Attachment K - SBHI Contractor Accident Reporting Format.xlsx

This is an accident reporting template and data collection form for contractor safety incidents and mishaps. The SBHI Contractor Accident Reporting Format is designed to standardize the documentation and tracking of workplace injuries, illnesses, property damage, and near-miss events across Army installations. The form captures comprehensive incident details including point of contact and contracting officer representative information, mishap date and location, injury type and severity (measured in hospitalization days and lost time), body area affected, root cause analysis, and corrective actions.

The template includes hierarchical drop-down menus for mandatory data entry fields organized by Unit Identification Code (UIC), Brigade, Battalion, and Logistics Readiness Center (LRC) designations covering Army installations globally, including locations in the continental United States, Hawaii, Alaska, Korea, Germany, and other strategic areas. Classification categories encompass accident types (property damage, fatality, injury causing work absence, needle stick exposure, occupational hearing loss), accident context (maintenance, warehouse, dining facility, vehicular incidents), injury classifications, causation factors, and attributable causes ranging from environmental hazards to human error factors such as complacency, lack of training, or inadequate supervision. This form serves as a critical safety management tool for contractors supporting Army operations, particularly relevant to the full food service contract at Schofield Barracks, HI, where dining facility operations and material handling activities present occupational hazard exposure.