Upload
mohamed-hadjkacem
View
214
Download
1
Embed Size (px)
Citation preview
Preliminary Incident Notification
Incident titleExcavator tip over
APS >2 or WPS >3? FORMCHECKBOX YES FORMCHECKBOX NO
Date &Time25/08/2014RegionInvolved20517 - JACOBS MOROCCOHSE Incident TypeMobile equipment failure
Project InvolvedJorf Lasfar ODI P3Contractor InvolvedSGTMActual Severity1
Name of Person (s) InvolvedMr. AMZIANE AZIZWorst Potential Severity1
Where did the incident/near miss occur? (e.g., Project Site, Office or Township)
LocationODI P3 Site, OSBL Sea Water Pipe line
Preliminary DetailsDescribe parties involved, activity occurring at the time of incident and a brief summary of loss
On the 25 of August 2014 at Approximately 15:00 hrs. Mr. AMEZIANE Aziz carried out excavating activity and when he tried to move through the trench of 90 cm, the right track system of the excavator fell down into the trench which blocked temporary the movement of the excavator. The area was barricaded, the cab door was closed and the operator used his seat belt which make the hazard trivial.
Immediate ActionsTo control the source and mitigate impacts
1. JESA HSE immediately informed.
2.SGTMHSE immediately informed
3.Area secured and made safe.4. Develop a method statement and a SPA for intervention5. The excavator secured out from the trench.5. Activity temporary stopped until providing refresher training to the operator.
Insert any photographs/diagrams below(Click in the empty boxes)
SHAPE \* MERGEFORMAT
Contact detailsTo be used as a point of contact regarding any questions related to this incident
NameHADJKACEM Mohamed [email protected]
Copyright by Jacobs Engineering Group Inc. All rights reserved. No part of this document or the information it contains may be reproduced or transmitted in any form or by any means electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from Jacobs Engineering Group Inc.