神马文学网INVESTIGATION OF ACCIDENT事故调查
来源：百度文库 编辑：神马文学网 时间：2024/04/29 07:37:57
（How It Happened and Why）
INCIDENT SEQUENCE (DESCRIBE ALL CONTRIBUTING CAUSES / RELATED FACTORS)
事件发生的先后过程 （描述所有引发的原因/相关因素）
GUEST’S ACTION AT TIME OF INCIDENT ( DESCRIBE ANY UNSAFE ACTS)
事发时客人的活动状况 （描述任何不安全行为）
UNSAFE CONDITIONS OF PREMISES CONTRIBUTING TO INCIDENT 所在区域引发事件的不安全情况
ANY WARNING SIGNS IN AREA 事发地点任何的提醒标志 无
UNSAFE ACTS OF EMPLOYEES CONTRIBUTING TO INCIDENT 引发事件的员工不安全行为
STEPS TO PREVENT RECURRENCE 防止再次发生的措施
DID YOU INSPECT AREA IMMEDIATELY AFTER INCIDENT? 事后有没有立即查看始发地点？
PHOTOGRAPHS 拍照 _____________________ QTY. 数量 _________________________
SKETCHES 草图 _____________________ QTY. 数量 _________________________
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INCIDENT CAUSED BY FOREIGN MATTER IN FOOD 事件由食物中的异物引起
KIND OF FOOD 食物种类 ____________________ FOREIGN MATTER 异物 ______________________
WHERE & WHEN SERVED 提供食物的地点、时间 ____________________________________________________________
IF INJURED CLAIMS SICKNESS DUE TO FOOD CONDUMED ON PREMISES 如有受伤害注明因在酒店内使用引起的疾病
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TYPES OF FOOD CONDUMED AND TIMES OF CONSUMPTION WITHIN LAST 24 HOURS 食物的品种和24小时内食用的时间
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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OTHER WITH SAME FOOD 其他食用同样食物的人 ______________________________________________________________
HAD INJURED BEEN DRINKING? 受伤人有无喝酒？
SUBMITTED BY 呈交人
NAME 姓名 _________________ POSITION 职位 _________________ DATE 日期 ________________
FO-N-012