pei-qhse-003-accident and incident reporting and investigation

QHSE MANUAL Document Control No.

ACCIDENT AND INCIDENT REPORTING

PEI-QHSE-003Revision : 2Date Issued: March 2015

HEALTH, SAFETY & ENVIRONMENTAL PROCEDURES

ACCIDENT AND INCIDENTREPORTING

PEI-QHSE-003

REVISIONS:

DATE REV. DESCRIPTION By Signature

5 Dec ‘08 A First issue

7 Feb ‘12 1 All procedure revised

March 2015 2 All Procedures Revised

@Prowell Energi 2015




TABLE OF CONTENT

1.0 SCOPE 3

2.0 DEFENITIONS 3

3.0 RESPONSIBILITIES 4

4.0 PROCEDURES 5

5.0 INCIDENT CLASSIFICATION 6

ATTACHEMENTS:

A ALLOCATION OF INCIDENT SEVERITY

B ACCIDENT AND INCDENT REPORTING FORM

1.0 SCOPE





1.1 This procedure provides the methods, techniques, quality, and reporting systems required for the reporting of incidents, including allocation of incident severity and classification, as follows:

a) All work related or non-work related reportable incidents, which occurred while work is being carried out by the Company.

b) Not covered are theft or integrity failures which are not normally reported as an HSE incident unless a hazard, near miss or actual injury or damage has occurred as a result.

1.2 This procedure shall be adhered to at all times unless Contract or Client requirement dictate different procedures.

2.0 DEFENITIONS

Accident Any unplanned event, or chain of events, which result in actual injury, illness, death, damage or loss. All accidents are incidents but not all incidents are accidents.

Incident Any unplanned event, or chain of events, which has, or could have, caused injury, illness, damage or loss. This term shall be used to include all accidents and near misses.

Incident Reporter The person or authority responsible for preparing the report and reporting the incident.

Work Related Incident An incident that has occurred during the course of employment and in carrying out work or duties for or on behalf of the Company.

Non-Work Related Incident An incident or accident which is not work related and did not occurred during employment.

Reportable Incident Any unsafe act and/or conditions or any unplanned events which involve actual or potential damage to people, assets or the environment while work is being carried by, for or on behalf of the Company.

Severity A measure of the seriousness of the incident on a scale of 1 to 5, the scale is applied in respect to unsafe acts and conditions, near misses, injury to people and loss or damage to assets or the environment.

Potential Severity A measure of how serious the incident could have been given a different set of circumstances

Actual Severity A measure of the actual outcome of an incident

Technical Integrity Failure Describes the controls, procedures and systems in place within an organization or operating unit that are designed to enable the organization or operation to function properly and safely within the designated intent.

Asbestosis Disease of the lungs caused by long term exposure to asbestos





Ergonomics Science of the relationship between man and his working environment focused on changing the environment to improve productivity and minimize injuries and occupational illnesses.

Lost Work Days Number of calendar days that an injured person was temporary unable to work as a result of the injury.

Restricted Work Days Number of calendar days a person able to work but is not able to carry out his normal duties as the result of an injury.

3.0 RESPONSIBILITIES

3.1 Operations / Project Manager (OM)

The OM / PM shall be responsible to ensure that the required resources are made available to enable proper implementation of this procedure.

3.2 Line Management (LM)

3.2.1 LM shall be responsible for ensuring that the requirements of this procedure are fully implemented at all times.

3.2.2 LM shall be responsible for compilation of the incident investigation reports.

3.3 Employees

All employees involved in the implementation of this procedure shall be responsible for adherence to the requirements stated herein.

3.4 Safety Officer (CSM)

3.4.1 The CSO shall retain the original of all reports and maintain files as specified in the File Management System.

3.4.2 The CSP shall be responsible that the report is copied and distributed to all relevant departments and persons.

4.0 PROCEDURES

4.1 Any employee witnessing an incident or accident shall immediately notify his/her LM.

4.2 The LM shall immediately investigate the incident and shall submit to the CSO full details of the incident. Formal written report shall be submitted to the CSO not later than 48 hours after the incident.

