SR EVENT MANAGEMENT & REPORTING

Transcription

1 SR EVENT MANAGEMENT & REPORTING PURPOSE This prcedure utlines the management, investigatin, reprting and ntificatin prcess fr all Health, Safety and Envirnmental events, including psitive events, at Laing O Rurke. Fr Rail related incidents further infrmatin is available thrugh E 21 Managing Ntifiable Occurrences. INTERNAL EVENT NOTIFICATION All unplanned events (including cmplaints frm external stakehlders) must be ntified t the supervisr immediately. The supervisr is respnsible fr ensuring the relevant prject persnnel are ntified, including Health and Safety and Envirnmental teams and the senir leadership team. INJURY CLASSIFICATION Persnal injury is classified int three classes: Class 1 Injury alters the future f an individual permanently and includes: Fatality, Quadriplegia/paraplegia, Amputatin Impaired back, Disfigurement, Psychlgical disturbance Class 2 Injury alters the future f an individual temprarily and includes: Fractures, Cntusins, Sprains, Laceratins requiring sutures Class 3 Injury des n mre than incnvenience the persn. This injury causes discmfrt but allws the persn t quickly carry ut nrmal duties: Minr cuts and bruises ENVIRONMENT EVENT CLASSIFICATION Envirnmental events are classified int three categries: Class 1 envirnmental event create permanent r lng term damage t the envirnment. They typically require immediate ntificatin t a regulatr and include: Damage taking 12 mnths r mre t return t pre-existing cnditin and requires significant rectificatin wrk Unlawful damage that is classed as serius envirnmental harm Majr regulatr investigatin with ptential fr significant prsecutin and site shutdwn

2 SR Event Management and Reprting (Rev ) Sectin 2 Class 2 envirnmental event creates shrt t medium term damage t the envirnment. They may require ntificatin t regulatrs r authrities depending n the jurisdictin and include: Damage that takes up t 12 mnths t return t pre-existing cnditin and/r requires rectificatin wrk Unlawful damage that is classed as material envirnmental harm Ptential fr prsecutin r infringement ntice r ther regulatry instrument Class 3 envirnmental event may cause shrt term r nuisance damage and includes: Damage that is easily rectified that desn t exceed a cst threshld as defined by regulatin Further details and examples fr the envirnmental event classificatins can be fund in Appendix 1 f this System Requirement. RESPONDING TO ACTUAL AND POTENTIAL CLASS 1 EVENTS Actual and Ptential Class 1 Events are cnsidered critical events and apply t health, safety, and envirnmental events. Bth must be treated in exactly the same rbust and systematic manner. Reprt the event immediately t the HSE General Manager whm shall cntact Head f Legal t establish legal prfessinal privilege arund the event (where required), and infrm the Managing Directr, General Manager Crprate Affairs, the Emplyee and Industrial Relatins Lead, the respnsible Directr and the HSE Leader. If the event is cnsidered a crisis then the HSE General Manager will ntify the event t the Crisis Directr. Once briefed prperly, the Crisis Directr will assess and declare a crisis and initiate the Crisis Management Plan. A crisis is defined as any natural, accidental r intentinal negative change r event that is likely r has led t a substantially dangerus, unstable, r disruptive situatin that affects persns, the envirnment, an rganisatin, r the cmmunity. The change r event will typically ccur quickly and withut warning and has the ptential t severely affect Laing O Rurke s reputatin and/r nging peratins. Once all ntificatins have been cmpleted and the classificatin has been agreed, the event will be recrded int IMPACT by the Site Health and Safety r Envirnmental Manager ensuring that details are cncise and factual, under the guidance f the Legal Team. The respnsible Directr shall attend the wrkplace within 24 hurs where an Actual r Ptential Class 1 event ccurs (with cnsideratin fr remte prject travel) and is respnsible fr ensuring that a Hub wide Flash Alert is issued t cmmunicate the incident ccurring. The details f this alert are t be develped in cnsultatin with Legal t ensure infrmatin is apprved fr release in line with Prfessinal Legal Privilege. The alert shuld be released within 12 hurs f the event having ccurred and shall prvide a brief summary f the facts knwn t date. The General Manager HSE, respnsible Directr and HSE Leader shall determine the investigatin team leader t undertake the investigatin prcess. The team leader will be decided based n the event and the best persn t lead the investigatin. Investigatin team members shall be selected frm the prject team upn apprval frm the appinted Investigatin Team Leader.

