INCIDENT INVESTIGATION & REPORTING
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- Elijah Hutchinson
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1 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 1 f 8 Purpse The purpse f this prgram is t have effective prcedures fr reprting and evaluating/investigating incidents and nn-cnfrmances in rder t prevent further ccurrences. Respnsibilities Respnsibilities fr incident investigatin will be assigned prir t ccurrence f an incident. respnsibilities fr reprting and investigatin must be pre-determined and assigned prir t incidents. Individual Richard L. Oreair & Cmpany Safety Manager Ensures investigatins are cnducted and assists in identifying crrective actins. Site Manager and Supervisrs Investigates (r assists in) incident investigatins Crrects nn-cnfrmances Accmpany injured emplyees t the medical prvider fr initial treatment. Emplyees Immediately reprt any injury, jb related illness, spill r damage t any prperty t their immediate supervisr. If their immediate supervisr is nt available the emplyee is then t immediately ntify the prject manager. Emplyees wh culd be first respnders will be trained and qualified in first aid techniques t cntrl the degree f lss during the immediate pst-incident phase. Prcedure After immediate rescue r respnse, actins t prevent further lss will ccur if the scene is safe. Fr example, maintenance persnnel shuld be summned t assess integrity f buildings and equipment, engineering persnnel t evaluate the need fr bracing f structures, and special equipment/respnse requirements such as safe rendering f hazardus materials r explsives emplyed. Investigatins f Incidents & Nn-cnfrmances Investigatin is an imprtant part f an effective safety prgram in that it determines the rt cause and crrective actins necessary t prevent similar incidents r nn-cnfrmances. The fllwing must be reprted t the emplyee's supervisr immediately. If that persn is nt available then the RICHARD L. OREAIR & COMPANY Safety Manager shall be immediately ntified fr: Near miss incidents with the ptential t harm peple, the envirnment r assets Wrk related injuries r illnesses; Prperty damage including vehicle incidents Hazardus chemical spillage, lss f cntainment and cntaminatin Nn-cnfrmance t safety r envirnmental rules, plicies r standards The supervisr shall make the necessary ntificatins and begin the incident investigatin prcess.
2 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 2 f 8 In the case f a majr injury r incident the scene f the event shuld be clsed ff and kept "as is" at the time f the incident. This is vital fr effective incident investigatin. Incident investigatin ccurs as sn as pssible, while the facts are still fresh within the minds f thse invlved (i.e. witnesses). Take the pprtunity t talk t all f thse invlved befre they becme unavailable r memry fades. An incident investigatin must be thrugh and cncerned nly with cause and preventin and must be separate frm administrative disciplinary actin. Equipment Prper equipment will be available t assist in cnducting an investigatin. Equipment may include sme r all f the fllwing items; writing equipment such as pens/paper, measurement equipment such as tape measures and rulers, cameras, small tls, audi recrder, PPE, flags, equipment manuals, etc. The Safety Manager shall have an incident investigatin kit prepared in advance. Incident Reprting Matrix The Incident Reprting Matrix identifies, based n type f incident, wh within crprate management shall be verbally ntified and when. It als specifies which type f reprt frm the field shall be cmpleted based n the type f incident. Reprting f the incident must ccur in a specified manner based n site specific requirements and the reprting sequence shall be psted. EXTERNAL INCIDENT NOTIFICATION MATRIX TYPE OF INCIDENT WHO TO NOTIFY VERBALLY WHEN INCIDENT REPORT FORM Minr First Aid Owner Client 24 hrs Yes Injury Abve Minr First Aid 911 / Site Medical Respnse / Owner Client ASAP Yes As Required Injury Reprting OSHA / Owner Client Within 8 hrs Yes Fire / Explsin 911 / Site Fire Respnse / Owner Client ASAP Yes Reprtable Spill Site Envirnmental / Owner Client Within 24 hrs Yes Prperty/Vehicle Damage Owner Client Within 24 hrs Yes INTERNAL INCIDENT NOTIFICATION MATRIX TYPE OF INCIDENT WHO TO NOTIFY VERBALLY WHEN INCIDENT REPORT FORM Minr First Aid Safety Manager ASAP Yes Injury Abve Minr First Aid Safety Manager ASAP Yes As Required Injury Reprting President then Safety Manager ASAP Yes Fire / Explsin Safety Manager ASAP Yes Reprtable Spill Safety Manager ASAP Yes Prperty/Vehicle Damage Safety Manager ASAP ASAP
