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BY ORDER OF THE COMMANDER TINKER AIR FORCE BASE TINKER AIR FORCE BASE INSTRUCTION 91-203 25 SEPTEMBER 2013 Certified Current 02 March 2017 Safety HAZARD AND NEAR-MISS REPORTING PROCEDURES COMPLIANCE WITH THIS PUBLICATION IS MANADATORY ACCESSIBILITY: Publications and forms are available on the e-publishing website at www.e-publishing.af.mil for downloading or ordering RELEASABILITY: There are no releasability restrictions on this publication OPR: 72 ABW/SE Certified by: 72 ABW/SE (Mr. Dennis Kendick) Pages: 9 This instruction establishes procedures and outlines responsibilities for all personnel when reporting hazards and near-misses to management, safety and other responsible agencies on Tinker AFB. This instruction implements procedures contained in Air Force Instruction (AFI) 91-202, The US Air Force Mishap Prevention Program; AFI 91-204, Safety Investigations and Reports; and Air Force Materiel Command Supplement (AFMC SUP) 1 to 91-204, Safety Investigations and Reports. It applies to Air Force Reserve and Air National Guard units, except where noted otherwise. Refer recommended changes and questions about this published document to the Office of Primary Responsibility (OPR) using the AF Form 847, Recommendation for Change of Publication. Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with (IAW) AFMAN 33-363, Management of Records, and disposed of IAW the Air Force Records Disposition Schedule (RDS) located at the Air Force Portal. 1. General Information. This document establishes standardized procedures for all AFMC organizations on Tinker AFB concerning reporting, investigating, tracking and documenting perceived hazards and near-miss incidents that affect personnel and resources. All Associate Units are encouraged to report perceived hazards and near-miss incidents IAW this instruction. This instruction is not for reporting injuries, property damages or emergencies. All injuries and property damages (after the fact) will be reported to unit safety representatives or 72 ABW/SE by any available means; exceptions for 76 MXW which will be reported using the MXW 101 system (see MXWOI 91-11). Tinker Associate Units will continue to report injuries/mishaps as indicated by their organizational guidance. Furthermore, this instruction is not for reporting Hazardous Air Traffic Reports (HATR) or aviation High Accident Potential (HAP); these two

2 TINKERAFBI91-203 25 SEPTEMBER 2013 will continue to be reported IAW AFI 91-204. Emergencies will be reported immediately via calling 911 or equivalent. 2. Why Report Hazards or Near-Misses. Mishap prevention depends on personnel identifying, reporting and correcting hazards promptly and efficiently. Correcting hazards will reduce the number of injuries and property damage experienced in a work area and greatly supports a safe and healthful work environment. Furthermore, reporting conditions that were corrected immediately or on-the-spot allows other organizations to have visibility of the corrective action and supports trending within each Unit Commander/Director s mishap prevention program. Supervisors are the key to effective hazard and near-miss reporting; employees must always be encouraged to report and not be discriminated against for being involved in the safety of their work area. 3. Reporting Process for Hazards and Near-misses. Tinker AFB reporting process can be described as a Find-Fix-Report-Review program. 3.1. Find. Identify all perceived hazards in the work place. Identify near-miss incidents. 3.2. Fix. Notify the supervisor, facility manager, unit safety representative or base agency responsible for the area the hazard is located. Immediately mitigate the identified hazard or near-miss condition to sufficiently prevent an injury; restrict work in the affected area if necessary. Supervisors and employees should work together to eliminate or mitigate hazards at the lowest level possible. 3.3. Report. Report all identified hazards and near-misses, even if the hazard was eliminated on-the-spot. See paragraph 5 for standard reporting options. 3.4. Review. Employees, Supervisors and Commanders/Directors should review reported hazards in their responsible work areas, pursue their resolution and track to closure. The goal for each organization to strive is no open hazards. The on-line Tinker Hazard Reporting System allows organizations and employees to transparently review the status of reported hazards. 3.4.1. Commanders and Directors should consider using their organization s existing safety structure, meetings or Voluntary Protection Program (VPP) Steering Committees to assist in tracking reported hazards to closure. 4. Responsibilities: 4.1. Employees: 4.1.1. Will know how to report a hazard or near-miss via on-line reporting, AF Form 457, in-person or by phone call IAW paragraph 5. 4.1.2. Always have the option of reporting a hazard anonymously. 4.1.3. Have the right to stop work in imminent danger to life, limb, eye-sight or other health situations. 4.1.4. Should report all perceived hazards and near-misses to their supervisor or the supervisor/person responsible for the area the hazard is located. If a supervisor or person responsible is not available, not responsive or is unknown, proceed by selecting a reporting option in paragraph 5.

