RACE Survey App: Illness and injury reporting

If you have an acute or chronic injury from working aboard the vessel, document and report it to the Safety Lead and FPC.

All forms should be shared with the Safetly Lead and FPC.

At-Sea Injury

Forms

At-Sea Incident Report Form (fillable): e.g., injury or near miss

CA-1 Reporting an accident, injury, or illness: i.e., acute illness or injury. This form can be dealt with post survey because since users will not have access to internet while at sea.

CA-1 and CA-2 Instructions

CA-16 Authorization for treatment

CA-2 Report an occupational disease: i.e., occupational/repetative motion illness/injury. This form can be dealt with post survey because since users will not have access to internet while at sea.

CD-137 Report of Incident, Injury, Illness

CD-351 Report of Safety hazard

Workers Comp Supervisor Completion CA-1