5.6 Accident and Injury Report Flashcards

1
Q

What is the definition of hazard?

A

A work place condition that might result in injury, health impairment, illness, disease, or death to any worker who is exposed to the condition,

Or which might result in damage to or loss of property or equipment.

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2
Q

What is the definition of hazard severity?

A

An assessment of the worst potential consequence is likely to occur as a result of deficiencies.

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3
Q

What is the definition of injury?

A

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

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4
Q

What is the definition of mishap?

A

Any unplanned or unexpected event causing death, injury, occupational illness, including days away from work, job transfer or restriction, and material loss or damage.

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5
Q

What is the definition of mishap probability?

A

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

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6
Q

What is the definition of near mishap?

A

Is an act or event which injury or damage was avoided merely by chance.

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7
Q

What does WESS stand for?

A

Web Enabled Safety System.

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8
Q

What is the definition of WESS?

A

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

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9
Q

Mishap Investigation and Reporting Instructions:

What is DODI 6055.07?

A

Mishap Notification, Investigation, Reporting and Record Keeping.

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10
Q

Mishap Investigation and Reporting Instructions:

What is OPNAVINST 5102.1E/MCO 5100.29C?

A

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

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11
Q

Mishap Investigation and Reporting Instructions:

What is OPNAVINST 3750.6S?

A

Naval Aviation Safety Management System.

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12
Q

Mishap Investigation and Reporting Purposes:

To identify hazards with potential to cause?

A

Frequent and severe mishaps.

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13
Q

Mishap Investigation and Reporting Purposes:

To identify hazards that could cause?

A

Future mishaps.

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14
Q

Mishap Investigation and Reporting Purposes:

To identify unsafe?

A

Acts and conditions and apply corrective measures.

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15
Q

Mishap Investigation and Reporting Purposes:

To identify mishap causal factors and develop appropriate?

A

Corrective actions which, when implemented, will help prevent similar mishaps.

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16
Q

Investigation and Reporting Required Conditions:

Class A, B and C?

A

Government property damage mishaps.

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17
Q

Investigation and Reporting Required Conditions:

Class A, B, and C on-duty?

A

DoD civilian mishaps and military on/off-duty mishaps.

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18
Q

Investigation and Reporting Required Conditions:

Any other work-related illness or injury that involves medical treatment beyond first aid such as?

A

Loss of consciousness,

Lost work day,

Light duty or limited duty for on/off-duty military personnel.

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19
Q

Investigation and Reporting Required Conditions:

Other incidents of interest to who?

A

The Navy and Marine Corps for mishap prevention purposes.

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20
Q

Investigation and Reporting Required Conditions:

All on-duty military fatalities or permanent total disabilities that are the result of a medical event that commenced within one hour of what?

A

A command-sponsored Physical Training (PT).

21
Q

Investigation and Reporting Required Conditions:

Mishaps occurring as the result of a DoD activity, operation, or evolution that results in what?

A

The injury or death of a guest or military dependent.

22
Q

Investigation and Reporting Required Conditions:

All on-duty military training-related fatalities, and any high or moderate risk training mishaps that result in the following?

A

Loss of one training day,

Rolling back or disenrollment of the student from a course.

23
Q

Investigation and Reporting Required Conditions:

All explosive mishaps, including what?

A

All ordnance impacting off range and all live fire mishaps.

24
Q

Investigation and Reporting Required Conditions:

All on-duty?

A

Diving cases.

25
Q

Investigation and Reporting Required Conditions:

All afloat cases of what?

A

Grounding, collision, and flooding.

26
Q

Investigation and Reporting Required Conditions:

All fires occurring where?

A

Afloat,

All cases except small trash fires in which no personnel were injured and the material property damage was limited to trash.

27
Q

Investigation and Reporting Required Conditions:

All Government Motor Vehicle (GMV) or Government Vehicle Other (GVO) mishaps resulting in what?

A

$5000 or more government vehicle, government property damage, private vehicle, or private property damage,

Injury/fatality of DoD-personnel, or non-DoD personnel.

28
Q

Investigation and Reporting Required Conditions:

Any medically diagnosed what?

A

Work-related illness and injury, such as cumulative trauma disorder or musculoskeletal disease.

