Chapter 4 â Mishap Reporting and Investigating ... - NASA
Chapter 4 â Mishap Reporting and Investigating ... - NASA
Chapter 4 â Mishap Reporting and Investigating ... - NASA
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<strong>Chapter</strong> 4 – <strong>Mishap</strong> <strong>Reporting</strong> <strong>and</strong> <strong>Investigating</strong> (REDACTED) Page 6 of 7<br />
4.7 Appendix A: <strong>Mishap</strong> Responsibilities <strong>and</strong> Timeline<br />
Action By Whom When<br />
Report to Ames Health Unit Employee As soon as able after a<br />
nonemergency illness or<br />
injury<br />
Dial 9-1-1/Ames Security<br />
Dispatch for immediate<br />
response<br />
Notify Ames Health Unit (if<br />
medical emergency)<br />
Emergency treatment<br />
Notify Safety Office &<br />
supervisor (Type A, B, & C<br />
mishaps)<br />
Assume control of mishap<br />
scene (if applicable)<br />
Notify Director <strong>and</strong> HQ /<br />
Code QS (Type A, B, <strong>and</strong><br />
Mission Failure mishaps)<br />
Notify Public Affairs Director<br />
(if applicable)<br />
Initiate conference for<br />
investigation board<br />
appointment (Type A & B, &<br />
sometimes C)<br />
Send board appointment<br />
letters (if applicable)<br />
Complete a Telephonic<br />
<strong>Mishap</strong> Report, <strong>NASA</strong> Form<br />
1627A (if HQ notified)<br />
Completed <strong>NASA</strong> Form 1627<br />
(unshaded sections) <strong>and</strong><br />
send to Safety Office<br />
Completed<br />
Compensation/Insurance<br />
Forms CA-1 or CA-2<br />
(Federal employees)<br />
Enter data into <strong>NASA</strong><br />
database<br />
Complete CA-16, sheet 1<br />
(Federal employees)<br />
Board convenes (if<br />
applicable)<br />
Send interim (2 week) status<br />
report to Appointing Official<br />
(if applicable)<br />
Complete <strong>NASA</strong> Form 1627,<br />
follow-up report<br />
Supervisor or eyewitness to<br />
an emergency mishap<br />
Ames Security Dispatch<br />
Health Unit physician,<br />
ambulance crew,<br />
paramedics<br />
Ames Security Dispatch<br />
<strong>and</strong>/or Ames Health Unit<br />
Cognizant supervisor,<br />
designated representative,<br />
emergency responder<br />
Safety Office representative<br />
Center Director (or, as<br />
delegated, Safety Office)<br />
Appointing Official (HQ if<br />
Type A; Center Director with<br />
HQ concurrence if Type B)<br />
Appointing official<br />
Safety Office representative<br />
Supervisor<br />
Supervisor<br />
Safety Office representative<br />
Ames Heath Unit<br />
Board chairperson<br />
Board chairperson<br />
Immediately<br />
Immediately<br />
Immediately<br />
Immediately<br />
ASAP<br />
ASAP<br />
ASAP to 3 days<br />
ASAP to 3 days<br />
ASAP to 3 days<br />
+1 day<br />
+1 day<br />
+1 day<br />
+1 to 2 days after receipt<br />
+2 days<br />
+3 days<br />
+3 to 5 days, then every two<br />
weeks<br />
Supervisor<br />
+10 days, or on employee's<br />
return to work<br />
Report to Ames Health Unit Employee On employee's return to work
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