TINKERAFBI91-203 25 SEPTEMBER 2013 3 4.1.5. Should initiate short term mitigation of hazards. Short term is defined as deterring access or contact with the hazard until a supervisor, facility manager or a person responsible for the area arrives. 4.2. Supervisors: 4.2.1. Will mitigate reported hazards immediately. Mitigation shall be sufficient to either: prevent access or contact with the hazard or reduce the likelihood and severity of an injury to occur before corrective actions are completed. Take action immediately to prevent injury to personnel. 4.2.2. Will ensure hazards and near-misses reported by their employees are entered into the on-line system as soon as possible and as described in paragraph 5. For Tinker Associate Units and contractor personnel that do not have access to the Tinker AFB website (i.e., CSCW-1, TFCU, etc.), the supervisor should provide the information to 72abw.hazardrpts@tinker.af.mil for inclusion in the on-line system. Supervisors without access to the Tinker Air Force Base website will receive emails or written updates, as appropriate, until the hazard is abated. 4.2.3. Will ensure work orders are initiated and submitted to the appropriate office. 4.2.4. Will monitor progress of reported hazards in their work area and track to closure. 4.2.5. Will notify, as soon as possible, all employees in the affected work area of the reported hazard; examples of notification are verbal, email, periodic Safety Talks, Roll Calls, Bulletin Board, Employee Involvement Board, etc. 4.2.6. Will brief contractors and visitors, when applicable, on open hazards that exist in their work area. Applicable is described as, when it is reasonable that the contractors or visitors may be exposed to a known hazard. 4.2.7. Will demonstrate to their employees how to report workplace hazards and nearmisses. Unit Safety Representatives and Volunteer Safety Representatives may assist supervisors in completing the demonstration. Demonstration must include how to access the on-line reporting system, how to report on an AF Form 457 and how to contact their Safety Office. 4.2.7.1. In addition to paper copies, AF Form 457s can be accessed through the AF e- Pubs website, http://www.e-publishing.af.mil. 4.2.8. Should frequently encourage employees to report hazards and near-misses. 4.2.9. Will not discriminate against an employee who reports a hazard. 4.2.10. Should solicit employee involvement and inputs for corrective actions. 4.3. Unit Safety Representatives (USRs): 4.3.1. Should assist supervisors, employees and contractors in entering hazards and nearmisses into the on-line system. 4.3.2. Should assist supervisors in monitoring and tracking reported hazards in their assigned unit. 4.3.3. Should support supervisors with notification to employees of reported hazards.

4 TINKERAFBI91-203 25 SEPTEMBER 2013 4.3.4. Should inform the unit Commander or Director monthly of reported hazards and near-misses. 4.3.5. Should advocate hazard and near-miss reporting and resolution to unit supervisors, employees and contractors. 4.3.6. Should assist supervisors in demonstrating to employees how to report a hazard. 4.4. Volunteer Safety Representatives (VSRs) (if applicable): 4.4.1. Should support supervisors with notification to employees of reported hazards. 4.4.2. Should assist supervisors in entering hazards and near-misses into the on-line system. Also, assist in entering hazards written on Employee Involvement Boards (EIBs), if applicable, into the on-line system. It is recognized that not all items written on an EIB are hazards and required to be entered. 4.4.3. Should assist supervisors in monitoring information being documented on EIBs and discuss employee safety concerns with supervisors. 4.4.4. Advocate hazard and near-miss reporting and resolution to shop or office supervisors and employees. 4.4.5. Should assist supervisors in demonstrating to employees how to report a hazard. 4.5. Facility Managers: 4.5.1. Will assist in the mitigation, upon request of a supervisor, or assume responsibility for mitigation for hazards reported in assigned facility areas that do not have a supervisor. 4.5.2. Will abate facility hazards as soon as practical or initiate the necessary forms and submit to the appropriate offices to be abated. 4.5.3. Will update the status of facility hazards reported in their facility in the on-line Tinker Hazard Reporting System. At a minimum, provide comments on the description of corrective action, which will accomplish the corrective action and expected duration to closure. 4.5.4. Track facility hazards to closure. 4.6. Action Officers: 4.6.1. Will be assigned by an investigating officer or Hazard Reporting Program Manager. Most action officers will receive notification of assignment by email generated from the Tinker Hazard Reporting System. Training slides are accessible in the Training tab in the Tinker Hazard Reporting System. 4.6.2. Will take action to fix and abate assigned hazards. 4.6.3. Will enter actions taken into Part II of the Tinker Hazard Reporting System within 10 working days; continue to update actions and status of hazard report until hazard is either reassigned or closed. 4.6.4. Should enter Points of Contact, Work Order Numbers, Project Numbers, Description of Actions Taken, Estimated Completion Dates and any other pertinent information. Action Officers should enter enough information that anyone can readily understand the status of the hazard without a phone call or face-to-face meeting.

