Safety Reporting

7/26/2019 Safety Reporting

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SAFETY

PERFORMANCE

REPORTINGAND

ACCIDENT

INVESTIGATION


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HUMAN BEHAVIOR

PERFORMANCE

SHIELDS = HSE

MANAGEMENT

SYSTEM


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NEED FOR A STANDARDIZED SYSTEM


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RECORDABLE ACCIDENTS

OCCUPATIONAL ILLNESS - any abnormal condition or disorder, other than one resulting from an

occupational injury, caused by exposure to environmental factors associated with employment. Itwill generally result from prolonged or repeated exposure.

OCCUPATIONAL ILLNESS is NOT SAFETY RECORDABLE

An Occupational Illness can be:

Back problems and lower limb disorders

Cancers and malignant blood diseases

Infectious/preventable diseases (malaria, food poisoning, infectious hepatitis, dysentery) Noise induced hearing loss

Poisoning (systemic effects of toxic materials)

Skin diseases and disorders (contact dermatitis, allergic dermatitis, rash caused by primary

irri tants, sensitizers or poisonous plants)

Physical disorders resulted from heat stress, exposure to low temperatures; effects of ionising

(alpha, beta and gamma rays, radium) and non-ionising (welding flash, ultraviolet rays, sunburn)

radiation).

RECORDABLE INJURYAn unplanned event that resul ts in an injury to a person (cut, fracture, sprain, amputation), which is

the consequence of:

a work related activity

an exposure involving a single incident in the work environment

(deafness from explosion, one-time chemical exposure, back disorder from a slip / trip, fracture

caused by fall from height, animal bite, poor housekeeping resulting in a trip of a person)


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SAFETY REPORTING STANDARD STD-COR-HSE-002

FORM-048: TRAILLING INDICATORS


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SAFETY REPORTING STANDARD STD-COR-HSE-002

FORM-049: PROACTIVE INDICATORS


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CALCULATION OF SAFETY

INDICATORS

WORKED MANHOURS

Offshore units

No persons on board/day x No.

days worked x 12 hours/day

No of persons present at work each

day in a month / no of days worked

in month

AVERAGE MANPOWER

Onshore units

No persons present each day x No.days worked x No. hours

worked/day


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EVENTS REPORTED AND ANALYSED

Near Miss

Personal Injuries

Fatalities

LTI

Work Restricted

Medicaltreatments

First Aid

Employee slips on the

scaffold and..

suffers a scratch on his

finger

sprain his ankle while

attempting to regain his

balance

falls from scaffold and

suffer mult iple fractures

falls from scaffold and

suffer fatal injuries to

head

Safety and Hazard

Observation Cards

Employee fails to put onsafety harness and

before climbing on the

scaffold but was

stopped by his

supervisor

Employee slips on the

scaffold but he regain

the balance


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ManhoursedTotal Work

LTINLTIFR

_

000,000,1. =


LWDNSR

_

000,1. =


TRINTRIFR

_

000,000,1. =

Total Recordable Incidents Frequency

Rate

LTI Frequency Rate

Severity Rate

PERFORMANCE MEASURMENT


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HSE TRAINING HOURS

Brief (10 15 minutes) meetings, focused

on particular safety issues, conducted

prior to work commencing by a

supervising person whose responsibility

is to assure that the appropriate

information is given to promote awareness

and understanding of all the potential

hazards which may affect the safe and

efficient job completion.

TOOL BOX TALKS

PROACTIVE INDICATORS

Include the safety & environmental training courses provided to Company and

Contractor personnel on Company facilit ies and on external facilities, agreed by the

Company.

HSE Training Hours have to be considered as Contact hours and it is calculated

by multiplying the number of attendees with the duration of the training session.

In the calculat ion of HSE Training hours shall not be included Safety Induction

Training such as offshore arrival, neither Emergency Drills.


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Is a procedure used to identify, analyse and record the steps involved in

performing a specific job, the existing or potential safety hazards associated with

each step, and the recommended action(s)/procedure(s) that will eliminate or

reduce these hazards and the risk of a work related injury .

