 00 00 00 18 00 00 |........|........|
|00000aa0| 00 00 00 00 00 07 00 00 | 00 56 00 a1 00 df 00 ba |........|.V......|
|00000ab0| 00 fc 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |........|........|
|00000ac0| 00 00 00 00 00 00 00 02 | 00 a1 00 df 00 ba 00 fc |........|........|
|00000ad0| 00 00 00 00 00 14 00 04 | 00 00 00 00 00 03 00 03 |........|........|
|00000ae0| 00 01 00 01 a8 74 00 00 | 00 16 00 01 00 00 00 00 |.....t..|........|
|00000af0| 00 05 00 04 00 14 00 00 | 00 04 00 00 00 00 00 00 |........|........|
|00000b00| 00 07 00 00 00 68 0b f4 | 00 4c 0c 3c 02 38 00 01 |.....h..|.L.<.8..|
|00000b10| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00000b20| 00 00 00 02 0b f4 00 4c | 0c 3c 02 38 00 00 00 00 |.......L|.<.8....|
|00000b30| 00 14 00 0e 00 20 00 00 | 00 01 00 03 00 01 00 14 |..... ..|........|
|00000b40| 41 70 70 6c 65 20 43 6f | 6d 70 75 74 65 72 2c 20 |Apple Co|mputer, |
|00000b50| 49 6e 63 2e 00 00 00 16 | 00 01 00 00 00 00 00 0f |Inc.....|........|
|00000b60| 00 0c 00 14 20 00 00 0e | 00 00 00 00 00 00 00 07 |.... ...|........|
|00000b70| 00 00 00 62 0b f8 08 24 | 0c 3c 09 44 00 01 00 00 |...b...$|.<.D....|
|00000b80| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00000b90| 00 02 0b f8 08 24 0c 3c | 09 44 00 00 00 00 00 14 |.....$.<|.D......|
|00000ba0| 00 0a 00 00 00 00 00 02 | 00 03 00 01 00 0e 52 53 |........|......RS|
|00000bb0| 4b 32 30 30 20 28 31 31 | 2f 39 30 29 00 00 00 16 |K200 (11|/90)....|
|00000bc0| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0a |........|........|
|00000bd0| 00 00 00 00 00 00 00 07 | 00 00 00 8a 00 d8 06 70 |........|.......p|
|00000be0| 01 07 09 20 00 01 00 00 | 80 00 08 00 80 00 08 00 |... ....|........|
|00000bf0| 00 00 00 00 00 00 00 00 | 00 02 00 d8 06 70 01 07 |........|.....p..|
|00000c00| 09 20 00 00 00 00 00 14 | 00 0c ff 00 00 00 00 01 |. ......|........|
|00000c10| 00 01 00 01 00 21 41 70 | 70 6c 65 20 43 6f 6e 66 |.....!Ap|ple Conf|
|00000c20| 69 64 65 6e 74 69 61 6c | 3a 20 20 4e 65 65 64 20 |idential|:  Need |
|00000c30| 74 6f 20 4b 6e 6f 77 30 | 00 00 00 2a 00 02 00 00 |to Know0|...*....|
|00000c40| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00000c50| 00 00 00 00 00 06 00 0c | 00 09 00 14 02 00 00 0c |........|........|
|00000c60| 00 00 00 00 00 00 00 06 | 00 00 02 d0 00 f0 00 70 |........|.......p|
|00000c70| 03 2c 00 a8 00 01 00 00 | 00 f0 00 70 03 2c 00 a8 |.,......|...p.,..|
|00000c80| 00 30 00 28 02 6c 00 60 | 00 00 00 00 02 9e 00 00 |.0.(.l.`|........|
|00000c90| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 02 9e |........|........|
|00000ca0| ff ff ff ff 00 8e 00 0d | 11 01 a0 00 82 a1 00 96 |........|........|
|00000cb0| 00 0c 01 00 01 0e 02 00 | 01 0e 00 00 00 00 a1 00 |........|........|
|00000cc0| 9a 00 08 ff fc 00 00 00 | 45 00 00 03 00 14 04 01 |........|E.......|
|00000cd0| 0d 00 0a 28 00 4a ff c1 | 14 45 4d 50 4c 4f 59 45 |...(.J..|.EMPLOYE|
|00000ce0| 45 20 49 4e 46 4f 52 4d | 41 54 49 4f 4e 01 00 0a |E INFORM|ATION...|
|00000cf0| 00 00 00 00 00 8d 00 0c | 90 00 04 00 00 00 00 00 |........|........|
|00000d00| 88 00 20 00 00 00 00 00 | 88 00 20 00 05 00 00 00 |.. .....|.. .....|
|00000d10| 8d 00 20 00 01 00 00 00 | 00 10 00 00 00 1f c0 00 |.. .....|........|
|00000d20| 00 1f c0 00 00 13 00 00 | 00 06 40 00 00 1f c0 00 |........|..@.....|
|00000d30| 00 1f c0 00 00 10 40 00 | 00 00 00 00 00 07 00 00 |......@.|........|
|00000d40| 00 0f 80 00 00 18 c0 00 | 00 10 40 00 00 18 c0 00 |........|..@.....|
|00000d50| 00 0f 80 00 00 07 00 00 | 00 10 40 00 00 1f c0 00 |........|..@.....|
|00000d60| 00 1f c0 00 00 10 40 00 | 00 18 00 00 00 18 40 00 |......@.|......@.|
|00000d70| 00 1f c0 00 00 1f c0 00 | 00 18 40 00 00 18 00 00 |........|..@.....|
|00000d80| 00 00 40 00 00 01 c0 00 | 00 07 c0 00 00 1f 40 00 |..@.....|......@.|
|00000d90| 00 1f 40 00 00 07 c0 00 | 00 01 c0 00 00 10 40 00 |..@.....|......@.|
|00000da0| 00 1f c0 00 00 1f c0 00 | 00 1e 40 00 00 07 80 00 |........|..@.....|
|00000db0| 00 07 80 00 00 1e 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000dc0| 00 10 40 00 00 0c 40 00 | 00 1e c0 00 00 13 c0 00 |..@...@.|........|
|00000dd0| 00 13 40 00 00 1f c0 00 | 00 1f c0 00 00 10 40 00 |..@.....|......@.|
|00000de0| 00 00 00 00 00 07 00 00 | 00 0f 80 00 00 18 c0 00 |........|........|
|00000df0| 00 10 40 00 00 18 c0 00 | 00 0f 80 00 00 07 00 00 |..@.....|........|
|00000e00| 00 18 00 00 00 1a 00 00 | 00 12 40 00 00 1f c0 00 |........|..@.....|
|00000e10| 00 1f c0 00 00 10 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000e20| 00 13 00 00 00 06 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000e30| 00 10 40 00 00 10 40 00 | 00 1f c0 00 00 1f c0 00 |..@...@.|........|
|00000e40| 00 10 40 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |..@.....|........|
|00000e50| 00 18 c0 00 00 1a c0 00 | 00 12 40 00 00 1f c0 00 |........|..@.....|
|00000e60| 00 1f c0 00 00 10 40 00 | 00 00 00 00 00 18 c0 00 |......@.|........|
|00000e70| 00 1a c0 00 00 12 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000e80| 00 10 40 00 00 18 00 00 | 00 1c 40 00 00 17 c0 00 |..@.....|..@.....|
|00000e90| 00 17 c0 00 00 1c 40 00 | 00 18 00 00 00 10 00 00 |......@.|........|
|00000ea0| 00 00 00 00 00 07 00 00 | 00 0f 80 00 00 18 c0 00 |........|........|
|00000eb0| 00 10 40 00 00 18 c0 00 | 00 0f 80 00 00 07 00 00 |..@.....|........|
|00000ec0| 00 00 00 00 00 00 c0 00 | 00 00 c0 00 00 10 40 00 |........|......@.|
|00000ed0| 00 1f c0 00 00 1f c0 00 | 00 10 40 00 00 0c 00 00 |........|..@.....|
|00000ee0| 00 1e 00 00 00 12 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000ef0| 00 10 40 00 00 1f c0 00 | 00 1f c0 00 00 1e 40 00 |..@.....|......@.|
|00000f00| 00 07 80 00 00 07 80 00 | 00 1e 40 00 00 1f c0 00 |........|..@.....|
|00000f10| 00 1f c0 00 00 10 40 00 | 00 00 00 00 00 18 c0 00 |......@.|........|
|00000f20| 00 1a c0 00 00 12 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00000f30| 00 10 40 00 00 a0 00 97 | a0 00 83 ff 00 01 00 00 |..@.....|........|
|00000f40| 00 ac 01 1c 00 e4 01 64 | 06 34 00 01 00 00 00 00 |.......d|.4......|
|00000f50| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 2a 00 01 |........|.....*..|
|00000f60| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00000f70| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000f80| ff ff ff ff ff ff ff ff | 01 3c 00 c8 00 18 00 18 |........|.<......|
|00000f90| 00 00 01 12 00 01 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00000fa0| 00 00 00 00 00 00 00 00 | 00 02 01 1c 00 e4 01 65 |........|.......e|
|00000fb0| 02 20 01 01 81 80 00 14 | 00 09 00 00 00 00 00 01 |. ......|........|
|00000fc0| 00 02 00 01 00 0d 45 4d | 50 4c 4f 59 45 45 20 4e |......EM|PLOYEE N|
|00000fd0| 41 4d 45 00 00 00 00 16 | 00 01 00 00 00 00 00 0b |AME.....|........|
|00000fe0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00000ff0| 00 00 00 a8 01 1c 06 3c | 01 64 08 f2 00 01 00 00 |.......<|.d......|
|00001000| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 02 00 01 |........|........|
|00001010| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00001020| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001030| 00 00 ff ff ff ff ff ff | ff ff 00 fc 01 24 00 34 |........|.....$.4|
|00001040| 00 30 00 00 01 13 00 02 | 00 01 00 00 00 00 00 00 |.0......|........|
|00001050| 00 00 00 00 00 00 00 00 | 00 00 00 02 01 1c 06 3c |........|.......<|
|00001060| 01 65 07 38 01 01 81 80 | 00 14 00 09 00 00 00 00 |.e.8....|........|
|00001070| 00 01 00 02 00 01 00 0a | 57 4f 52 4b 20 50 48 4f |........|WORK PHO|
|00001080| 4e 45 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |NE......|........|
|00001090| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000010a0| 00 a8 01 64 00 e4 01 ac | 05 1c 00 01 00 00 00 00 |...d....|........|