3 SR Event Management and Reprting (Rev ) Sectin 3 The Investigatin Team Leader will liaise with the site prject teams in establishing the requirements arund data cllectin and assciated investigatin prcedures. The Investigatin Team Leader will wrk clsely with the HSE Leader and Legal Department t manage the investigatin prcess and assciated utcmes. Actual and ptential Class 1 events shall be investigated using an apprved rt cause analysis tl such as ICAM r TapRt by a suitably qualified persn. The investigatin reprt shuld be written in frmal detail in line with the investigatin methdlgy. Where Legal Prfessinal Privilege is applied the reprt shall be prepared fr review by the Legal Department directly and nly released wider nce permissin has been granted by the Legal Department. All dcumentatin is t be labeled in accrdance with the instructins received frm Legal nce Legal Prfessinal Privilege has been requested. The results f the investigatin shall be recrded IMPACT as agreed with Legal. Once the investigatin reprt has been finalised by the site and apprved by Legal, a Directrs review shall be undertaken. The Directrs review shall cnsider the fllwing: Investigatin quality Cnfirmatin f cause and cntributing factrs Effectiveness f crrective actins in line with the hierarchy f cntrls Evidence f crrective actins being cmpleted Review prepared Lessns Learned Bulletin develped frm the investigatin findings Pst the Directrs review the wrksite Prject Leader (and Operatins Manager) will undertake the fllwing: Cmplete a Cllective Insight Prcess fr the incident Distribute Lessns Learned Bulletin Fr actual and ptential Class 1 events the fllwing dcuments prvide further infrmatin n the specific actins required t manage the event: C-T a Checklist fr Respnding t Class 1 Incident and C-T b Class I Incident Flwchart RECORDING OF EVENTS AND INVESTIGATIONS USING IMPACT All events must be entered int IMPACT, Laing O Rurke Online Incident Ntificatin and Investigatin Reprting Tl within 24 hurs. This will ensure the relevant persns belw are apprpriately ntified depending n the event classificatin: H & S Advisr Envirnment Advisr Prject Leader/Wrkplace Manager Operatinal Manager HSE Leader Directr respnsible fr the prject r peratin HSE General Manager

4 SR Event Management and Reprting (Rev ) Sectin 4 Envirnmental Leader (fr envirnmental matters) Head f Legal Emplyee and Industrial Relatins Lead Hub Safety Bard (DL-AusHubSafetyBard@laingrurke.cm.au) IMPACT can be accessed frm the Laing O Rurke Intranet Hme Page r direct. If an Intranet r Internet cnnectin cannt be attained the fllwing dcuments must cmpleted and frwarded t a lcatin where the infrmatin can be upladed nt IMPACT ASAP. E-T a HSE Internal Incident Ntificatin E-T Incident Investigatin Access t the IMPACT reprting system can be requested via centralhseq@laingrurke.cm.au NOTIFICATION TO AUTHORITIES AND REGULATORS Laing O Rurke will reprt all Ntifiable Incidents arising ut f the cnduct f the business n a wrksite t the relevant State and Federal and Rail Authrities as required under relevant Acts, Regulatins and Ordinances. SAFETY EVENTS Where it is a requirement t ntify the Regulatr the site shuld first discuss the event with the relevant HSE Leader. This is required t determine if the event may need t be cnsidered fr Legal Prfessinal Privilege. Where Legal Prfessinal Privilege has been applied the HSE Leader (r their delegate) shall reprt t the relevant OHS regulatr. The exact details and infrmatin reprted shall be cncise and factual, and prvide nly a summary f the event. Legal shuld be cnsulted abut infrmatin t be cmmunicated t the regulatr. A recrd f all such ntificatins shall be kept. This recrd shuld be upladed t IMPACT fr that particular incident. A ntifiable incident means: the death f a persn, r a serius injury r illness f a persn, r a dangerus incident. The Office f the Federal Safety Cmmissiner (OFSC) must be ntified f certain events n building r civil cnstructin sites within specified time frames. Refer t page 2 f the Injury Classificatin Chart fr definitins f a serius injury r illness and a dangerus incident and OFSC reprting requirements. States, Territries and jurisdictins have different ntificatin requirements. Ntificatins t varius ther regulatrs and authrities are required by Dangerus Gds, Electrical, Mine, Rail, and Wrkers Cmpensatin Acts and Regulatins, and the relevant health and safety legislatin, Act, Regulatin r Ordinance. Each prject and wrksite must determine what is applicable fr the area f jurisdictin. Fr Rail related events further infrmatin is available thrugh E 21 Managing Ntifiable Occurrences and E 21A Reprting Rail Safety Issues.

