ࡱ>  bjbjqq vcvcw ?????$cccPLDcǹC0s"s"s"s"N#B,V. $5 и?3N#N#33и??s"s"Q<Q<Q<3^?s"?s"Q<3Q<Q<^ڱs"D l/4vh0ǹ?4???&pb/,0Q<0t01b/b/b/ии8b/b/b/ǹ3333?b/b/b/b/b/b/b/b/b/ : FOR OFFICIAL USE ONLY CRANE AND RIGGING GEAR ACCIDENT REPORTAccident Category:  FORMCHECKBOX Crane Accident  FORMCHECKBOX Rigging Gear AccidentFrom: UIC: FORMTEXT      To: Navy Crane Center Bldg. 491 NNSY Portsmouth, VA 23709 Fax: 757-967-3808 FORMTEXT      Activity:  FORMTEXT      Report No:  FORMTEXT      Crane No:  FORMTEXT      Category:  FORMTEXT      Accident Date:  FORMTEXT      Time: hrs:  FORMTEXT      Category of Service:  FORMCHECKBOX SPS  FORMCHECKBOX GPSCrane Type:  FORMTEXT      Crane Manufacturer:  FORMTEXT      Was Crane/Rigging Gear Being Used in SPS:  FORMCHECKBOX Yes  FORMCHECKBOX NoWas Crane/Rigging Gear Being Used in a Complex Lift/Critical Non-Crane Rigging Operation:  FORMCHECKBOX Yes  FORMCHECKBOX No Location:  FORMTEXT      Weather:  FORMTEXT      Crane Capacity:  FORMTEXT      Hook Capacity:  FORMTEXT      Weight of Load on hook:  FORMTEXT      Fatality or Permanent Disability?  FORMCHECKBOX Yes  FORMCHECKBOX No Material/Property Cost Estimate: Reported to NAVSAFECEN?  FORMCHECKBOX Yes  FORMCHECKBOX No FORMTEXT      Accident Type:  FORMCHECKBOX  FORMTEXT Personal Injury  FORMCHECKBOX  FORMTEXT Overload  FORMCHECKBOX  FORMTEXT Derail  FORMCHECKBOX  FORMTEXT Damaged Rigging Gear FORMCHECKBOX  FORMTEXT Load Collision  FORMCHECKBOX  FORMTEXT Two Blocked  FORMCHECKBOX  FORMTEXT Dropped Load  FORMCHECKBOX  FORMTEXT Damaged Crane FORMCHECKBOX  FORMTEXT Crane Collision  FORMCHECKBOX  FORMTEXT Damaged Load  FORMCHECKBOX  FORMTEXT Other: Specify FORMTEXT      Cause of Accident:  FORMCHECKBOX  FORMTEXT Improper Operation  FORMCHECKBOX  FORMTEXT Equipment Failure  FORMCHECKBOX  FORMTEXT Inadequate Visibility FORMCHECKBOX  FORMTEXT Improper Rigging  FORMCHECKBOX  FORMTEXT Switch Alignment  FORMCHECKBOX  FORMTEXT inadequate Communication FORMCHECKBOX  FORMTEXT Track Condition  FORMCHECKBOX  FORMTEXT Procedural Failure  FORMCHECKBOX  FORMTEXT Other: Specify FORMTEXT      Chargeable to:  FORMCHECKBOX  FORMTEXT Crane Walker  FORMCHECKBOX  FORMTEXT Rigger  FORMCHECKBOX  FORMTEXT Operator FORMCHECKBOX  FORMTEXT Maintenance  FORMCHECKBOX  FORMTEXT Management/Supervision  FORMCHECKBOX  FORMTEXT Other: Specify FORMTEXT      Crane Function:  FORMCHECKBOX  FORMTEXT Travel  FORMCHECKBOX  FORMTEXT Hoist  FORMCHECKBOX  FORMTEXT Rotate  FORMCHECKBOX  FORMTEXT Luffing  FORMCHECKBOX  FORMTEXT Telescoping  FORMCHECKBOX  FORMTEXT Other  FORMCHECKBOX  FORMTEXT N/AIs this accident indicative of a recurring problem?  FORMCHECKBOX Yes  FORMCHECKBOX NoIf yes, list Accident Report Nos.: FORMTEXT      ATTACH COMPLETE AND CONCISE SITUATION DESCRIPTION AND CORRECTIVE/PREVENTIVE ACTIONS TAKEN AS ENCLOSURE (1). Include probable cause and contributing factors. Assess damages and define responsibility. For equipment malfunction or failure, include specific description of the component and the resulting effect or problem caused by the malfunction or failure. List immediate and long term corrective/preventive actions assigned and respective codes.Preparer:  FORMTEXT      Phone:  FORMTEXT      E-mail:  FORMTEXT      Code:  FORMTEXT      Date:  FORMTEXT      Concurrences: (Include Code, Signature and Date)  FORMTEXT        FORMTEXT Code:   FORMTEXT       Date:  FORMTEXT        FORMTEXT        FORMTEXT Code:   FORMTEXT       Date:  