11 involve the right person 03122024

Date:

Job Name:

An incident is
defined as: “any
event that requires
investigation, either
due to the harm it
caused to people,
the environment,
property, or potential
harm it could have
caused”.
!

Supervisor Signature:

Reporting Requirements

Immediate notification of all work-related incidents is required regardless of severity.

In case of a life threatening injury call 911

Life threatening injuries are those that involve:

ñ Loss of consciousness
ñ Airway compromise
ñ Breathing difficulty
ñ Obvious longbone fractures
ñ Possibility of traumatic neck or back injury
ñ Large burns

All other Injuries:

ON-SITE HEALTH & SAFETY will be called by a member of the Safety Department.
Onsite will evaluate and treat or determine if a visit to the clinic is needed.

Investigation Process:

Immediate supervisors of injured/ill employee(s) are responsible for collecting
and preserving information that will be used to complete the investigation report.
All information including written data, diagrams, witness statements, and/or
pictures shall be forwarded to the safety department within 24 hours and will be
included in the final report by the Safety Department.

All possible questions regarding the accident should be answered, and the
corrective actions to prevent a recurrence should be listed. The following
questions will be asked to complete the report:

ñ Who was involved?
ñ Where Did the Accident Occur?
ñ When?
ñ How Did the Accident Occur?
ñ Why Did the Accident Occur? (Root Cause)

NOTE:

It is important to remember that an accident investigation is not a trial to find
fault or blame. The purpose is to find accident causes so that similar accidents
may be prevented by physical or mechanical improvement or employee training
and motivation.

Vol.25 | No.11 | Week of 03-17-25

MEETING ATTENDEES