ACCIDENT AND INJURY REPORT Flashcards

1
Q

HAZARD IS DEFINED AS

A WORK PLACE CONDITION THAT MIGHT RESULT IN?

A
  • INJURY
  • HEALTH IMPAIRMENT
  • ILLINESS
  • DISEASE
  • DEATH
  • DAMAGE TO OR LOSS OR PROPERTY/EQUIPMENT
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2
Q

AN ASSESSMENT OF THE WORST POTENTIAL CONSEQUENCE IS LIKELY TO OCCUR AS A RESULT OF DEFICIENCIES

A

HAZARD SEVERITY

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3
Q

DEFINE INJURY

A

TRAUMATIC WOUND OR OTHER CONDITION OF THE BODY

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4
Q

ANY UNPLANNED OR UNEXPECTED EVENT CAUSING DEATH, INJURY, OCC ILLINESS, INCLUDES DAYS AWAY FROM WORK, TRANSFER, MATERILA LOSS/DAMAGE

A

MISHAP

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5
Q

DEFINE MISHAP PROBABILITY

A

THE LIKELIHOOD THAT A HAZARD WILL RESULT IN A MISHAP OR LOSS

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6
Q

AN ACT OR EVENT WHICH INJURYOR DAMAGE WAS AVOIDED MERELY BY CHANCE

A

NEAR MISHAP

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7
Q

A WEB BASED SAFETY MISHAP DATA COLLECTION AND REPORTING SYSTEM

A

WEB-ENABLED SAFETY SYSTEM (WESS)

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8
Q

WHO DEVELOPED WESS

A

COMNAVSAFECEN

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9
Q

DODI 6055.07

A

MISHAP NOTIFICATION, INVESTIGATION, REPORTING AND RECORD KEEPING

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10
Q

OPNAVINST 5102.1D/MCO P5102.1B

A

NAVY & MARINE CORPS MISHAP AND SAFETY INVESTIGATION, REPORTING AND RECORD KEEPING MANUAL

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11
Q

OPNAVINST 3750.6S

A

NAVAL AVIATION SAFETY MANAGEMENT SYSTEM

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12
Q

WHAT ARE THE MISHAP INVESTIGATION AND REPORTING PURPOSES

A

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
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13
Q

CONDITIONS WHICH REQUIRE MISHAP INVESTIGATING AND REPORTING

A
  • 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
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14
Q

MISHAP INVESTIGATION/REPORT

ANY WORK- RELATED ILLINESS OR INJURY THAT INVOLVES MEDICAL TREATMENT BEYOND FIRST AID TO INCLUDE:

A
  • LOSS OF CONSCIOUSNESS
  • LOST WORK DAY
  • LIGHT DUTY/LIMDU
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15
Q

MISHAP INVESTIGATION/REPORTING

ALL GOVT VEHICLE MISHAPS RESULTING IN:

A

-$5K OR MORE GOVT VEHICLE, POV, GOVT PROPERTY, OR PRIVATE PROPERTT DAMAGE

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16
Q

MISHAP INVESTIGATION/REPORTING

ALL ON DUTY MILITARY TRAINING-RELATED FATALITIES//HIGH RISK TRAINING THAT RESULTS IN:

A
  • LOSS OF ONE TRAINING DAY

- ROLL BACK/DISENROLLMENT FROM COURSE

17
Q

WHAT IS A CLASS A MISHAP

A
  • 2 MILLION IN DAMAGES
  • DOD AIRCRAFT DESTROYED
  • FATALITY OR PERMANENT TOTAL DISABILITY
18
Q

WHAT IS A CLASS B MISHAP

A
  • $500K OR MORE, LESS THAN $2 MILLION
  • PERMANENT PARTIAL DISABILITY
  • 3 OR MORE PERSONNEL HOSPITALIZED
19
Q

WHAT IS A CLASS C MISHAP

A
  • $50K OR MORE, LESS THAN $500K
  • NONFATAL INJURY OR ILLNESS
  • 1 OR MORE DAYS LOSS OF WORK DAY
20
Q

WHAT ARE THE DIFFERENT TYPES OF MISHAP REPORT TYPES

A
  • ACCIDENT AND INJURY REPORT
  • SAFETY INVESTIGATION
  • HAZARD REPORT
21
Q

WHO SUBMITS THE ACCIDENT AND INJURY REPORT

A

MEDICAL DEPARTMENT

22
Q

A COPY OF THE ACCIDENT AND INJURY REPORT GOES TO THE?

A

SAFETY OFFICER

23
Q

SUBMIT THE SAFETY INVESTIGATION REPORT TO?

USING WHAT?

A

COMMANDER, NAVAL SAFETY CENTER

WESS

24
Q

WHEN ARE HAZARD REPORTS SUBMITTED

A

NEAR MISHAPS

25
Q

HOW IS THE SAFETY NOTIFIED OF A MISHAP

A
  • INJURY REPORT
  • DECK LOG
  • BY DEPT HEAD
26
Q

WHO IS REPSONSIBLE FOR ENSURING A MISHAP INVESTIGATION IS CONDUCTED

A

SAFETY OFFICER

27
Q

A MISHAP INVESTIGTION BOARD IS APPOINTED BY

A

ISIC

OR HIGHER AUTHORITY

28
Q

THE MISHAP INVESTIGATION BOARD CONSISTS OF HOW MANY MEMBERS?

IF A FATALITY IS INVOLVED?

A

3 MEMBERS

A MEDICAL MEMBER MAY BE APPOINTED

29
Q

WHO CAN ASSIST DURING A MISHAP INVESTIGATION BOARD, BUT ARE NOT OFFICAL MEMBERS

A

TECHNICAL REPRESENTATIVES

OR NAVSAFECEN PERSONNEL

30
Q

THE MISHAP INVESTIGATION REPORT MUST BE SUBMITTED WITHIN ___ TO THE ______ VIA COC

A

30 DAYS

NAVAL SAFETY CENTER

31
Q

WHAT ARE THE OCCUPATIONAL INJURY RECORDING FORMS

A
  • SF 600
  • ETR SF 558
  • SF 513
  • ACCIDENT INJURY REPORT
32
Q

ETR FR 558

A

EMERGENCY TREATMENT RECORD