FORM III (refer Rule 12)

ACCIDENT REPORTING

  1. Date and time of accident:
  2. Sequence of events leading to accident:
  3. The waste involved in accident :
  4. Assessment of the effects of the accidents on human health and the environment:
  5. Emergency measures taken:
  6. Steps taken to alleviate the effects of accidents:
  7. Steps taken to prevent the recurrence of such an accident:
  8. Date ...............................
  9. Signature ...........................................
  10. Place..............................
  11. Designation..........................................
Last modified: Friday, 4 February 2011, 4:34 AM