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Ds 11 form printable 2019

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DS-1664 06-2017 Instructions Page If additional government drivers are involved in this motor vehicle mishap complete a Motor Vehicle Mishap Report form for each driver. U*S* Department of State OVERSEAS MOTOR VEHICLE MISHAP REPORT If a motor vehicle mishap results in injury or death to any employee including tenant agency employees family member contractor or local national a DS-1663 Report of Mishap is also required for each individual injured or killed in the mishap* A DS-1663 is not require ...

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Which of the following mishaps must be reported to the safety office?

Reporting is required when mishaps result in personal injury or illness, property damage, or environmental contamination.

What type of mishaps are required to be reported?

Mishap Program Requirements Any civilian with a work-related illness or injury that involves medical treatment beyond first aid, including light duty and/or lost work time is considered a reportable mishap. In addition, off-duty military mishaps or injuries should also be reported.

Which 4 information items are required on a mishap report?

The report must relate the circumstances of the mishap, names of the individuals involved, any actions taken by the FAA, the number of deaths, or injuries and illnesses, and the extent of injury.