navmc dir 5100.8 marine corps occupational safety and ... - US Navy

MARCOR OSH PROGRAM MANUALDid any of the following contribute to the safety concern? Please explain.Use additional paper if necessary.Supervisory condition: ________________________________________________________________________________________________________________________________________________________________________________________________________________Inadequate SOP: _________________________________________________________________________________________________________________________________________Violation, e.g., Breaking SOP: _______________________________________________________________________________________________________________________________________________________________________________________________________Medical condition (fatigue, stress): __________________________________________________________________________________________________________________________________________________________________________________________________Maintenance/material issues: ________________________________________________________________________________________________________________________________________________________________________________________________________Crew coordination (conflict, assertiveness, etc.): ___________________________________________________________________________________________________________________________________________________________________________________Facilities issue: ____________________________________________________________________________________________________________________________________________________________________________________________________________________Inattention (missed radio call, forgot briefing checklist): __________________________________________________________________________________________________________________________________________________________________________Other: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________Please list your recommendations to prevent this safety concern fromoccurring in the future. Use additional paper if necessary.___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Figure 9-3. --ANYMOUSE Reporting Form (back).9-12