Figure 6-8.-Operator’s Daily PM Report, NAVFAC 11260/4.
If involved in a mishap, your first responsibility is
to render aid to the injured. After they have been cared
for, complete the mishap report. As an aid in completing
Standard Form 91, comply with the following
instructions:
1. Obtain and properly spell names and street
addresses of persons involved in the mishap and any
personnel that may have witnessed the mishap.
2. Carefully note weather conditions, road
conditions, position of the vehicle involved, and other
details, which you will not be able to get later.
3. Be sure that your report gives a clear picture of
what actually happened. Your diagram of the mishap
should show exactly where the vehicles were before and
after the mishap.
4. State damage you can see, such as “crushed right
rear wheel or crumpled fender,” and give an estimate of
the amount of damage. If someone claims that he or she
has damaged property but you cannot see the damage,
note on the accident form only that he or she “claims
bent fender,” and so forth. Follow the same procedures
with injuries. Report cuts, burns, broken bones, and so
forth, of which you are certain, and note only that a
person “claims” an injury when you have no way of
knowing the truth.
If you cannot get the exact
information on some item, write “unknown” to show
that you did not overlook it.
5. When sufficient space is not available for
providing information regarding an item, write “see
attached sheet,” and attach an extra sheet containing the
additional information on that item.
6. After you have finished your report, look it over
carefully and ensure it is complete and accurate. If you
are satisfied, sign the report, and take it to the mishap
investigator.
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