29
Q

Investigation and Reporting Required Conditions:

Work-related Significant Threshold Shift (STS) in hearing resulting in the following?

A

Averaging 10 dB or more at 2000, 3000, and 4000 Hz in one or both ears,

The person’s total hearing level is 25 decibels or more above audiometric zero in the same ears(averaged at 2000, 3000, 4000 Hz),

The shift is toward deteriorated hearing, is permanent, and is considered to be of occupational origin.

30
Q

Investigation and Reporting Required Conditions:

Any work-related needle stick injury or cut from a sharp object that is contaminated with what?

A

Another person’s blood or other potentially infectious material.

31
Q

Investigation and Reporting Required Conditions:

Work-related tuberculosis infection, as evidenced by what?

A

A positive skin test or diagnosis by a physician, after exposure to a known case of active tuberculosis.

32
Q

Mishap Classifications:

Class A mishap?

A

The resulting total cost of damages to Government and other property is $2 million or more,

DoD aircraft is destroyed,

An injury or occupational illness results in a fatality or permanent total disability.

33
Q

Mishap Classifications:

Class B mishap?

A

The resulting total cost of damages to Government and other property is $500,000 or more, but less than $2 million,

An injury or occupational illness results in permanent partial disability,

When three or more personnel are hospitalized for inpatient care as a result of a single mishap.

34
Q

Mishap Classifications:

Class C mishap?

A

The resulting total cost of property damages to Government and other property is $50,000 or more, but less than $500,000,

Nonfatal injury or illness that results in 1 or more days away from work, not including the day of the injury.

35
Q

Mishap Classifications:

Class D mishap?

A

The resulting total cost of property damages is $20,000 or more, but less than $50,000,

Recordable injury or illness not otherwise classified as a Class A, B, or C mishap.

36
Q

Mishap Report Types:

Accident and Injury Report?

A

Medical Department will submit an Accident/Injury Report as directed by the Commanding Officer, on all injuries treated in sickbay in accordance with ship’s policy.

37
Q

Mishap Report Types:

Accident and Injury Report, a copy is sent to who?

A

Safety Officer.

38
Q

Mishap Report Types:

Safety Investigation Report (SIREP)?

A

Submitted to Commander, Naval Safety Center (COMNAVSAFECEN).

Using Web-Enabled Safety System (WESS).

Using WESS-DS via e-mail (if internet connectivity is a problem).

39
Q

Mishap Report Types:

Hazard Report (HAZREP)?

A

Submitted for near-mishaps and situations where lessons learned should be shared.

40
Q

Mishap Report Types:

What are the three types of reports?

A

Accident and Injury Report,

Safety Investigation Report (SIREP),

Hazard Report (HAZREP).

41
Q

Dissemination Of Mishap Information:

When a Mishap occurs, the Safety Officer is generally notified through what?

A

Injury report, deck log entry, or by the Department Head.

42
Q

Dissemination Of Mishap Information:

Who is responsible for ensuring an investigation is conducted?

A

The Safety Officer.

43
Q

Dissemination Of Mishap Information:

Who appoints a mishap investigation board?

A

The ISIC or higher authority.

44
Q

Dissemination Of Mishap Information:

How many members of a mishap investigation board?

A

Minimum of 3 Member Team.

45
Q

Dissemination Of Mishap Information:

If a fatality was involved, who may be appointed to the mishap investigation board?

A

A medical member.

46
Q

Dissemination Of Mishap Information:

The mishap investigation board may be assisted by who?

A

Technical representatives or NAVSAFECEN personnel,

They are not official members of the board.

47
Q

Dissemination Of Mishap Information:

Encourage free and open disclosure during what?

A

An investigation.

48
Q

Dissemination Of Mishap Information:

Mishap Investigation Report (MIR) must be submitted within how many days to the Naval Safety Center via chain the command?

A

30 days.

49
Q

Occupational Injury Recording Forms:

All occupational injuries and illnesses are recorded in the following forms?

A

SF 600 (Chronological Record of Medical Care)

ETR SF 558 (Emergency Treatment Record),

SF 513 (Consultation),

Accident Injury Report (SAMS Program or Local Form).