Accident Investigation Forms

The development of standard accident investigation forms, including accident-specific forms, will allow the investigator(s) to make comparisons between accidents and injuries that are similar or caused by the same event, because evidence or data have been collected in a systematic and consistent fashion (see Table 3.6). Examples of various accident investigation forms can be found in Appendix B. These forms should be tailored to meet the investigators or company s needs, or designed to fit their own specifications. The completed accident investigation forms will assist in the final accident report. 

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Checklist for Accident Investigation Forms (802-FS-C4) (1) Accident Investigation Call Record (803-FS-C5)... 

Using the company s accident investigation forms, the first thing to do in analyzing the accident is to read the narrative and visualize what happened. Often, the report is sketchy, but most of the time you will be able to draw on your experience to read between the lines and get the picture. Once you have visualized the situation and what occurred, then ask What could have prevented this accident To help determine the appropriate preventive measures, make use of the list of physical barrier analysis statements. The following statements refer to each of the four types of physical barriers. For each type, there are four possibilities. Select the one that best represents a valid opinion of the accident. 

The company Near Miss/Accident Investigation Form (NMAIF) is to be used for the investigation of aU high potential (use risk matrix... 

Complete page 1 of the near miss/accident investigation form within 24 hours and sutait to the SHE Department. 

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