H&S/01 Health and Safety - Corby Business Academy
H&S/01 Health and Safety - Corby Business Academy
H&S/01 Health and Safety - Corby Business Academy
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Accident InvestigationDepartment ..........…………………………………………………….................Casualty NameDate ofAccidentTime ofAccidentAreaofWorkInjury Treatment SignedClassification of System of work Human error Cause of AccidentFaulty equipment Other EnvironmentInvestigation ReportAction to Prevent RecurrenceRe-assessment needed of:1. System of work2. Equipment 3. Environment 4. Training 5. Other Action ApprovedSignature of Approval .........................................................................( Head of Department)Page 83 of 86Doc ID: AP/H&S/<strong>01</strong> Originator: ANCA Approved: Gov.Body Issue: 2 Date: 22/09/2<strong>01</strong>0