JOB SAFETY ANALYSIS

Any speci fic HSE meet ing held in work si te, base camp, of fices and naval assets

where HSE matters are predominately discussed. It does not include Project

Progress meeting (even if HSE related matters are discussed)

HSE MEETINGS

A planned tour of a workplace to examine the si te faci lities, equipment , tools and

the employees practices in using them. HSE Inspection may also includes the so

called Safety Walkthroughs

HSE INSPECTIONS

It is a generic term, used to identify all the situations, conditions observed and

reported by the personnel employed in a project or si te. Observation reported arealways dealt with immediately after notification, solved by means of short-term

action and recorded

SAFETY & HAZARD

OBSERVATION CARDS

PROACTIVE INDICATORS


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PREPARING THE REPORT

HSE TRAINING REPORT


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TOOL BOX TALKS

Name of the participants

Topics discussed during the meeting


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WEEKLY SAFETY MEETINGS


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ACCIDENT INVESTIGATION


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Accidents dont just happen, they are of ten the

result of a sum of causal factors which taken

separate might have result in near miss or minor

events

An accident is:

Unwanted

Unplanned

Unforeseen

Disruptive

Can have major or minor outcomes

Accidents = Injuries

Why?

Because Injuries costs:

Insurance Premiums

Medical Expenses Worker Compensation

Rest of work crew takes up the slack


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ACTIONS VS. ATTITUDE

? What is easier to see and report?

? Which is easier to change?

To understand why people do the things they do.

To know there are many factors that cause an accident.

But mostlylook deeply into why accidents happen!

What is important to see:

Why the injuries should be investigated:

Prove the victim was at fault? ..no

Avoid law suits against the company.no

Try to make the work place safer!!

PURPOSE OF ACCIDENTS REPORTING AND


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PURPOSE OF ACCIDENTS REPORTING AND

INVESTIGATION SYSTEM

REPORT & INVESTIGATECOMMUNICATE EVALUATE

An opportunity to change the work climate by correcting unsafe

condit ions, procedures, or actions.

Identify the sequence of events leading to accident and the causes of failures associated to

each step;

Find methods to prevent accidents from recurring;

Communicate within the company and/or other companies the problems encountered duringactivity carried out;

Provide information on the status of strategies applied by the company to control the risks to

health and safety;

SAFETY HAZARD OBSERVATION CARDS


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SAFETY HAZARD OBSERVATION CARDS

The purpose of reporting SHOC is to prevent any incident occurr ing. Each worker should f ill the

Card (placed in designated places on site) whenever he notice an unsafe act or condition taking

place on workplace.

DESCRIPTION OF THE HAZARD

LOCATION

SUPERVISOR IMMEDIATE ACTION

FURTHER CORRETIVE ACTIONS TO

PREVENT RE-OCCURRENCE

FOLLOW UP BY HSE


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INCIDENT NOTIFICATION

On site the first notification, imediatelly after occurrence,

shall be done verbally.

The notified person will evaluate the situation and take

appropriate action to protect personnel, the environment

and assets.

Worker / Employee

HSE Adviser / Discipline Supervisor

Near-Misses Accidents /

High Potential Near Misses

Site Superintendent

Site Superintendent /HSE Manager / Project Manager

Incident

THE PROCESS

RISK MATRIX


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RISK MATRIX

Purpose of investigation

Identi fy the immediate and underlying causes

Enable effective control measures to be developed.

Asses the potent ial consequence of all accidents / near miss establ ishing the urgency of response and level of

investigation required and prioritize corrective actions and implementation of control measures.

THE INVESTIGATION TEAM


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Site Manager establish the preliminary Investigation level

Transmit the Initial Notification Form

Project Director and Project HSE manager review the consequences

evaluation

Final level of investigation (A, B,C) will be established considering the

worst case identified between the real consequence and the potential

risk

Level A

Site manager will appoint and

lead Investigation team withthe HSE Coordinator and/or

Discipline Supervisor.

