Section 6: Incident Reporting & Investigation

Size: px
Start display at page:

Download "Section 6: Incident Reporting & Investigation"

Transcription

1 2012 Section 6: Incident Reporting & Investigation Total Oilfield Rentals LP 10/1/2012

2 This page left blank intentionally.

3 6.0. Incident Reporting & Investigation Rev B October 1, 2012 Table of Contents 6.1. INCIDENT REPORTING AND INVESTIGATION DEFINITIONS INTRODUCTION REPORTING INCIDENTS ACCIDENT PREVENTION INCIDENT INVESTIGATION REPORTING/INVESTIGATION PROCEDURE RECORD RETENTION INVESTIGATION FOLLOW-UP Incident Reporting & Investigation Page 3

4 This page left blank intentionally.

5 6.1. Incident Reporting and Investigation Definitions Incident is an unplanned, undesired event that did or had the potential to cause loss. Accident is an unplanned, undesired event that results in a loss. Loss means the unnecessary waste of resources such as people, process, profits or environment Introduction Reporting and documentation of incidents is useful because the information is necessary for completing investigation and insurance reports, complying with regulatory requirements and preparing statistics. Incident statistics help identify potential company wide hazards, training needs, problems with work procedures, failures in communication and needs for personal protective equipment. Workers will report the following types of events to their Supervisors: All incidents (close calls) Verbal threats Any loss, such as fire, explosion, vandalism, theft, spills or vehicle collisions Musculoskeletal injuries, injuries or occupational illnesses that prevent a worker from performing regular tasks Injuries that can be treated at the worksite Fatalities Supervisors will manage the response to the event. They are responsible to notify the appropriate authorities where necessary, request support from Total Oilfield management and the HSE Coordinator when required and complete an Accident/Incident Investigation Report as soon as possible. Supervisors will submit a copy of the report to the Branch Manager and the HSE Coordinator for review and filing. In the event of personnel injury, the Supervisor will complete a WCB Employer s Report of Injury or Occupational Disease and submit to the operations manager within 72 hours of the incident. If possible, statements regarding the event should be obtained in writing from the injured person and witnesses. In the event that the loss to Total Oilfield exceeds a predetermined threshold, qualified third party investigators will respond to the scene to investigate within a reasonable time of the notification Reporting Incidents All employees are required to report all incidents or accidents, regardless of severity Incident Reporting & Investigation Page 5

6 All serious musculoskeletal injuries, injuries or equipment/environmental damage or near miss incidents with the potential for major injury or damage will be reported immediately to your Supervisor. All incidents, accidents, or environmental releases which have caused, are causing, or may cause a personal injury, loss to the company, or an adverse effect to the environment shall be reported and investigated. Employees shall report: Oral immediately Written - within 24 hours In the event the following occurs: death of an employee a disabling injury to two or more employees an employee loses a part of or a whole body member an employee loses the usefulness of a body member the permanent impairment of a body function of an employee an explosion damage to a boiler or pressure vessel that results in fire or the rupture of the boiler or pressure vessel any damage to an elevating device that renders it unserviceable, or a free fall of an elevating device Federal Health and Safety Officers must be informed as soon as possible but not later than 24 hours after becoming aware of the incident. Should one of the following events occur: A disabling injury to and employee An electric shock, toxic atmosphere or oxygen deficient atmosphere causing an employee to lose consciousness The implementation of rescue, revival or other similar emergency procedures Fire or explosion A Hazardous Occurrence Investigation Report shall be filled out without delay. This report will then be submitted to the HSE Coordinator and within 14 days to Occupational Health and Safety Officer at the regional office Incident Reporting & Investigation Page 6

7 Accident Prevention Accident Prevention Meetings will be held periodically throughout the year to identify specific situations that arise on a regular basis. These conditions may include such items as school buses returning to the road with the onset of another school year, farm equipment on the roads, winter driving conditions, drinking/driving and the festive season, etc Incident Investigation Incident investigation and follow-up help to determine why incidents occur, and help to prevent them from recurring. The purpose of investigation is to identify the factors that contributed to the event and the causes behind those factors. Personnel investigating incidents must have some training in incident investigation. Total Oilfield will ensure that every accident including ones that causes or may cause the death of a worker, that requires a worker to be admitted to a hospital as an in-patient for a period of 24 hours or more, or dangerous occurrence are investigated immediately. In the event of an serious incident: Representatives from Federal Occupational Health and Safety will be notified immediately. Appoint a qualified person to carry out an investigation of the hazardous occurrence Notify the work place committee or the health and safety representative of the hazardous occurrence and of the name of the person appointed to investigate it Take necessary measures to prevent a recurrence of the hazardous occurrence. If the serious incident is an accident involving a motor vehicle on a public road that is investigated by a police authority, the investigation shall be carried out by obtaining from the appropriate police authority a copy of its report with respect to the accident. Upon receipt of the report Total Oilfield will provide a copy to the workplace committee or the health and safety representative. Total Oilfield requires every Incident, Accident and Near-Miss to be reported verbally as soon as it takes place and is safe to do so to the supervisor in charge. Following an Incident, Accident and Near-Miss Reporting Form must be filled out within 24hrs in writing. These reports will then be reviewed, investigated and followed-up on by management as soon as is reasonably possible Incident Reporting & Investigation Page 7

