Partment's Safety and Occupational Health Annual Report. This report is designed to document and measure the progress of the safety program. Mishap reports are reviewed during program assessments and focus training/assistance efforts on the information contained therein. Sufficient detail is also required to adequately evaluate events to prevent recurrence. NOTE: The following categories of mishaps must be reported within 12 hours as per 15 FAM: * Injury or occupational illness resulting in a fa.
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How to fill out the DS-1664 online
Filling out the DS-1664, Overseas Motor Vehicle Mishap Report, is an essential process for documenting any motor vehicle mishaps that result in injuries or significant property damage. This guide will provide you with a clear, step-by-step approach to completing this form online, ensuring that you meet all necessary requirements.
Follow the steps to successfully complete the DS-1664 form.
- Click the ‘Get Form’ button to obtain the form and open it in the editing tool.
- Begin with the mishap information section. Fill in the mishap date using the mm-dd-yyyy format, followed by the mishap time in hh:mm format, making sure to specify a.m. or p.m. as necessary.
- Provide a detailed narrative description of the mishap, including vehicle speeds, posted speed limits, traffic controls, and actions taken by the drivers involved.
- In the official vehicle driver information section, indicate the gender of the driver, their agency or organization, and complete other fields such as name, job title, and employment duration.
- Fill in the last medical screening and last safe driver training dates. If the driver has not attended any training, indicate 'None' in the respective field.
- Complete the official vehicle data section, specifying the type, model, and ownership of the vehicle, along with the estimated repair cost and a description of the damage.
- If there are additional drivers and vehicles involved, fill out the corresponding sections for each driver and vehicle, providing their details and damage estimates.
- Document witness information in the designated section, including their names, addresses, and phone numbers.
- Sketch a diagram of the mishap scene in the specified area, labeling vehicles and indicating paths with solid and broken lines.
- In the corrective actions section, describe measures that have been or will be implemented to prevent similar mishaps in the future.
- Finalize the form by providing the names and signatures of the supervising officials along with dates.
- Once all sections are completed, save the changes, and you can download, print, or share the DS-1664 electronically.
Complete the DS-1664 form online today to ensure thorough documentation of your motor vehicle mishap.
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