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SELECT (CREATE A NEW REPORT)

SELECT (CREATE A NEW REPORT). SELECT ALL THAT APPLY TO THE MISHAP. SELECT ALL THAT APPLY. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH. * = REQUIRED INFORMATION. ENTER UIC (NAVY) OR

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SELECT (CREATE A NEW REPORT)

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  1. SELECT (CREATE A NEW REPORT)

  2. SELECT ALL THAT APPLY TO THE MISHAP

  3. SELECT ALL THAT APPLY

  4. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH

  5. * = REQUIRED INFORMATION

  6. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH

  7. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH

  8. CHOOSE APPORPRIATE SELECTION SELECTING YES FOR EVIRONMENTAL CONDITIONS, WILL POPULATE A SERIES OF QUESTIONS (I.E. TEMPERATURE, FOG, WBGT, RAIN, ECT.)

  9. SELECT THE APPORPRIATE CIN OR CID IF CIN OR CID IS NOT AVAILABLE SUPPLY REQUESTED INFO IN OTHERS

  10. SELECT ADD NEW ENTRY

  11. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH

  12. SELECT APPROPRIATE ECHELON 2 AND 3 COMMAND

  13. SELECT APPROPRIATE GENERAL AND SPECIFIC TYPE

  14. COMPLETE, SELECT NEXT

  15. SELECT ADD NEW ENTRY THEN ENTER INVOLVED PEOPLE INFORMATION

  16. SELECT APPROPRIATE INFORMATION FROM PICK LIST

  17. SELECT APPROPRIATE INFORMATION FROM PICK LIST

  18. SELECT APPROPRIATE INFORMATION FROM PICK LIST

  19. ENTER UIC (NAVY) OR MCC/RUC (MARINE CORPS) IF UIC/MCC/RUC IS UNKNOWN TYPE IN FULL OR PARTICAL COMMAND NAME AND SELECT SEARCH

  20. CHOOSE APPORPRIATE SELECTION

  21. SELECT APPROPRIATE INFORMATION FROM PICK LIST

  22. INVOLVED PERSON, SPECIFIC ACTIVITY, JOB/SKILL/ACTIVITY INDIVIDUAL ENGAGED IN AT TIME OF MISHAP, IS WHERE TRAINING COMMANDS ARE ABLE TO IDENTIFY THEIR TRAINING AS HIGH-RISK TRAINING SELECT APPROPRIATE INFORMATION FROM PICK LIST

  23. PROVIDE ADDITIONAL INFORMATION AS REQUIRED

  24. SELECT ADD NEW ENTRY THEN ENTER QUALIFICATIONS HELD

  25. CHOOSE APPORPRIATE SELECTION(S) FROM PICK LIST

  26. PROVIDE INFORMATION AS REQUIRED

  27. IF COMPLETED, SELECT NEXT

  28. SELECT ADD NEW ENTRY

  29. PROVIDE INFORMATION AS REQUIRED

  30. IF COMPLETED, SELECT NEXT

  31. SELECT ALL PPE THAT APPLY TO THE MISHAP

  32. SELECT ONE

  33. SELECT ADD NEW ENTRY

  34. SELECT THE APPORIATE GLOVES (PPE) UTILIZED

  35. PROVIDE AMPLIFYING INFORMATION AND ANSWER ALL QUESTIONS

  36. COMPLETED SELECT NEXT

  37. REPEATE PROCESS FOR EACH PIECE OF PPE SELECTED WHEN COMPLETED SELECT NEXT

  38. SELECT IF APPLICABLE

  39. SELECT IF APPLICABLE

  40. SELECT ADD NEW ENTRY THEN ENTER LOST WORK TIME INFORMATION

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