8 Total Oilfield will prepare a written report that includes a description of the accident or dangerous occurrence, any photographs or other evidence that may assist in determining the cause or causes of the accident or dangerous occurrence, an explanation of the cause or causes of the accident or dangerous occurrence, as well as immediate corrective action taken. Any long term action will be taken to prevent the occurrence of a similar accident or dangerous occurrence or the reasons for not taking action will also be included in the report Reporting/Investigation Procedure To ensure the administration of all incidents and accidents is managed in a timely and cost-effective manner, the Branch Managers are asked to ensure the following procedure is implemented. When an incident occurs, investigator(s) examining the incident will have the full cooperation of Total Oilfield employees throughout the investigation. The Branch Manager in cooperation with regional dispatch personnel will assign an investigator to the incident. 1. The employee to verbally report the incident/accident to the supervisor on call. (always available via telephone) 2. The employee to complete the REPORTING form as soon as is possible (each situation being unique) and to discuss the situation with the supervisor. 3. Determine if an investigation team is necessary to investigate the incident in question. 4. Assemble an investigation team if required. 5. Survey the area to determine if the work must be stopped to prevent injuries and preserve evidence. In a major emergency, work should be stopped immediately. It is not necessary to wait for the investigator to make the decision. 6. Determine if government and insurance investigators should be called, if they have not already been notified as part of the emergency response. 7. Assist insurance or government investigators as required. 8. Gather evidence and interview witnesses and people involved in the accident. Photograph the site to record evidence and damage, if possible. 9. Determine the contributing factors and root causes of the incident or accident and necessary follow-up actions. 10. The investigator completes the INVESTIGATION form Incident Reporting & Investigation Page 8

9 11. Prepare an investigation report and present it to the Branch Manager and the HSE Coordinator for review and filing. In cases of bodily injury, the HSE Coordinator will complete the appropriate WCB Worker s Report of Injury or Occupational Disease and submit to appropriate authorities (SK - Occupational Health and Safety, AB - Human Resources and Employment, BC - Workers Compensation Board) within 72 hours of the incident. If the situation warrants a Modified Work Program to be established and offered to the employee (the duties in a Modified Work Program are based on a physician's diagnosis). The employee and payroll administrator to complete the WCB Workers Report and the Employer's Report. The forms are faxed to WCB and a file is prepared and maintained by personnel. In the event an employee requires medical attention, a supervisor is to transport the employee to a medical center and to remain at the center until an examination has been completed. The supervisor is to ensure the MODIFIED WORK PROGRAM - PHYSICIAN'S INFORMATION form is completed and returned. 12. Sometime during the above process, a copy of the REPORTING and INVESTIGATION forms are to be made available to the HS&E Manager. Information such as employee's name, date and location of occurrence, designation as to Personal Injury, Equipment Damage and/or Property Damage, and other pertinent information will be entered into a database for efficient and convenient access and referral. The accident will then be discussed at future Joint Health & Safety Committee meetings Incident Reporting & Investigation Page 9

10 Record Retention Two copies of the Investigation Reports must me retained. One copy must remain in the regional office and the original must be delivered to the HSE Coordinator. In the event of an injury accident is investigated the following information will be noted by the investigator and included in the incident report. the name of the worker the name and qualifications of the person giving first aid a description of the illness or injury the first aid given to the worker the date and time of the illness or injury the date and time the illness or injury was reported where at the work site the incident occurred the work related cause of the incident, if any These records will be retained for a minimum of 3 years. Total Oilfield will keep a record of each minor injury that affects any employee in the course of employment. The HSE Coordinator will analyse incident statistics annually to determine trending or unidentified concerns. This information will be presented to Total Oilfield management annually for their review Investigation Follow-Up Investigation follow-up is vital to incident investigation process. Without following up to make sure the recommendations have been implemented or at least addressed the potential for the same incident to happen again is extremely high. The purpose of the investigation is to identify both the factors that contributed to the accident and the root cause behind these factors. Addressing the root cause of accidents will result in a stronger EHS program, reduce accidents and increase the profitability of the entire company. Senior Management will ensure that all recommendations are followed up with an action plan and will verify that the recommendations are completed by a fixed time. All of the action items arising from incident investigations are logged on the branch s Health and Safety Action Log Incident Reporting & Investigation Page 10

Incident Reporting & Investigation

Incident Reporting & Investigation Incident Reporting & Investigation Version Revision by Completion AL1 Date AL 2 Date AL 3 Date Rev12 aolfert Aug 2012 rrundell Aug 2012 NA Rev15 aolfert May 2015 rrundell NA 2 3 Table of Contents 1.0 Incident

More information

Incident Investigation Incident, Accident, and Near Miss Reporting

Incident Investigation Incident, Accident, and Near Miss Reporting Title: Incident Investigation Effective Date: 11/14/2014 Control Number: THG_0032 Revision Number: 3 Date: 10/21/2015 Annual Review Completed: 5/13/2015 CONTENTS Incident Investigation Incident, Accident,

More information

Due Diligence and Accident/Incident Investigations Bills 9 and 35

Due Diligence and Accident/Incident Investigations Bills 9 and 35 Due Diligence and Accident/Incident Investigations Bills 9 and 35 Presented by: Tom McKenna, National Representative, WCB Advocacy January 19, 2016 The information is not legal advice. This information

More information

Collision Reporting, Investigation, and Analysis

Collision Reporting, Investigation, and Analysis In this procedure, a collision is defined as any occurrence involving a motor vehicle driven by an employee on company business which results in death, injury, or property damage, unless the vehicle is

More information

ACCIDENT REPORTING POLICY

ACCIDENT REPORTING POLICY ACCIDENT REPORTING POLICY POLICY: Accident Reporting Policy ISSUE: 5 ISSUED: October 2016 REVIEWED: October 2019 RELATED POLICIES All Health & Safety related Policies. SCOPE OF POLICY This policy applies

More information

Accident/Incident Reporting and Investigation Procedure

Accident/Incident Reporting and Investigation Procedure Epping Forest Schools Partnership Trust Unlocking the Potential of Collaboration Accident/Incident Reporting and Investigation Procedure This policy was approved by the Board of Trustees in: February 2019