3 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 3 f 8 Time Elements f When Incidents Shuld be Reprted t Applicable Regulatry Agency(s) and the Hst Facility/Client Required incidents must be verbally reprted t applicable regulatry agency(s) within 8 hurs f their discvery. Incidents must als be reprted t the client as sn as pssible, r in a timely manner (within 24 hurs f incident). Incident Review Team and Incident Investigatin Reprt All incidents will be investigated t the apprpriate level with regards t incident severity. While all incidents shuld be investigated, the extent f such investigatin shall reflect the seriusness f the incident utilizing a rt cause analysis prcess r ther similar methd determined by the RICHARD L. OREAIR & COMPANY Safety Manager. They will frm an Incident Review Team that participates in the determinatin f the final rt cause investigative incident reprt. The team cnsists f representatives f management r ther designees as assigned by the RICHARD L. OREAIR & COMPANY Safety Manager. Initial Identificatin/Assessment f Evidence Initial identificatin f evidence immediately fllwing the incident culd include a listing f peple, equipment, and materials invlved and a recrding f envirnmental factrs such as weather, illuminatin, temperature, nise, ventilatin, etc. Cllectin/Preservatin and Security f Evidence Evidence such as peple, psitins f equipment, parts, and papers must be preserved, secured and cllected thrugh ntes, phtgraphs, witness statements, flagging, and impundment f dcuments and equipment. All shall be dated. Witness Interviews and Statements Witness interviews and statements must be cllected. Lcating witnesses, ensuring unbiased testimny, btaining apprpriate interview lcatins, and use f trained interviewers shuld be detailed. The need fr fllw-up interviews shuld als be addressed. All items shall be dated. The final incident investigatin reprt cnsists f findings with critical factrs, evidence, crrective actins, respnsible parties, and timelines fr crrective actin cmpletin. Results f incident investigatins are cmmunicated t emplyees via the Incident Ntice frm. Preparatin f the Written Incident Reprt Written incident reprts will be prepared and include the Field Incident Reprt Frm and a detailed narrative statement cncerning the events. The frmat f the narrative reprt may include an intrductin, methdlgy, summary f the incident, Incident Review Team member names, narrative f the event, findings and recmmendatins. Phtgraphs, witness statements, drawings, etc. shuld be included. The supervisr cmpletes the RICHARD L. OREAIR & COMPANY Field Incident Reprt and takes the belw steps when beginning an incident investigatin.
4 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 4 f 8 Prvide emergency assistance, as needed and qualified fr Secure the area as quickly as pssible t retain area in the same cnditin at the time f the incident Ntify management by phne accrding t the Incident Ntificatin Matrix Identify ptential witnesses Use investigatin tls, as needed (camera, drawings, vide, etc.) Tag ut fr evidence any equipment that was invlved Interview witnesses (including the effected emplyee) and btain written, signed statements and fax t the RICHARD L. OREAIR & COMPANY Safety Manager Prepare RICHARD L. OREAIR & COMPANY Field Incident Reprt, sign the frm, fax it t the RICHARD L. OREAIR & COMPANY Safety Manager Implement any immediate crrective actins needed Incident Ntice Frm RICHARD L. OREAIR & COMPANY shall prvide dcumentatin and cmmunicatin f lessns learned and review f similar peratins t prevent reccurrence. Lessns learned are reviewed and cmmunicated. Changes t prcesses must be placed int effect t prevent reccurrence r similar events. In rder t cmmunicate incident infrmatin and lessns learned frm incidents the RICHARD L. OREAIR & COMPANY Safety Manager shall send the Incident Ntice t all wrk sites. The frm shall be psted n emplyee bulletin bards and shall be discussed in weekly safety meetings until all emplyees at the jb site have been infrmed f the incident. Crrective Actins Resulting frm Incident Investigatins Incident investigatins shuld result in crrective actins, individuals shuld be assigned respnsibilities relative t the crrective actins, and these actins shuld be tracked t clsure. Site Managers are held accuntable fr clsing crrective actins. Crrective actins fr safety imprvement input are psted at each site and tracked by the RICHARD L. OREAIR & COMPANY Safety Manager t ensure timely fllw up and cmpletin. Crrective actins are als used as needed fr revisins t site specific safety plans and the RICHARD L. OREAIR & COMPANY Safety and Health Management System. Injury Classificatins Injuries shall be classified per the fllwing: First Aid Dressing n a minr cut, remval f a splinter, typically treatment fr husehld type injuries. Lst Wrk Day Case (LWDC) An injury that results in an emplyee being unfit t perfrm any wrk n any day after the ccurrence f an ccupatinal injury. Number f Lst r Restricted Wrk Days The number f days, ther than the day f ccupatinal injury and the day f return, missed frm scheduled wrk due t being unfit fr wrk r medically restricted t the pint that the essential functins f a psitin cannt be wrked.
