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[DOC File]Accident Investigation Form Sample
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Determine root causes of the accident by Job Safety Analysis or other methods. If discrepancies exist, contact the Safety Coordinator regarding the discrepancies and ask for assistance. Investigation Reporting. Provide complete, thorough information about the accident (who, what, where, when, why, and how data). Describe the accident.
incident root cause analysis template

[DOC File]Incident Reporting and Investigation Procedure
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A root cause must be present in order for the incident to occur. If you can confidently say that the incident could have been prevented/or the likelihood drastically reduced but for this factor, then it is a root cause. There may be more than one root cause identified during an …
accident root cause analysis form

[DOCX File]Accident Investigation - EMC Insurance Companies
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Using this Template. ... Through a formal accident investigation procedure, organizations can determine the root cause(s) of the accident or near miss and take actions to prevent recurrence. If left unchecked, today’s near miss can become tomorrow’s accident or major disaster. ... Your organization may use fault tree analysis, barrier ...
root cause analysis form pdf

[DOC File]Accident Investigation
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Accident Investigation/Root Cause Analysis. Complete this report if the injured employee requires medical attention. ... The following persons have participated in the accident investigation and root cause analysis and are aware of the findings: ...
accident investigation root cause analysis

[DOC File]ROOT CAUSE ANALYSIS OF INJURY/ILLNESS (Supplemental …
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Apr 06, 2012 · Corrective Steps for Root, Contributing, and Direct Causes: * For each answer to “why?” seek one or more causes. * To assure elimination of all hazards identified above, it may be necessary to repeat the above five steps several times if a major cause appears in more than one category.
human error root cause worksheet

Accident root cause analysis template