OMG Southeast & Southwest ACCIDENT & INJURY REPORTING

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1 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 Compensation Benefits and disciplinary action up to and including termination. All employee injuries shall be reported to Liberty Mutual within 24 hours of occurrence. II. An employee who; -Fails to report an accident, regardless of how minor; or -Is involved in a Preventable Accident while driving a fleet vehicle; or -Is involved in a Preventable Accident while operating equipment; or -Is involved in a CARELESS Personal Injury accident which requires medical attention; or -Causes of such accidents to occur will be subject to discipline, up to and including termination. For more information on disciplinary action for safety violations, please see that chapter. III. Emergency Reporting. The information on the following pages of this chapter pertains to reports of emergencies to Company officials, including Oldcastle. Except in extremely unusual circumstances all reports of safety incidents and emergencies to personnel outside the division shall be made by the EH&S Department or a Company Officer. 1

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3 EHS DEPARTMENT M E M O R A N D U M March 1, 2007 TO: Company Presidents cc: Executive Committee Company EH&S Personnel Law Department Todd Swenson FROM: Chris Willis Lee Cole SUBJECT: EMERGENCY REPORTING PROCEDURES Attached are the revised Emergency Reporting Procedures. It is extremely important that all incidents be reported promptly in order that they may receive proper attention. All incidents should be investigated thoroughly while the information is still fresh. This will help cut down accident costs, which are reflected directly in your operating costs. Pictures of accident scenes are particularly valuable; such pictures should be dated and initialed by the person taking them. Please refer to the Oldcastle Materials Risk Management and HSE Guidelines for additional reporting requirements and specific policy information. All Automobile Collisions (including all owned, leased, rented vehicles or vehicles on the company reimbursement plan), Liability or General Liability Casualty Claims, Product Liability Claims, Workers Compensation Claims, and Property Damage Claims should be entered into the EHS Reporting System within 3 days of the incident occurrence. It is recommended that the additional procedure for vehicle incidents with fatalities or serious injuries be followed. You should make your best effort to contact Max Watson (our certified accident reconstruction expert) when you have a vehicle accident with fatalities or serious 3

4 injuries to discuss the situation and review which pictures, measurements, etc. are needed. In the heat of the situation it is a good idea to have someone to review the entire investigation procedure. As always, please see that all of your emergency coordinators receive a copy of this updated information. Thank you. Attachment NOTE: Be sure to place a copy of these procedures in your Emergency Preparedness Plan. 4

5 Procedures, Inc. Emergency Reporting EMERGENCY REPORTING, Inc (8:00 a.m. - 5:00 p.m. EST) Upon the occurrence of any employee fatality or serious injury such as a lost time or any fatality, or serious injury occurring at an facility or within project limits involving the motoring public or a contractor*, first contact an attorney from the attached contact list, then contact one person from each category until all category notifications have been made (unless otherwise advised). Upon the occurrence of any reportable spill, industrial/transportation emergency, bomb threat, fire, explosion, serious or preventable company vehicle/company reimbursed vehicle accident* you need to contact the Corporate EHS Department and the Legal Department only. In the event of any vehicle collision, you should always notify an attorney when a third party is involved, even if the collision appears to be non-preventable. * In the case of a vehicle accident with fatalities or serious injuries for both employees and/or the traveling public within our workzones, you should also contact Max Watson (our certified accident reconstruction expert) for specific direction and guidance on the investigation either before you get to the scene and/or at the scene 5

6 Legal Department David Lewis Bill Miller Deborah Murphey David Toolan Heather Harper Craig Hall Max Watson Vehicle Accident Reconstructionist (770) (office) (770) (mobile) (770) (home) (770) (office) (404) (mobile) (404) (home) (704) (office) (704) (mobile) (704) (home) (770) (office) (404) (mobile) (770) (home) (770) (office) (404) (mobile) (770) (home) (770) (office) (404) (mobile) (770) (home) (662) (office) (662) (mobile) 6

7 (vehicle incidents with fatalities or serious injuries only) Corporate EHS Chris Willis (EHS Manager) (662) (home) (770) (office) (865) (mobile) (678) (home) Oldcastle Materials, Inc. Lee Cole (Safety and Health Director) (601) (601) (mobile) 7

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9 OMG Southeast (contact the Regional President respective to your Company) Don Sollie Sean O Sullivan Rob Duke Gary Yelvington OMG Southwest (contact the Regional President respective to your Company) Chris Lodge John Walker Damian Murphy (941) (office) (770) (mobile) (205) (office) (845) (mobile) (813) (mobile) (386) (office) (386) (mobile) (901) (office) (770) (mobile) (479) (office) (404) (mobile) (913) (office) (913) (mobile) OMG Southwest Executive Kirk Randolph President (770) (office) (770) (mobile) (678) (home) Raymond Lane (770) (office) 9

10 (770) (mobile) (770) (home) OMG Southeast Executive Rick Mergens President (770) (office) (860) (mobile) 10

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12 Oldcastle Materials Southeast & Southwest Serious Incident Reporting: In order to ensure that Oldcastle Materials fulfills its various reporting responsibilities, the following should be notified whenever a serious incident occurs: OMG Legal Dept. (contact an attorney from the list below) Office Cell Bill Miller Heather Harper David Lewis Dave Toolan Deborah Murphey Michael Deaton Craig Hall and APAC, Inc. EHS Manager Chris Willis Notification should be made by telephone and then by completing and ing the attached Oldcastle Materials Serious Incident Form to Chris Willis at chris.willis@apac.com The following are examples of potential Serious Incidents: Injury or illness where employee(s) is hospitalized, and a potential claim could exceed $25,000. Injury or illness where contractor(s) is hospitalized and a potential claim could exceed $25,000. Injury arising from a fleet accident requiring the hospitalization of a third party. Injury arising from a common carrier/hired trucker involved in a fleet accident while transporting Oldcastle s products, and requiring hospitalization of a third party Causing property damage that could exceed $25,000. All fatalities involving customers, contractors, third parties, and employees. Any fire or weather related damage to Oldcastle properties that could exceed $50,

13 Any environmental spill when the clean up costs are anticipated to exceed $25,000. Causes adverse media attention Verbal notification must be made as soon as possible following the incident, ideally the same day. As soon as details become available, you must complete the Serious Incident Notification document (this is a word document named Serious Incident Reporting Form ) and forward via to Chris Willis. Your cooperation with these reporting guidelines is appreciated. Please contact Chris Willis with any questions. 13

14 Lost Time Injury Report Date of Event: Time: Date Reported: Weather Conditions: Company: Group: Local Company Name & Address: Name of Employee: Age: Date of Hire: Name of Employee s Immediate Foreman/Supervisor: List Employee s Occupation, Experience and any applicable training: Description Of Accident: (be specific as possible & include names of witnesses) Description Of Injuries: (be specific as possible) 14

15 Description Of Root Cause & Corrective Actions: Prepared By: Title: Phone Number: (paste any photos below) Oldcastle Materials Inc. Serious Incident Report Date of Event: Time: Date Reported: Weather Conditions: Division: Group: Local Company Name & Address: 15

16 Description Of Accident: (be specific as possible) Description Of Injuries and or Damages: (be specific as possible) Prepared By: Title: Phone Number: 16