NAVOSH 5-6-2 Accident and Injury Report Flashcards

A&I Stuff

1
Q

OPNAVINST 3750.6

A

Naval Aviation Safety Program

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2
Q

OPNAVINST 5102.1 & MCO 5100.29

A

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

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3
Q

DoDI 6055.07

A

Mishap Notification, Investigation, Reporting and Record Keeping

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4
Q

Hazard

A

A work place condition that might result in injury, illness, or death.

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5
Q

Hazard Severity

A

The worst potential consequence likely to occur.

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6
Q

Injury

A

Traumatic wound or condition of the body caused by external force.

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7
Q

Mishap

A

Unplanned or unexpected event causing death, injury, illness, etc.

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8
Q

Mishap Probability

A

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

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9
Q

Near Mishap

A

Act or event which injury or damage is avoided by chance.

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10
Q

Web-Enabled Safety System (WESS)

A

A web based safety mishap data collection and reporting system.

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11
Q

Who developed WESS?

A

Commander, Naval Safety Center (COMNAVAFECEN)

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12
Q

What are the purposes to a Mishap Investigation and Reporting?

A

-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

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13
Q

What is a Class A Mishap?

A

-Resulting total cost of damage to gov. and other property is ≥$2 Million
-DOD aircraft is destroyed
-Injury results in fatality or permanent disability

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14
Q

What is a Class B Mishap?

A

-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

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15
Q

What is a Class C Mishap?

A

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.

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16
Q

What is a Class D Mishap?

A

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

17
Q

What are the different types of mishap reports?

A
  1. Accident and Injury Report
  2. Safety Investigation Report (SIREP)
  3. Hazard Report (HAZREP)
18
Q

Accident and Injury Report

A

-All injuries treated in sickbay IAW ships policy
-Submitted by medical as directed by CO.
-Copy to the Safety Officer

19
Q

Safety Investigation Report (SIREP)

A

Submitted to Commander, Naval Safety Center using WESS

20
Q

Hazard Report

A

Submitted for near mishaps and situations where lessons learned should be shared.

21
Q

When a mishap occurs who is notified through the injury report, deck log entry, or by the DH?

A

Safety Officer

22
Q

Who is responisible for ensuring the investigation is conducted?

A

Safety Officer

23
Q

Who appoints a mishap investigation board?

24
Q

What’s the minimum number of members on a Investigation board?

A

3 Member Team

25
If a fatality occurred who would be appointed on the board?
Medical member
26
If assisted by technical representatives or NAVSAFECEN are they official members on the board?
No
27
When must Mishap Investigation Reports (MIR) be submitted and to whom?
30 days to the Naval Safety Center via COC
28
What are the occupational injury recording forms?
SF 600 ETR SF 558 SF 513 Accident Injury Report