|000010b0| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|000010c0| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|000010d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000010e0| ff ff ff ff ff ff ff ff | 00 b8 01 24 00 34 00 30 |........|...$.4.0|
|000010f0| 00 00 01 14 00 03 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001100| 00 00 00 00 00 00 00 00 | 00 02 01 64 00 e4 01 ad |........|...d....|
|00001110| 01 9c 01 01 81 80 00 14 | 00 09 00 00 00 00 00 01 |........|........|
|00001120| 00 02 00 01 00 09 4a 4f | 42 20 54 49 54 4c 45 00 |......JO|B TITLE.|
|00001130| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|00001140| 00 00 00 09 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
|00001150| 01 6c 05 d8 01 b4 06 80 | 00 01 00 00 00 00 00 15 |.l......|........|
|00001160| 00 00 00 0c 00 00 00 03 | 00 03 00 01 00 01 00 04 |........|........|
|00001170| 00 00 00 00 00 04 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001180| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00001190| ff ff ff ff ff ff 00 54 | 00 78 00 34 00 30 00 00 |.......T|.x.4.0..|
|000011a0| 01 15 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000011b0| 00 00 00 00 00 00 00 02 | 01 6c 06 08 01 b5 06 81 |........|.l......|
|000011c0| 01 00 81 81 00 14 00 09 | 00 00 00 00 00 03 00 03 |........|........|
|000011d0| 00 01 00 04 4d 41 4c 45 | 00 00 00 16 00 01 00 00 |....MALE|........|
|000011e0| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|000011f0| 00 00 00 01 00 00 00 a4 | 01 68 06 f8 01 b4 07 c4 |........|.h......|
|00001200| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00001210| 00 03 00 01 00 01 00 04 | 00 00 00 00 00 04 00 00 |........|........|
|00001220| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001230| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 54 |........|.......T|
|00001240| 00 9c 00 34 00 30 00 00 | 01 16 00 05 00 01 00 00 |...4.0..|........|
|00001250| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001260| 01 68 07 28 01 b5 07 c5 | 01 00 81 81 00 14 00 09 |.h.(....|........|
|00001270| 00 00 00 00 00 03 00 03 | 00 01 00 06 46 45 4d 41 |........|....FEMA|
|00001280| 4c 45 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |LE......|........|
|00001290| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000012a0| 00 a8 01 ac 00 e4 01 f4 | 02 2c 00 01 00 00 00 00 |........|.,......|
|000012b0| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|000012c0| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|000012d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000012e0| ff ff ff ff ff ff ff ff | 00 d0 00 b4 00 34 00 30 |........|.....4.0|
|000012f0| 00 00 01 17 00 06 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001300| 00 00 00 00 00 00 00 00 | 00 02 01 ac 00 e4 01 f5 |........|........|
|00001310| 01 b4 01 01 81 80 00 14 | 00 09 00 00 00 00 00 01 |........|........|
|00001320| 00 02 00 01 00 0a 44 49 | 56 49 53 49 4f 4e 20 23 |......DI|VISION #|
|00001330| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|00001340| 00 00 00 09 00 00 00 00 | 00 00 00 01 00 00 00 aa |........|........|
|00001350| 01 ac 02 38 01 fc 03 cc | 00 01 00 00 00 00 00 15 |...8....|........|
|00001360| 00 00 00 0c 00 00 00 03 | 00 02 00 00 00 01 00 02 |........|........|
|00001370| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001380| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00001390| ff ff ff ff ff ff 01 1c | 00 b4 00 34 00 30 00 00 |........|...4.0..|
|000013a0| 01 18 00 07 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000013b0| 00 00 00 00 00 00 00 02 | 01 ac 02 38 01 fd 03 54 |........|...8...T|
|000013c0| 01 01 81 80 00 14 00 09 | 00 00 00 00 00 01 00 02 |........|........|
|000013d0| 00 01 00 0c 44 45 50 41 | 52 54 4d 45 4e 54 20 23 |....DEPA|RTMENT #|
|000013e0| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|000013f0| 00 00 00 09 00 00 00 00 | 00 00 00 01 00 00 00 ac |........|........|
|00001400| 01 b4 06 a0 01 fc 08 b4 | 00 01 00 00 00 00 00 15 |........|........|
|00001410| 00 00 00 0c 00 00 00 03 | 00 02 00 00 00 01 00 02 |........|........|
|00001420| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001430| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00001440| ff ff ff ff ff ff 01 2c | 01 24 00 2c 00 2c 00 00 |.......,|.$.,.,..|
|00001450| 01 19 00 09 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001460| 00 00 00 00 00 00 00 02 | 01 b4 06 a0 01 fd 07 cc |........|........|
|00001470| 01 01 81 80 00 14 00 09 | 00 00 00 00 00 01 00 02 |........|........|
|00001480| 00 01 00 0d 44 41 54 45 | 20 52 45 50 4f 52 54 45 |....DATE| REPORTE|
|00001490| 44 36 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |D6......|........|
|000014a0| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 07 00 00 |........|........|
|000014b0| 00 66 02 04 00 e4 02 2f | 02 80 00 01 00 00 ff ff |.f...../|........|
|000014c0| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|000014d0| 02 04 00 e4 02 2f 02 80 | 00 00 00 00 00 14 00 09 |...../..|........|
|000014e0| 00 00 00 00 00 01 00 01 | 00 01 00 12 45 4d 50 4c |........|....EMPL|
|000014f0| 4f 59 4d 45 4e 54 20 53 | 54 41 54 55 53 3a 00 00 |OYMENT S|TATUS:..|
|00001500| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00001510| 00 09 00 00 00 00 00 00 | 00 07 00 00 00 72 02 3c |........|.....r.<|
|00001520| 01 48 02 64 03 c4 00 01 | 00 00 ff ff ff ff ff ff |.H.d....|........|
|00001530| ff ff 00 01 00 00 00 00 | 00 00 00 02 02 3c 01 48 |........|.....<.H|
|00001540| 02 64 03 c4 00 00 00 00 | 00 14 00 09 00 00 00 00 |.d......|........|
|00001550| 00 01 00 01 00 01 00 1e | 52 45 47 55 4c 41 52 20 |........|REGULAR |
|00001560| 46 55 4c 4c 20 54 49 4d | 45 20 4f 52 20 50 41 52 |FULL TIM|E OR PAR|
|00001570| 54 20 54 49 4d 45 00 00 | 00 16 00 01 00 00 00 00 |T TIME..|........|
|00001580| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|00001590| 00 01 00 00 00 a8 02 6c | 00 e4 02 b4 03 94 00 01 |.......l|........|
|000015a0| 00 00 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 02 |........|........|
|000015b0| 00 00 00 01 00 02 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|000015c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|000015d0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 f0 01 24 |........|.......$|
|000015e0| 00 34 00 30 00 00 01 1c | 00 0b 00 01 00 00 00 00 |.4.0....|........|
|000015f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 02 6c |........|.......l|
|00001600| 00 e4 02 b5 01 d4 01 01 | 81 80 00 14 00 09 00 00 |........|........|
|00001610| 00 00 00 01 00 02 00 01 | 00 0a 45 4d 50 4c 4f 59 |........|..EMPLOY|
|00001620| 45 45 20 23 00 00 00 16 | 00 01 00 00 00 00 00 0b |EE #....|........|
|00001630| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00001640| 00 00 00 aa 02 6c 03 d8 | 02 b4 06 74 00 01 00 00 |.....l..|...t....|
|00001650| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 02 00 00 |........|........|
|00001660| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00001670| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 03 |........|........|
|00001680| 00 00 ff ff ff ff ff ff | ff ff 01 20 01 24 00 34 |........|... .$.4|
|00001690| 00 30 00 00 01 1d 00 0d | 00 01 00 00 00 00 00 00 |.0......|........|
|000016a0| 00 00 00 00 00 00 00 00 | 00 00 00 02 02 6c 03 d8 |........|.....l..|
|000016b0| 02 b5 04 f8 01 01 81 80 | 00 14 00 09 00 00 00 00 |........|........|
|000016c0| 00 01 00 02 00 01 00 0b | 41 47 45 4e 43 59 20 4e |........|AGENCY N|
|000016d0| 41 4d 45 ec 00 00 00 16 | 00 01 00 00 00 00 00 0b |AME.....|........|
|000016e0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|000016f0| 00 00 00 a8 02 24 03 d8 | 02 70 05 2c 00 01 00 00 |.....$..|.p.,....|
|00001700| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00001710| 00 01 00 04 00 00 00 00 | 00 04 00 00 00 00 00 00 |........|........|
|00001720| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001730| 00 00 ff ff ff ff ff ff | ff ff 00 54 01 20 00 34 |........|...T. .4|