More information

IGB ACCIDENT/INCIDENT REPORTING AND INVESTIGATION PLAN

IGB ACCIDENT/INCIDENT REPORTING AND INVESTIGATION PLAN IGB ACCIDENT/INCIDENT REPORTING AND INVESTIGATION PLAN Accident/incident Reporting It is necessary to report every accident to your supervisor and the IGB Safety Coordinator in order to learn the cause

More information

Accident, Near-Miss Reporting and Investigation Policy

Accident, Near-Miss Reporting and Investigation Policy Accident, Near-Miss Reporting and Investigation Policy Version: V0_2 October 2017 Owner: HR/Corporate Services Approved by: Executive Team Accident and Near-Miss Reporting and 1 October 2017 CONTENTS PAGE

More information

Accident Policy & Procedure

Accident Policy & Procedure Policy Name Related Policies and Legislation Policy Category Relevant Audience Date of Issue / Last Revision Accident Policy & Procedure First Aid Policy Emergency and Critical Incident Management Plan

More information

Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up

Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up PRESENTOR: Tom Wohlleber, CSRM Assistant Superintendent - Business Services Middleton-Cross Plains Area School District

More information

Accident and Incident Reporting Policy and Procedure (including Notifiable Incidents Procedure)

Accident and Incident Reporting Policy and Procedure (including Notifiable Incidents Procedure) Purpose YPCT recognises the important role of accident and incident reporting, and investigation in ensuring the health, safety and welfare of all persons within the workplace. YPCT will ensure all accidents

More information

Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up

Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up Effective Loss Control Through Accident/Incident Investigation, Reporting and Follow-up Graphic provided by EMC Insurance PRESENTOR: Tom Wohlleber, CSRM Assistant Superintendent - Business Services Middleton-Cross

More information

Standard Operating Procedures

Standard Operating Procedures Standard Operating Procedures Title: Accident/Incident Reporting Purpose: This SOP details the procedures and requirements for reporting and investigating a safety or environmental incident or loss at

More information

ELECTRON SERVICES NORTH EAST LIMITED

ELECTRON SERVICES NORTH EAST LIMITED ELECTRON SERVICES NORTH EAST LIMITED Accident & Incident Investigation Policy JULY 2015 Next Scheduled Review: July 2016 Policy This policy outlines the procedures that are to be adopted when any employee,

More information

Policy on the Reporting and Investigation of Incidents, Dangerous Occurrences and Occupational Ill Health

Policy on the Reporting and Investigation of Incidents, Dangerous Occurrences and Occupational Ill Health Policy on the Reporting and Investigation of Incidents, Dangerous Occurrences and Occupational Ill Health 1. Introduction 2. University Policy 3. Relevant Legislation 4. Procedures and Guidance 5. Incident

More information

SAFETY AND HEALTH PROGRAM Incident Investigation Procedures

SAFETY AND HEALTH PROGRAM Incident Investigation Procedures PROGRAM NUMBER NO. PAGES 09-001 7 REVISION ISSUE DATE 6/12/2014 09/03/2009 SAFETY AND HEALTH PROGRAM Incident Investigation Procedures 1.0 PURPOSE The purpose of this document is to provide specific guidelines

More information

Accident and Incident Investigation Reporting

Accident and Incident Investigation Reporting Page 1 of 6 Purpose: This policy establishes the procedures to be followed when a City of Mobile employee suffers a workplace injury, is involved in a vehicle accident, or is involved in any other incident

More information

OMG Southeast & Southwest ACCIDENT & INJURY REPORTING

OMG Southeast & Southwest ACCIDENT & INJURY REPORTING ACCIDENT & INJURY REPORTING I. Report all injuries and accidents, regardless of how minor, to your supervisor immediately. Failure to immediately report an injury or accident could result in loss of Workers

More information

Effective Workplace Incident Investigations SERGE SIROIS, INVESTIGATION OFFICER WORKSAFE NB

Effective Workplace Incident Investigations SERGE SIROIS, INVESTIGATION OFFICER WORKSAFE NB Effective Workplace Incident Investigations SERGE SIROIS, INVESTIGATION OFFICER WORKSAFE NB AGENDA Introduction Why Investigate? What to Investigate? Who should investigate? Preparation for an Effective

More information

Accident Investigation

Accident Investigation Accident Investigation Purpose Accident prevention is the key to eliminating possibility of injury to employees and property loss. Learning from past accidents is one of the key elements in accident prevention.

More information

HEALTH AND SAFETY MANUAL

HEALTH AND SAFETY MANUAL HEALTH AND SAFETY MANUAL Title: Incident Investigation and Reporting Approved by: Greg Savoy Date: 10/18/12 1 Purpose/Scope: In an effort to maintain a safe and healthy workplace environment, accidents

More information

Accident and Incident Reporting and Investigation

Accident and Incident Reporting and Investigation Accident and Incident Reporting and Investigation 1 PURPOSE 1.1 The purpose of this Procedure is to specify the minimum actions that should be taken following an accident or incident. Accident / Incident

More information

Incident /Accident Procedure

Incident /Accident Procedure Incident /Accident Procedure 1.0 Scope and Purpose of Procedure The scope and purpose of this procedure is to regulate the reporting of all incidents or accident occurrences which lead to;- (a) (b) (c)

More information

Administrative Policies and Procedures Page 2

Administrative Policies and Procedures Page 2 Administrative Policies and Procedures Page 2 2.5.3 MINIMUM DRIVING STANDARDS Authorization to drive a Commission-owned, leased, or personal vehicle for Commission business will be granted only when an

More information

Sample Safety Program for Mississippi Employers

Sample Safety Program for Mississippi Employers Master A MEMBER OF GREAT AMERICAN INSURA NCE GRO U P Sample Safety Program for Mississippi Employers About This Sample Safety Program As prescribed by Mississippi state workers compensation laws, insurance

More information

Workers Compensation Procedure

Workers Compensation Procedure City and County of Denver Workers Compensation Procedure Issued September 10, 2001 Workplace Safety 201 West Colfax Avenue Dept. 1105 Denver, CO 80202 Risk.Management@Denvergov.org Workplace Safety Home

More information

Program Policy Issues Clarification Paper: Recurrences

Program Policy Issues Clarification Paper: Recurrences Program Policy Issues Clarification Paper: Recurrences August 31, 2010 TABLE OF CONTENTS 1. PURPOSE... 3 2. BACKGROUND... 3 3. THE ISSUES... 6 4. JURISDICTIONAL INFORMATION... 8 5. CURRENT PRACTICE...

