Record and Investigation of Incidents (REG 10) View larger

Record and Investigation of Incidents (REG 10)

RII

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R 300.19

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96 Page Softcover book (incl. Extracts from The Occupational Health & Safety Act, 1993)

Number of Entries:

1entry per page

Pages:

96 pages

Dimensions:

29cm x 21cm x 1 cm

Binding Type:

Saddle Stitch

Cover Type:

Soft Cover

Colour:

Blue

Weight:

0.313 kg

Headings:

Occupational Health & Safety Act, 1993 (Act No. 85 of 1993)

Regulation 9 of the General Administration Regulations (as amended by Government Notice R929 of 25 June 2003)

RECORDING AND INVESTIGATION OF INCIDENTS

  • A. Recording of Incident
    • 1. Name of Employer
    • 2. Name of affected Person
    • 3. Identity number of affected person
    • 4. Date of incident
    • 5. Time of incident
    • 6. Part of body affected
      • Head or Neck
      • Eye
      • Trunk
      • Finger
      • Hand
      • Arm
      • Foot
      • Leg
      • Internal
      • Multiple
    • 7. Effect on Person
      • Sprain or Strain
      • Contusions or Wounds
      • Fractures
      • Burns
      • Amputations
      • Electric Shock
      • Asphyxiation
      • Unconsciousness
      • Poisoning
      • Occupational Disease
    • 8. Expected period of disablement
      • 0 - 13 Days
      • 2 - 4 Weeks
      • 4 - 16 Weeks
      • 16 - 52 Weeks
      • 52 Weeks or permanent disablement
      • KILLED
    • 9. Description of Occupational Disease
    • 10. **Machine/ process involved/ type of work performed/ exposure
    • 11. Was incident reported to Workmens Compensation?  (mark on Yes/ No checkbox)
    • 12. *Was incident reported to SAPS? (mark on Yes/ No checkbox)
    • 13. *SAPS office and reference

*To be completed in case of fatal incident

** In the case of a hazardous chemical substance indicate the substance exposed to

  • B. Investigation of Above Incident By A Person Designated Thereto
    • 1. Name of Investigator
    • 2. Date of investigation
    • 3. Designation of Investigator
    • 4. Short Description of Incident
    • 5. Suspected cause of incident
    • 6. Recommended steps to prevent a recurrence
      • Signature of investigator
      • Date
  • C. Action Taken By Employer to Prevent Recurrence of a Similar Incident
    • Signature of Employer
    • Date
  • D. Remarks by Health & Safety Committee
    • Signature of Chairman of Safety Committee
    • Date
 

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Record and Investigation of Incidents (REG 10)

Record and Investigation of Incidents (REG 10)

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