|00001740| 00 30 00 00 01 1e 00 0c | 00 01 00 00 00 00 00 00 |.0......|........|
|00001750| 00 00 00 00 00 00 00 00 | 00 00 00 02 02 24 04 0c |........|.....$..|
|00001760| 02 71 05 2d 01 00 81 81 | 00 14 00 09 00 00 00 00 |.q.-....|........|
|00001770| 00 01 00 03 00 01 00 09 | 54 45 4d 50 4f 52 41 52 |........|TEMPORAR|
|00001780| 59 c0 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |Y.......|........|
|00001790| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000017a0| 00 a4 02 24 06 b8 02 70 | 08 0c 00 01 00 00 00 00 |...$...p|........|
|000017b0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 01 00 01 |........|........|
|000017c0| 00 04 00 00 00 00 00 04 | 00 00 00 00 00 00 00 00 |........|........|
|000017d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000017e0| ff ff ff ff ff ff ff ff | 00 54 01 20 00 34 00 30 |........|.T. .4.0|
|000017f0| 00 00 01 1f 00 0e 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001800| 00 00 00 00 00 00 00 00 | 00 02 02 24 06 ec 02 71 |........|...$...q|
|00001810| 08 0d 01 00 81 81 00 14 | 00 09 00 00 00 00 00 01 |........|........|
|00001820| 00 03 00 01 00 05 4f 54 | 48 45 52 69 00 00 00 16 |......OT|HERi....|
|00001830| 00 01 00 00 00 00 00 0b | 00 08 00 14 00 00 00 09 |........|........|
|00001840| 00 00 00 00 00 00 00 01 | 00 00 00 a8 02 6c 06 b8 |........|.....l..|
|00001850| 02 b4 08 f2 00 01 00 00 | 00 00 00 15 00 00 00 0c |........|........|
|00001860| 00 00 00 03 00 02 00 00 | 00 01 00 02 00 00 00 00 |........|........|
|00001870| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001880| 00 00 00 00 00 03 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00001890| ff ff 00 c0 01 24 00 34 | 00 30 00 00 01 20 00 0f |.....$.4|.0... ..|
|000018a0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000018b0| 00 00 00 02 02 6c 06 b8 | 02 b5 07 78 01 01 81 80 |.....l..|...x....|
|000018c0| 00 14 00 09 00 00 00 00 | 00 01 00 02 00 01 00 09 |........|........|
|000018d0| 28 53 50 45 43 49 46 59 | 29 09 00 00 00 16 00 01 |(SPECIFY|).......|
|000018e0| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|000018f0| 00 00 00 00 00 01 00 00 | 00 c4 02 bc 00 e4 03 04 |........|........|
|00001900| 08 f2 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00001910| 00 01 00 02 00 00 00 01 | 00 02 00 00 00 00 00 04 |........|........|
|00001920| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001930| 00 00 00 03 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00001940| 03 48 01 24 00 34 00 30 | 00 00 01 21 00 10 00 01 |.H.$.4.0|...!....|
|00001950| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001960| 00 02 02 bc 00 e4 03 05 | 04 2c 01 01 81 80 00 14 |........|.,......|
|00001970| 00 09 00 00 00 00 00 01 | 00 02 00 01 00 25 42 55 |........|.....%BU|
|00001980| 49 4c 44 49 4e 47 20 41 | 44 44 52 45 53 53 20 57 |ILDING A|DDRESS W|
|00001990| 48 45 52 45 20 45 4d 50 | 4c 4f 59 45 45 20 57 4f |HERE EMP|LOYEE WO|
|000019a0| 52 4b 53 01 00 00 00 16 | 00 01 00 00 00 00 00 0b |RKS.....|........|
|000019b0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|000019c0| 00 00 00 ac 03 34 05 60 | 03 7c 08 bc 00 01 00 00 |.....4.`|.|......|
|000019d0| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 02 00 04 |........|........|
|000019e0| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|000019f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 03 |........|........|
|00001a00| 00 00 ff ff ff ff ff ff | ff ff 01 30 01 26 00 34 |........|...0.&.4|
|00001a10| 00 30 00 00 01 24 00 12 | 00 01 00 00 00 00 00 00 |.0...$..|........|
|00001a20| 00 00 00 00 00 00 00 00 | 00 00 00 02 03 34 05 60 |........|.....4.`|
|00001a30| 03 7d 06 90 01 01 81 80 | 00 14 00 09 00 00 00 00 |.}......|........|
|00001a40| 00 01 00 02 00 01 00 0e | 54 49 4d 45 20 4f 46 20 |........|TIME OF |
|00001a50| 49 4e 4a 55 52 59 00 00 | 00 16 00 01 00 00 00 00 |INJURY..|........|
|00001a60| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|00001a70| 00 01 00 00 00 ac 03 34 | 00 e4 03 7c 04 40 00 01 |.......4|...|.@..|
|00001a80| 00 00 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 02 |........|........|
|00001a90| 00 00 00 01 00 02 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|00001aa0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001ab0| 00 03 00 00 ff ff ff ff | ff ff ff ff 01 30 01 26 |........|.....0.&|
|00001ac0| 00 34 00 30 00 00 01 25 | 00 11 00 01 00 00 00 00 |.4.0...%|........|
|00001ad0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 03 34 |........|.......4|
|00001ae0| 00 e4 03 7d 02 14 01 01 | 81 80 00 14 00 09 00 00 |...}....|........|
|00001af0| 00 00 00 01 00 02 00 01 | 00 0e 44 41 54 45 20 4f |........|..DATE O|
|00001b00| 46 20 49 4e 4a 55 52 59 | 00 00 00 16 00 01 00 00 |F INJURY|........|
|00001b10| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00001b20| 00 00 00 07 00 00 00 72 | 03 94 00 e4 03 bf 03 64 |.......r|.......d|
|00001b30| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00001b40| 00 00 00 00 00 02 03 94 | 00 e4 03 bf 03 64 00 00 |........|.....d..|
|00001b50| 00 00 00 14 00 09 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00001b60| 00 1d 57 41 53 20 54 48 | 45 52 45 20 4c 4f 53 54 |..WAS TH|ERE LOST|
|00001b70| 20 54 49 4d 45 20 46 52 | 4f 4d 20 57 4f 52 4b 33 | TIME FR|OM WORK3|
|00001b80| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|00001b90| 00 00 00 09 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
|00001ba0| 03 78 03 74 03 bc 04 3c | 00 01 00 00 00 00 00 15 |.x.t...<|........|
|00001bb0| 00 00 00 0c 00 00 00 03 | 00 03 00 01 00 01 00 04 |........|........|
|00001bc0| 00 00 00 00 00 04 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001bd0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00001be0| ff ff ff ff ff ff 00 54 | 00 94 00 30 00 30 00 00 |.......T|...0.0..|
|00001bf0| 01 26 00 13 00 01 00 00 | 00 00 00 00 00 00 00 00 |.&......|........|
|00001c00| 00 00 00 00 00 00 00 02 | 03 78 03 a8 03 bd 04 3d |........|.x.....=|
|00001c10| 01 00 81 81 00 14 00 09 | 00 00 00 00 00 01 00 03 |........|........|
|00001c20| 00 01 00 03 59 45 53 e0 | 00 00 00 16 00 01 00 00 |....YES.|........|
|00001c30| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00001c40| 00 00 00 01 00 00 00 a0 | 03 78 04 44 03 c4 05 34 |........|.x.D...4|
|00001c50| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00001c60| 00 03 00 01 00 01 00 04 | 00 00 00 00 00 00 00 01 |........|........|
|00001c70| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001c80| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 54 |........|.......T|
|00001c90| 00 b8 00 34 00 30 00 00 | 01 27 00 14 00 01 00 00 |...4.0..|.'......|
|00001ca0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001cb0| 03 78 04 7c 03 c5 05 35 | 01 00 81 81 00 14 00 09 |.x.|...5|........|
|00001cc0| 00 00 00 00 00 01 00 03 | 00 01 00 02 4e 4f 00 00 |........|....NO..|
|00001cd0| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00001ce0| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 b4 03 78 |........|.......x|
|00001cf0| 05 60 03 bf 08 bc 00 01 | 00 00 00 00 00 15 00 00 |.`......|........|
|00001d00| 00 0c 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|00001d10| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001d20| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|00001d30| ff ff ff ff 01 ec 01 26 | 00 33 00 30 00 00 01 28 |.......&|.3.0...(|
|00001d40| 00 15 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001d50| 00 00 00 00 00 02 03 78 | 05 60 03 c0 07 4c 01 01 |.......x|.`...L..|
|00001d60| 81 80 00 14 00 09 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|00001d70| 00 16 4e 55 4d 42 45 52 | 20 4f 46 20 48 4f 55 52 |..NUMBER| OF HOUR|
|00001d80| 53 20 4d 49 53 53 45 44 | 00 00 00 16 00 01 00 00 |S MISSED|........|
|00001d90| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00001da0| 00 00 00 01 00 00 00 b4 | 03 b4 00 e4 03 fc 04 2c |........|.......,|