The Project HSE manager will

endorse the classification and

potential consequence of event

Level B

The investigation team includes:

Project Director or his deputy

Project HSE manager or his deputy

Company/Subcontractor Representative

Contractor Corporate Representative

Others (experts)

Level C

The investigation team shell be

defined jointly with ConstructionBusiness Units managers and

Integrated Projects Senior Vice

President in consultation with

relevant Functions of Contractor

Corporate Management (QHSE,

Assets)

THE INVESTIGATION TEAM

Event Report Accident Investigation Report


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1. Describe who was involved

2. Describe what happened

3. Establish a time line

4. Determine location of accident & all

factors

5. Establish a chain of events to

understand how the accident

occurred

6. Determine the cause & root cause

ACCIDENT INVESTIGATION

Steps in accident investigation

1. WHO

2. WHAT

3. WHEN

4. WHERE

5. HOW

6. WHY


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GATHER THE INFORMATION

1. PEOPLE

People provide sensory evidence. They are direct

or indirect witness to event.

Direct witness provides description of what they

saw, smelled, heard or felt, but also time frame of

the incident.

Indirect witnesses may contribute valuable

information leading up to incident and perhaps

during and after the incident which may shed light

on the causes.

Each witness must be carefully interviewed andwritten statement prepared.

2. PARTS

Parts refer to physical evidence and could be a

failed process, equipment or tool; or relevant

PPE; or liquid and solid samples of the process

taken before and/or after the incident or any

piece of physical evidence considered relevantto the incident.

Visual examination, chemical analysis, non

destructive tests, mechanical tests are to be

used to examine the physical evidence to

determine the cause of failed part or process

upset.

3. POSITIONS

Positions refers to placement and/or sequence of

events that occurred before, during or after the

incident. A plot plan must be prepared for

comparison to the official one on the file.

The positions of the PPE, emergency equipments

and personnel should be taken in consideration as

well.

4. PAPER

Refers to standards, technical documentation,

maintenance logs, information regarding the

training of personnel, JSA , Tool Box Talk files

or any other documents that could be related

to the incident are to be analyzed.

All the documents represent background

information and could present the gaps into the

system

All the pieces of evidence must be organized and mapped


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CAUSAL FACTORS IDENTIFICATION

Underlying causes

Unsafe actsUnsafe conditions

Direct causes

Root causes

Personal factors

Job Factors

Critical factors are those events or conditions that if eliminated, either would have prevented the

incident or reduced its intensity.

DIRECT CAUSE vs ROOT CAUSE OF THE ACCIDENT


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The cause of the accident should describe what the immediate symptoms are

of the accident.

Example: An employee slipped on the floor because there was spilled coffee

that made the floor slippery.

CAUSE OF THE ACCIDENT

The root cause of the accident is the basic underlying reason, not always apparent, that

caused the accident.

Example: The root cause of the accident was that the person who spilled the coffee did not

clean it up or establish a warning method to alert others of a hazard.

ROOT CAUSE

DIRECT CAUSE vs. ROOT CAUSE OF THE ACCIDENT

INCIDENT MAPPING


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A critical factors chart in the form of a timeline is developed using building blocks of incident

events and conditions. This is known as data mapping. Chart helps the investigators to

chronologically describe the events leading to the accident.

Events mapping

INCIDENT MAPPING

Direct cause

Underlying cause 1 Underlying cause 2 Underlying cause 3

Underlying cause

Root causes

Underlying cause

Root causes

Root causesUnderlying cause

Underlying cause

Creating root causes analysis

EXAMPLE


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Example of Facts Gathering

On July 29, 1999, on or about 10:45 am, Joe Employee was stacking concrete blocks and walked

into a piece of steel re-enforcing bar that was protruding out of the end of the pipe storage

shelving unit located inside the Project Materials compound, striking him in the face. A 1 cut was

received across the middle of Mr. Employees forehead. He proceeded directly to the dispensary,

where he received 4 sutures to close the laceration, then was released at 11:41am in a full duty

status. He went to lunch, then informed his immediate supervisor of the incident upon returning

to work at 12:30.

EXAMPLE

The accident was caused by Joe not paying attention to his surroundings

and striking his head on the rebar.Direct cause

Root Cause #1: Somebody didnt properly store the rebar and left it in a

haphazard state that was obviously unsafe.

