Technical Exhibit 6_Garrison Accident Report.pdf
PDF 230 KB Posted
- Solicitation number
- W91QVN24R0007
About this file
This document is a Technical Exhibit detailing the procedures for reporting an accident, injury, illness, or property damage at the U.S. Army Garrison Humphreys in South Korea. The report outlines the required notification steps, including contacting emergency services, notifying the immediate supervisor, and submitting the incident report to the Safety Office. Key details include the information that should be provided, such as the date, time, location, and a brief synopsis of the incident, as well as the personnel involved and their rank or grade. The document also specifies the required reporting timeline and the USAG Humphreys contact information.
The related federal contract opportunity is for the Inspection, Testing and Maintenance (ITM) of Mechanical Equipment at USAG Humphreys. The solicitation number is W91QVN24R0007, and the response date for proposal submission is May 24, 2023, at 13:00 hrs, Korean Time. The contracting agency is the Department of the Army Materiel Command Army Contracting Command.
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Text version
Type of Accident: Injury Illness Property Damage
WHO - Name & Organization
OTHER DETAILS:
Reporting Procedures as Follows:
DEPARTMENT OF THE ARMY
US ARMY INSTALLATION MANAGEMENT COMMAND
USAG-Humphreys
UNIT #15228
APO AP 96271-5228
7-W Initial Mishap Report
POC / Phone #. Filing Report Person Making Notification WHAT - help is needed WHEN & WHAT Time Notification Made:
WHY - Did it happen (brief synopsis)
WHERE - Location of Incident WHEN - Date & Time (HH:MM) WHAT - Happened RANK/GRADE: GS, NAF, KGS, KWB, CTR, etc.
SUBMITS TO
SAFETY & DPTMS
Taken to Emergency Room Taken to Hospital (BDAACH/Off-Post)
1. Notify 911 if Applicable
2. Notify your immediate Supervisor of the incident
3. Notify the Safety Office ASAP
4. After Normal Duty Hours:
5. Complete the above information and send to the USAG-H Safety Office
6. Safety Office Date Received Report:____________________________
1277033956.LN
Cross-Out
| DEPARTMENT OF THE ARMY |
| APO AP 96271-5228 |
| WHO – Person / Patient Name |
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| Group1: Off |
| Group2: Off |
| Group3: Off |
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