SUMMARY ACCIDENT REPORT (Sanitized)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00399R000100120094-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 19, 2016
• Document Release Date: July 18, 2006
• Sequence Number: 94
• Publication Date: October 6, 1970
• Content Type: FORM

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REPORTS INVENTORY
Pf?EPARE IN DUPLICATE
TITLE OF ItEP0'1 iif a fill in re 1:01" TYPE X- TI TI: AL --__-_._
OF JAniiA (I VE
Summary Accident-Report REPOtT ----
..fAC1II':E-NA E L TI '.4
PFftSO'JNEL f:tINI;lG AD'1IN.
AREA l_OGI TIC ECUcITY OTHER (specify
FUNCTIONAL
[ )ICAI FINANCE - --
of compononts not
I~TRI
_rA.tCD fltElUElCY (reckly, .onihly, quarterly, etc ' o
OF CUP 11 Ft
l
l
C
lJ
,
tJO.
af
mber
c
o
u
a~
Monthly
J. FOR:.IAT (me.norandum, Porn N. ADP PItOCEy_ItJG _-- _ _ ~. DIRECTIVE AUTHOitIT'Y RElUIRI:4 REPORT
computer print-out, etc YES IF YES 7IVE AOP PROLECSING NO.
i
o --
o rrn _ X_
10. PREPARING CO'.iPO'IENT (include Ioblest level 11. FEEDER REPORTS pia e total numocr and identify by Ti tie,
te sheet If nececrar )
t
y~
ach c ri
Forta tto. or nomenclature. At
contributing inform.etion to report) p`
Surveillance Division (Safety Office) None
12. COST._FACTORS --~ - - - ----- - ---- -
-- -
1'..~._~~AIIIJA1- P UEPAALLTION 11NIl__
COST PER T I:?IES
CR YEAR
'
COST F
HOURLY HOURO PER
X
RED
X
,OE
G(L
PREPA
REPORT REPORT
RATE
GS-5
3.57 1 3.57 12 42.84
ZS
-_-_-_______`-- -----
COSTS OF COMPUTER PRODUCED UP OR
R
_
_
.
_ TOTAL COSTS PER YEAR $42.84
13. CO;11PI..ETE DETAILED JUGTIFICATION FOR THIS REPORT (in addition to directive or authority cited in item 9). IF riNOdtJ,
Itt';LUDE DATE REPORT rliS FIRST ;TA,RTED AND COMPONENT 'JHO CCTADLISHED ;tEQIJI11E6MEUT.
Indicates yehicle miles traveled and manhours of exposure to industrial environment.
This is ani
FUTURE GOALS
-- - -
COlIhttTID AVING-';
t'IlRPQ:fDhY 1 '08 IRIN RCI'OIIT
RAI
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X III IA IN AN IN I. `UTUIR (e.hl.l.tn)
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6 October 1970 Ap roved For Release 2006/09/25 : CIA-RDP75-00 99R000100120094-1_-J--
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