Get Ab - 097 Accident Reporting Form - Absa - Absa 2012-2025

Filing the AB - 097 Accident Reporting Form is a crucial step in ensuring safety and compliance after an accident involving pressure equipment. This guide will provide you with clear and comprehensive instructions on how to complete the form accurately and effectively.

Follow the steps to fill out the AB - 097 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your contact information in the designated fields. Include the name of the owner or person in charge, their title, mailing address, telephone number, and email address.
3. If applicable, fill out the section for the Chief Inspector or Management Representative with their name, mailing address, telephone number, and email address.
4. Complete the Site Contact section by entering the site contact's name and phone number.
5. For the Synopsis of Accident section, input the name and address of the plant, the type of plant, specific location of the accident, and the date and time of the incident.
6. In the Name of Victims section, if possible, describe any injuries or causes of death related to the accident.
7. List all pressure equipment involved in the Damage To Property section, including a title description of items, model numbers, service details, and severity of damage.
8. Craft a detailed description of the accident, including a brief plant description, a chronological sequence of events, the root cause of the incident, and any preventative measures that have been taken.
9. Compile all relevant Supporting Material, listing items such as drawings, photographs, and reports that you will include with your report.
10. In the Notification section, indicate all relevant authorities that have been notified about the accident.
11. Identify the Probable Cause of the Accident by listing major contributing factors in order of importance.
12. Detail the Actions and Preventative Measures Taken by Owner to prevent similar accidents in the future.
13. Complete the Accident Notification Details by specifying who reported to ABSA, the name of the ABSA contact, and the date and time of notification.
14. Once the form is fully completed, you can save changes, download, print, or share the form as necessary.

Ensure your documentation is submitted promptly and accurately by filling out the form online today.