On (___ date ___) employees working on the (___ name ___) Forest in Region (___) died when the (brief statement of circumstances). A Chief’s level accident investigation team was dispatched to investigate the accident. The investigation team’s draft factual section and draft management evaluation section were presented to the Chief’s Accident Review Board and were accepted (accepted with some revision).

The board has recommended actions to help prevent similar accidents from occurring in the future. Please review and approve the enclosed action plan and letter of transmittal.

If you would like to discuss these actions please contact me.

Chairperson, Accident Review Board