|00001db0| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00001dc0| 00 02 00 00 00 01 00 02 | 00 00 00 00 00 04 00 01 |........|........|
|00001dd0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001de0| 00 03 00 03 00 00 ff ff | ff ff ff ff ff ff 01 f4 |........|........|
|00001df0| 01 26 00 34 00 30 00 00 | 01 29 00 16 00 01 00 00 |.&.4.0..|.)......|
|00001e00| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001e10| 03 b4 00 e4 03 fd 02 d8 | 01 01 81 80 00 14 00 09 |........|........|
|00001e20| 00 00 00 00 00 01 00 02 | 00 01 00 15 44 41 54 45 |........|....DATE|
|00001e30| 20 52 45 54 55 52 4e 45 | 44 20 54 4f 20 57 4f 52 | RETURNE|D TO WOR|
|00001e40| 4b 00 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |K.......|........|
|00001e50| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001e60| 00 c6 03 f4 00 e4 04 3c | 08 bc 00 01 00 00 00 00 |.......<|........|
|00001e70| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|00001e80| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00001e90| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 03 00 00 |........|........|
|00001ea0| ff ff ff ff ff ff ff ff | 03 7c 01 26 00 34 00 30 |........|.|.&.4.0|
|00001eb0| 00 00 01 2a 00 17 00 01 | 00 00 00 00 00 00 00 00 |...*....|........|
|00001ec0| 00 00 00 00 00 00 00 00 | 00 02 03 f4 00 e4 04 3d |........|.......=|
|00001ed0| 04 60 01 01 81 80 00 14 | 00 09 00 00 00 00 00 01 |.`......|........|
|00001ee0| 00 02 00 01 00 28 41 44 | 44 52 45 53 53 2f 4c 4f |.....(AD|DRESS/LO|
|00001ef0| 43 41 54 49 4f 4e 20 57 | 48 45 52 45 20 49 4e 43 |CATION W|HERE INC|
|00001f00| 49 44 45 4e 54 20 4f 43 | 43 55 52 52 45 44 00 00 |IDENT OC|CURRED..|
|00001f10| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00001f20| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 d6 04 3c |........|.......<|
|00001f30| 00 e4 04 84 08 bc 00 01 | 00 00 00 00 00 15 00 00 |........|........|
|00001f40| 00 0c 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|00001f50| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001f60| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|00001f70| ff ff ff ff 04 c0 01 26 | 00 34 00 30 00 00 01 2b |.......&|.4.0...+|
|00001f80| 00 18 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001f90| 00 00 00 00 00 02 04 3c | 00 e4 04 85 05 a4 01 01 |.......<|........|
|00001fa0| 81 80 00 14 00 09 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|00001fb0| 00 37 57 48 41 54 20 57 | 41 53 20 54 48 45 20 45 |.7WHAT W|AS THE E|
|00001fc0| 4d 50 4c 4f 59 45 45 20 | 44 4f 49 4e 47 20 57 48 |MPLOYEE |DOING WH|
|00001fd0| 45 4e 20 54 48 45 20 49 | 4e 43 49 44 45 4e 54 20 |EN THE I|NCIDENT |
|00001fe0| 4f 43 43 55 52 52 45 44 | 3f 14 00 00 00 16 00 01 |OCCURRED|?.......|
|00001ff0| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|00002000| 00 00 00 00 00 07 00 00 | 00 ba 04 98 00 e4 04 c0 |........|........|
|00002010| 08 00 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |........|........|
|00002020| 00 00 00 00 00 00 00 02 | 04 98 00 e4 04 c0 08 00 |........|........|
|00002030| 00 00 00 00 00 14 00 09 | 00 00 00 00 00 01 00 01 |........|........|
|00002040| 00 01 00 65 44 45 53 43 | 52 49 42 45 20 54 48 45 |...eDESC|RIBE THE|
|00002050| 20 45 56 45 4e 54 53 20 | 54 48 41 54 20 4f 43 43 | EVENTS |THAT OCC|
|00002060| 55 52 52 45 44 20 44 55 | 52 49 4e 47 20 54 48 45 |URRED DU|RING THE|
|00002070| 20 49 4e 43 49 44 45 4e | 54 20 28 61 74 74 61 63 | INCIDEN|T (attac|
|00002080| 68 20 61 64 64 69 74 69 | 6f 6e 61 6c 20 64 6f 63 |h additi|onal doc|
|00002090| 75 6d 65 6e 74 61 74 69 | 6f 6e 20 69 66 20 6e 65 |umentati|on if ne|
|000020a0| 63 65 73 73 61 72 79 29 | 3a 00 00 00 00 16 00 01 |cessary)|:.......|
|000020b0| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|000020c0| 00 00 00 00 00 01 00 00 | 00 a4 04 c8 00 ec 05 70 |........|.......p|
|000020d0| 08 bc 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|000020e0| 00 01 00 01 00 00 00 00 | 00 02 00 00 00 00 00 04 |........|........|
|000020f0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002100| 00 00 00 03 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002110| 01 f4 01 26 00 34 00 30 | 00 00 01 2c 00 19 00 01 |...&.4.0|...,....|
|00002120| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002130| 00 02 00 00 00 00 00 00 | 00 32 01 01 81 80 00 14 |........|.2......|
|00002140| 00 09 00 00 00 00 00 01 | 00 02 00 02 00 05 46 69 |........|......Fi|
|00002150| 65 6c 64 00 00 00 00 16 | 00 01 00 00 00 00 00 0b |eld.....|........|
|00002160| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00002170| 00 00 00 d4 05 70 00 e4 | 05 b8 08 bc 00 01 00 00 |.....p..|........|
|00002180| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 02 00 00 |........|........|
|00002190| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|000021a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 03 |........|........|
|000021b0| 00 00 ff ff ff ff ff ff | ff ff 03 5c 01 26 00 34 |........|...\.&.4|
|000021c0| 00 30 00 00 01 2d 00 1a | 00 01 00 00 00 00 00 00 |.0...-..|........|
|000021d0| 00 00 00 00 00 00 00 00 | 00 00 00 02 05 70 00 e4 |........|.....p..|
|000021e0| 05 b9 04 40 01 01 81 80 | 00 14 00 09 00 00 00 00 |...@....|........|
|000021f0| 00 01 00 02 00 01 00 35 | 54 59 50 45 20 4f 46 20 |.......5|TYPE OF |
|00002200| 49 4e 4a 55 52 59 2f 49 | 4c 4c 4e 45 53 53 20 28 |INJURY/I|LLNESS (|
|00002210| 73 63 72 61 74 63 68 2c | 20 70 75 6e 63 74 75 72 |scratch,| punctur|
|00002220| 65 2c 20 63 75 74 2c 20 | 65 74 63 2e 29 08 00 00 |e, cut, |etc.)...|
|00002230| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00002240| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 e2 05 b8 |........|........|
|00002250| 00 e4 06 00 08 bc 00 01 | 00 00 00 00 00 15 00 00 |........|........|
|00002260| 00 0c 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|00002270| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002280| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|00002290| ff ff ff ff 04 54 01 26 | 00 34 00 30 00 00 01 2e |.....T.&|.4.0....|
|000022a0| 00 1b 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000022b0| 00 00 00 00 00 02 05 b8 | 00 e4 06 01 05 38 01 01 |........|.....8..|
|000022c0| 81 80 00 14 00 09 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|000022d0| 00 43 50 41 52 54 20 4f | 46 20 42 4f 44 59 20 49 |.CPART O|F BODY I|
|000022e0| 4e 4a 55 52 45 44 2f 41 | 46 46 45 43 54 45 44 20 |NJURED/A|FFECTED |
|000022f0| 28 6c 65 66 74 20 72 69 | 6e 67 20 66 69 6e 67 65 |(left ri|ng finge|
|00002300| 72 2c 20 72 69 67 68 74 | 20 61 6e 6b 6c 65 2c 20 |r, right| ankle, |
|00002310| 65 74 63 2e 29 69 00 00 | 00 16 00 01 00 00 00 00 |etc.)i..|........|
|00002320| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|00002330| 00 01 00 00 00 e6 06 00 | 00 e4 06 48 08 bc 00 01 |........|...H....|
|00002340| 00 00 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 02 |........|........|
|00002350| 00 00 00 01 00 02 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|00002360| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00002370| 00 03 00 00 ff ff ff ff | ff ff ff ff 05 c8 01 26 |........|.......&|
|00002380| 00 34 00 30 00 00 01 2f | 00 1c 00 01 00 00 00 00 |.4.0.../|........|
|00002390| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 06 00 |........|........|
|000023a0| 00 e4 06 49 06 ac 01 01 | 81 80 00 14 00 09 00 00 |...I....|........|
|000023b0| 00 00 00 01 00 02 00 01 | 00 47 53 50 45 43 49 46 |........|.GSPECIF|
|000023c0| 59 20 50 49 45 43 45 20 | 4f 46 20 45 51 55 49 50 |Y PIECE |OF EQUIP|
|000023d0| 4d 45 4e 54 2c 20 53 55 | 42 53 54 41 4e 43 45 20 |MENT, SU|BSTANCE |
|000023e0| 4f 52 20 4f 42 4a 45 43 | 54 20 43 4f 4e 4e 45 43 |OR OBJEC|T CONNEC|
|000023f0| 54 45 44 20 57 49 54 48 | 20 49 4e 43 49 44 45 4e |TED WITH| INCIDEN|