TINKERAFBI91-203 25 SEPTEMBER 2013 5 4.7. 72 ABW/SE: 4.7.1. Will manage the hazard reporting program. 4.7.2. Will validate hazards and near-misses reported from units in 72 ABW, OC-ALC Directorates and Staff Offices, and Tinker Associate Units. For safety related hazards, the assigned safety manager will investigate as soon as possible, but not greater than one (1) duty day for imminent danger situations, three (3) duty days for potentially serious situations, and 10 duty days for lesser conditions. 4.7.3. Will contact the individual who submitted the report (if known), and advise supervisors or action officers on the development of mitigation and corrective actions required on a valid hazard. 4.7.4. Will validate traffic safety hazards that affect the base populous. 4.7.5. Will assign a Risk Assessment Code (RAC) to valid hazards and monitor corrective actions until the hazard is abated. 4.7.6. Will train individuals on how to report a hazard or near-miss and the applicable requirements of this instruction during provided Supervisor Safety Training, Unit Safety Representative and New Employee Training courses; or when requested. 4.8. 76 MXW/SE: 4.8.1. Will validate hazards and near-misses reported from units in 76 MXW. For safety related hazards, the assigned safety manager will investigate as soon as possible, but not greater than one (1) duty day for imminent danger situations, three (3) duty days for potentially serious situations, and 10 duty days for lesser conditions. 4.8.2. Will contact the individual who submitted the report (if known), and advise supervisors or action officers on the development of mitigation and corrective actions required on a valid hazard. 4.8.3. Will assign a Risk Assessment Code (RAC) to valid hazards and monitor corrective actions until the hazard is abated. 4.8.4. Will train individuals on how to report a hazard or near-miss and the applicable requirements of this instruction during provided Supervisor Safety Training, Unit Safety Representative and New Employee Training courses; or when requested. 4.9. 72 ABW/CE: 4.9.1. Will train new Facility Managers on the requirements identified in paragraph 4.5. 4.10. 72 ABW/CEF: 4.10.1. Will validate reported hazards that require Fire Protection functional expertise. The assigned fire prevention manager will investigate as soon as possible, but not greater than one (1) duty day for imminent danger situations, three (3) duty days for potentially serious situations, and 10 duty days for lesser conditions. 4.10.2. Will contact the individual who submitted the report (if known), and advise supervisors or action officers on the development of mitigation and corrective actions required on a valid hazard.

6 TINKERAFBI91-203 25 SEPTEMBER 2013 4.10.3. Will assign a Risk Assessment Code (RAC) to valid hazards and monitor corrective actions until the hazard is abated. 4.11. 72 MDG/SGPB: 4.11.1. Will validate reported hazards that require Occupational Health functional expertise. The assigned occupational health manager will investigate as soon as possible, but not greater than one (1) duty day for imminent danger situations, three (3) duty days for potentially serious situations, and 10 duty days for lesser conditions. 4.11.2. Will contact the individual who submitted the report (if known), and advise supervisors or action officers on the development of mitigation and corrective actions required on a valid hazard. 4.11.3. Will assign a Risk Assessment Code (RAC) to valid hazards and monitor corrective actions until the hazard is abated. 4.12. Contractors: 4.12.1. Should report all perceived hazards and near-misses to the supervisor/person responsible for the area that the hazard is located or use any of the available methods in paragraph 5. 5. Hazard or Near-miss Reporting Options. There are five (5) ways to report a hazard; 1) notify supervisor; 2) enter into the on-line Tinker Hazard Reporting System; 3) call Safety; 4) notify a safety manager in person; or 5) complete an AF Form 457, USAF Hazard Report. No matter how a hazard or near-miss is reported, the hazard or near-miss will be entered into the online system for tracking purposes. 5.1. Notify Supervisor, Facility Manager, or Unit/Volunteer Safety Representative (USR/VSR). 5.1.1. Supervisors must ensure hazards and near-misses reported by their employees are entered into the on-line system as soon as practical. 5.2. Enter into the on-line Tinker Hazard Reporting System. 5.2.1. Access the on-line system at the following link: https://wwwmil.tinker.af.mil/reportahazard 5.2.2. Take the time to be very specific on identifying the location. This information is critical so that a functional expert can quickly find and validate. 5.2.2.1. Filling in one s name, organization and contact information (optional) will further allow a functional expert the opportunity to quickly respond. 5.2.2.2. Anonymous reporting is available using the on-line system. When a submitter does not include their name, neither Safety Office personnel nor anyone accessing the system can identify who submitted. The only base office that could possibly identify a submitter would be 72d Communications Directorate s network security office. This would only be necessary in a rare case of classified or criminal information being submitted into the system. 5.2.3. Accurately describe the hazard or near-miss being reported.