FORMTEXT       Certifying Official (Crane Accident Only):  FORMTEXT       FORMTEXT Code:   FORMTEXT       Date:  FORMTEXT        ADVANCE \y 720  Brief Description: Background and Detailed Description: Corrective Actions: CRANE AND RIGGING GEAR ACCIDENT REPORT INSTRUCTIONS This form is designed for fax transmission without a cover page or by e-mail and, with enclosures and signatures, shall be the official document. Electronic submission will be accepted without signatures but the names of the preparer, concurring personnel, and certifying official (for crane accidents only) shall be filled in. The e-mail address is m_nfsh_ncc_accident@navy.mil. The fax number is (757) 967-3808. 1. Accident Category: Indicate either crane accident or rigging gear accident. 2. From: The naval activity that is responsible for reporting the accident and UIC number. 3. Activity: The naval activity where the accident took place. 4. Report No.: The activity assigned accident number (e.g., 95-001). 5. 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Category: Identify category of crane (i.e., 1, 2, 3, or 4), if applicable. 7. Accident Date: The date the accident occurred. 8. Time: The time (24 hour clock) the accident occurred (e.g., 1300). 9. Category of Service: Check the applicable service (SPS as defined by NAVSEA 0989-030-7000). 10. Crane Type: The type of crane involved in the accident (e.g., mobile, bridge), if applicable. 11. Crane Manufacturer: The manufacturer of the crane (e.g., Dravo, Grove, P&H), if applicable. 12. SPS: Was the crane or rigging gear being used in an SPS lift? 13. Complex lift: Was the crane or rigging gear being used in a complex lift? 14. Location: The detailed location where the accident took place (e.g., building 213, dry dock 5). 15. Weather: The weather conditions at time of accident (e.g., wind, rain, cold). 16. Crane Capacity: The certified capacity of the crane (e.g., 120,000 pounds), if applicable. 17. Hook Capacity: The capacity of the hook involved in the accident at the max radius of the operation, if applicable. 18. Weight of Load on Hook: If applicable, the weight of the load on the hook. 19. Fatality or Permanent Disability?: Check yes or no. 20. Material/Property Cost Estimate: Estimate total cost of damage resulting from the accident. 21. Reported to NAVSAFECEN?: Self-explanatory. 22. Accident Type: Check all that apply. 23. Cause of Accident: Check all that apply. 24. Chargeable to: Check all that apply. 25. Crane Function: Check all functions in operation at time of accident. Check N/A if a rigging gear accident. 26. Is this a recurring problem?: Check yes or no. Identify any other similar accidents. 27. Situation Description/Corrective Actions: Self-explanatory. 28. Preparer: Self-explanatory. 29. Concurrences: Self-explanatory. 30. Certifying Official (Crane Accidents Only): Self-explanatory. 31. Brief Description: No more than one paragraph summarizing the resultant incident. 32. Background and Detailed Description: Provide the relevant background in a descriptive timeline of preconditions leading up to the event, as well as a detailed description of the event. 33. Corrective Actions: List all short term and long term corrective actions that are taken to prevent recurrence of the incident. Short Term Corrective Actions are those actions taken that will allow return to work in short time frame. 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