|00002400| 54 2c 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |T,......|........|
|00002410| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002420| 00 ae 06 90 00 e4 06 d8 | 08 bc 00 01 00 00 00 00 |........|........|
|00002430| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|00002440| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002450| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 03 00 00 |........|........|
|00002460| ff ff ff ff ff ff ff ff | 01 54 01 26 00 34 00 30 |........|.T.&.4.0|
|00002470| 00 00 01 31 00 1f 00 01 | 00 00 00 00 00 00 00 00 |...1....|........|
|00002480| 00 00 00 00 00 00 00 00 | 00 02 06 90 00 e4 06 d9 |........|........|
|00002490| 02 38 01 01 81 80 00 14 | 00 09 00 00 00 00 00 01 |.8......|........|
|000024a0| 00 02 00 01 00 10 4c 49 | 53 54 20 41 4e 59 20 57 |......LI|ST ANY W|
|000024b0| 49 54 4e 45 53 53 00 00 | 00 16 00 01 00 00 00 00 |ITNESS..|........|
|000024c0| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|000024d0| 00 0d 00 00 00 88 07 24 | 00 b0 08 74 09 20 00 00 |.......$|...t. ..|
|000024e0| 00 02 00 02 00 02 00 02 | 00 02 00 03 00 00 00 34 |........|.......4|
|000024f0| 07 3c 00 b0 08 74 09 0c | 00 01 00 00 00 03 00 00 |.<...t..|........|
|00002500| ff ff ff ff ff ff ff ff | 00 00 aa 55 aa 55 aa 55 |........|...U.U.U|
|00002510| aa 55 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |.U......|........|
|00002520| 00 00 00 00 00 03 00 00 | 00 34 07 24 00 c4 08 5c |........|.4.$...\|
|00002530| 09 20 00 01 00 00 00 03 | 00 00 ff ff ff ff ff ff |. ......|........|
|00002540| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002550| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 07 |........|........|
|00002560| 00 00 00 68 07 44 00 e4 | 07 6f 02 e8 00 01 00 00 |...h.D..|.o......|
|00002570| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00002580| 00 02 07 44 00 e4 07 6f | 02 e8 00 00 00 00 00 14 |...D...o|........|
|00002590| 00 09 00 00 00 00 00 01 | 00 01 00 01 00 14 57 41 |........|......WA|
|000025a0| 53 20 46 49 52 53 54 20 | 41 49 44 20 47 49 56 45 |S FIRST |AID GIVE|
|000025b0| 4e 3f 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |N?......|........|
|000025c0| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000025d0| 00 a2 07 28 02 b4 07 74 | 03 38 00 01 00 00 00 00 |...(...t|.8......|
|000025e0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 01 00 01 |........|........|
|000025f0| 00 04 00 00 00 00 00 04 | 00 00 00 00 00 00 00 00 |........|........|
|00002600| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00002610| ff ff ff ff ff ff ff ff | 00 54 00 58 00 34 00 30 |........|.T.X.4.0|
|00002620| 00 00 01 32 00 20 00 01 | 00 00 00 00 00 00 00 00 |...2. ..|........|
|00002630| 00 00 00 00 00 00 00 00 | 00 02 07 28 02 e0 07 75 |........|...(...u|
|00002640| 03 39 01 00 81 81 00 14 | 00 09 00 00 00 00 00 01 |.9......|........|
|00002650| 00 03 00 01 00 03 59 45 | 53 00 00 00 00 16 00 01 |......YE|S.......|
|00002660| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|00002670| 00 00 00 00 00 01 00 00 | 00 a0 07 2c 03 8c 07 78 |........|...,...x|
|00002680| 04 7c 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |.|......|........|
|00002690| 00 03 00 03 00 01 00 01 | 00 04 00 00 00 00 00 00 |........|........|
|000026a0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000026b0| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|000026c0| 00 54 00 c0 00 34 00 30 | 00 00 01 33 00 21 00 01 |.T...4.0|...3.!..|
|000026d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000026e0| 00 02 07 2c 03 bc 07 79 | 04 7d 01 00 81 81 00 14 |...,...y|.}......|
|000026f0| 00 09 00 00 00 00 00 01 | 00 03 00 01 00 02 4e 4f |........|......NO|
|00002700| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|00002710| 00 00 00 09 00 00 00 00 | 00 00 00 07 00 00 00 70 |........|.......p|
|00002720| 07 44 05 20 07 6f 07 70 | 00 01 00 00 ff ff ff ff |.D. .o.p|........|
|00002730| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 07 44 |........|.......D|
|00002740| 05 20 07 6f 07 70 00 00 | 00 00 00 14 00 09 00 00 |. .o.p..|........|
|00002750| 00 00 00 01 00 01 00 01 | 00 1c 52 45 46 45 52 52 |........|..REFERR|
|00002760| 45 44 20 54 4f 20 43 4c | 49 4e 49 43 20 4f 52 20 |ED TO CL|INIC OR |
|00002770| 44 4f 43 54 4f 52 00 00 | 00 16 00 01 00 00 00 00 |DOCTOR..|........|
|00002780| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|00002790| 00 01 00 00 00 a2 07 30 | 07 80 07 70 08 0c 00 01 |.......0|...p....|
|000027a0| 00 00 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|000027b0| 00 01 00 01 00 04 00 00 | 00 00 00 04 00 00 00 00 |........|........|
|000027c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000027d0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 54 00 58 |........|.....T.X|
|000027e0| 00 2c 00 2c 00 00 01 34 | 00 22 00 01 00 00 00 00 |.,.,...4|."......|
|000027f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 07 30 |........|.......0|
|00002800| 07 b4 07 71 08 0d 01 00 | 81 81 00 14 00 09 00 00 |...q....|........|
|00002810| 00 00 00 01 00 03 00 01 | 00 03 59 45 53 00 00 00 |........|..YES...|
|00002820| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00002830| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 a0 07 2c |........|.......,|
|00002840| 08 1c 07 78 09 0c 00 01 | 00 00 00 00 00 15 00 00 |...x....|........|
|00002850| 00 0c 00 00 00 03 00 03 | 00 01 00 01 00 04 00 00 |........|........|
|00002860| 00 00 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002870| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00002880| ff ff ff ff 00 54 00 c0 | 00 34 00 30 00 00 01 35 |.....T..|.4.0...5|
|00002890| 00 23 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |.#......|........|
|000028a0| 00 00 00 00 00 02 07 2c | 08 4c 07 79 09 0d 01 00 |.......,|.L.y....|
|000028b0| 81 81 00 14 00 09 00 00 | 00 00 00 01 00 03 00 01 |........|........|
|000028c0| 00 02 4e 4f 00 00 00 16 | 00 01 00 00 00 00 00 0b |..NO....|........|
|000028d0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 07 |........|........|
|000028e0| 00 00 00 74 07 88 00 e4 | 07 b3 03 58 00 01 00 00 |...t....|...X....|
|000028f0| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00002900| 00 02 07 88 00 e4 07 b3 | 03 58 00 00 00 00 00 14 |........|.X......|
|00002910| 00 09 00 00 00 00 00 01 | 00 01 00 01 00 1f 4e 41 |........|......NA|
|00002920| 4d 45 20 4f 46 20 43 4c | 49 4e 49 43 20 41 4e 44 |ME OF CL|INIC AND|
|00002930| 20 2f 20 4f 52 20 44 4f | 43 54 4f 52 3a 64 00 00 | / OR DO|CTOR:d..|
|00002940| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|00002950| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 a4 07 c4 |........|........|
|00002960| 00 ec 08 30 08 bc 00 01 | 00 00 00 00 00 15 00 00 |...0....|........|
|00002970| 00 0c 00 00 00 01 00 01 | 00 00 00 00 00 02 00 00 |........|........|
|00002980| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002990| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|000029a0| ff ff ff ff 01 f4 01 26 | 00 34 00 30 00 00 01 36 |.......&|.4.0...6|
|000029b0| 00 24 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |.$......|........|
|000029c0| 00 00 00 00 00 02 00 00 | 00 00 00 00 00 32 01 01 |........|.....2..|
|000029d0| 81 80 00 14 00 09 00 00 | 00 00 00 01 00 02 00 02 |........|........|
|000029e0| 00 05 46 69 65 6c 64 00 | 00 00 00 16 00 01 00 00 |..Field.|........|
|000029f0| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00002a00| 00 00 00 0d 00 00 00 88 | 08 88 00 b0 09 d8 09 20 |........|....... |
|00002a10| 00 00 00 02 00 02 00 02 | 00 02 00 02 00 03 00 00 |........|........|
|00002a20| 00 34 08 a0 00 b0 09 d8 | 09 0b 00 01 00 00 00 03 |.4......|........|
|00002a30| 00 00 ff ff ff ff ff ff | ff ff 00 00 aa 55 aa 55 |........|.....U.U|
|00002a40| aa 55 aa 55 00 01 00 00 | 00 00 00 00 00 00 00 00 |.U.U....|........|
|00002a50| 00 00 00 00 00 00 00 03 | 00 00 00 34 08 88 00 c3 |........|...4....|