TINKERAFBI91-203 25 SEPTEMBER 2013 7 5.2.4. The system will automatically deliver the reported hazard or near-miss to either 72 ABW/SE or 76 MXW/SE. A safety professional (or functional expert) will be dispatched to validate. 5.2.4.1. The system will provide the submitter a Hazard ID Number to be used in viewing the reported hazard and tracking the status to closure. 5.2.4.2. Functional experts will update the status in the on-line system. 5.2.4.3. The submitter may at any time access the current status of the hazard report with the Hazard ID Number through the on-line system. The submitter (if known) will be contacted by a safety professional (or functional expert) to discuss the reported hazard. After initial contact, no additional communication from the 72 ABW/SE or 76 MXW/SE offices will be provided to submitters. In the case of persons in organizations that do not have access to the Tinker AFB website (i.e., CSCW-1, TFCU, etc.) they will receive emails or written mail updates, as appropriate, for identified hazards. For those personnel who have access to the Tinker AFB website, but choose to identify the hazard through some means other than on-line, an email will be sent containing the Hazard ID Number for use in accessing the current status of the hazard report. 5.2.4.4. If no contact information is given, then it will be the individual s responsibility to locate the hazard by location and description of the hazard in the online system for status. 5.3. Contact 72 ABW/SE, 76 MXW/SE or your unit s Safety Office directly and/or inperson. 5.3.1. 72 ABW/SE can be contacted at 739-3263 or 739-3264. Also, a submitter can call 739-SAFE (739-7223) and leave a message on the hot line voice message system. Written mail may be directed to 72 ABW/SE and processed through the base mail system. 5.3.2. 76 MXW/SE can be contacted at 739-3064. Written mail may be directed to 76 MXW/SE and processed through the base mail system. 5.3.3. Safety Offices/safety professionals upon receipt will enter the hazard into the online reporting system. 5.3.3.1. If name and contact information is provided, the individual will be sent an email containing a Hazard ID Number allowing an individual to track the status of the submitted hazard in the on-line system. If no contact information is given, then it will be the individual s responsibility to locate the hazard by location and description of the hazard in the on-line system for status. 5.4. Complete an AF Form 457, USAF Hazard Report. 5.4.1. Forms can be obtained via Air Force e-pubs website, http://www.epublishing.af.mil. 5.4.2. Take the time to be very specific on identifying the location. This information is critical so that a functional expert can quickly find and validate.

8 TINKERAFBI91-203 25 SEPTEMBER 2013 5.4.2.1. Filling in one s name, organization and contact information (optional) will further allow a functional expert the opportunity to quickly respond. 5.4.3. Accurately and legibly describe the hazard or near-miss being reported. 5.4.4. The form shall be delivered by any available means to any local safety office (to include 72 ABW/SE, 76 MXW/SE, 3CCG, 38 CEG, 507 ARW, 552 ACW, etc.) or any safety professional. 5.4.5. Safety Offices/safety professionals upon receipt will enter the hazard into the online reporting system. 6. Definitions. 5.4.5.1. If name and contact information is provided, the individual will be sent an email containing a Hazard ID Number allowing an individual to track the status of the submitted hazard in the on-line system. If no contact information is given, then it will be the individual s responsibility to locate the hazard by location and description of the hazard in the on-line system for status. 6.1. Hazard. A condition, procedure or practice that creates a potential for producing death, injury, illness, fire, or property damage. 6.2. Near-miss. An unplanned event with the potential to result in death, injury, illness, fire, or property damage. Also could be referred to as a close call or near collision. 6.3. Imminent Danger. Loss of life, limb, eye-sight or health will happen. 6.4. Potentially Serious Situations. Loss of life, limb, eye-sight, health or serious injury could or may happen. STEVEN J. BLEYMAIER, Colonel, USAF Commander

TINKERAFBI91-203 25 SEPTEMBER 2013 9 Attachment 1 GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION Reference AFMAN 33-363, Management of Records, 1 March 2008 AFI 91-204, Safety Investigations and Reports, 24 September 2009 AFI 91-202, The US Air Force Mishap Prevention Program, 05 August 2011 AFI 91-202 AFMC SUP 1, The Air Force Mishap Prevention Program, 11 November 2005 Adopted Form AF Form 847, Recommendation for Change of Publication