oasisInternational Training Center
Presents
INCIDENT REPORTING
What to be reported?The basis of accident prevention, resolves around the accurate and prompt reporting of anomalies.
FATALITY
ANOMALY
INCIDENT INCIDENT
AC
CID
EN
T NE
AR
MISS
INCIDENT REPORTING
UNSAFE ACTS AND CONDITIONS
1
10
30
600
1 major accident - with human injury
10 minor accidents
30 incidents with material damage
600 incidents with no damage or no visible injury
BIRD'S PYRAMID
Anomalies / Incident factors
USA 1969
Statistics by Mr BIRDbased on 1.8 Million accidents
which occurred in21 different activities
(3x109 man-hours)
FAILURES, ERRORS...
INCIDENT REPORTING
ASSALUYEH SITE, Phases 2 & 3 from November 1999 to July 2002
26,728 Anomalies reported
750 Accidents with nobody injured
557 Accidents with injured people
4 Fatalities
INCIDENT REPORTING
Why to report ?
• To be able to make an analysis of the incident,
in order to avoid recurrence
• To avoid that anomalies become accident
• To brake the chain of events
INCIDENT REPORTING
CHAIN OF EVENTS
INCIDENT REPORTING
PROBABILITY - SEVERITY
Nothing happened
last time
… it must be safe !
INCIDENT REPORTING
ANOMALY
A potential hazard which has not yet caused an incident.
INCIDENT REPORTING
DEFINITION :
Any undesirable situation having the
potential to cause an incident.
Anomalies are not incidentsAnomalies are not incidents
They are They are incident factorsincident factors
INCIDENT REPORTING
ANOMALY
Definition:Incidents are generally caused by a combination of several anomalies, such as :
• Unsafe / Sub-standard acts or conditions• Unsafe / Sub-standard procedures / practices• Unsafe / Sub-standard equipment• Unsafe / Sub-standard environmental conditions
ANOMALY
INCIDENT REPORTING
5.3 ANOMALY CARD SYSTEM
Fill Anomaly card
Fill Anomaly card
INCIDENT REPORTING
ANOMALIES MANAGEMENT TOOL
An occurrence were people have not been injured, but who has damaged property, environment, or delayed work.
INCIDENT REPORTING
INCIDENT
An occurrence were people have almost been injured, or property damaged, but the consequences of which were avoided by circumstances.
INCIDENT REPORTING
NEAR MISS
DEFINITION OF A NEAR MISS :An incident with negligible actual consequences, but with potential for harm / illness or damage / loss, pollution, or combination of all.
The real severity of a near miss is always negligible, whereas its potential severity can range from negligible to catastrophic.
INCIDENT
INCIDENT REPORTING
An occurrence were Property have been damaged.
Or
people have been injured.
INCIDENT REPORTING
ACCIDENT
DEFINITION OF AN ACCIDENT :An incident which results in actual injury / illness and / loss or damage / to environment or to material / production.
The real consequences range from moderate to catastrophic in either of the three fields: human, environment or material / production.
ACCIDENT
INCIDENT REPORTING
Note: Accidents and near misses have basically the same causes,
… what makes the difference is the actual damage severity.
It depends on :• worsening factors• effectiveness of protective measures• and … luck
INCIDENT REPORTING
INCIDENT
INCIDENTINCIDENT
ACCIDENTACCIDENT NEARMISSNEARMISS
HUMANHUMAN EQUIPMENT / PRODUCTIONEQUIPMENT / PRODUCTION ENVIRONMENTENVIRONMENT
SUSTAINED DAMAGE
NO or NEGLIGIBLE SUSTAINED DAMAGE
INCIDENT REPORTING
Incident short summary
Description of the operation during which the incident occurred (what was done? Where? By whom ? Who ? Job-work/permit number ?)
Brief description of damage to equipment and environment
Immediate action taken to contain incident
Additional action taken to prevent reoccurrence
HSE Area Authority Comments
1
1
2
2
3
3
44
55
6 6
INCIDENT REPORTING
SEVERITY MATRIX
Trade representative Comments and remedial Actions
INCIDENT REPORTING
MEDICAL REPORT
INCIDENT REPORTING
Circulation sheet
HSE Site Manager Comments and Remedial Action Proposal
Head of Maintenance Comments
Head of Services Comments
Head of Operations Supports
Others or Identified by RSE
Site Manager RSE Comments
TRADE REPRESENTATIVE COMMENTS AND REMEDIAL ACTIONS
Incident Reference as per IRF 1……………..attached Date:……./……../……..Please circulate this document, inform if of interest for your activities and transmit to HSE.
HSE Site Manager Comments and Remedial Action Proposal. Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Yes / No Head of Maintenance Comments Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Yes / No Head of Services Comments Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Yes / No Head of Operations Supports Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Yes / No Others or Identified by RSE Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Site Manager RSE Comments Date:……./……../……..
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Back to HSE Manager for Synthesis in relation with RSE in order to be included in theremedial actions follow up system.
INCIDENT REPORTING
PhasesDirectSupv.
Involved
HSE AreaAuthority
TradeReps.
HSESupport
HSE SiteManager
RSE SiteManager
Depart.Heads
1 X
2 X
3 X
4 X
5 X
6 X
7 X
8
Forremedial
actionfollow up& OCIAR
INCIDENT REPORTING
R11%
R91%
R162%
R84%
R71%
R641%
R422%
R522%
R35%
Struck and squeezed by machinery in movement
People falls
Posture and handling effects
Road traffic incidents
From January 2000 up to end of July 2002
556 LTA out of 1311 incidents
Code Cause Nb.R1 Weather effects 3R2 Noise effectesR3 Collision with vehicles and road traffic32R4 People falls 127R5 Posture and handling effects 123
R6Struck and squeezed by machinery or objects in movement 221
R7 Electricity contact 8R8 Burns 18R9 Intoxication 3R10 AsphyxiaR11 Radiation effects 1R12 Explosion effects 1R13 DrownedR14 Buried of bogged downR15 EnvironmentR16 Other 19
Total 556
Causes of LTA
INCIDENT REPORTING
0,00
20,00
40,00
60,00
80,00
100,00
120,00
140,00
160,00
11/99 12/99 01/00 02/00 03/00 04/00 05/00 06/00 07/00 08/00 09/00 10/00 11/00 12/00 01/01 02/01 03/01 04/01 05/01 06/01 07/01 08/01 09/01 10/01 11/01 12/01 01/02 02/02 03/02 04/02 05/02 06/02 07/02
LTSR
LTFR
TSP ASSALUYEH SAFETY STATISTICS
64,323,482 worked hours up to July 2002
8.66
97.6
Lost Time Severity Rate
Number of lost days per
1 000 000 worked hours
Lost Time Frequency Rate
Number of LTA per
1 000 000 worked hours
INCIDENT REPORTING
INCIDENT MANAGEMENT 1Witness
2Take appropriate immediate action
3Report
4Analyse
5Implement
corrective actions
INCIDENT REPORTING
REPORTING
ANALYSIS
REMEDIAL ACTION
IMPLEMENTATION OF REMEDIAL
ACTION
INCIDENT REPORTING
IT CAN BE IMPLEMENTED ONLY WITH YOUR INVOLVMENT
YOU ARE THE ACTORS
SO ACT !
INCIDENT REPORTING
Thank you Thank you for your for your
attention.attention.
Thank you Thank you for your for your
attention.attention.