Exercise-3 Accident Reporting Form

Intent: Demonstrate basic form to data model technique

Instructions for the assignment

Your task is to create a detail data model for the Accident Reporting Data Base. For this case a simplified form is used to collect data after individual accidents, and solution will include Idef1X diagram from Erwin

ACCIDENT REPORT FORMM 1. Date this report 2. Date incident occurred Month Day Year Time Shift 3. Social security number 4. Employee's Name: Last First Middle initial 5. Title 6. Home Address Work 3. Date ofbrth ARe 0.Sex Phone- Home Male Female 11. Date of employment Date assigned to presen ob12. Gross rate of pay Sper Hour Day Week) 13. Specify exact address where incident occurred. Also specify exact location at this address. 14. Describe fully how incident occurred (Use additional signed sheets if necessary) 15. Was safety equipment provided? Yes No Was it in use at time? Yes No 16. Sign in the box: 1 . Indicate it unable to sign