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PRELIMINARY REPORT OF MISHAP PROM For Class A-C Military Accident and Selected Civilian Accidents Only For use of this form see DA Memo 385-3 the proponent agency is AASA.
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How to fill out preliminary report of mishap

How to fill out preliminary report of mishap:
01
Gather all relevant information about the mishap, including the date, time, and location of the incident, as well as any witnesses or involved parties.
02
Clearly and concisely describe the details of the mishap, including what happened, any injuries or damages, and any actions taken immediately following the incident.
03
Include any additional information, such as weather conditions or equipment failure, that may have contributed to the mishap.
04
Provide any necessary supporting documents, such as photographs or witness statements, to strengthen the report.
05
Review the report for accuracy and completeness before submitting it to the appropriate parties.
Who needs preliminary report of mishap:
01
Employers or supervisors who are responsible for workplace safety and need to investigate the incident.
02
Insurance companies or risk management teams who need the report to assess liability and determine appropriate compensation.
03
Regulatory agencies or government bodies who require the report for compliance purposes or to keep track of workplace incidents.
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What is preliminary report of mishap?
A preliminary report of mishap is an initial document that provides details about an incident or accident, outlining what occurred, the parties involved, and immediate actions taken.
Who is required to file preliminary report of mishap?
Typically, the individual or organization directly involved in the mishap, such as the supervisor, safety officer, or responsible party, is required to file the preliminary report.
How to fill out preliminary report of mishap?
To fill out a preliminary report of mishap, gather all relevant information including the date, time, and location of the incident, describe what happened, detail any injuries or damages, and provide the names and contact information of witnesses.
What is the purpose of preliminary report of mishap?
The purpose of a preliminary report of mishap is to promptly document the facts surrounding the incident, facilitate immediate investigation, and enable quick responses to prevent further incidents.
What information must be reported on preliminary report of mishap?
Information that must be reported includes the date and time of the incident, location, description of the event, any injuries sustained, property damage, witnesses' names, and actions taken after the incident.
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