NAVOSH 5-6-2 Accident and Injury Report Flashcards
A&I Stuff
OPNAVINST 3750.6
Naval Aviation Safety Program
OPNAVINST 5102.1 & MCO 5100.29
Navy and Marine Corps Mishap and Safety Investigation Reporting and Record Keeping Manual
DoDI 6055.07
Mishap Notification, Investigation, Reporting and Record Keeping
Hazard
A work place condition that might result in injury, illness, or death.
Hazard Severity
The worst potential consequence likely to occur.
Injury
Traumatic wound or condition of the body caused by external force.
Mishap
Unplanned or unexpected event causing death, injury, illness, etc.
Mishap Probability
The likelihood a hazard will result in a mishap or loss.
Near Mishap
Act or event which injury or damage is avoided by chance.
Web-Enabled Safety System (WESS)
A web based safety mishap data collection and reporting system.
Who developed WESS?
Commander, Naval Safety Center (COMNAVAFECEN)
What are the purposes to a Mishap Investigation and Reporting?
-Identify hazards with potential to casue frequent and severe mishaps
-Identify Hazards that could cause future mishaps.
-Identify unsafe acts and conditions
-Identify mishap causal factors and develop corrective actions
What is a Class A Mishap?
-Resulting total cost of damage to gov. and other property is ≥$2 Million
-DOD aircraft is destroyed
-Injury results in fatality or permanent disability
What is a Class B Mishap?
-Resulting total cost of damage to gov. and other property is ≥$500,000 but <$2 Million
- Injury results in permanent partial disability.
-When 3 or more personnel are hospitalized for inpatient care from a single Mishap
What is a Class C Mishap?
Resulting total cost of damage to gov. and other property is ≥$50,000 but <$500,000
-Nonfatal injury or illness resulting in 1 or more days away from work including day of injury.
What is a Class D Mishap?
Resulting tot cost of damage to gov. and other property is ≥$20,000 but <$50,000
-Recordable injury/illness not classified in A/B/C
What are the different types of mishap reports?
- Accident and Injury Report
- Safety Investigation Report (SIREP)
- Hazard Report (HAZREP)
Accident and Injury Report
-All injuries treated in sickbay IAW ships policy
-Submitted by medical as directed by CO.
-Copy to the Safety Officer
Safety Investigation Report (SIREP)
Submitted to Commander, Naval Safety Center using WESS
Hazard Report
Submitted for near mishaps and situations where lessons learned should be shared.
When a mishap occurs who is notified through the injury report, deck log entry, or by the DH?
Safety Officer
Who is responisible for ensuring the investigation is conducted?
Safety Officer
Who appoints a mishap investigation board?
ISIC
What’s the minimum number of members on a Investigation board?
3 Member Team
If a fatality occurred who would be appointed on the board?
Medical member
If assisted by technical representatives or NAVSAFECEN are they official members on the board?
No
When must Mishap Investigation Reports (MIR) be submitted and to whom?
30 days to the Naval Safety Center via COC
What are the occupational injury recording forms?
SF 600
ETR SF 558
SF 513
Accident Injury Report
