ACCIDENT AND INJURY REPORT Flashcards
HAZARD IS DEFINED AS
A WORK PLACE CONDITION THAT MIGHT RESULT IN?
- INJURY
- HEALTH IMPAIRMENT
- ILLINESS
- DISEASE
- DEATH
- DAMAGE TO OR LOSS OR PROPERTY/EQUIPMENT
AN ASSESSMENT OF THE WORST POTENTIAL CONSEQUENCE IS LIKELY TO OCCUR AS A RESULT OF DEFICIENCIES
HAZARD SEVERITY
DEFINE INJURY
TRAUMATIC WOUND OR OTHER CONDITION OF THE BODY
ANY UNPLANNED OR UNEXPECTED EVENT CAUSING DEATH, INJURY, OCC ILLINESS, INCLUDES DAYS AWAY FROM WORK, TRANSFER, MATERILA LOSS/DAMAGE
MISHAP
DEFINE MISHAP PROBABILITY
THE LIKELIHOOD THAT A HAZARD WILL RESULT IN A MISHAP OR LOSS
AN ACT OR EVENT WHICH INJURYOR DAMAGE WAS AVOIDED MERELY BY CHANCE
NEAR MISHAP
A WEB BASED SAFETY MISHAP DATA COLLECTION AND REPORTING SYSTEM
WEB-ENABLED SAFETY SYSTEM (WESS)
WHO DEVELOPED WESS
COMNAVSAFECEN
DODI 6055.07
MISHAP NOTIFICATION, INVESTIGATION, REPORTING AND RECORD KEEPING
OPNAVINST 5102.1D/MCO P5102.1B
NAVY & MARINE CORPS MISHAP AND SAFETY INVESTIGATION, REPORTING AND RECORD KEEPING MANUAL
OPNAVINST 3750.6S
NAVAL AVIATION SAFETY MANAGEMENT SYSTEM
WHAT ARE THE MISHAP INVESTIGATION AND REPORTING PURPOSES
TO IDENTIFY
- HAZARDS WITH POTENTIAL TO CAUSE FREQUENT AND SEVERE MISHAPS
- HAZARDS THAT COULD CAUSE FUTURE MISHAPS
- UNSAFE ACTS AND CONDITIONS AND APPLY CORRECTIVE MEASURES
- MISHAP FACTORS AND DEVELOP CORRECTIVE ACTION TO PREVENT MISHAPS
CONDITIONS WHICH REQUIRE MISHAP INVESTIGATING AND REPORTING
- CLASS A,B,C GOVT PROPERTY DAMAGE
- CLASS A,B,C ON DUTY DOD CIV MISHAPS, MILITARY ON/OFF DUTY
- ALL FATALITIES/PERM. DISABILITY WITHIN 1 HOUR OF COMMAND PT
- INJURY OR DEATH OF GUEST/MILITRY DEPENDENT, RELATED TO DOD ACTIVITY
- EXPLOSIVE/LIVE FIRE MISHAPS
- ON DUTY DIVING
- ALL FIRES, NOT SMALL TRASH FIRE
- MEDICALLY DX WORK RELATED ILLINESS/INJURY
- WORK RELATED STS
- WORK RELATED DIRTY NEEDLE STICK
- WORK RELATED TB
MISHAP INVESTIGATION/REPORT
ANY WORK- RELATED ILLINESS OR INJURY THAT INVOLVES MEDICAL TREATMENT BEYOND FIRST AID TO INCLUDE:
- LOSS OF CONSCIOUSNESS
- LOST WORK DAY
- LIGHT DUTY/LIMDU
MISHAP INVESTIGATION/REPORTING
ALL GOVT VEHICLE MISHAPS RESULTING IN:
-$5K OR MORE GOVT VEHICLE, POV, GOVT PROPERTY, OR PRIVATE PROPERTT DAMAGE
MISHAP INVESTIGATION/REPORTING
ALL ON DUTY MILITARY TRAINING-RELATED FATALITIES//HIGH RISK TRAINING THAT RESULTS IN:
- LOSS OF ONE TRAINING DAY
- ROLL BACK/DISENROLLMENT FROM COURSE
WHAT IS A CLASS A MISHAP
- 2 MILLION IN DAMAGES
- DOD AIRCRAFT DESTROYED
- FATALITY OR PERMANENT TOTAL DISABILITY
WHAT IS A CLASS B MISHAP
- $500K OR MORE, LESS THAN $2 MILLION
- PERMANENT PARTIAL DISABILITY
- 3 OR MORE PERSONNEL HOSPITALIZED
WHAT IS A CLASS C MISHAP
- $50K OR MORE, LESS THAN $500K
- NONFATAL INJURY OR ILLNESS
- 1 OR MORE DAYS LOSS OF WORK DAY
WHAT ARE THE DIFFERENT TYPES OF MISHAP REPORT TYPES
- ACCIDENT AND INJURY REPORT
- SAFETY INVESTIGATION
- HAZARD REPORT
WHO SUBMITS THE ACCIDENT AND INJURY REPORT
MEDICAL DEPARTMENT
A COPY OF THE ACCIDENT AND INJURY REPORT GOES TO THE?
SAFETY OFFICER
SUBMIT THE SAFETY INVESTIGATION REPORT TO?
USING WHAT?
COMMANDER, NAVAL SAFETY CENTER
WESS
WHEN ARE HAZARD REPORTS SUBMITTED
NEAR MISHAPS
HOW IS THE SAFETY NOTIFIED OF A MISHAP
- INJURY REPORT
- DECK LOG
- BY DEPT HEAD
WHO IS REPSONSIBLE FOR ENSURING A MISHAP INVESTIGATION IS CONDUCTED
SAFETY OFFICER
A MISHAP INVESTIGTION BOARD IS APPOINTED BY
ISIC
OR HIGHER AUTHORITY
THE MISHAP INVESTIGATION BOARD CONSISTS OF HOW MANY MEMBERS?
IF A FATALITY IS INVOLVED?
3 MEMBERS
A MEDICAL MEMBER MAY BE APPOINTED
WHO CAN ASSIST DURING A MISHAP INVESTIGATION BOARD, BUT ARE NOT OFFICAL MEMBERS
TECHNICAL REPRESENTATIVES
OR NAVSAFECEN PERSONNEL
THE MISHAP INVESTIGATION REPORT MUST BE SUBMITTED WITHIN ___ TO THE ______ VIA COC
30 DAYS
NAVAL SAFETY CENTER
WHAT ARE THE OCCUPATIONAL INJURY RECORDING FORMS
- SF 600
- ETR SF 558
- SF 513
- ACCIDENT INJURY REPORT
ETR FR 558
EMERGENCY TREATMENT RECORD
