Laserfiche WebLink
• i <br /> What action, mechanism, or piece of equipment directly contributed to the injury/illness? <br /> What other processes or items may have indirectly contributed to the employee injury/illness? <br /> Description of accident, accident scene and if accident scene has been instrumentally altered by <br /> employees, bystanders and/or emergency personnel and equipment: <br /> How might have this injury/illness been avoided? <br /> Was the injury/illness immediate or did it gradually evolve over time? <br /> If this event occurred at a job site, was a site-specific safety plan prepared and approved? If so, please <br /> attach to this form. <br /> If this event occurred at a job site, was a job hazard analysis completed for the task which the employee <br /> was performing at the time of injury/illness? If so, please attach. <br /> What were weather conditions at the time of the injury/illness? <br />