More information

Accident/Incident Investigation. The Following information is adapted from the National Safety Council Fact Sheet: Accident/Incident Investigation

Accident/Incident Investigation. The Following information is adapted from the National Safety Council Fact Sheet: Accident/Incident Investigation The Following information is adapted from the National Safety Council Fact Sheet: Accident/Incident Investigation Accident/Incident Investigation When do you conduct an investigation? All incidents, whether

More information

SUBJECT: TRAFFIC COLLISION INVESTIGATION

SUBJECT: TRAFFIC COLLISION INVESTIGATION UW-Madison Police Department Policy: 61.2 SUBJECT: TRAFFIC COLLISION INVESTIGATION EFFECTIVE DATE: 06/01/10 REVISED DATE: 12/31/11, 11/01/13 REVIEWED DATE: 04/04/14; 08/01/17; 08/24/18 STANDARD: CALEA

More information

FLORIDA TECH EMPLOYEE ACCIDENT/ INJURY REPORT

FLORIDA TECH EMPLOYEE ACCIDENT/ INJURY REPORT FLORIDA TECH EMPLOYEE ACCIDENT/ INJURY REPORT Contact Financial Affairs @ 674-7297 OR 8885 IMMEDIATELY regarding an Employee's Injury. Employee AND Supervisor must complete this report. EMPLOYEE INFORMATION

More information

Austin Independent School District Police Department Policy and Procedure Manual

Austin Independent School District Police Department Policy and Procedure Manual Policy 6.02 Austin Independent School District Police Department Policy and Procedure Manual Traffic Collision Investigation I. POLICY It is the policy of the AISD Police Department to efficiently investigate

More information

2016 CDM Smith All Rights Reserved July 2016 SECTION SAFETY, HEALTH, AND EMERGENCY RESPONSE

2016 CDM Smith All Rights Reserved July 2016 SECTION SAFETY, HEALTH, AND EMERGENCY RESPONSE PART 1 GENERAL 1.01 SCOPE OF WORK SECTION 01 11 01 SAFETY, HEALTH, AND EMERGENCY RESPONSE A. Pursuant to Section 107 of the Contract Work Hours and Safety Standards Act and DOL Regulations set forth in

More information

Incident Reporting & Investigation

Incident Reporting & Investigation Section 9 Incident Reporting & Investigation Table of Contents 9.1 INCIDENT REPORTING AND INVESTIGATION POLICY... 2 9.2 INCIDENT AND ACCIDENT REPORTING... 3 9.2.1 PURPOSE... 3 9.2.2 PROCEDURE... 3 9.2.3

More information

Worker s Compensation Investigation Kit Checklist

Worker s Compensation Investigation Kit Checklist Worker s Compensation Investigation Kit Checklist Claim Handling Instructions Workers Compensation Instructions Employee Statement WC Accident Investigation Guide WC Activity-Communication Log Accident

More information

Accident & Incident Investigation Policy & Reporting of RIDDOR

Accident & Incident Investigation Policy & Reporting of RIDDOR Accident & Incident Investigation Policy & Reporting of RIDDOR Prepared By: S Whitcombe Date:14/10/14 Checked By: N Smith Date: 14/10/14 Revision: 9.02 Date: 14/10/16 Project House, The Drive Worthing

More information

Instructions for the Incident/Accident Investigation Form (SORM-703)

Instructions for the Incident/Accident Investigation Form (SORM-703) Purpose of Form: Instructions for the Incident/Accident Investigation Form (SORM-703) Effective loss control efforts require documentation of incidents and accidents to determine hazards or problem areas,

More information

Consolidated Construction Consortium Ltd. PROCEDURE NO. : CSP

Consolidated Construction Consortium Ltd. PROCEDURE NO. : CSP PAGE 1 OF 5 1 19.01.2009 Section 4.2.8 changes made for risk assessment 0 16-04-2008 First issue REV. NO. DATE BRIEF RECORD OF REVISIONS 1.0 OBJECTIVE Consolidated Construction Consortium Ltd. PROCEDURE

More information

The Manor House Phone: , Fax:

The Manor House Phone: , Fax: The Manor House Phone: 0129722433, Fax: 0129721175 Accident and Incident Reporting Policy and Procedure Amended on 02/03/2016 Purpose To comply with statutes, regulations and quality standards. To ensure

More information

ACCIDENT & INCIDENT INVESTIGATION

ACCIDENT & INCIDENT INVESTIGATION ACCIDENT & INCIDENT INVESTIGATION Course Directors Lyn Harris & Graham Richens Welcome Fire Alarm Meals, Breaks, Toilets Smoking area Mobile Phones Dress Code, Behaviour. Aim To familiarise safety leaders

More information

Scarborough Fire Department Scarborough, Maine Standard Operating Procedures

Scarborough Fire Department Scarborough, Maine Standard Operating Procedures Scarborough Fire Department Scarborough, Maine Standard Operating Procedures Book: Chapter: Subject: Organization Revision Date: 10/07/2016 Approved by: B. Michael Thurlow Personnel, Policies, & Procedures

