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Material Handling File

This document outlines the requirements for recording and investigating occupational incidents according to Regulation 9 of the General Administrative Regulations of the Occupational Health and Safety Act of South Africa. It provides a form for recording details of incidents including the name and identification of affected persons, nature of injuries, expected disability duration, and reporting to authorities. It also requires designation of an investigator to determine suspected causes and preventive steps, as well as remarks by the employer and health and safety committee on actions taken to prevent recurrence.

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Praful E. Pawar
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37 views

Material Handling File

This document outlines the requirements for recording and investigating occupational incidents according to Regulation 9 of the General Administrative Regulations of the Occupational Health and Safety Act of South Africa. It provides a form for recording details of incidents including the name and identification of affected persons, nature of injuries, expected disability duration, and reporting to authorities. It also requires designation of an investigator to determine suspected causes and preventive steps, as well as remarks by the employer and health and safety committee on actions taken to prevent recurrence.

Uploaded by

Praful E. Pawar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE 1

OCCUPATIONAL HEALTH AND SAFETY ACT, 1993


(ACT NO 85 OF 1993)

REGULATION 9 OF THE GENERAL ADMINISTRATIVE REGULATIONS

RECORDING AND INVESTIGATION OF INCIDENTS

A. RECORDING OF INCIDENT

1. Name of employer

2. Name of affected person

3. Identity number of affected person

4. Date of incident 5. Time of incident

6. Part of body affected Head or Eye Trunk Finger Hand


Neck
Arm Foot Leg Internal Multiple

7. Effect on person Sprains Contusion or Fractures Burns Amputation


or strains wounds
Electric Asphyxiation Unconsciou Poisoning Occupational
shock sness Disease

8. Expected period of 0-13 days 2-4 >4-16 >16-52 >52 weeks or Killed
disablement weeks weeks weeks permanent
disablement

9. Description of occupational disease

10. Machine/process involved/type of work performed/exposure**

11. Was the incident reported to the Compensation Commissioner and Provincial Director?

Yes No
*
12. Was the incident reported to the police?

Yes No

13. SAPS office and reference


*
to be completed in case of a fatal incident
** in case of a hazardous chemical substance, indicate substance exposed to

B. INVESTIGATION OF THE ABOVE INCIDENT BY A PERSON DESIGNATED THERETO

1. Name of investigator
2. Date of investigation

3. Designation of investigator

4. Short description of incident

5. Suspected cause of incident

6. Recommended steps to prevent a recurrence

Signature of Investigator Date

C. ACTION TAKEN BY EMPLOYER TO PREVENT THE RECURRENCE OF A SIMILAR


INCIDENT

Signature of employer Date

D. REMARKS BY HEALTH AND SAFETY COMMITTEE

Remarks

Signature of Chairperson of Health and Safety Committee Date

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