Accidents, Injuries, and Incidents
Report
Immediately inform your supervisor or their designee in
the event of a:
- Workplace Injury (if life threatening injury, seek
medical assistance first, and inform supervisor as soon
as possible)
- Traffic accident resulting in injury or damage to
government property (e.g.; structures, personal or GSA
motor vehicle, including forklift, electric carts moped,
bicycle)
- Also call SLAC Site Security (X 5555) if on-site
or local law enforcement if off-site
- SLAC property damage
- Hazardous Material Spills on SLAC property
- Also, report a soil, asphalt or storm drain
spills to X5555. Take precaution not to endanger
yourself, if you attempt to control the spread of
the spill.
Supervisors or their designee must immediately notify
Randy Ralston or Britt von Thaden.
Medical Assistance
Seek emergency medical assistance:
- Life threatening injuries call ‘911’
and ‘5555’
(Electric shock, heart attack, loss of consciousness,
fainting, serious bleeding, and difficulty breathing,
broken bones, whenever medical transportation is needed
- Non-emergency injuries
- During business hours (8:00 am - 4:30 pm.) - go
to SLAC Medical Dept. (B028) Business Hours
- During non-business hours - seek care at one of
the clinics below.
Accident and Injury Follow up
-
Within 24
hours of the Injury: Injured
employee must complete and submit an
Occupational Injury/Illness Report: Employee First
Report of Injury (SU-17A). This form is usually
completed at SLAC Medical and its completion is required
even if no medical treatment is sought. The purpose of
the SU-17A is to document the injury and begin the
notification and investigation process.
-
Within
3-Business days of the Injury:
The injured employee’s supervisor must submit the
Incident Investigation form (SU-17B) to the workers’
compensation administrator. Copies of SU-17B are sent to
MFD ES&H Coordinator and also kept with the supervisor.
-
MFD ES&H
Coordinator will assist the supervisor in drafting
the SU-17B.
-
MFD ES&H
Coordinator maybe required, as determined by the
ES&H Incident Investigation Program manager (IIPM),
to perform a causal analysis using the Apollo
RealityCharting tool, and develop corrective actions
within 30-Business days of the incident. The causal
analysis report, if ready, may also be reviewed at
the time of the incident follow-up meeting.
-
Traffic accidents,
resulting in damage to government property, including
structures and vehicles must be investigated by the
supervisor and MFD ES&H Coordinator, recorded on a
SU-17B form and submitted to the IIPM within 3-Business
days of the accident.
-
Non-Injury accidents, not otherwise requiring submittal
to the IIPM, maybe investigated, corrective actions
developed and recorded on a SU-17B form by MFD ES&H
Coordinator.
Within one week of any
safety or spill incident involving MFD personnel, a meeting
will be held with the supervisor, a MFD ES&H Coordinator,
and possibly the Department Head. This meeting will be
coordinated by the MFD ES&H Coordinator
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