Supervisors Report Of An Accident Page 2
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21.
Describe the accident in your own words just as you saw it happen. Describe the surroundings or setting before the accident and the
position of the injured party in relation to the surroundings, then describe the steps in proper sequence leading to the accident that
happened. If possible attach a picture or make a drawing.
2.
Describe any near accidents you have observed in the past week.
3.
Report any unsafe procedures you have observed in the past week. (Physical hazards are classed as unsafe procedures as well as human acts.)
F417-048-000 supervisor's report of an accident 10-05
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