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Rapport de situation
Type de Situation      
Date de la situation
date_range
Heure de la situation
access_time
Affaire concernée
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Lieu / Site
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Renseignements concernant l'accidenté
Témoin(s) éventuel(s)
Victime(s)
Nombre de victime
1 - Nom/Prénom
1 - Poste fonction
1 - Nature des lésions
1 - Siège des lésions
2 - Nom/Prénom
2 - Poste fonction
2 - Nature des lésions
2 - Siège des lésions
3 - Nom/Prénom
3 - Poste fonction
3 - Nature des lésions
3 - Siège lésions
4 - Nom/Prénom
4 - Poste fonction
4 - Nature des lésions
4 - Siège lésions
5 - Nom/Prénom
5 - Poste fonction
5 - Nature des lésions
5 - Siège lésions
6 - Nom/Prénom
6 - Poste fonction
6 - Nature des lésions
6 - Siège lésions
7 - Nom/Prénom
7 - Poste Fonction
7 - Nature des lésions
7 - Siège lésions
8 - Nom/Prénom
8 - Poste fonction
8 - Nature des lésions
8 - Siège lésions
9 - Nom/Prénom
9 - Poste fonction
9 - Nature des lésions
9 - Siège lésions
10 - Nom/Prénom
10 - Poste fonction
10 - Nature des lésions
10 - Siège lésions
Renseignements concernant les circonstances
CirconstancesDescription du travail effectué, circonstances,matériel impliqué, citer les frais
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Analyse des causes
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