More information

REQUIREMENTS FOR NOTIFICATION AND REPORTING OF ACCIDENTS AND NEAR MISSES TO PREMUDA (FOR THE OWNERS OF TC TANKER VESSELS)

REQUIREMENTS FOR NOTIFICATION AND REPORTING OF ACCIDENTS AND NEAR MISSES TO PREMUDA (FOR THE OWNERS OF TC TANKER VESSELS) 1 issue: 08/14 1 of 8 NOTIFICATIONS It s Premuda requirement that the Owner/Management Company of the time chartered vessel reports accidents and near misses for fixed crew based on 24 hours service on

More information

Accident / Incident Reporting & Investigation Procedure ASTON MANOR ACADEMY. Accident - Incident and Investigation Policy

Accident / Incident Reporting & Investigation Procedure ASTON MANOR ACADEMY. Accident - Incident and Investigation Policy Accident / Incident Reporting & Investigation Procedure ASTON MANOR ACADEMY Accident - Incident and Investigation Policy Review Date: November 2018 To be Reviewed: November 2019 Agreed: F & GP Board Policy

More information

Accident Investigation and it s Application

Accident Investigation and it s Application Accident Investigation and it s Application ENGR. JOSE MARIA S. BATINO Deputy Executive Director Occupational Safety and Health Center Heinrich s Triangle 1 Fatal 29 Minor 300 Near-Miss 3000 Hazards

More information

ACCIDENT INVESTIGATION POLICY

ACCIDENT INVESTIGATION POLICY ACCIDENT INVESTIGATION POLICY Latest Revision July 2016 Next Revision July 2017 Compliance Associated Policies Management of Health & Safety at Work Reporting of Injury, Disease & Dangerous Occurrence

More information

Policy Owner(s): Human Resources Original Date: 3/10/2016. Last Revised Date: 10/23/2017 Approved Date: 10/26/2017

Policy Owner(s): Human Resources Original Date: 3/10/2016. Last Revised Date: 10/23/2017 Approved Date: 10/26/2017 Policy: Workers Compensation Policy Number: I-4.8 Policy Owner(s): Human Resources Original Date: 3/10/2016 Last Revised Date: 10/23/2017 Approved Date: 10/26/2017 I. POLICY: Workers compensation benefits

More information

ACCIDENT INVESTIGATION

ACCIDENT INVESTIGATION OBJECTIVE To determine what went wrong in the workplace that resulted in an accident, or near miss, so that effective corrective action can be taken to prevent reoccurrence. RESPONSIBILITIES The Restaurant

More information

ACCIDENT INVESTIGATION

ACCIDENT INVESTIGATION 1604 ACCIDENT INVESTIGATION Leader s Guide Marcom Group Ltd. Structure and Organization Information in this program is presented in a definite order so that employees will see the relationships between

More information

Reporting an Incident

Reporting an Incident Reporting an Incident Why bother to Report? Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 The University has a duty to report certain accidents, incidents and diseases to the

More information

Hamilton County Board of County Commissioners WORKERS COMPENSATION POLICY

Hamilton County Board of County Commissioners WORKERS COMPENSATION POLICY Hamilton County Board of County Commissioners SECTION 5.4: WORKERS COMPENSATION POLICY A. State law in Ohio provides that every County employee is entitled to Workers Compensation for an injury, occupational

More information

BURNET COUNTY ACCIDENT PREVENTION PLAN & SAFETY POLICY

BURNET COUNTY ACCIDENT PREVENTION PLAN & SAFETY POLICY BURNET COUNTY ACCIDENT PREVENTION PLAN & SAFETY POLICY TABLE OF CONTENTS MANAGEMENT COMPONENT... 1 Safety Policy Statement Safety Committee Members Authority and Accountability Statement RECORDKEEPING

More information

Work Related Injuries & Illnesses Recordkeeping and Reporting Program

Work Related Injuries & Illnesses Recordkeeping and Reporting Program SUNY WCC Environmental Health and Safety Work Related Injuries & Illnesses Recordkeeping and Reporting Program Latest Revision/Review Date: January 2, 2016 Revision/Review Date: March 18, 2015 Work Related

More information

7A.017. Stoney Point Fire Department. SAFETY & HEALTH (Accident Reporting) SOG. Policy Number. Page 1 of 3 SCOPE

7A.017. Stoney Point Fire Department. SAFETY & HEALTH (Accident Reporting) SOG. Policy Number. Page 1 of 3 SCOPE SAFETY & HEALTH (Accident Reporting) SOG SCOPE Stoney Point Fire Department This guideline shall apply to all members of the Stoney Point Fire Department (SPFD) and shall be adhered to by all members when

More information

FOR THE RECORD: OSHA RECORDKEEPING AND REPORTING REQUIREMENTS AND STATE VARIATIONS. By Mark A. Lies II * & Elizabeth Leifel Ash INTRODUCTION

FOR THE RECORD: OSHA RECORDKEEPING AND REPORTING REQUIREMENTS AND STATE VARIATIONS. By Mark A. Lies II * & Elizabeth Leifel Ash INTRODUCTION OPTIMUM Articles Provided by www.osgsafety.com FOR THE RECORD: OSHA RECORDKEEPING AND REPORTING REQUIREMENTS AND STATE VARIATIONS By Mark A. Lies II * & Elizabeth Leifel Ash INTRODUCTION In the universe

More information

Denver Public Schools. Bond Construction. Construction Safety Standards West Seventh Avenue Denver, CO 80204

Denver Public Schools. Bond Construction. Construction Safety Standards West Seventh Avenue Denver, CO 80204 Denver Public Schools Bond Construction Construction Safety Standards 2800 West Seventh Avenue Denver, CO 80204 Copyright Notice 2009 Information contained within these Construction Safety Standards is

