N.H. Admin. Code § Puc 1107.05

Current through Register No. 45, November 7, 2024

Section Puc 1107.05 - E-5 Utility Accident Report

(a) Each utility shall file a completed "NHPUC Accident Form" within 10 working days of when an accident meeting the criteria contained in Puc 1105.05(a) and (c) occurs.

(b) Each utility shall include on the "NHPUC Accident Form" the following:

(1) Report number, date and name and address of utility;

(2) Date and location of accident;

(3) Description of person injured including:

a. Name;

b. Age;

c. Residence;

d. Employer; and

e. Status of injured person, whether employee, person under contract, invitee, licensee, trespasser or other;

(4) Description of injury, current condition, duration of disability and, if applicable, anticipated return to work date;

(5) Description of cause and manner of accident;

(6) If applicable, cause of death, previous accident report number;

(7) Designation of federal or state statute violated, if applicable;

(8) Recommendation for guarding against repetition of accident; and

(9) Signature and title of signatory.

N.H. Admin. Code § Puc 1107.05

(See Revision Note at Chapter heading Puc 1100) #6445, eff 1-28-97; ss and moved by #8244, eff 12-31-04 (from Puc 1107.06 ); ss by #10307, eff 4-9-13