CHARLIE: REPORTABLE INJURIES
7. FATALITY OR EXTENT OF INJURIES OR OCCUPATIONAL ILLNESSES (Specify if fatality, missing, permanent total disability, permanent partial disability, or no disability likely.)
8. ESTIMATE OF LOST TIME
A. TOTAL LOST WORKDAYS AWAY FROM JOB
B. DAYS ACTUALLY HOSPITALIZED
DELTA 1. CAUSE OF MISHAP (Personnel error, unsafe condition, improper procedures, material failure improper design, environment, unknown or combination of the above. Elaborate in the narrative and explain how each factor contributed to the mishap. Complete items 2 through 4 only if personnel error is involved.)
2. WHO CAUSED THE MISHAP (supervisor or foreman, operator, maintenance worker, off-duty military, other or unknown.)
3. WHAT DID HE/SHE FAIL TO DO? (Correctly operate controls; perform PMS or maintenance properly; recognize hazardous situation; use proper caution for know risk; use protective clothing or equipment, use proper tool or equipment; plan adequately; supervise progress of work; or other.)
4. WHAT DID HE/SHE FAIL TO CARRY OUT ACTION OF DELTA 3? (Lack of concern/interest; distracted or inattentive; haste; overconfidence; emotionally aroused; inadequate knowledge; insufficient experience; fatigue; alcohol; drugs; illness; misunderstanding; design; or other.)
5. ESTIMATED SHIP OPERATING DAYS LOST
6. ASSOCIATED MESSAGES (If not included under referents.)
ECHO: NARRATIVE: Chain of events leading up to, through, and subsequent to mishap; if five give class (A, B, C, D), source and how extinguished-water, fog, C02 , PKP, AFFF, Halon, protein foam, other (specify). If flooding, give source and how denatured (installed eductor system, portable eductor, submersible pump, P-250, other (specify). If collision, give estimate of damage and identification of other ship or structure; give commendations; lessons learned; elaborate with remarks so that the who, what, where, when and how of the mishap is known.
report format - Continued.
6. Part of body affected. Did the injury involve an arm, legs, ribs, feet, fingers, or head?
These categories suggest some of the things, but not all of those you must investigate and report when mishaps occur.
Remember, there are some questions in these categories that require medical information that can only be obtained from a doctor. Each mishap is different, and each is to be investigated and judged on its own merits. Do not jump to conclusions. Start each investigation with an open mind. The most important reason for any mishap investigation is to prevent similar ones from occurring.
The Navy's goal is to prevent occupational hearing and sight loss within the workplace and to assure that the exposure of members to potential hazardous noises and eye hazards are held to a minimum. The Navy's policy is also to provide the necessary medical care, surveillance, documentation, and treatment to all personnel.
Environments that produce potentially hazardous noise should be modified to reduce the noise level to acceptable levels whenever it is technologically and economically feasible. The reduction of noise at the source is in the best interest of the Navy and its personnel. The Navy's Hearing Conservation Program includes the following recommendations:
Work environments are to be surveyed to identify any potentially hazardous noise levels. 1-18Continue Reading