|00002a60| 09 c0 09 20 00 01 00 00 | 00 03 00 00 ff ff ff ff |... ....|........|
|00002a70| ff ff ff ff 00 00 00 00 | 00 00 00 00 00 00 00 01 |........|........|
|00002a80| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002a90| 00 07 00 00 00 90 08 a4 | 00 e4 08 cf 06 00 00 01 |........|........|
|00002aa0| 00 00 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00002ab0| 00 00 00 02 08 a4 00 e4 | 08 cf 06 00 00 00 00 00 |........|........|
|00002ac0| 00 14 00 09 00 00 00 00 | 00 01 00 01 00 01 00 3b |........|.......;|
|00002ad0| 48 41 53 20 54 48 49 53 | 20 49 4e 43 49 44 45 4e |HAS THIS| INCIDEN|
|00002ae0| 54 20 42 45 45 4e 20 44 | 49 53 43 55 53 53 45 44 |T BEEN D|ISCUSSED|
|00002af0| 20 57 49 54 48 20 54 48 | 45 20 45 4d 50 4c 4f 59 | WITH TH|E EMPLOY|
|00002b00| 45 45 20 49 4e 56 4f 4c | 56 45 44 09 00 00 00 16 |EE INVOL|VED.....|
|00002b10| 00 01 00 00 00 00 00 0b | 00 08 00 14 00 00 00 09 |........|........|
|00002b20| 00 00 00 00 00 00 00 01 | 00 00 00 a2 08 94 05 d4 |........|........|
|00002b30| 08 dc 06 90 00 01 00 00 | 00 00 00 15 00 00 00 0c |........|........|
|00002b40| 00 00 00 03 00 03 00 01 | 00 01 00 04 00 00 00 00 |........|........|
|00002b50| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b60| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00002b70| ff ff 00 54 00 8c 00 34 | 00 30 00 00 01 37 00 25 |...T...4|.0...7.%|
|00002b80| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b90| 00 00 00 02 08 94 06 04 | 08 dd 06 91 01 00 81 81 |........|........|
|00002ba0| 00 14 00 09 00 00 00 00 | 00 01 00 03 00 01 00 03 |........|........|
|00002bb0| 59 45 53 00 00 00 00 16 | 00 01 00 00 00 00 00 0b |YES.....|........|
|00002bc0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00002bd0| 00 00 00 a0 08 90 06 a4 | 08 dc 07 94 00 01 00 00 |........|........|
|00002be0| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00002bf0| 00 01 00 04 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00002c00| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00002c10| 00 00 ff ff ff ff ff ff | ff ff 00 54 00 c0 00 34 |........|...T...4|
|00002c20| 00 30 00 00 01 38 00 26 | 00 01 00 00 00 00 00 00 |.0...8.&|........|
|00002c30| 00 00 00 00 00 00 00 00 | 00 00 00 02 08 90 06 d4 |........|........|
|00002c40| 08 dd 07 95 01 00 81 81 | 00 14 00 09 00 00 00 00 |........|........|
|00002c50| 00 01 00 03 00 01 00 02 | 4e 4f 00 00 00 16 00 01 |........|NO......|
|00002c60| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|00002c70| 00 00 00 00 00 07 00 00 | 00 a0 08 e0 00 e4 09 0b |........|........|
|00002c80| 07 60 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |.`......|........|
|00002c90| 00 00 00 00 00 00 00 02 | 08 e0 00 e4 09 0b 07 60 |........|.......`|
|00002ca0| 00 00 00 00 00 14 00 09 | 00 00 00 00 00 01 00 01 |........|........|
|00002cb0| 00 01 00 4c 57 48 41 54 | 20 53 50 45 43 49 46 49 |...LWHAT| SPECIFI|
|00002cc0| 43 20 41 43 54 49 4f 4e | 53 20 48 41 56 45 20 59 |C ACTION|S HAVE Y|
|00002cd0| 4f 55 20 54 41 4b 45 4e | 20 54 4f 20 50 52 45 56 |OU TAKEN| TO PREV|
|00002ce0| 45 4e 54 20 54 48 49 53 | 20 49 4e 43 49 44 45 4e |ENT THIS| INCIDEN|
|00002cf0| 54 20 46 52 4f 4d 20 52 | 45 43 55 52 52 49 4e 47 |T FROM R|ECURRING|
|00002d00| 00 00 00 16 00 01 00 00 | 00 00 00 0b 00 08 00 14 |........|........|
|00002d10| 00 00 00 09 00 00 00 00 | 00 00 00 01 00 00 00 a4 |........|........|
|00002d20| 09 10 00 ec 09 b4 08 bc | 00 01 00 00 00 00 00 15 |........|........|
|00002d30| 00 00 00 0c 00 00 00 01 | 00 01 00 00 00 00 00 02 |........|........|
|00002d40| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002d50| 00 00 00 00 00 00 00 00 | 00 03 00 03 00 00 ff ff |........|........|
|00002d60| ff ff ff ff ff ff 01 f4 | 01 26 00 34 00 30 00 00 |........|.&.4.0..|
|00002d70| 01 39 00 27 00 01 00 00 | 00 00 00 00 00 00 00 00 |.9.'....|........|
|00002d80| 00 00 00 00 00 00 00 02 | 00 00 00 00 00 00 00 32 |........|.......2|
|00002d90| 01 01 81 80 00 14 00 09 | 00 00 00 00 00 01 00 02 |........|........|
|00002da0| 00 02 00 05 46 69 65 6c | 64 0c 00 00 00 16 00 01 |....Fiel|d.......|
|00002db0| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|00002dc0| 00 00 00 00 00 01 00 00 | 00 b2 0b 3c 00 b0 0b 84 |........|...<....|
|00002dd0| 05 f8 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00002de0| 00 03 00 02 00 2a 00 01 | 00 02 00 00 00 00 00 04 |.....*..|........|
|00002df0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002e00| 00 00 00 03 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002e10| 01 f0 01 26 00 34 00 30 | 00 00 01 3a 00 00 00 00 |...&.4.0|...:....|
|00002e20| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002e30| 00 02 0b 3c 00 b0 0b 85 | 02 a0 01 01 81 80 00 14 |...<....|........|
|00002e40| 00 0a 00 00 00 00 00 01 | 00 02 00 01 00 14 53 55 |........|......SU|
|00002e50| 50 45 52 56 49 53 4f 52 | 20 53 49 47 4e 41 54 55 |PERVISOR| SIGNATU|
|00002e60| 52 45 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |RE......|........|
|00002e70| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002e80| 00 aa 0b 3c 06 38 0b 84 | 09 20 00 01 00 00 00 00 |...<.8..|. ......|
|00002e90| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|00002ea0| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002eb0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 03 00 00 |........|........|
|00002ec0| ff ff ff ff ff ff ff ff | 01 2e 01 26 00 34 00 24 |........|...&.4.$|
|00002ed0| 00 00 01 3b 00 00 00 00 | 00 00 00 00 00 00 00 00 |...;....|........|
|00002ee0| 00 00 00 00 00 00 00 00 | 00 02 0b 3c 06 38 0b 85 |........|...<.8..|
|00002ef0| 07 66 01 01 81 80 00 14 | 00 0a 00 00 00 00 00 01 |.f......|........|
|00002f00| 00 02 00 01 00 0b 44 41 | 54 45 20 53 49 47 4e 45 |......DA|TE SIGNE|
|00002f10| 44 2d 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |D-......|........|
|00002f20| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 06 00 00 |........|........|
|00002f30| 01 ae 07 00 00 70 08 44 | 00 a8 00 01 00 00 07 00 |.....p.D|........|
|00002f40| 00 70 08 44 00 a8 00 30 | 00 28 01 74 00 60 00 00 |.p.D...0|.(.t.`..|
|00002f50| 00 00 01 7b 00 00 00 00 | 00 00 00 00 00 00 00 00 |...{....|........|
|00002f60| 00 00 00 00 01 7b ff ff | ff ff 00 50 00 0d 11 01 |.....{..|...P....|
|00002f70| a0 00 82 a1 00 96 00 0c | 01 00 01 0e 02 00 01 0e |........|........|
|00002f80| 00 00 00 00 a1 00 9a 00 | 08 ff fd 00 00 00 27 00 |........|......'.|
|00002f90| 00 03 00 14 04 01 0d 00 | 0a 28 00 2b ff e0 09 54 |........|.(.+...T|
|00002fa0| 52 45 41 54 4d 45 4e 54 | 01 00 0a 00 00 00 00 00 |REATMENT|........|
|00002fb0| 4f 00 0c 90 00 04 00 00 | 00 00 00 42 00 20 00 00 |O.......|...B. ..|
|00002fc0| 00 00 00 42 00 20 00 0d | 00 00 00 4f 00 20 00 01 |...B. ..|...O. ..|
|00002fd0| 00 00 00 00 00 00 00 00 | 18 00 00 00 18 40 00 00 |........|.....@..|
|00002fe0| 1f c0 00 00 1f c0 00 00 | 18 40 00 00 18 00 00 00 |........|.@......|
|00002ff0| 1f c0 00 00 1f c0 00 00 | 13 00 00 00 06 40 00 00 |........|.....@..|
|00003000| 1f c0 00 00 1f c0 00 00 | 10 40 00 00 00 00 00 00 |........|.@......|
|00003010| 18 c0 00 00 1a c0 00 00 | 12 40 00 00 1f c0 00 00 |........|.@......|
|00003020| 1f c0 00 00 10 40 00 00 | 10 40 00 00 1f c0 00 00 |.....@..|.@......|
|00003030| 1f c0 00 00 1e 40 00 00 | 07 80 00 00 07 80 00 00 |.....@..|........|
|00003040| 1e 40 00 00 1f c0 00 00 | 1f c0 00 00 10 40 00 00 |.@......|.....@..|
|00003050| 18 00 00 00 18 40 00 00 | 1f c0 00 00 1f c0 00 00 |.....@..|........|
|00003060| 18 40 00 00 18 40 00 00 | 01 c0 00 00 07 c0 00 00 |.@...@..|........|
|00003070| 1f 40 00 00 1f 40 00 00 | 07 c0 00 00 01 c0 00 00 |.@...@..|........|
|00003080| 00 40 00 00 00 00 00 00 | 18 c0 00 00 1a c0 00 00 |.@......|........|
|00003090| 12 40 00 00 1f c0 00 00 | 1f c0 00 00 10 40 00 00 |.@......|.....@..|
|000030a0| 0c 40 00 00 1e c0 00 00 | 13 c0 00 00 13 40 00 00 |.@......|.....@..|
