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.