Professional Documents
Culture Documents
YOKOTEN Survey Official (September, 2023)
YOKOTEN Survey Official (September, 2023)
of Sep'23
YOKOTEN supplier name : Plant :
1. General information
2. Detail of accident :
The ducts on the roof had deteriorated and were about to be replaced.
The victim and worker A were carrying a replacement duct (approx. 10
kg) on the roof. When they reached the duct to be replaced, the victim
was left to carry the rest of the duct, and worker A took a break. When
the victim was carrying the duct, he collapsed through the roof and
crashed to the factory floor.
Essence :
Failure to comply with standards for working at heights
1. There is a request for work permit before working at ⃣ Have ............(Please attach file)
high place ? ⃣ Haven't : ……. (Please prepare standard & Attach file)
Date ..../..../.... Date ..../..../.... Date ..../..../.... Date ..../..../.... Date..../..../.... Date ..../..../....
DM MGR MGR Staff Safety Officer
/Mgr DM