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Accident & Injury Report Flashcards

1
Q

A workplace 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.

A

Hazard

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2
Q

Worst potential consequence is likely to occur as a result of deficiencies

A

Hazard Severity

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3
Q

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

A

Injury

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4
Q

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

A

Mishap

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5
Q

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

A

Mishap Probability

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6
Q

Is an act or event which injury or 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 developed for the Navy and Marine Corps by COMNAVSAFECEN

A

Web-Enabled Safety System (WESS)

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8
Q

Mishap Notification, Investigation, Reporting, and Record Keeping

A

DODI 6055.07

created 6/6/2011

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9
Q

Navy Mishap and Safety Investigation, Reporting and Record Keeping Manual

A

OPNAVINST 5102.1D

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10
Q

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

A

MCO P5102.1B

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11
Q

Naval Aviation Safety Management System

A

OPNAVINST 3750.6S

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12
Q

4 Mishap Investigation and Reporting Purposes

A
  1. Identify unsafe acts and conditions and apply corrective measures
  2. Identify hazards with potential to cause frequent and severe mishaps
  3. Identify hazards that could cause future mishaps
  4. Identify mishap causal factors and develop appropriate corrective actions which, when implemented, will help prevent similar mishaps
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13
Q

How many Investigation and Reporting Required Conditions are there?

A

16

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14
Q

Investigation & Reporting Required Condition 3

A

medical treatment beyond first aid:

  • Loss of consciousness
  • *-Lost work day**
  • LLD/LIMDU on/off-duty military personnel
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15
Q

Investigation & Reporting Required Condition 11

A

All fires occurring afloat, except small trash fires

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16
Q

Investigation & Reporting Required Condition 12

A

Gov’t Vehicle Damage $5,000 or more

17
Q

Investigation & Reporting Required Condition 13

A

cumulative trauma disorder or MSK disease

18
Q

Investigation & Reporting Required Condition 14

A

STS in hearing

10dB or more at 2000, 3000, 4000 Hz

19
Q

Class A Mishap

A
  • $2 million or more
  • DoD aircraft destroyed
  • fatality or permeant disability
20
Q

Class B Mishap

A
  • $500k - $2 million
  • partial disability
  • 3 or more hospitalized
21
Q

Class C Mishap

A
  • $50,000 - $500,000
  • 1 or more days away from work
22
Q

Class D Mishap

A
  • $20,000 or more, but less than $50,000
  • not classified in A, B, C
23
Q

3 Mishap Report Types

A
  1. Accident & Injury Report (A&I)
  2. Safety Investigation Report (SIREP)
  3. Hazard Report (HAZREP)
24
Q

What is an A&I?

A

Accident and Injury Report

Medical Department will submit an A&I as directed by the CO, on all injuries treated in sickbay

25
Q

Who does the copy of an A&I go to?

A

the Safety Officer

26
Q

SIREP

A

Safety Investigation Report

27
Q

Who is a SIREP submitted to?

A
  • Commander, Naval Safety Center (COMNAVSAFECEN)
  • Using Web-Enabled Safety System (WESS)
  • Using WESS-DS via e-mail (if internet connectivity is a problem)
28
Q

What is a HAZREP?

A

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

29
Q

When a Mishap occurs, the Safety Officer is generally notified by what 3 ways?

A
  1. injury report
  2. deck log entry
  3. by Department Head
30
Q

Who is responsible for ensuring an investigation is conducted?

A

Safety Officer

31
Q

Who appoints a mishap investigation board?

A

ISIC or higher authority

32
Q

How many members minimum will be on the mishap investigation board?

33
Q

If fatality was involved, who will be appointed to the board?

A

medical member

34
Q

Who may assist in a mishap investigation board but will not count as official board members

A

technical representative or NAVSAFECEN

35
Q

Mishap Investigation Report (MIR) must be submitted within how many days?

36
Q

Who are Mishap Investigation Reports (MIR) submitted to?

A

Naval Safety Center via chain the command

37
Q

All occupational injuries and illnesses are recorded on what 4 forms?

A
  1. SF 600 (Chronological Record of Medical Care)
  2. SF 558 (Emergency Treatment Record)
  3. SF 513 (Consultation)
  4. Accident Injury Report

NAVOSH (9 decks)

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