Illness and injury reporting

Safety

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.

     Emergency Notification Plan

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

Volunteers and contractors

     UW contractor injury report form

Covid

     EBS Port Guide

     GOA Port Guide

Ergonomic Intervention

     Ergonomic Educational Resource Library

Hypothermic Patient

     Care for Cold (Hypothermic) Patient

     Cold (Hypothermic) Patient Assessment

     Cold (Hypothermic) Patient Flow Chart

Vehicular Accidents

Forms

     SF-91 Vehicle accident report

     SF-94 Witness statement

     SF-95 Tort claim form

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