|000030b0| 1f c0 00 00 1f c0 00 00 | 10 40 00 00 00 00 00 00 |........|.@......|
|000030c0| 18 00 00 00 18 40 00 00 | 1f c0 00 00 1f c0 00 00 |.....@..|........|
|000030d0| 18 40 00 00 18 00 00 00 | a0 00 97 a0 00 83 ff 07 |.@......|........|
|000030e0| 00 06 00 00 01 b6 08 6c | 00 70 09 b8 00 a8 00 01 |.......l|.p......|
|000030f0| 00 00 08 6c 00 70 09 b8 | 00 a8 00 30 00 28 01 7c |...l.p..|...0.(.||
|00003100| 00 60 00 00 00 00 01 84 | 00 00 00 00 00 00 00 00 |.`......|........|
|00003110| 00 00 00 00 00 00 00 00 | 01 84 ff ff ff ff 00 52 |........|.......R|
|00003120| 00 0d 11 01 a0 00 82 a1 | 00 96 00 0c 01 00 01 0e |........|........|
|00003130| 02 00 01 0e 00 00 00 00 | a1 00 9a 00 08 ff fc 00 |........|........|
|00003140| 00 00 27 00 00 03 00 14 | 04 01 0d 00 0a 28 00 2c |..'.....|.....(.,|
|00003150| ff df 0a 50 52 45 56 45 | 4e 54 49 4f 4e 01 00 0a |...PREVE|NTION...|
|00003160| 00 00 00 00 00 51 00 0c | 90 00 04 00 00 00 00 00 |.....Q..|........|
|00003170| 44 00 20 00 00 00 00 00 | 44 00 20 00 0d 00 00 00 |D. .....|D. .....|
|00003180| 51 00 20 00 01 00 00 00 | 00 10 00 00 00 1f c0 00 |Q. .....|........|
|00003190| 00 1f c0 00 00 13 00 00 | 00 06 40 00 00 1f c0 00 |........|..@.....|
|000031a0| 00 1f c0 00 00 10 40 00 | 00 07 00 00 00 0f 80 00 |......@.|........|
|000031b0| 00 18 c0 00 00 10 40 00 | 00 18 c0 00 00 0f 80 00 |......@.|........|
|000031c0| 00 07 00 00 00 10 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|000031d0| 00 10 40 00 00 00 00 00 | 00 18 00 00 00 18 40 00 |..@.....|......@.|
|000031e0| 00 1f c0 00 00 1f c0 00 | 00 18 40 00 00 18 00 00 |........|..@.....|
|000031f0| 00 1f c0 00 00 1f c0 00 | 00 13 00 00 00 06 40 00 |........|......@.|
|00003200| 00 1f c0 00 00 1f c0 00 | 00 10 40 00 00 00 00 00 |........|..@.....|
|00003210| 00 18 c0 00 00 1a c0 00 | 00 12 40 00 00 1f c0 00 |........|..@.....|
|00003220| 00 1f c0 00 00 10 40 00 | 00 1c 00 00 00 1f 00 00 |......@.|........|
|00003230| 00 13 c0 00 00 13 c0 00 | 00 1f 00 00 00 1c 00 00 |........|........|
|00003240| 00 10 00 00 00 00 00 00 | 00 18 c0 00 00 1a c0 00 |........|........|
|00003250| 00 12 40 00 00 1f c0 00 | 00 1f c0 00 00 10 40 00 |..@.....|......@.|
|00003260| 00 0c 40 00 00 1e c0 00 | 00 13 c0 00 00 13 40 00 |..@.....|......@.|
|00003270| 00 1f c0 00 00 1f c0 00 | 00 10 40 00 00 0c 00 00 |........|..@.....|
|00003280| 00 1e 00 00 00 12 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|00003290| 00 10 40 00 00 a0 00 97 | a0 00 83 ff 00 07 00 00 |..@.....|........|
|000032a0| 00 72 06 64 00 e4 06 8f | 03 34 00 01 00 00 ff ff |.r.d....|.4......|
|000032b0| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|000032c0| 06 64 00 e4 06 8f 03 34 | 00 00 00 00 00 14 00 09 |.d.....4|........|
|000032d0| 00 00 00 00 00 01 00 01 | 00 01 00 1d 44 49 44 20 |........|....DID |
|000032e0| 59 4f 55 20 57 49 54 4e | 45 53 53 20 54 48 49 53 |YOU WITN|ESS THIS|
|000032f0| 20 49 4e 43 49 44 45 4e | 54 33 00 00 00 16 00 01 | INCIDEN|T3......|
|00003300| 00 00 00 00 00 0b 00 08 | 00 14 00 00 00 09 00 00 |........|........|
|00003310| 00 00 00 00 00 01 00 00 | 00 a2 06 50 03 44 06 98 |........|...P.D..|
|00003320| 03 dc 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00003330| 00 03 00 03 00 01 00 01 | 00 04 00 00 00 00 00 00 |........|........|
|00003340| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003350| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00003360| 00 54 00 68 00 34 00 30 | 00 00 01 3c 00 1d 00 01 |.T.h.4.0|...<....|
|00003370| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003380| 00 02 06 50 03 74 06 99 | 03 dd 01 00 81 81 00 14 |...P.t..|........|
|00003390| 00 09 00 00 00 00 00 01 | 00 03 00 01 00 03 59 45 |........|......YE|
|000033a0| 53 00 00 00 00 16 00 01 | 00 00 00 00 00 0b 00 08 |S.......|........|
|000033b0| 00 14 00 00 00 09 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000033c0| 00 a0 06 4c 03 f0 06 98 | 04 e0 00 01 00 00 00 00 |...L....|........|
|000033d0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 01 00 01 |........|........|
|000033e0| 00 04 00 00 00 00 00 00 | 00 01 00 00 00 00 00 00 |........|........|
|000033f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00003400| ff ff ff ff ff ff ff ff | 00 54 00 c0 00 34 00 30 |........|.T...4.0|
|00003410| 00 00 01 3d 00 1e 00 01 | 00 00 00 00 00 00 00 00 |...=....|........|
|00003420| 00 00 00 00 00 00 00 00 | 00 02 06 4c 04 20 06 99 |........|...L. ..|
|00003430| 04 e1 01 00 81 81 00 14 | 00 09 00 00 00 00 00 01 |........|........|
|00003440| 00 03 00 01 00 02 4e 4f | 00 00 00 16 00 01 00 00 |......NO|........|
|00003450| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00003460| 00 00 00 01 00 00 00 ae | 0a e8 00 b0 0b 30 05 f8 |........|.....0..|
|00003470| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00003480| 00 02 00 2a 00 01 00 02 | 00 00 00 00 00 04 00 01 |...*....|........|
|00003490| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000034a0| 00 03 00 03 00 00 ff ff | ff ff ff ff ff ff 01 84 |........|........|
|000034b0| 01 26 00 34 00 30 00 00 | 01 3e 00 2c 00 01 00 00 |.&.4.0..|.>.,....|
|000034c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000034d0| 0a e8 00 b0 0b 31 02 34 | 01 01 81 80 00 14 00 0a |.....1.4|........|
|000034e0| 00 00 00 00 00 01 00 02 | 00 01 00 0f 53 55 50 45 |........|....SUPE|
|000034f0| 52 56 49 53 4f 52 20 4e | 41 4d 45 28 00 00 00 16 |RVISOR N|AME(....|
|00003500| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0a |........|........|
|00003510| 00 00 00 00 00 00 00 01 | 00 00 00 aa 0a e8 06 38 |........|.......8|
|00003520| 0b 30 09 20 00 01 00 00 | 00 00 00 15 00 00 00 0c |.0. ....|........|
|00003530| 00 00 00 03 00 02 00 01 | 00 01 00 02 00 00 00 00 |........|........|
|00003540| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003550| 00 00 00 00 00 03 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00003560| ff ff 01 24 01 26 00 34 | 00 24 00 00 01 3f 00 2d |...$.&.4|.$...?.-|
|00003570| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003580| 00 00 00 02 0a e8 06 38 | 0b 31 07 5c 01 01 81 80 |.......8|.1.\....|
|00003590| 00 14 00 0a 00 00 00 00 | 00 01 00 02 00 01 00 0b |........|........|
|000035a0| 20 57 4f 52 4b 20 50 48 | 4f 4e 45 00 00 00 00 16 | WORK PH|ONE.....|
|000035b0| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0a |........|........|
|000035c0| 00 00 00 00 00 00 00 06 | 00 00 01 98 09 ec 00 70 |........|.......p|
|000035d0| 0a e8 00 a8 00 01 00 00 | 09 ec 00 70 0a e8 00 a8 |........|...p....|
|000035e0| 00 30 00 28 01 2c 00 60 | 00 00 00 00 01 66 00 00 |.0.(.,.`|.....f..|
|000035f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 01 66 |........|.......f|
|00003600| ff ff ff ff 00 3e 00 0d | 11 01 a0 00 82 a1 00 96 |.....>..|........|
|00003610| 00 0c 01 00 01 0e 02 00 | 01 0e 00 00 00 00 a1 00 |........|........|
|00003620| 9a 00 08 ff fc 00 00 00 | 1d 00 00 03 00 14 04 01 |........|........|
|00003630| 0d 00 0a 28 00 22 ff e9 | 08 43 4f 4d 4d 45 4e 54 |...(."..|.COMMENT|
|00003640| 53 01 00 0a 00 00 00 00 | 00 3d 00 0c 90 00 04 00 |S.......|.=......|
|00003650| 00 00 00 00 3d 00 20 00 | 00 00 00 00 3d 00 20 00 |....=. .|....=. .|
|00003660| 00 00 00 00 3d 00 20 00 | 01 00 00 00 00 1d 80 00 |....=. .|........|
|00003670| 00 1f c0 00 00 1b 40 00 | 00 16 c0 00 00 1f c0 00 |......@.|........|
|00003680| 00 0d c0 00 00 18 00 00 | 00 18 40 00 00 1f c0 00 |........|..@.....|
|00003690| 00 1f c0 00 00 18 40 00 | 00 18 00 00 00 1f c0 00 |......@.|........|
|000036a0| 00 1f c0 00 00 13 00 00 | 00 06 40 00 00 1f c0 00 |........|..@.....|
|000036b0| 00 1f c0 00 00 10 40 00 | 00 00 00 00 00 18 c0 00 |......@.|........|
|000036c0| 00 1a c0 00 00 12 40 00 | 00 1f c0 00 00 1f c0 00 |......@.|........|
|000036d0| 00 10 40 00 00 10 40 00 | 00 1f c0 00 00 1f c0 00 |..@...@.|........|
|000036e0| 00 1e 40 00 00 07 80 00 | 00 07 80 00 00 1e 40 00 |..@.....|......@.|
