ACCIDENT INJURY REPORTING PROCEDURES CHECKLIST HPG 50.3 Flashcards

1
Q

INJURIES:

DISABLING INJURY:

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   24 HRS
CHP601-    24 HRS
SCIF3301-  24 HRS
CHP442-    3 DAYS
COMM-NET- 24 HRS
OSH200-     6 DAYS
CHP443-
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2
Q

INJURIES:
NO-DISABLING INJURY:
-

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   24 HRS
CHP601-    24 HRS
SCIF3301-  24 HRS
CHP442-    3 DAYS
COMM-NET- 24 HRS
OSH200-     6 DAYS
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3
Q
INJURIES:
LIMITED DUTY (JOB RELATED INJURY):
A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   COMPLETE
CHP601-    COMPLETE
SCIF3301-  24 HRS
CHP442-    3 DAYS
OSH200-     6 DAYS
CHP443-
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4
Q

INJURIES:

QUESTIONABLE INJURY

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   COMPLETE
CHP601-    COMPLETE
SCIF3301-  24 HRS
CHP442-    3 DAYS
OSH200-     6 DAYS
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5
Q

INJURIES:
AGGRAVATION:

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   COMPLETE
CHP601-    COMPLETE
SCIF3301-  24 HRS
CHP442-    3 DAYS
COMM-NET- COMPLETE
OSH200-     6 DAYS
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6
Q

INJURIES:
SPONTANEOUS REOCCURANCE:
CHP MEMO

A

CHP MEMO: TO R&D

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7
Q

INJURIES:

FIRST AID ONLY:

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   24 HRS
CHP601-    24 HRS
SCIF3301-  24 HRS
CHP442-    3 DAYS
OSH200-     6 DAYS
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8
Q

INJURIES:

RECORD ONLY:

A
CHP121-    24 HRS
CHP121A-  24 HRS
CHP121B-  24 HRS
CHP121C-  24 HRS
CHP600-   24 HRS
CHP601-    24 HRS
CHP442-    3 DAYS
OSH200-     6 DAYS
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9
Q
INJURIES:
What INJURIES are listed on the accident & injury reporting procedures checklist:
DI
NDI
LD
Q
A
SR
FA
RO
A
DISABLING INJURY
NON-DISABLING INJURY
LIMITED DUTY
QUESTIONABLE
AGGRAVATION
SPONTANEOUS REOCCURANCE
FIRST AID ONLY
RECORD ONLY
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10
Q

COLLISIONS:
CHP VEHICLE DAMAGE ONLY
NO INJURY TO EMPLOYEE

A

CHP442 - 3 DAYS
CHP555- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS

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11
Q

COLLISIONS:
CHP VEHICLE ONLY
INJURY TO EMPLOYEE

A
CHP121- 24 HOURS
CHP121A- 24 HOURS
CHP121B- 24 HOURS
CHP121C- 24 HOURS
CHP600- COMPLETE
CHP601- COMPLETE
SCIF 3301- 3 DAYS
CHP555- COMPLETE
COMM-NET - COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
OSH200- 6 DAYS
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12
Q

COLLISIONS:

CHP VEHICLE VS PRIVATE PARTY- PDO

A

CHP442- 3 DAYS
CHP555- COMPLETE
CHP208- 48 HOURS
STD270-48 HOURS

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13
Q

COLLISIONS:

CHP VEHICLE VS VS PRIVATE PARTY (INJURY/DEATH)

A
CHP442- 3 DAYS
CHP555- COMPLETE
COMM-NET- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
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14
Q
COLLISIONS:
PURSUED VEHICLE (PDO OR INJURY) NO CHP CONTACT
A

CHP555
COMM-NET
STD270- 38 HOURS

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15
Q

COLLISIONS:

LEGAL INTERVENTION

A

COMM-NET
STD270- 48 HOURS
CHP 202/216

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16
Q

COLLISIONS:

CHP AS PEDESTRIAN - HIT BY VEHICLE

A
CHP121 - 24 HOURS
CHP121A- 24 HOURS
CHP121B- 24 HOURS
CHP121C- 24 HOURS
CHP600- COMPLETE
CHP601 - COMPLETE
CHP442- 3 DAYS
CHP555- COMPLETE
COMM-NET-COMPLETE
STD270- 48 HOURS
OSH200- 6 DAYS
17
Q

COLLISIONS:
UNREPORTED DAMAGE FOUND ON CHP VEHICLE
(GLASS)

A

CHP423A

CHP MEMO - TO AREA

18
Q

COLLISIONS:

PRIVATE PARTY PDO W/CHP PUSH BUMPER

A

STD270- 48 HOURS

19
Q

COLLISONS:

MALICIOUS DAMAGE CAUSED BY IN-CUSTODY

A

CHP423A - COMPLETE
CHP MEMO - TO AREA
CHP221

20
Q

COLLISION:

EMPLOYEE VEHICLE ON STATE BUSINESS - PDO

A
CHP442- 3 DAYS
CHP555- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
CHP262-
21
Q

COLLISION:

EMPLOYEE VEHICLE ON STATE BUSINESS- INJURY TO EMPLOYEE

A
CHP121- 24 HOURS
CHP121A- 24 HOURS
CHP121B- 24 HOURS
CHP121C- 24 HOURS
CHP600- COMPLETE
CHP601- COMPLETE
SCIF 3301- 24 HOURS
CHP442- 3 DAYS
CHP555- COMPLETE
COMM-NET- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
OSH200- 6 DAYS
CHP262- COMPLETE
22
Q

COLLISION-

EMPLOYEE VEHICLE ON STATE BUSINESS- INJURY TO ANOTHER

A
CHP442- 3 DAYS
CHP555- COMPLETE
COMM-NET- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
CHP262- COMPLETE
23
Q

COLLISION-

EMPLOYEE VEHICLE ON STATE BUSINESS - NO CONTACT

A
CHP442
CHP555- COMPLETE
CHP208- 48 HOURS
STD270- 48 HOURS
CHP262- COMPLETE
24
Q
OTHER-
HAZARDOUS EXPOSURE (CHEM/BIO/PHYS)
A

CHP121A- 24 HOURS

CHP442- 3 DAYS

25
Q

OTHER:

EXPOSURE TO BODILY FLUID- INJURY TO CHP

A
CHP121- 24 HOURS
CHP121A- 24 HOURS
CHP121B- 24 HOURS
CHP121C- 24 HOURS
CHP600- COMPLETE
CHP601- COMPLETE
SCIF3301- 24 HOURS 
CHP442- 3 DAYS
COMM-NET- COMPLETE
OSH200- 6 DAYS
26
Q

OTHER:

EXPOSURE TO BODILY FLUID- NO INJURY TO CHP

A

CHP442- 3 DAYS
MEMO- TO D&R
OSH200- 6 DAYS

27
Q

OTHER:

NON VEHICLE INCIDENT W/ POSSIBLE CLAIM VS STATE

A

STD268(PCL)- 48 HOURS