Root Cause #2: The supervisor has not been taking responsibili ty for his

work area by monitoring for unsafe condit ions.

DIRECT CAUSES OF THE ACCIDENT


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SUBSTANDARD ACTS/PRACTICES

Failure to follow rules and regulations

Failure to use PPE properly

Operating equipment or machinery without authority

Incorrect use of equipment or machinery

Using defective equipment or machinery

Failure to follow repair /maintenance instructions

Failure to warn

Failure to secure

Making safety device inoperable

Improper posi tion for task

Improper li fting, rigging, handling, storage

Horseplay or inappropriate behaviour

Under influence of alcohol and/or other drugs

Other substandard acts (specify)

DIRECT CAUSES OF THE ACCIDENT

SUBSTANDARD CONDITIONS

Inadequate guards or barriers

Inadequate or defective Personal protective equipment

Defective equipment, machinery or tools

Inadequate warning system

Adverse weather condit ions

Poor housekeeping

Congestion or restricted action

Inadequate or excess illumination

Fire and explosion hazard

Noise or temperature

Radiation exposure

Inadequate ventilation

Environmental conditions

Outdated standards, charts, and other documents

Other substandard conditions (specify)

ROOT CAUSES


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Personal factors

Physical capability

Mental/ psychological capabili ty

Physical stress

Mental or psychological stress

Knowledge / training

Skill level

Behaviour

Job factors

Management/ Supervision / Employee leadership

Standards, policies, procedures (PSP)

Communication

Training

Engineering , design

Purchasing, material handling and material control

Contractor selection

Maintenance

Tools and equipment

Excessive wear and tear

Abuse or misuse

Lack of design

Confusion requests

Ergonomic

Workload stress

S.M.A.R.T.E.R. CONCEPT FOR CORRECTIVE ACTIONS


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Often these corrective actions are mainly oriented on threestandard directions

Discipline

Training

Procedures

But

Lets think SMARTER when we analyze and settle the

corrective actions for prevention of accidents recurrence

Specific - specify the exact corrective action to be implemented: Who will do what when?

Measurable - fix exact date for applying the corrective actions and check if they are really working : When is done

and if is working?

Accountable - who is the responsible person for implementing the corrective actions and clearly define the due date.

Reasonable - what are the costs for implementing the specific corrective actions: is the corrective action practical?

Timely - are the corrective actions soon enough established to produce consequences or to reduce risks whilecorrective actions are being implemented?

Effective - the corrective actions must prevent or significantly reduce the odds of the accident recurring.

Reviewed - the corrective actions must be reviewed after an established period of time in order to see if they haveproduced the expected effect or need improvement.

An accident investigation report must include correct ive actions meant to stop the recurrence of

those kind of events.

REPORTING


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REPORTING

The following principles for the preparation of an Incident Investigation Report shall be adhered to:

The report should be factual, concise and conclusive;

Unsubstantiated speculation should be avoided at all times;

Interpretations of findings should be based only on the facts as identified in the investigation;

Where events and condit ions are listed in the report but are not essential pre-conditions for occurrence of the

incident these should be clearly identified;

An assessment of under lying root causes should be made, based on an analysis of the evidence;

Where events or conditions are listed, that are not critical for the incident to have occurred, this should be

clearly indicated;

The report should be readable as a stand-alone document. References to other documents not in the public

domain, i.e. not readily open to inspection by others, should be avoided;

Al l previous drafts of the report should be destroyed;

An audit trail of the documents relevant to the incident and the report should be establ ished;

The team leader should ensure that all documentation collected dur ing the investigation and preparation of the

report is properly filed;

The final copy of the report may include a confidentiality statement.

ACCIDENT INVESTIGATION FORM


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Site identification

Type of injury

Injured person details

Descript ion of the accident

Accident analysis

Accident Invest igation

Root Causes of the accident

Corrective actions


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Level B and C of Investigation

It is prepared by the Investigation Team

and contain all findings and

recommendations.

Safety Reporting

Documents

Transcript of Safety Reporting