provided:- Reporting Chart for

Type of Accident;
Location; Incident /Accident
Incident
Time of accident; /Accident
Name & job title of Immediate
Injured person; Witness
Radio
Initial injury, treatment Note: If HSE Operator-
given; Lead is not Tel Number
available XXXXXXXX
Status of injury at the
HSE Supervisor- XX
time of report. XXXXXXXXXX
Lead
Crew
Project HSE
will inform Party Doctor
On Radio Channel 1 / By Advisor
Chief & Client XXXXXXXX
XXXXXXXX Hospita
Cell Phone HSE XX
XX
Client PM
Party Chief l
Client HSE
XXXXXXXX XXXXXXXX HospitalBlock
1
XXXXXXXX Address
XX XX
XX Tel No :
If patient XXXXXXXXXX
Medic/Ambulanc needs E-mail:
e/ IRT external help xx@hospital.com
Crew Doctor from Hospital 2
versified Management Solutions XXXXXXXXXX designated Address
NO YES Tel No :
Hospital
Patient to be Stabilized XXXXXXXXXX
to be treated in the base E-mail:
camp clinic. Incident xx@hospital.com
/Accident to be reported.