4.3 The OM shall notify the Client Representative as soon as possible after receiving report of an incident or accident.

4.4 After receipt of the Incident Report, the CSO shall determine if further investigation and/or action is required. If warranted, an internal audit shall be carried out at the first available opportunity, if possible within seven (7) days, to determine if further action is required such as change in operation procedures, Corrective Action, etc. and report such findings to the OM.

4.5 The Internal Audit/Investigation Team shall consist of:

o OM - Operations Manager





o CR - Client Representativeo CSO - Company Safety Officero FS - Field Supervisoro Other - Other personnel, consultants and specialists as may be required.

LevelAccident Outcome

Ranking Approval Investigation TeamInjury Asset Damage

Environment

1 Death(s) N/A N/A Fatality DoD OM, CR, CSO, FS, Other2 Mayor Extensive Mayor Mayor Ops. Mngr. OM, CR, CSO, FS, Other3 Lost Time Mayor Substantial Serious CSO CR, CSO, FS, Other4 Minor Minor Minor Minor Supervisor CSO, FS, Other

4.6 The Investigation Report, as Attached, shall be filled out in its entirety and no details shall be omitted.

4.7 The OM shall be responsible to ensure that any recommendations by the Internal Audit/Investigation team shall be followed dup and measures implemented as required and by the time specified.

4.8 The CSO shall ensure that all departments and personnel are informed of any changes.

4.9 The CSO shall retain the originals of the report and file as per the File Management System.

5.0 INCIDENT CLASSIFICATION

5.1 Accidents

5.1.1 Accident with InjuryIncidents which results in an injury, however caused, to Company or third party personnel

5.1.2 Accident without InjuryIncidents involving people, assets or the environment which are not a near miss in which no injuries occurred.

5.1.3 Occupational IllnessAny work related abnormal condition, disease or disorder, mainly or wholly cause by the work environment. Occupational Illnesses are distinguished from work related injuries in that injuries usually occurs as the result of a single event, whereas occupational illnesses usually occurs after prolonged or repeated exposure to substances or due to the environment or ergonomics.

5.1.4 Near MissAn incident in which there was no significant outcome, i.e. injuries, damage etc., but in which the potential for injuries or damage existed.

5.2 Incident Class

5.2.1 Fatality





A death resulting from a work injury regardless of the time intervening between the injury and the death.

5.2.2 Lost Time InjuryAn injury as a result of which the injured person is unable to perform any regular job, or restricted job, on the day after the day on which the accident occurs.

5.2.3 Restricted Work CaseAn injury which results in a work assignment the day after the injury occurred that does not include all the duties of that person’s regular job. The restricted job shall be meaningful, pre-established or a substantial part of a regular job.

5.2.4 Medical Treatment CaseAn injury where, after receiving medical treatment, the person returns to his regular job. In such case subsequent visits to the physician for follow up treatment are normally required. Overnight stays in a hospital, for observation is included as long as the person can resume his normal duties the day after the incident.

5.2.5 First Aid CaseMinor injury where a one time treatment is normally sufficient and which do not include normal medical care such scratches, burns, splinters etc. Such treatments are considered first aid even if provided by a physician or licensed medical personnel.

5.3 Incident or Potential Incident Severity Assessment

5.3.1 Initial Assessment

a) The initial assessment shall be made at the time the accident or incident is first reported.

b) The Incident reporter shall assign a number of 1 to 5 to indicate the potential severity of the incident, based on the values and criteria as listed in Attachment “A”, for the categories People (P), Assets (E) or the environment (E).

Sample: 3(P), 1 (A), 1(E)

The categories shall be listed started with the highest rating followed by the lower ones in decreasing values.

