| Employee Name | Aaron Wright |
|---|---|
| Job Name | Gosh conference |
| Supervisor | Safety Steve |
| Place of Incident | Tacoma |
| Date | 09/23/2022 |
| Time | 10:10 AM |
| Type of Incident | Injury |
| Nature of Injury |
|
| Field #19 (No Label) |
|
| Medical Treatment | First Aid |
| Field #23 (No Label) |
|
| Describe what happened (Who, What, Where, When, Why & How). Be specific and detailed. | Hurt my hand shucking oysters |
| Field #29 (No Label) |
|
| Was PPE Required? | Yes |
| Was the correct PPE in use? | No |
| If Yes: List the PPE - If No: Explain | Used a paper towel instead of hand towel |
| Was the employee following safety procedures when the incident happened? | No |
| If No: Explain | I really wanted oysters |
| How could this incident have been avoided? | Impossible, oysters are delicious |
| List all witnesses: | Casey Wright |
| Employee | Aaron Wright |
| Signature | |
| Date | 09/28/2022 |
| Supervisor | Safety Steve |
| Signature | |
| Date | 09/28/2022 |
