SAFENET

Help with SAFENET Form Fields

Agency Corrective Action

  • Corrective Action Narrative

    This field is a required field. Please describe what corrective actions were taken.

  • Corrective action taken by

    This is a required field. Please supply the position title who took corrective action on this SAFENET.

  • Date Submitted

    This field is a required field. Please supply the date the corrective action was taken.

  • Email Address

    This field is a required field.

  • Originator Notified by

    This field is an optional field. Please supply who if anyone notified the originator of the SAFENET that corrective action had been taken.

  • Originator Notified Date

    This is an optional field. If you know the date the originator was notified please supply us with it.

  • Supplemental Corrective Action

    The Supplemental Corrective Action form is used to supply corrective action to existing SAFENET's.

SAFENET

  • Actions Taken

    This is a required field. Please describe actions you took to correct or mitigate the unsafe/unhealthful event.

  • Agency/Organization

    The "Agency/Organization" field is a required field. Your choices are BIA, BLM, FWS, NPS, USFS, State, Other.

  • Contributing Factors Checkboxes

    The "Contributing Factors" checkboxes are required fields.

  • Corrective Action

    The Corrective Action field is an optional field.

  • Date Reported

    This field is computed for display.

  • EMail

    The "EMail" field is an optional field.

  • Event Date

    The "Event Date" is a required field. Please supply the date the event occurred in the MM/DD/YY format.

  • Human Factors Checkboxes

    The "Human Factors" checkboxes are required fields if "Human Factors" is checked in the "Contributing Factors" fields.

  • Incident Activity

    The "Incident Activity" checkbox fields are required fields, you must choose at least one.

  • Incident Name

    The "Incident Name" is a required field. Please supply the Name of the Incident where the event occurred. If this field is not applicable please enter N/A.

  • Fire Number

    The "Fire Number" is an optional field. Please supply the Fire Number of the Incident where the event occurred. If this field is not applicable please enter N/A.

  • Incident Type

    The "Incident Type" checkbox fields are required fields, you must choose at least one.

  • Jurisdiction

    The "Jurisdiction" field is a required field. Your choices are BIA, BLM, FWS, NPS, USFS, State, Other, Unknown.

  • Local Time

    The "Event Time" is an optional field Please supply the approximate time the event occurred in the 03:00 PM format.

  • Local Unit

    The "Local Unit" Field is an optional field.

  • Name

    The "Name" field is an optional field.

  • Narrative

    The "Narrative" field is a required field. Use this field to describe in detail what happened and the resulting safety/health issues.

  • Other Agency

    If "Other" was selected in the "Agency/Organization" field further describe "other" in this field (e.g. Eagle Fire Department).

  • Other Factors

    The "Other Factors" field is a required field if "Other Factors" is checked in the "Contributing Factors" fields.

  • Phone

    The "Phone" field is an optional field.

  • Position Title

    The "Position Title" field is an optional field.

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