DURO APPLIANCE PTY (LTD)
REPORT ON ACCIDENT DURING OFFICE HOURS
NAME OF INJURED PERSON:JOHN MILLS
DATE OF BIRTH:1 JULY 1974
JOB TITLE:MACHINE OPERATOR
LINE MANAGER:WADE
DATE OF ACCIDENT:10 january 2024
TIME OF ACCIDENT:12:00
EXACT LOCATION OF ACCIDENT:DURO APPLIANCES
DESCRIBE FULLY HOW THE ACCIDENT HAPPENED?:MR MILLS MIXING CHEMICAL,WHICH REACTED AND SPLASHED ONTO HIM HE WAS SEVERELY BURNT BY THE CHEMICALS.
WHAT CAUSES THE ACCIDENT:CHEMICALS
DESCRIBE THE NATURE OF THE INJURY:MR MILLS GOT BURNT
WITNESSES:PHINDI
MEDICAL ACTIONS TAKEN:MR MILLS WAS RUSHED TO HOSPITAAL.
EMPLOYEE WENT TO HOSPITAL?
DOCTOR NAME:DR MALI
HOSPITAL NAME:VITA HOSPITAAL
DATE:11 JANUARY 2024
COMPILER: JOE PETERS
DESIGNATION:SUPPERVISOR
SIGN:J PETERS
PROOFREAD AN ACCIDENT REPORT
IDENTIFY THE SHORTCOMING AND RECOMMENDATIONS ON THE FEEDBACK FORM WORKSHEET
Accident Report Feedback Form Worksheet
Employee Name: John Mills
Date of Accident: 10 January 2024
Shortcomings Identified:
1. Lack of proper safety measures in handling chemicals.
2. Inadequate training on how to deal with hazardous substances.
3. Failure to have appropriate personal protective equipment available.
Recommendations:
1. Conduct a thorough investigation into the accident to determine the root cause and prevent similar incidents in the future.
2. Provide comprehensive training on handling chemicals safely and ensure all employees are aware of the potential risks involved.
3. Ensure that all necessary personal protective equipment is provided to employees working with hazardous substances.
4. Review and update safety protocols and procedures to prevent accidents in the workplace.
5. Regularly inspect and maintain equipment to ensure they are in proper working condition.
Feedback Compiled By: Joe Peters
Designation: Supervisor
Signature: J. Peters
Thank you for your attention to these recommendations. Your cooperation is essential in maintaining a safe work environment for all employees.