Accident and Injury

Question 1

Define Hazard

Answer 1

A work place condition that may result in injury, health impairment, disease or death

Question 2

Hazard Severity

Answer 2

Assessment of the worst potential consequences is likely to occur as a result of deficiencies

Question 3

Injury

Answer 3

Traumatic wound or condition caused by an external force

Question 4

Mishap

Answer 4

any unplanned or unexpected event causing death, injury, occupational illness

Question 5

Mishap probability

Answer 5

Likelihood a hazard will result in mishap or loss

Question 6

Near mishap

Answer 6

an event was avoided merely by chance

Question 7

WESS

Answer 7

web enabled safety system developed by Navy and MC

Question 8

mishap investigation report instruction

Answer 8

DODI 6055.07 Mishap notification, investigate report and record Keeping
OPNAVINST 5102.1D/ MCO P5102.1B Navy and MC mishap and safety investigation and reporting
ONAVINST 3750.6S Naval Aviation Safety Management system

Question 9

What is the purpose of the mishap investigation and reporting?

Answer 9

IDENTIFY UNSFE ACTS CONDITIONS AND APPLY CORRECTIVE MEASURES
Identify hazards that have the potential or could cause future mishaps

Question 10

What is the purpose of the mishap investigation and reporting?

Answer 10

IDENTIFY UNSFE ACTS CONDITIONS AND APPLY CORRECTIVE MEASURES
Identify hazards that have the potential or could cause future mishaps

Question 11

What kind of mishaps require a investigation or report?

Answer 11

• Lost work day
• All fatalities that occur within 1 hour of command PT
• Any medical diagnosed work related injurie such as cumulative trauma or MSK
• Threshold shifts
• Work related needle stick injury or cut from a sharp object that is contaminated with potentially infectious material

Question 12

What is a Class A mishap

Answer 12

• Damage resulting in more than 2mil or more.
• Fatality or permanent total disability
• aircraft destroyed

Question 13

Class B mishap

Answer 13

• 500,000 or more to less than 2mil
• Permanent partial disability
• when 3 or more are inpatient for a single mishap

Question 14

Class C mishap

Answer 14

• 50,000- less than 500,000

- Nonfatal injury resulting in 1 or more days away from work not including day of injury

Question 15

Class D Mishap

Answer 15

20,000 or more but less than 50,000

any injury not covered by any other class

Question 16

What are the 3 mishap report types?

Answer 16

Accident and injury
Safety investigation report (SITREP)
Hazard report (HAZREP)

Question 17

who is the accident report signed off by and then sent to?

Answer 17

Co and sent to Safety officer

Question 18

What system is a SITREP summited on and to who?

Answer 18

WESS

Submitted to Naval safety center (COMNAVSAFECEN)

Question 19

When is a Hazard report submitted?

Answer 19

near mishaps and situations where lessons learned should be shared

Question 20

Who appoints the mishap investigation board?

Answer 20

ISIC or higher

Question 21

Minimum number of people for a mishap board?

Answer 21

3

Question 22

If fatality involved who must be on the Mishap board

Answer 22

Medical member

Question 23

Mishap investigations must be submitted to who? and by when?

Answer 23

Navy Safety Center

30 days

Question 24

What are the forms for occupational injury recording?

Answer 24

SF 600
ETR SF 558 (Emergency treatment record)
SF 513 (consultation sheet)
Accident and injury’s report