5 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 5 f 8 Occupatinal Injury An injury which results frm a wrk related activity. Occupatinal Illness Any abnrmal cnditin r disrder caused by expsure t envirnmental factrs while perfrming wrk that resulted in medical treatment by a physician fr a skin disrder, respiratry cnditin, pisning, hearing lss r ther disease (frstbite, heatstrke, sunstrke, welding flash, diseases caused by parasites, etc.). D nt include minr treatments (first aid) fr illnesses. Recrdable Medical Case (RMC) An ccupatinal injury mre severe than first aid that requires advanced treatment (such as fractures, mre than ne stitch, prescriptin medicatin f mre than ne dse, uncnsciusness, remval f freign bdy embedded in eye (nt flushing), admissin t a hspital fr mre than bservatin purpses) and yet results in n lst wrk time beynd the day f injury. Restricted Wrk Day Case (RWDC) An ccupatinal injury which results in a persn being unfit fr essential functins f the regular jb n any day after the injury but where there is n time lst beynd the day f injury. An example wuld include an injured assciate is kept at wrk but nt perfrming within the essential functins f their regular jb. Wrk r Wrk Related Activity All incidents that ccur in wrk related activities during wrk hurs, field visits, etc. are reprtable and are t be included if the ccupatinal injury r illness is mre serius than requiring simple first aid. Incidents ccurring during ff hurs and incidents while in transit t r frm lcatins that are nt cnsidered an emplyee s primary wrk are nt reprtable. The fllwing are examples f incidents that will nt be cnsidered as recrdable: The injury r illness invlves signs r symptms that surface at wrk but result slely frm a nn-wrkrelated event r expsure that ccurs utside the wrk envirnment. The injury r illness results slely frm vluntary participatin in a wellness prgram r in flu sht, exercise class, racquetball, r baseball. The injury r illness is slely the result f an emplyee eating, drinking, r preparing fd r drink fr persnal cnsumptin (whether bught n the emplyer's premises r brught in). The injury r illness is slely the result f an emplyee ding persnal tasks (unrelated t their emplyment) at the establishment utside f the emplyee's assigned wrking hurs. The illness is the cmmn cld r flu (Nte: cntagius diseases such as tuberculsis, brucellsis, hepatitis A, r plague are cnsidered wrk-related if the emplyee is infected at wrk). Training RICHARD L. OREAIR & COMPANY shall train persnnel in their respnsibilities and incident investigatin techniques. Persnnel must be trained in their rles and respnsibilities fr incident respnse and incident investigatin techniques. Training requirements relative t incident investigatin and reprting are described belw: Training frequency will be based n the specific are f respnsibility but shall nt exceed nce every tw years. Training requirements relative t incident investigatin and reprting shall include: Awareness
6 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 6 f 8 First Respnder Respnsibilities The Initial Investigatin at the Accident Scene Managing the Accident Investigatin Cllecting Data Analyzing Data Develping Cnclusins and Judgments f Need Reprting the Results
7 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 7 f 8
8 Preparatin: Safety Mgr Authrity: President Issuing Dept: Safety Page: Page 8 f 8
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