Information
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Document No.
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Report compiled by
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Incident Title
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Vessel / Berth
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Conducted on
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Person/s Involved
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Location
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INCIDENT TYPE?
- Yes
- No
- N/A
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Category of Severity
- category 4
- category 3
- category 2
- category 1
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Brief event description
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First aid required?<br>
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Further medical attention (GP / Hospital) required?<br>
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Immediate medical attention accepted?<br><br>
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Well being (incident management / return to work)<br> pack provided?
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D&A testing required?
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Escalation & support: <br>Operations Manager notified?
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Re-focus conducted?<br>
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People-soft entry scheduled (will be completed within <br>24hrs)
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Problem solving: Fishbone required?<br>
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