عام / متعدد القطاعات 18 بند
Workplace Incident & Accident Reporting
قائمة التحقق هذه باللغة الإنجليزية.
Ensures workplace incidents and injuries are reported, recorded, investigated, and escalated to OSHA when required.
29 CFR 190429 CFR 1904.39
PDF أو Word مجانًا · أدخل بريدك الإلكتروني للتنزيل.
Immediate Response
- Was medical care provided and the scene made safe? *
- Date and time the incident occurred: *
- Was the area secured to preserve evidence for investigation? *
- Were affected personnel and supervisors notified? *
Incident Details
- Description of what happened: *
- Type of incident: *
- Were there injuries requiring medical treatment beyond first aid? *
- Names of persons involved and witnesses: *
OSHA Recording & Reporting
- Was the case evaluated for OSHA 300 Log recordability within 7 calendar days? *
- Did the event cause a fatality, in-patient hospitalization, amputation, or loss of an eye? *
- If a fatality, was OSHA notified within 8 hours? *
- If hospitalization/amputation/eye loss, was OSHA notified within 24 hours? *
Investigation & Root Cause
- Was a root cause analysis performed (not stopping at 'employee error')? *
- Were contributing factors (equipment, procedures, environment, training) identified? *
- Were similar hazards elsewhere in the operation checked? *
Corrective Action & Closure
- Are corrective actions defined with owners and due dates? *
- Have corrective actions been verified as effective? *
- Reviewer sign-off: *
نزّل قائمة تحقق Workplace Incident & Accident Reporting كاملة
احصل عليها مجانًا بصيغة PDF أنيقة قابلة للطباعة أو مستند Word قابل للتعديل.