Eng 3394-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section 1, 'Accident Classification.' Mark all applicable boxes regarding the type of accident, including personnel classification and property damage.
3. Proceed to Section 2, 'Personal Data.' Enter the name, age, sex, social security number, and other relevant personal information of the individual involved in the accident.
4. In Section 3, 'General Information,' provide details such as the date and time of the accident, exact location, contractor's name, and contract number.
5. Continue to Section 4 for 'Construction Activities.' Select appropriate construction activities and equipment involved in the incident.
6. Fill out Section 5 regarding 'Injury/Illness Information,' detailing severity and estimated days lost due to injury.
7. Complete Sections 6 through 19 as required. Ensure all necessary explanations are provided for causal factors and actions taken.

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