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Click ‘Get Form’ to open the ACCIDENT / INCIDENT INVESTIGATION FORM - tru in the editor.
Begin by filling out the 'EVENT INFORMATION' section. Enter the date the investigation started, type of investigation, and its status. Specify the location and provide details about the incident, including names of witnesses and whether statements or pictures are attached.
In section B, provide information about the injured or ill person. Fill in their last name, first name, position reported to, employee number, and service years. Document their account of the incident and ensure they sign where indicated.
Proceed to section C for property damage details. List all damages along with estimated costs and downtime hours.
Complete sections D through J by detailing environmental impacts, direct causes of the incident, hazard evaluations, corrective actions taken, and signatures from involved parties.
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The Board was appointed to perform a Type B Investigation of this accident and to prepare an investigation report in accordance with DOE Order 225.1A,. AccidentRead more
Sep 12, 2018 If necessary, this will allow LSUHSC to report the incident or accident to the National Institutes of Health within their prescribed timeline.Read more
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