1007 - Establishments by the Commission of a Format for Reporting by Utilities of Accidents Involving Any Personal Injury or Fatality in Compliance with 26 Del.C. Section 213

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Format for Reporting by Utilities of Accidents Involving Any Personal Injury or Fatality in Compliance with 26 Del.C. § 213.

Effective Date: June 1, 1991.

Administrative History:

PSC Order No. 3257 (April 30, 1991); PSC Regulation Docket No. 26

____________________________

[NAME OF SUBMITTING UTILITY]

MAJOR ACCIDENT (DEATH OR INJURY) REPORT

C O N F I D E N T I A L

26 Del.C. § 213

(A) The Commission may require every public utility to give immediate notice to the Commission of the happening of any accident in or about, or in connection with, the operation of its service and facilities, wherein any person has been killed or apparently injured, or where complaint of injuries has been made, and to furnish such full and detailed report of such accident within such time and in such manner as the Commission may prescribe.

(B) The report required by subsection (a) of this section shall not be open for public inspection, except by order of the Commission, and shall not be admitted in evidence for any purpose in any suit or action for damages growing out of any matter or thing mentioned in such report.

DATE FILED:__________________________

An "Accident" is any event, happening, or occurrence involving the operation of utility plant, services or facilities which are used to provide public utility service within the State of Delaware without regard to the physical location of the facilities.

For purposes of this report only serious accidents are required to be reported. A serious accident is defined as one involving:

(1) The death of a person.

(2) Injury to an employee on duty sufficient to incapacitate him from performing his ordinary duties for a period longer than one day.

(3) Injury to a person other than an employee on duty sufficient to incapacitate the injured person from following his customary vocation, or mode of life, for a period of more than 1 day

FILING REQUIREMENTS

This Report is to be filed pursuant to 26 Del.C. § 213 where a person has been killed or apparently injured or where a complaint of injuries has been made. It is therefore not available for public inspection except by order of the Commission. Notification from the utility by telephone [(302) 736-7500] or other immediate means [FAX # (302) 739-4849] must be given to the Commission of any such accident involving a fatal injury as soon as possible within 24 hours after the utility learns of the accident and for all apparently non-fatal as well as fatal accidents this report form completed to the extent possible within (72) hours after the utility learns of the accident.

If information required by this form is not available within such seventy-two (72) hour period, this report is to be filed as completely as possible and supplemental reports shall supply the missing information as soon as it becomes available.

CONFIDENTIAL

ACCIDENT REPORT

(USE ADDITIONAL SHEETS IF NEEDED)

1. Date and Time of Accident:_____________________________________________(AM)(PM).

2. Location of Accident:______________________________________________________

3. Name(s) & Address(es) of Injured:

__________________________________________________________________________

4. Description of Accident (and corrective action, if required):

______________________________________________________________________________

NAME AND TELEPHONE NUMBER OF PERSON FILING THE REPORT :

______________________________________ () __________________________

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