5-6-2 Accident and Injury Report

Question 1

Define a Hazard

Answer 1

A workplace condition that might result in injury, health impairment, illness, disease or death to any worker exposed to the condition, or might result in damage to or loss of property of equipment.

Question 2

Hazard Severity

Answer 2

Assessment of the worst potential consequence is likely to occur due to deficiencies.

Question 3

What is an Injury

Answer 3

Traumatic wound or other condition of the body caused by external force including stress or strain.

Question 4

Mishap Probability

Answer 4

The likelihood a hazard will result in a mishap or loss.

Question 5

What is WESS?

Answer 5

Web-Enabled Safety System
- A web-based safety mishap data collection and reporting system developed for the Navy and Marine Corps by Commander, Naval Safety Center (COMNAVSAFECEN).

Question 6

What is DODI 6055.07?

Answer 6

Mishap Notification, Investigation, Reporting and Record Keeping.

Question 7

What is OPNAVINST 5102.1D

Answer 7

Navy and Marine Corps Mishap and Safety Investigation, Reporting and Record Keeping Manual.

Question 8

Mishap Investigation and Reporting Purposes

Answer 8

• Identify Hazards with potential to cause frequent and severe mishaps
• Could cause future mishaps
• Identify unsafe acts and conditions, corrective measures
• Identify mishap casual factors and develop appropriate corrective actions, will help prevent future mishaps

Question 9

Investigation and Reporting Required Conditions

Answer 9

Any other work-related illness or injury that involves medical treatment beyond first aid.
- Loss of Consciousness
- Lost Work Day
- Light Duty or LIMDU

Question 10

Gov. Motor Vehicle OR Gov. Vehicle Other Mishaps Resulting in what?

Answer 10

$5,000 or more gov. vehicle, gov. property damage, POV pr private property damage.

Question 11

More Investigation and Reporting Required Conditions

Answer 11

• Any Medically diagnosed work-related illness and injury
• Work Related STS
  (a) Averaging in 10 dB or more at 2000, 3000 and 4000 Hz in one or both ears.
  -Any work-related need stick injury or cut from a sharp object that is contaminated with another person’s blood or infectious material.

Question 12

Mishap Classifications

Answer 12

Class A
- Damages $2 Million or more, injury to occupational illness resulting in fatality or permanent disability
Class B
- More than $500,000 but less than $2 million, when three or more are hospitalized for inpatient care as a result of a single mishap
Class C
- More than $50,000, less than $500,000, nonfatal injury or illness resulting in 1 or more days away from work, not including the day of injury
Class D
- $20,000 or more, less than $50,000. Recordable injury or illness not classified as A, B or C.

Question 13

Accident and Injury Reports

Answer 13

Medical Department will submit A&I as directed to the CO
- Copy to Safety Officer

Question 14

SIREP

Answer 14

Safety Investigation Report
- Submitted to COMNAVSAFECEN
- Using WESS
- Using WESS vis email

Question 15

HAZREP

Answer 15

Hazard Report
- Submitted for near-mishaps and submissions where lessons learned should be shared.

Question 16

Mishap Investigation Board

Answer 16

• Appointed by ISIC
• Min. 3 member team
• Medical member involved for fatality
• Mishap Investigation Report submitted within 30 days to Naval Safety Center via the CoC