STATEMENT OF INDIVIDUAL REPORTING INJURY Sample Clauses

STATEMENT OF INDIVIDUAL REPORTING INJURY. Immediately after an accident, the Master shall require the injured seafarer, if able, to complete the Form MA-1001D STATEMENT OF INDIVIDUAL REPORTING INJURY (Exhibit 9). If a seafarer requests shore leave in order to seek medical attention due to alleged illness or injury, the Master shall require the injured seafarer to complete the Form MA-1001D STATEMENT OF INDIVIDUAL REPORTING INJURY, wherein the seafarer is requested to detail the circumstances of the accident causing injury, and to identify any person(s) who witnessed the accident or were known to be nearby the scene of the accident. If the seafarer is removed from the vessel prior to completing this form, the Master shall be responsible for obtaining a completed from the seafarer as soon as possible. The completed form shall be incorporated in the Personal Injury Report Package and the Package, with all other forms, completed as applicable, shall be included in an envelope to be forwarded to the home office of the Ship Manager as soon as practicable after the occurrence of the illness/injury.
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  • STATEMENT OF COMPLIANCE Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code §12990 (a-f) and CCR, Title 2, Section 11102) (Not applicable to public entities.)

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