|000036f0| 00 1f c0 00 00 1f c0 00 | 00 10 40 00 00 1f c0 00 |........|..@.....|
|00003700| 00 1f c0 00 00 1e 40 00 | 00 07 80 00 00 07 80 00 |......@.|........|
|00003710| 00 1e 40 00 00 1f c0 00 | 00 1f c0 00 00 10 40 00 |..@.....|......@.|
|00003720| 00 00 00 00 00 07 00 00 | 00 0f 80 00 00 18 c0 00 |........|........|
|00003730| 00 10 40 00 00 18 c0 00 | 00 0f 80 00 00 07 00 00 |..@.....|........|
|00003740| 00 18 80 00 00 18 c0 00 | 00 10 40 00 00 10 40 00 |........|..@...@.|
|00003750| 00 18 c0 00 00 0f 80 00 | 00 07 00 00 00 a0 00 97 |........|........|
|00003760| a0 00 83 ff 00 07 00 00 | 00 a4 0a 54 00 e4 0a 7f |........|...T....|
|00003770| 06 30 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |.0......|........|
|00003780| 00 00 00 00 00 00 00 02 | 0a 54 00 e4 0a 7f 06 30 |........|.T.....0|
|00003790| 00 00 00 00 00 14 00 09 | 00 00 00 00 00 01 00 01 |........|........|
|000037a0| 00 01 00 50 53 55 50 45 | 52 56 49 53 4f 52 20 2f |...PSUPE|RVISOR /|
|000037b0| 20 4d 41 4e 41 47 45 52 | 20 43 4f 4d 4d 45 4e 54 | MANAGER| COMMENT|
|000037c0| 53 20 28 72 65 63 6f 72 | 64 20 61 6e 79 20 6f 62 |S (recor|d any ob|
|000037d0| 73 65 72 76 61 74 69 6f | 6e 73 20 72 65 6c 61 74 |servatio|ns relat|
|000037e0| 65 64 20 74 6f 20 74 68 | 69 73 20 69 6e 63 69 64 |ed to th|is incid|
|000037f0| 65 6e 74 29 00 00 00 16 | 00 01 00 00 00 00 00 0b |ent)....|........|
|00003800| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00003810| 00 00 00 a4 0a 84 00 ec | 0a c0 08 bc 00 01 00 00 |........|........|
|00003820| 00 00 00 15 00 00 00 0c | 00 00 00 01 00 01 00 00 |........|........|
|00003830| 00 00 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00003840| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 03 |........|........|
|00003850| 00 00 ff ff ff ff ff ff | ff ff 01 f4 01 26 00 28 |........|.....&.(|
|00003860| 00 28 00 00 01 41 00 2b | 00 01 00 00 00 00 00 00 |.(...A.+|........|
|00003870| 00 00 00 00 00 00 00 00 | 00 00 00 02 00 00 00 00 |........|........|
|00003880| 00 00 00 32 01 01 81 80 | 00 14 00 09 00 00 00 00 |...2....|........|
|00003890| 00 01 00 02 00 02 00 05 | 46 69 65 6c 64 00 00 00 |........|Field...|
|000038a0| 00 16 00 01 00 00 00 00 | 00 0b 00 08 00 14 00 00 |........|........|
|000038b0| 00 09 00 00 00 00 00 00 | 00 01 00 00 00 a4 02 30 |........|.......0|
|000038c0| 00 f8 02 60 01 30 00 01 | 00 00 00 00 00 15 00 00 |...`.0..|........|
|000038d0| 00 0c 00 00 00 03 00 03 | 00 01 00 00 00 04 00 00 |........|........|
|000038e0| 00 00 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000038f0| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|00003900| ff ff ff ff 00 14 00 14 | 00 1c 00 1c 00 00 01 43 |........|.......C|
|00003910| 00 0a 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003920| 00 00 00 00 00 02 00 00 | 00 00 00 00 00 32 01 00 |........|.....2..|
|00003930| 81 81 00 14 00 09 00 00 | 00 00 00 03 00 03 00 02 |........|........|
|00003940| 00 05 46 69 65 6c 64 06 | 00 00 00 16 00 01 00 00 |..Field.|........|
|00003950| 00 00 00 0b 00 08 00 14 | 00 00 00 09 00 00 00 00 |........|........|
|00003960| 00 00 00 01 00 00 00 a8 | 01 ac 03 fc 01 fc 06 84 |........|........|
|00003970| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00003980| 00 02 00 00 00 01 00 02 | 00 00 00 00 00 04 00 01 |........|........|
|00003990| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000039a0| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 e0 |........|........|
|000039b0| 00 b4 00 34 00 30 00 00 | 01 44 00 08 00 01 00 00 |...4.0..|.D......|
|000039c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000039d0| 01 ac 03 fc 01 fd 04 dc | 01 01 81 80 00 14 00 09 |........|........|
|000039e0| 00 00 00 00 00 01 00 02 | 00 01 00 0a 44 45 50 54 |........|....DEPT|
|000039f0| 2e 20 4e 41 4d 45 00 00 | 00 16 00 01 00 00 00 00 |. NAME..|........|
|00003a00| 00 0b 00 08 00 14 00 00 | 00 09 00 00 00 00 00 00 |........|........|
|00003a10| 00 0d 00 00 01 0e 00 d4 | 04 58 01 08 06 44 00 00 |........|.X...D..|
|00003a20| 00 00 00 00 00 00 00 00 | 00 02 00 06 00 00 00 82 |........|........|
|00003a30| 00 d8 04 58 00 fc 04 7c | 00 01 00 00 00 d8 04 58 |...X...||.......X|
|00003a40| 00 fc 04 7c 00 30 00 28 | 00 54 00 4c 00 00 00 00 |...|.0.(|.T.L....|
|00003a50| 00 50 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.P......|........|
|00003a60| 00 00 00 50 00 fb 01 a5 | 01 04 01 ae 11 01 a0 30 |...P....|.......0|
|00003a70| 39 a0 00 82 01 00 0a 00 | 00 00 00 02 d0 02 40 90 |9.......|......@.|
|00003a80| 00 02 00 fb 01 a4 01 04 | 01 b4 00 fb 01 a5 01 04 |........|........|
|00003a90| 01 ae 00 fb 01 a5 01 04 | 01 ae 00 00 31 80 4a 40 |........|....1.J@|
|00003aa0| 4a 40 3f 80 0a 00 3f 80 | 4a 40 4a 40 31 80 a0 00 |J@?...?.|J@J@1...|
|00003ab0| 83 ff 00 07 00 00 00 6c | 00 d4 04 84 01 08 06 44 |.......l|.......D|
|00003ac0| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00003ad0| 00 00 00 00 00 02 00 d4 | 04 84 01 08 06 44 00 00 |........|.....D..|
|00003ae0| 00 00 00 14 00 0a 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00003af0| 00 18 2d 20 55 20 66 6f | 72 20 41 75 78 69 6c 69 |..- U fo|r Auxili|
|00003b00| 61 72 79 20 57 69 6e 64 | 6f 77 00 00 00 16 00 01 |ary Wind|ow......|
|00003b10| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00003b20| 00 00 00 00 00 03 00 00 | 00 34 00 d0 04 48 01 04 |........|.4...H..|
|00003b30| 06 44 00 01 00 00 00 03 | 00 00 ff ff ff ff ff ff |.D......|........|
|00003b40| ff ff 00 01 00 00 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00003b50| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 0d |........|........|
|00003b60| 00 00 03 16 09 f8 00 e4 | 0a 53 08 d8 00 00 00 00 |........|.S......|
|00003b70| 00 00 00 01 00 00 00 05 | 00 07 00 00 00 80 09 f8 |........|........|
|00003b80| 00 e4 0a 24 04 6c 00 01 | 00 00 ff ff ff ff ff ff |...$.l..|........|
|00003b90| ff ff 00 01 00 00 00 00 | 00 00 00 02 09 f8 00 e4 |........|........|
|00003ba0| 0a 24 04 6c 00 00 00 00 | 00 14 00 09 00 00 00 00 |.$.l....|........|
|00003bb0| 00 01 00 01 00 01 00 2c | 20 45 4d 50 4c 4f 59 45 |.......,| EMPLOYE|
|00003bc0| 45 20 43 4c 41 49 4d 20 | 46 4f 52 4d 20 28 44 57 |E CLAIM |FORM (DW|
|00003bd0| 43 20 46 4f 52 4d 20 31 | 29 20 50 52 4f 56 49 44 |C FORM 1|) PROVID|
|00003be0| 45 44 20 0d 00 00 00 16 | 00 01 00 00 00 00 00 0b |ED .....|........|
|00003bf0| 00 08 00 14 00 00 00 09 | 00 00 00 00 00 00 00 01 |........|........|
|00003c00| 00 00 00 a2 09 fc 04 8c | 0a 48 05 10 00 01 00 00 |........|.H......|
|00003c10| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00003c20| 00 01 00 04 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00003c30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 01 00 03 |........|........|
|00003c40| 00 00 ff ff ff ff ff ff | ff ff 00 54 00 58 00 34 |........|...T.X.4|
|00003c50| 00 30 00 00 01 45 00 28 | 00 01 00 00 00 00 00 00 |.0...E.(|........|
|00003c60| 00 00 00 00 00 00 00 00 | 00 00 00 02 09 fc 04 b8 |........|........|
|00003c70| 0a 49 05 11 01 00 81 81 | 00 14 00 09 00 00 00 00 |.I......|........|
|00003c80| 00 01 00 03 00 01 00 03 | 59 45 53 00 00 00 00 16 |........|YES.....|
|00003c90| 00 01 00 00 00 00 00 0b | 00 08 00 14 00 00 00 09 |........|........|
|00003ca0| 00 00 00 00 00 00 00 01 | 00 00 00 a0 0a 00 05 64 |........|.......d|
|00003cb0| 0a 4c 06 54 00 01 00 00 | 00 00 00 15 00 00 00 0c |.L.T....|........|
|00003cc0| 00 00 00 03 00 03 00 01 | 00 01 00 04 00 00 00 00 |........|........|
|00003cd0| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003ce0| 00 00 00 00 00 01 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00003cf0| ff ff 00 54 00 c0 00 34 | 00 30 00 00 01 46 00 29 |...T...4|.0...F.)|
|00003d00| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00003d10| 00 00 00 02 0a 00 05 94 | 0a 4d 06 55 01 00 81 81 |........|.M.U....|
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