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Primax Incident Report



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Date/TimeÈÕÆÚ/ʱ¼ä£ºXÄêXÔÂXÈÕ21:20×óÓÒ

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Incident Category(Tick off appropriate categories)ʼþ·ÖÀà(Çë´ò¡°¡Ì¡±Ñ¡ÔñÊʵ±µÄ·ÖÀà)

¡õ1.Learning Eventsѧϰʼþ

¡õ2.Occupational InjuryÉËÍöʹÊ

¡õNo Lost WorkdaysÎÞʧʱÈÕ£»

¡õLost workdaysʧʱһÈÕ£»

¡õOver three daysʧʱÈýÈÕ¡£

¡õ3.Occupational IllnessÖ°Òµ¼²²¡

¡õTreatmentÐèÖÎÁÆ

¡õLost timeʧʱ

¡õFatalËÀÍö

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Description of Incident(include person¡¢event¡¢time¡¢area and objects)ʼþÃèÊö¡¢º¬ÈËÊÂʱµØÎ

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Immediate Actions Taken½ô¼±´ëÊ©£º

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Cause of Incidentʼþ·¢ÉúÔ­Òò£º

1¡¢Ö±½ÓÔ­Òò£º¸Ãзç¿Õµ÷ÏäÓмÓʪ¼ÓÈÈ×°Ö㬵±Ñ­»·¿Õµ÷¹Ø»úµÄ»°£¬¼ÓÈȵĿÕÆø²»Äܼ°Ê±Ëͳö£¬µ¼ÖÂÈÈÆø»ý¾Û£¬¶øÓ¦¸ÃÓÐÁ½¸ö±£»¤×°ÖÃÆðµ½×÷ÓãºÆøÁ÷¿ª¹ØºÍζȿØÖÆ¿ª¹Ø£¬µ«ÊÇÕâÁ½¸ö±£»¤×°ÖþùûÓм°Ê±Æô¶¯£¬µ¼ÖÂÈÈÆø³ÖÐø»ý¾Û£¬¿Õµ÷ÏäÍâ¿òºÍ·ç¹Ü±£ÎÂÃÞÓÉÓÚÊDz»¿Éȼ²ÄÁÏ£¬³ÖÐøµÄ¸ßÎÂÖð½¥Ê¹Æä·¢ÉúÌ¿»¯ÏÖÏ󣨲»»áȼÉÕ£¬Ò²²»»áÓÐÃ÷»ð£©£¬²úÉú´óÁ¿µÄÑ̳¾ºÍ´Ì±ÇµÄζµÀ¡£

2¡¢¼ä½ÓÔ­Òò£º´ÓÏÖ³¡×´¿ö·ÖÎöÈËÔ±²Ù×÷·½Ãæ´æÔÚ²Ù×÷ÎÊÌ⣬½«Ñ­»·¿Õµ÷Ïä¹Ø±Õ£¬¶øзç¿Õµ÷ÏäûÓйرգ¬Ôì³É¼ÓÈȹýµÄзçËͲ»³öÈ¥£¬Ò»Ö±»ý¾ÛÔÚзç¹ÜÄÚ£¬µ¼ÖÂζȲ»¶ÏÉÏÉý×îÖÕ·¢Éú±£ÎÂÃ޺Ϳյ÷ÏäÍâ¿òÌ¿»¯ÏÖÏ󣬲úÉú´óÁ¿µÄÑ̳¾¡£

Corrective Action¸Ä½ø´ëÊ©

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