7. ACCIDENT PREVENTION PLAN

• Who was injured?

  Staff

  Student

  Outside Party

  Property

From: Center Safety Officer, Vance Schuening

• To:

  Select Department Director, Manager, Supervisor, HR Manager, Center Director & Deputy Center Director

  • Department Director, Manager, Supervisor, HR Manager, Center Director & Deputy Center Director

• RE: Accident Prevention Plan for:

• SNJCC Case #:

• Sedgewick Claim #:

• Date of Injury

  Date

• Log # in book

• Associated Cases Included:

• Location of injury:

• Type of Injury:

• Object causing injury:

Description of incident:

• undefined

Analysis:

• undefined

Root Cause[s]

• undefined

Process, Policy or Procedure Enhancement

• undefined