Sample: 2(E), 1(P), 0(A)

c) Assessment of potential incidents shall be based on the same criteria as for actual incidents.

5.3.2 Actual Severity

a) The actual severity shall be the measure of the incident or accident, determined after full evaluation.





b) The severity reported shall be based on the same criteria as for initial assessment.

ATTACHMENT “A”

ALOCATION OF INCIDENT SEVERITYGUIDE FOR ASSESSMENT





P. INJURY TO PEOPLE

1. Slight Injury requiring no, or only minor first aid treatment.

2. Minor injury probably requiring at least first aid treatment and possibly requiring treatment by a medic or doctor

3. Major injury, probably involving significant medical treatment

4. Single (or up to 3 closely grouped) fatalities or permanent total disabilities

5. Multiple (or wide spread) fatalities.

A. MATERIAL DAMAGE

1. Slight damage with no disruption in the process or operations.Repair and consequential damages less than USD 10,000

2. Minor damage with some remedial work required and loss of process or disruption of operation of less than 24 hours.Repair and consequential damages less than USD 100,000

3. Localized damage with partial shutdown of facilities without major disruption of process and operations.Repair and consequential dames less than USD 1,000,000

4. Major damage with partial loss of faculties resulting n process shutdown and loss of operations for some time.Repairs and consequential damages less than USD 10,000,000

5. Massive and extensive damage with substantial or total loss of process and operations.

E. ENVIRONMENTAL DAMAGE

Environmental Impact

Clean-up CostHalon & CFC

releaseOperating Upset

HC VentingOperating Upset

HC flaring

1 Minimal < USD 1,000 < 50 kg. < 1.4 MM M3 < 1 MM M3

2Minor with no lasting effects

USD 1,000 to 10,000 50 – 100 kg >1.4 to <7 MM M3 > 1 to <5 MM M3

3 Localized USD 10,000 and 50,000 > 100 kg >7 to <14 MM M3 > 5 to <10 MM M3

4 MajorUSD 50,000 to 1,000,000

Repeatedly >100 kg >14 to <35 MM M3 > 19 to <25 MM M3

5 Massive > USD 1,000,000 Frequent>100 kg > 35 MM M3 > 25 MM M3

ACCIDENT & INCIDENT REPORT

REPORT NO. WORK RELATED NON-WORK RELATED

INCIDENT CLASSIFICATION





INCIDENT CATEGORY INCIDENT CLASSAccident with Injury FatalAccident without Injury (Material Damage only)

Lost Time

Accident with environmental damage only Restricted WorkOccupational Illness Medical TreatmentNear Miss First Aid

DETAILS OF INCIDENT

DATE TIME LOCATION

SEVERITY (ACTUAL OR POTENTIAL)(P) - People (A) - Assets (E) - Environment

SEVERITY 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5ActualPotential (Initial Assessment)

PERSONNEL INVOLVED / INJUREDNAME POSITION INJURY

1

2

3

4

5

6

VEHICLES / EQUIPMENT INVOLVEDVEHICLE / EQUIPMENT

MAKEREGISTRATION NO. DAMAGE

1

2

ONE LINE SUMMARY OF THE INCIDENT

INCIDENT REPORT NO.

FULL DESCRIPTION OF THE ACCIDENT(Use Attachments if Required)





SKECTCH(Use Attachments if Required)

INCIDENT REPORT NO.

IMMEDIATE ACTION AFTER THE INCIDENT





HOW COULD THIS INCIDENT HAVE BEEN PREVENTED

ADITIONAL RECOMMENDATIONS TO AVOID RE-OCCURANCE

This Incident Report Sent To:

This Incident Report Copied To:

INCIDENT REPORT PREPARED BY: INCIDENT REPORT REVIEWED BY:

NAME NAME

POSITION POSITION

SIGNATURE SIGNATURE

DATE DATE


pei-qhse-003-accident and incident reporting and investigation

Documents