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						   Safety
						
							
							
						
						 ACCIDENT / INCIDENT REPORTING: 
					   
					    When an 
					accident happens you should report it immediately to the 
					supervisor or foreman. So that they have to send the report 
					which position you are in and let the manager know what to 
					do next. Never do any thing unless you have instruction from 
					the safety doctor.  
						
						
						
						        
						Accident 
						reports should be rued. 
						
						
						        
						Analysis of 
						the accident should be done. 
						
						
						        
						Accident 
						investigations should be carried out immediately. 
						 
						
							| 
							ANALYSIS OF THE 
							ACCIDENT |  
							| 
							CAUSES OF 
							THE ACCIDENT | -What were 
							the causes of the accident? 
							
							                   
 
							
							                   
 
							
							                   
 
							
							                   
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							PRECENTAIVE 
							ACTIOM | 
							
							                   
 
							
							                   
 
							
							                   
 
							
							                   
 
							
							                   
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							SUGESTIONS | 
							                        
 
							                        
 
							                        
 
							                        
 
							                        
							
                
							                        
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							| 
							
							IMPORTANT  
							
							                      
							
							·The 
							accident file is now computerized; please fill this 
							report very carefully.  
							
							                      
							
							·Forward 
							this report to the safety department as soon as 
							possible along with an additional note or sketch if 
							necessary. |  
							| PARTY 
							MANAGER | 
							SUPERVISOR |  
							| Date:
. 
							Signature: 
 | Date: 
							
							Signature:
 |    
					Note: This report can only be used for damages 
					incidents less than $ 1000 or near misses that had potential 
					to cause a minor first aid injury.  
					Type of incident:  
					   
					     
					                                  
					                          
					     
					                           
					 
					Near miss 
					                  Damage          Canadian Nexen        
					Contractor  
					potential of incident:
					   
					     
					   
					                       
					                          
					     
					                           
					 
					Personal injury           Property                 Business 
					             Equipment  
					     Injury                       Damage            
					Interruption                Damage  
					
					Damage cost:  
					Date:
.. Time :
.. 
					Location :
.. 
					
					
					Incident Description:  
					:
.. 
.. 
.. 
					         
					Reported by: :
.. 
.
.. 
 
					 Investigated by: :
.. Position
 
					
					
					FOLLOW UP ACTION I INVESTIGATION.  
					
					Investigation Report filed:  
					     
					 yes 
					                      
					     
					 No 
					 
					NOTE: if yes. this incident shall be entered on lotus notes.
					 
					     
					 Substandard:
					 
					Action: :
.. 
.. 
..
					             
					  
					Standard Condition: :
.. 
 
					Immediate Action  
					Taken: :
.. 
.. 
..     .
					 
					Corrective Action : 
.. 
.. 
       
					
					Further Action Required: 
					     
					 Yes    
					      
					     
					   No 
					 EH & S : 
.. 
.. 
					Date:
.. 
   
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					 safety   |