Conducting
an Accident Investigation
Course 102
Safety Certified Supervisor Series
MODULE 7: WRITING THE REPORT
The Accident Report
Form
- Section I.
Background
- Section II.
Description of the accident
- Section
III. Findings
- Section
IV. Recommendations
- Section V. Summary
- Section VI.
Review and Follow-Up Actions
- Section VII.
Attachment
Section IV. Recommendations
(continued)
- Sample recommendations
that correct primary surface causes
- Sample recommendations that
correct secondary surface causes
- Sample recommendations that
correct implementation and design root causes
These recommendations describe
how to correct those unique hazardous condition(s) and unsafe behaviors that
directly resulted in injury. These recommendations will impact only the unique
condition or behavior.
- To correct a condition.
Repair and/or replace the machine guard. Benefit: This hazardous condition
is eliminated. Estimated investment: $200.00
- To correct a behavior. Educate
and train the injured employee on hazard reporting procedures. Benefit:
The injured employee will understand and gain the skills necessary to prevent
a similar accident. Estimated investment: $30.00
