Running head: CHECKLIST REQUIRED FOLLOWING WORPLACE ACCIDENT

Checklist Assignment

Paola Bolivar

Dr. Sheri Bias

Occupational Safety & Health

November 28, 2021

CHECKLIST FOLLOWING AN ACCIDENT 2

Accident/Injury Incident Checklist

Company Name: ______________________________________

Employee Name: ______________________________________

Date of Accident:_________________ Location of Accident: _______________________

Comments:____________________________________________________________________

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Assess the Injury and Scene of the Accident
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I. Gather facts about the accident, such as injured people on the scene, layout,
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o condition, and equipment in the area. A basic preliminary evaluation is needed to
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make proper calls and prevent further injury.
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Obtain Medical Assistance; Depending on Severity Call 911
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II. Administer first aid and attempt to stabilize injured employee. The employer should
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n have a manager drive the employee to the nearest urgent care or call 911 if the injury
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A requires immediate medical help.
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o Isolate Accident Scene
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l III. Tape the area with caution tape, place signs and monitor the site to keep other people
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co from entering the scene. Separating the area is necessary to keep the scene
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A undisturbed from evidence tampering and to keep staff safe until corrective action has
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CHECKLIST
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Interview Injured Employee and Witnesses
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eN IV. Establish conditions around the accident, what was being performed, and the events
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that led to the accident. Document signed testimonials and gather experience,
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d training, and procedure information. Determine supervisor role and if any similar
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yr accident has been reported previously.
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kY Analyze and Record the Facts
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n V. List chemicals present, take pictures or sketch the scene. Document the cause and role
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o of the injured employee. Study action plan and how the activity should have been
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h performed. Review precautions that were taken and identify shortcomings. Record all
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yr accident details such as who, what, when, where, and why.
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ki File Worker's Compensation Claim/Report to OSHA
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s VI.
n Management should contact the insurance provider and submit all supporting
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o documentation related to the accident. Medical statements, therapy, and doctor's notes
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n should be filed and saved. Employers should notify OSHA within 24 hours for all in-
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yre patient hospitalization and within 8 hours for fatalities.
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ki Follow Up
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s VII.
n An employer must check in with an injured employee. Management should verify
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o employees' health and progress. If an employee declined medical attention,
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n management should confirm no further medical treatment has been needed.
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CHECKLIST
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Corrective Action
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e- VIII. Figure out a course of action to prevent a recurrence. The employer should work on
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e improving operations and the morale of their staff. Correct the root of the cause and
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enforce safety measures. In addition, mandate more detailed tests and maintenance
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d procedures. Last, the employer should offer the latest protective gear and advanced
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Work
N Cited:
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United States Department of Labor. Report a Fatality or Severe Injury | Occupational Safety and
Health Administration. (n.d.). Retrieved November 28, 2021, from
https://www.osha.gov/report.
CHECKLIST FOLLOWING AN ACCIDENT 5

Price, M. (2020, April 15). Seven-Step Accident Investigation Checklist. Water Well Journal.
Retrieved November 28, 2021, from https://waterwelljournal.com/seven-step-accident-
investigation-checklist/.