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OSHA-Style Hazard Report

Hazard Report Case#: OM000001 RECNO: 1

About:

WrkRecId: J0000002, TxtFil: HK000001

Department: Safety Analysis Sys

Occupation: any

What would an employee be doing when injured?

walking_________

How could an accident occur?

Input OSHA directives.

Worker failed to ensure clear path. Other worker failed to cleanup spill

Describe the potential injury or illness in detail and the part of body affected.

Fall traumas

Part: head

Name the object or substance that could directly injure an employee.

contamination

Substance: HazMat A

What kind of occupational illness could result from the exposure?:

neurophysical

Recommended Actions:

 Maintain awareness program, apply non-slip surface

 


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