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REPORT OF MISHAP INSTRUCTIONS For mishaps causing injury or illness to more than one individual, complete and attach a DS1663 (with only sections 119 completed) for each additional individual. 17.

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(3) Class C Accident. An Army accident with resulting total cost of property damage of $50,000 or more but less than $500,000; or an injury and/or occupational illness that results in any lost time from work beyond the day or shift in which it occurred.

A Class B mishap causes permanent partial disability; causes damage valued at between $600,000 and just under $2.5 million; or hospitalizes three people, not counting those admitted for observation or administrative purposes who are treated and released.

CLASS C MISHAP A mishap resulting in one or more of the following: - Direct mishap cost totaling $60,000 or more but less than $600,000. - Any injury or occupational illness that causes loss of one or more days away from work not including the day or shift it occurred.

Aviation Class A Mishaps: The U.S. Air Force defines Class A mishaps as a mishap resulting in direct cost totaling $2 million or more, fatality or permanent total disability, or destruction of a DoD aircraft. Aviation combined unmanned and manned Class A mishaps are on a downward trend.

The report must relate the circumstances of the mishap, names of the individuals involved, any actions taken by the FAA, the number of deaths, or injuries and illnesses, and the extent of injury.

Current Mishap Definitions and Reporting Criteria Mishap ClassTotal Property DamageA$2,500,000 or more and/or aircraft destroyedB$600,000 or more but less than $2,500,000C$60,000 or more but less than $600,000D$25,000 or more but less than $60,0001 more row

There are three basic causes of workplace accidents: chance occurrences, unsafe conditions, and employees' unsafe acts. Chance occurrences (such as walking past a tree just when a branch falls) are more or less beyond management's control.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232