More information

Title: Environmental, Health and Safety Revision No.: 4 Effective Date: January 1, 2017

Title: Environmental, Health and Safety Revision No.: 4 Effective Date: January 1, 2017 Notice: A printed copy of this document may not be the latest version. Always check online (L3 Internal Homepage, click Company Policies ) for latest version. Copyright by L3 Technologies, Inc. 2017 Corporate

More information

EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION

EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION GEORGIA STATE UNIVERSITY MODIFIED WC-1 EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION Assigned Workers Compensation Claim No.: WC NOTE: FAILURE TO

More information

HEALTH AND SAFETY AT WORK. Accident Investigation: Evidence Preservation & Presentation

HEALTH AND SAFETY AT WORK. Accident Investigation: Evidence Preservation & Presentation HEALTH AND SAFETY AT WORK Accident Investigation: Evidence Preservation & Presentation Accident Investigation: Evidence Preservation & Presentation An accident can be commonly defined as: an undesired,

More information

EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION

EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION GEORGIA STATE UNIVERSITY MODIFIED WC-1 EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION Assigned Workers Compensation Claim No.: WC NOTE: FAILURE TO

More information

1706 OFFICIAL NOTICES 17 April 2009 WORKCOVER GUIDELINES FOR CLAIMING COMPENSATION BENEFITS

1706 OFFICIAL NOTICES 17 April 2009 WORKCOVER GUIDELINES FOR CLAIMING COMPENSATION BENEFITS 1706 OFFICIAL NOTICES 17 April 2009 WORKCOVER GUIDELINES FOR CLAIMING COMPENSATION BENEFITS Workers Compensation Act 1987 Workplace Injury Management and Workers Compensation Act 1998 Explanatory Note

More information

(Last amended 18 December 2017, cf. page 4)

(Last amended 18 December 2017, cf. page 4) REGULATIONS RELATING TO MANAGEMENT AND THE DUTY TO PROVIDE INFORMATION IN THE PETROLEUM ACTIVITIES AND AT CERTAIN ONSHORE FACILITIES (THE MANAGEMENT REGULATIONS) (Last amended 18 December 2017, cf. page

More information

Who Administers the Workers Compensation Program and Related Responsibilities?

Who Administers the Workers Compensation Program and Related Responsibilities? What is Workers Compensation? Who Administers the Workers Compensation Program and Related Responsibilities? Who is Eligible for Workers Compensation? What Coverage is Provided? What is a Compensable Injury?

More information

South Dakota Workers Compensation System

South Dakota Workers Compensation System An Employee s Guide to the South Dakota Workers Compensation System Division of Labor and Management 123 W. Missouri Ave. Pierre, SD 57501 Tel: 605.773.3681 sdjobs.org This booklet briefly outlines South

More information

M E M O R A N D U M Aug 24, 2009 MT MT

M E M O R A N D U M Aug 24, 2009 MT MT M E M O R A N D U M Aug 24, 2009 MT 024.09 MT.305 636-6147 TO: All Teachers and Staff Educational Alternative Outreach Program FROM: Miguel Torres, Principal Educational Alternative Outreach Program SUBJECT:

More information

SCHEDULE 16 SAFETY REQUIREMENTS

SCHEDULE 16 SAFETY REQUIREMENTS SCHEDULE 16 SAFETY REQUIREMENTS 1. GENERAL 1.1 Capitalized Terms Capitalized terms used in this Schedule have the definitions as set out in the Agreement to Design, Build, Finance and Operate Evan-Thomas

More information

SAFETY DIRECTIVE. 2.0 DEPARTMENTS AFFECTED This directive applies to all departments and employees of the Town of Marana.

SAFETY DIRECTIVE. 2.0 DEPARTMENTS AFFECTED This directive applies to all departments and employees of the Town of Marana. SAFETY DIRECTIVE Title: Accident Reporting Procedures Issuing Department: Town Manager s Safety Office Effective Date: September 01, 2014 Approved: Gilbert Davidson, Town Manager Type of Action: New 1.0

More information

Employee Guidelines for Workers Compensation Accidents

Employee Guidelines for Workers Compensation Accidents Employee Guidelines for Workers Compensation Accidents The information included in this packet will become important to you in the event that you seek medical attention or lose time from work due to a

More information

4/23/2014. What is a Catastrophic Accident? RESPONDING TO A CATASTROPHIC WORKPLACE ACCIDENT. Why Catastrophic Accidents Must be Handled Differently

4/23/2014. What is a Catastrophic Accident? RESPONDING TO A CATASTROPHIC WORKPLACE ACCIDENT. Why Catastrophic Accidents Must be Handled Differently RESPONDING TO A CATASTROPHIC WORKPLACE ACCIDENT Pat Miller 303.299.8354 pmiller@shermanhoward.com What is a Catastrophic Accident? Fatality of employee or contractor employee Multiple injuries Significant

More information

WORK HEALTH AND SAFETY REFRESHER

WORK HEALTH AND SAFETY REFRESHER WORK HEALTH AND SAFETY REFRESHER LEARNING OUTCOMES Advice regarding legislative duties, rights and obligations WHSMS implementation and maintenance Identifying hazards; assessing risks; and developing,

More information

Occupational Safety & Health Policy & Guidelines for Contractors

Occupational Safety & Health Policy & Guidelines for Contractors Occupational Safety & Health Policy & Guidelines for Contractors Occupational Safety & Health Policy & Guidelines for Contractors Table of Contents Forward..1 Introduction... 1 Policy.1 City of Kalamunda

More information

WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT

WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT This document provides current information about obtaining assistance to meet your needs through insurance benefits and other

More information

Accident Report Cover Sheet

Accident Report Cover Sheet Accident Report Cover Sheet Employee Name: Social Security #: Address: Phone Number: D.O.B.: Marital Status: Dependents: Date Employee first started working for Kaye Personnel: (not at incident site, but

