Details: Details: Basic / Root Causes Personal Factors Job Factors Details: Details: Details: Details: List of Attachments to OHS Occurrence Report File: Witness Statement(s) WCB Physician’s Report Physical Demand Analysis Other WCB Employer Report Photographs / Sketches Modified Work Agreement WCB Employee Report Progressive Injury Report AU Online OHS Occurrence Report Immediate Corrective Actions Person Responsible Position Due Date Completion Date Long Term Corrective Actions to Prevent Recurrence Person Responsible Position Due Date Completion Date OHS Occurrence Investigation Team Name Signature Date (MM-DD-YYYY) Occurrence Report Review Department Supervisor Signature Date (MM-DD-YYYY) Department Manager Signature Date (MM-DD-YYYY) HR Advisor Signature Date (MM-DD-YYYY)
Details: Details: Basic / Root Causes Personal Factors Job Factors Details: Details: Details: Details: List of Attachments to OHS Occurrence Report File: Witness Statement(s) WCB Employer Report WCB Employee Report WCB Physician’s Report Photographs / Sketches Progressive Injury Report Physical Demand Analysis Modified Work Agreement AU Online OHS Occurrence Report Other Immediate Corrective Actions Person Responsible Position Due Date Completion Date Long Term Corrective Actions to Prevent Recurrence Person Responsible Position Due Date Completion Date OHS Occurrence Investigation Team Name Signature Date (MM-DD-YYYY) Occurrence Report Review Department Supervisor Signature Date (MM-DD-YYYY) Department Manager Signature Date (MM-DD-YYYY) HR Advisor Signature Date (MM-DD-YYYY)
Field-Research-Planning-Guide.docx