NASA Headquarters' DirectivesEffective Date: November 08, 2011
Expiration Date: June 08, 2019
Responsible Office: LA
| NASA Headquarters' Directives |
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| HQpr 8621.1 Effective Date: November 08, 2011 Expiration Date: June 08, 2019 Responsible Office: LA |
Mishap Reporting, Investigating, and Recordkeeping Program and Plan |
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Appendix E: Example of 1-Hour Phone Report to OSMA/SARD
Mishap Type: |
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Date: Month, Day, Year |
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Time of Mishap: |
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Location: |
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Type of Injury, Illness or Fatality: |
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Type of Employee: Civil Servant, Contractor, Visitor, Public, Other |
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Organization or Company: |
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Type of Property Damage: |
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Estimated Direct Cost : |
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Description of incident |
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Actions Taken: |
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Contact Person: |
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Center Reporting Mishap: HQ |
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Author's Phone Number: |
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Author of Report |
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Date and Time: |
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