More information

MAINE COMMUNITY COLLEGE SYSTEM

MAINE COMMUNITY COLLEGE SYSTEM MAINE COMMUNITY COLLEGE SYSTEM HEALTH AND SAFETY Section 800.1 SUBJECT: PURPOSE: MOTOR VEHICLE PROCEDURE To promote the safe the authorized operation of motor vehicles operated on behalf, or for the benefit,

More information

EMPLOYEE OCCUPATIONAL INJURY POLICY

EMPLOYEE OCCUPATIONAL INJURY POLICY I. Introduction EMPLOYEE OCCUPATIONAL INJURY POLICY The Alabama Workers' Compensation Act does not apply to employment with state agencies and institutions, such as the University. It is, however, the

More information

Royal Mail Group. Safety, Health & Environment Standard. Standard 16.1 Incident Reporting & Investigation

Royal Mail Group. Safety, Health & Environment Standard. Standard 16.1 Incident Reporting & Investigation Royal Mail Group Safety, Health & Environment Standard Royal Mail Group Safety, Health & Environment Management System 1.1 Overview This Standard applies across the whole of Royal Mail Group ( RMG ) and

More information

WORKERS COMPENSATION REFERENCE GUIDE

WORKERS COMPENSATION REFERENCE GUIDE WORKERS COMPENSATION REFERENCE GUIDE CLAIMS: Employers First Report of Injury- Form 19: Who was involved, what happened, where accident occurred, when accident happened, and other pertinent information

More information

RE: How and When To Prepare an Incident Report and Make Appropriate Notifications

RE: How and When To Prepare an Incident Report and Make Appropriate Notifications May 1, 2015 Security Staff Training Memo RE: How and When To Prepare an Incident Report and Make Appropriate Notifications Dear Staff Officers: Pursuant to your assignment, all security officers may encounter

More information

PAGE 1 OF 7 HEALTH, SAFETY & ENVIROMENTAL MANUAL PROCEDURE: S220 Hazard Communication Program REV /13/2012

PAGE 1 OF 7 HEALTH, SAFETY & ENVIROMENTAL MANUAL PROCEDURE: S220 Hazard Communication Program REV /13/2012 PAGE 1 OF 7 Hazard Communication Program Right to Know PURPOSE: It is the intention of BMT and all of its subsidiary companies to conduct its operations in such a manner that not only complies with health,

More information

2.8.1 VEHICLE USE POLICY FOR CONDUCTING THE OFFICIAL BUSINESS OF THE COLLEGE OF CHARLESTON. Policy Statement

2.8.1 VEHICLE USE POLICY FOR CONDUCTING THE OFFICIAL BUSINESS OF THE COLLEGE OF CHARLESTON. Policy Statement OFFICIAL POLICY 2.8.1 VEHICLE USE POLICY FOR CONDUCTING THE OFFICIAL BUSINESS OF THE COLLEGE OF CHARLESTON 2/3/16 Policy Statement It is the Policy of the College to use motor vehicles in the performance

More information

INCIDENT WITNESS STATEMENT Department of Environmental Health & Safety

INCIDENT WITNESS STATEMENT Department of Environmental Health & Safety STATE OF GEORGIA Liability Incident Report Form If property of others is damaged (or alleged) as a result of the State s operations, whether negligent or not, report the claim directly to Risk Management

More information

Occupational Health and Safety (OHS) Incident Management: The Role of Business Continuity

Occupational Health and Safety (OHS) Incident Management: The Role of Business Continuity Occupational Health and Safety (OHS) Incident Management: The Role of Business Continuity Michael Torrance, Senior Associate, Occupational Health, Safety and Security 21 March 2013 Introduction Topics

More information

UC DAVIS. Plant Biology INJURY AND ILLNESS PREVENTION PROGRAM

UC DAVIS. Plant Biology INJURY AND ILLNESS PREVENTION PROGRAM Plant Biology UC DAVIS Plant Biology INJURY AND ILLNESS PREVENTION PROGRAM This Injury and Illness Prevention Program has been prepared by the University of California, Plant Biology department in accordance

More information

TEXAS STATE TECHNICAL COLLEGE STATEWIDE OPERATING STANDARD

TEXAS STATE TECHNICAL COLLEGE STATEWIDE OPERATING STANDARD TEXAS STATE TECHNICAL COLLEGE STATEWIDE OPERATING STANDARD No. GA 1.6.6 Page 1 of 10 Effective Date: 06/24/16 DIVISION: SUBJECT: AUTHORITY: General Administration Driver Safety SORM Program Risk Management

More information

ILLINOIS INSTITUTE OF TECHNOLOGY SAFETY POLICY COMMITTEE INCIDENT INVESTIGATION POLICY AND INVESTIGATION FORM

ILLINOIS INSTITUTE OF TECHNOLOGY SAFETY POLICY COMMITTEE INCIDENT INVESTIGATION POLICY AND INVESTIGATION FORM ILLINOIS INSTITUTE OF TECHNOLOGY SAFETY POLICY COMMITTEE INCIDENT INVESTIGATION POLICY AND INVESTIGATION FORM Approved: June 19, 2006 Reviewed and Modified: April 30, 2012 Reviewed: April 25, 2016 TABLE

More information

COUNTY OF MONTEREY County Administrative Office Human Resources and Employment Services Division Office of Risk Management and Benefits

COUNTY OF MONTEREY County Administrative Office Human Resources and Employment Services Division Office of Risk Management and Benefits COUNTY OF MONTEREY County Administrative Office Human Resources and Employment Services Division Office of Risk Management and Benefits Workplace Violence Policy Full Revision 02/05/2010 IIPP 32.0-1 COUNTY

