Environmental Engineering Reference
In-Depth Information
generAl AccIdent dAtA
3 of 5
Temperature.at.Accident.Site:. _________.ºF
Visibility:.(estimate)._________.ft
.
_________.ºC
(consider.normal.dust,.smoke,.haze.conditions.
for.area.of.the.accident)
Lighting:
□
Caplight
□
Approved.Machine.Lighting
□
Mercury.Vapor.Overhead
□
Quartz.Iodine.Overhead
□
Fluorescent.Overhead
□
Incandescent.Overhead
□
Sunlight
□
Other:.. ________________________________________________________________________
Entry.Dimensions:._________.
Height:._________.inches.
Width:._________.inches
Weather.(surface.accidents):
.
Clear._________.
Cloudy._________.
Rain._________.
Sleet._________.
Snow._________.
Fog._________
. Wind.Speed:._________.mph.Wind.Direction:._________.
Ground.Condition:.Wet?.
□
.Yes.
□
.No. Ice.Covered?.
□
.Yes.
□
.No
Noise.Level.Interference.with.Normal.Conversation?.
□
.Yes.
□
.No
. Source:..___________________________________________________________________________
Chemical.Spills?.
□
.Yes.
□
.No
chemical
Amount
Accident.Environment:
.
□
.Good.
□
.Poor
Housekeeping:.
□
Leaking.Storage.Tanks
□
Leaking.Machinery
□
Wires/Cords
□
Improper.Tool.Storage
□
Improper.Supply.Storage
□
Waste.Accumulation
□
Poor.Roadway.Maintenance
□
Other.(Specify)
