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International Helicopter Safety Team Safety Management System Toolkit

IHST - Safety Management Toolkit - Skybrary

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OCCURRENCE & HAZARD IDENTIFICATION REPORT<br />

The purpose is to assure that intervention prevents reoccurrence<br />

® Occurrence Report ® Hazard Identification Report<br />

Date: Time: Location:<br />

Employee Name:<br />

Event or unsafe act(s) observed:<br />

Injuries/Illnesses experienced:<br />

Corrective action(s) taken:<br />

Occurrence: First Second Third<br />

Distribution: Employee Base Manager VP <strong>Safety</strong> B.S.C.<br />

Comments/recommendations:<br />

<strong>Safety</strong> Officer’s Signature:<br />

Date:<br />

52 SMS <strong>Toolkit</strong>

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