More information

SRF09 Issue 01 ACCIDENT AND INCIDENT REPORTING FORM January 2010

SRF09 Issue 01 ACCIDENT AND INCIDENT REPORTING FORM January 2010 GUIDANCE ON COMPLETION OF REPORT FORM These notes are designed to assist in the speedy completion of the form and the initiation of subsequent actions. They are not intended to replace the requirements

More information

Workers Compensation Guidebook

Workers Compensation Guidebook Workers Compensation Guidebook Western New York Council on Occupational Safety and Health This Guidebook is for informational purposes only, and does not constitute legal advice (or create an attorney-client

More information

Childcare Accident Book Notes and how to use this book

Childcare Accident Book Notes and how to use this book Notes and how to use this book This is a free accident book from ProTrainings Europe Ltd for customers of their online and classroom courses. Please make sure you follow the latest guidelines and rules

More information

Reporting Workplace Injuries. Government of Alberta and Workers Compensation Board (WCB) Processes and Reporting Requirements

Reporting Workplace Injuries. Government of Alberta and Workers Compensation Board (WCB) Processes and Reporting Requirements Reporting Workplace Injuries Government of Alberta and Workers Compensation Board (WCB) Processes and Reporting Requirements 2017 What is Workers Compensation? The Workers' Compensation Board (WCB) - Alberta

More information

Surname Given names Date of birth / / Address State Postcode. please advise police station or first aid service to which the accident was reported

Surname Given names Date of birth / / Address State Postcode. please advise police station or first aid service to which the accident was reported Claim form Income replacement This form is to be completed by the life insured. To be completed only on the request of the Zurich claims area. To avoid delays, check that all questions have been answered

More information

CLAIM APPLICATION FORM (for claims that take place during 2018)

CLAIM APPLICATION FORM (for claims that take place during 2018) CLAIM APPLICATION FOM (for claims that take place during 2018) Contact us Tel: 0860 102 936, Email: admed@guardrisk.co.za, Facsimile: 011 263 1419 What you must do 1. Fill in and sign the form. 2. Ensure

More information

TRAFFIC ACCIDENT INVESTIGATION

TRAFFIC ACCIDENT INVESTIGATION TRAFFIC ACCIDENT INVESTIGATION INDEX CODE: 1906 EFFECTIVE DATE: 07-11-17 Contents: I. Investigative Responsibility II. Accident Response III. First Officer on the Scene IV. Accident Investigation & Reporting

More information

Passenger Vehicle Investigation Kit Checklist

Passenger Vehicle Investigation Kit Checklist Passenger Vehicle Investigation Kit Checklist Employee Statement Form Other Driver Statement Form Vehicle Accident Form Vehicle Accident Guide Road Diagram Vehicle-Injured Party Form Witness Statement

More information

Objectives. Agenda. What to expect from an OSHA inspection: 8/22/2017. Tips for Producers

Objectives. Agenda. What to expect from an OSHA inspection: 8/22/2017. Tips for Producers What to expect from an OSHA inspection: Tips for Producers Objectives Describe employer rights and responsibilities under the Occupational Safety and Health Act Understand how OSHA chooses inspection sites

More information

INJURY MANAGEMENT PROGRAM

INJURY MANAGEMENT PROGRAM Well@Work INJURY MANAGEMENT PROGRAM HRD-WHS-PRO-040.9 Injury Management Program 2017 June Page 1 of 27 Contents 1 2 3 4 5 6 Introduction... 4 Principles... 4 Definitions... 4 3.1 Injury Management... 4

More information

ACCIDENT/INCIDENT REPORTING AND INVESTIGATION

ACCIDENT/INCIDENT REPORTING AND INVESTIGATION Policy It is the Policy of DOCO Industrial Insulators to verbally report and document all accidents and incidents involving its employees (near misses/near hits, incidents resulting in injuries, work-related

More information

HULCHER CONTRACTOR SAFETY MANAGEMENT PROCESS

HULCHER CONTRACTOR SAFETY MANAGEMENT PROCESS Hulcher Services is initiating a mission to improve safety for its employees, contractors, subcontractors, visitors, and general public. The Hulcher Contractor Safety Management Process (HCSMP) was developed

More information

Lawnswood Campus. Accident Aggression and Near Misses

Lawnswood Campus. Accident Aggression and Near Misses Lawnswood Campus Accident Aggression and Near Misses Review Date: July 2020 Please read Governors as Management Board Schools as PRUs Signed by the Chair of the Management Board: Date: CONTENTS 1. PURPOSE

More information

U N I V E R S I T Y O F C A L I F O R N I A

U N I V E R S I T Y O F C A L I F O R N I A U N I V E R S I T Y O F C A L I F O R N I A BERKELEY DAVIS IRVINE LOS ANGELES MERCED RIVERSIDE SAN DIEGO SAN FRANCISCO SANTA BARBARA SANTA CRUZ OFFICE OF THE EXECUTIVE VICE PRESIDENT CHIEF FINANCIAL OFFICER

More information

HAZARD MANAGEMENT POLICY Page 1 of 7 Reviewed: October 2018

HAZARD MANAGEMENT POLICY Page 1 of 7 Reviewed: October 2018 Page 1 of 7 Policy Applies to: The Board of Directors, staff employed by Mercy Hospital, Credentialed Specialists, Allied Health Professionals, contractors, students, volunteers and visitors. Related Standards:

More information

Introduction to OSHA. This presentation is designed to assist in conducting OSHA 10-hour General Industry outreach training for workers.

Introduction to OSHA. This presentation is designed to assist in conducting OSHA 10-hour General Industry outreach training for workers. Introduction to OSHA This presentation is designed to assist in conducting OSHA 10-hour General Industry outreach training for workers. 1 What is OSHA? Occupational Safety and Health Administration Responsible

More information