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DI-MGMT-82071

Incident Report

This DID is used to describe each accident, electrical shock, and fire that requires medical treatment.

Approval DateOctober 3, 2016
AMSC NumberN9720
Preparing ActivitySH
Project NumberMGMT-2016-058
OPR—
DTIC ApplicableNo
GIDEP ApplicableNo
Limitation—
Applicable Forms—
Approval Limitation—
Form Version—
DID Formatfree_text
963C CompliantYes
DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.
Supersedes
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Related
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Description & Purpose

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Application & Interrelationship

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Use & Relationship

This DID will be used to describe each accident, electrical shock, and fire that requires medical treatment.

This DID contains the format and content preparation instructions for the data product generated by the discrete task requirement as delineated in the contract.

Preparation Instructions

1Format.The report shall be similar to that of Figure 1.
2Content.The report shall contain all the information contained in Figure 1.

References

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Figures

Figure 1: Incident Report

Figure 1. Incident Report

Figure 1: Figure 1 (continued) - Long Term Corrective Action / Root Cause Analysis

Figure 1. Figure 1 (continued) - Long Term Corrective Action / Root Cause Analysis

Figure 1: Figure 1 (continued) - Incident Report Instructions

Figure 1. Figure 1 (continued) - Incident Report Instructions

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