5 SR Event Management and Reprting (Rev ) Sectin 5 ENVIRONMENTAL EVENTS Envirnmental events that have caused r have the ptential t cause material envirnmental harm (envirnmental impact n the health r safety f humans r ecsystems that is nt trivial) may need t be ntified t the relevant State envirnmental authrity. There are strict timeframes fr ntificatin f incidents (Class 1 r Class 2) with the ptential fr external ntificatin. Class 1 r Class 2 envirnmental events must be ntified immediately t the HSE Leader r the Envirnmental Leader. The external incident ntificatin prcess and times varies acrss the varius State jurisdictins. Full details are prvided in the relevant Prject/Wrkplace Envirnmental Management Plan. The HSE Leader r Envirnmental Leader shall be invlved in any required cmmunicatin r ntificatin t the external regulatrs. The Head f Legal is t be cnsulted fr any external envirnmental incident ntificatin. Recrds f cntact with and details f the infrmatin prvided t external authrities must be maintained in the prject recrds. The Laing O Rurke frm E-T Recrd f Cnversatin may be used t recrd cntact with the regulatry authrities. EVENT INVESTIGATION An investigatin is t be cmpleted fr all HS and E events. The level f detail fr the investigatin is t be cmmensurate with the level f risk f harm assciated with the event. Crrective actins are t be develped fr all HS and E events. Fr actual and ptential Class 1 and actual Class 2 events, a detailed investigatin is t be cmpleted using a recgnised event investigatin prtcl. The results f the investigatin shall be recrded n E-T Incident Investigatin r a frmal investigatin reprt (fr actual and ptential Class 1 events). All investigatins are t be recrded in IMPACT. SCENE PRESERVATION The Prject/Wrkplace Leader shall ensure that if there is nt cntinued risk t health and safety r further envirnmental damage: The scene is nt disturbed until facts are established; and If the event is ntifiable t a regulatry authrity, the scene is nt disturbed until apprval frm the regulatr has been given. WITNESS STATEMENTS Individuals shuld be interviewed separately. Interviews may be accmpanied by an independent supprt persn. At the end f the interview the discussin shuld be summarised t make sure that n misunderstandings exist. A written recrd f the interview must be made, and any anmalies shuld be discussed with the witness. Witness statements may be recrded n E-T Witness Statement. Fllwing cnsultatin with the HSE Leader and Legal, the respnsible Directr will authrise legal representative invlvement fr witness interviews with regulatry authrities. INVESTIGATION TEAM

6 SR Event Management and Reprting (Rev ) Sectin 6 At least ne investigatin team member shall have been trained in the cmpany apprved investigatin techniques. Fr Actual and Ptential Class 1 events the HSE General Manager, HSE Leader and respnsible Directr will nminate an Investigatin Team Leader t undertake the investigatin. The investigatr must be able t cnduct the investigatin in an autnmus manner withut interference frm interested parties. The investigative team must have freedm t btain evidence and t access site as ften as necessary. Where the Rail Safety Act is relevant n site the specific requirements utlined in AS Railway Safety Management, Railway Safety Investigatin shall be applied. CLASS 1 ACTUAL AND POTENTIAL - DIRECTORS INVOLVEMENT PROTOCOL Where a Class 1 actual r ptential event has ccurred the Prject/Wrkplace Leader must prvide a status reprt within 24 hurs t the respnsible Directr and HSE Leader. Within 3 days the respnsible Directr will be actively invlved in the investigatin prcess, and be able t discuss the event in detail at the Event Review meeting. Dealing with events in a prmpt manner will allw us t rapidly spread learning acrss the business and will alert senir management t ptential liabilities as the earliest pssible pprtunity. The event investigatin reprt and review f the effectiveness f the event respnse, actins and prcedures will be cmpleted within 14 days f the event, unless an extensin is agreed with the respnsible Directr / HSE Leader fr significant r cmplex events. The Prject Leader shall frward the fllwing infrmatin t the respnsible Directr and HSE Leader: An update n the cnditin f all affected persns The latest versin f the event investigatin reprt Cllective Insight analysis f the effectiveness f the investigatin prcess, adequacy f actins, event cntrls and utcmes (within 4 weeks f the event ccurring) A cmpleted HSE Learning Bulletin PwerPint template t be included in the Learning Bulletin Any ther relevant infrmatin All reprts will be entered n IMPACT at the earliest pssible pprtunity, subject t advice frm the Head f Legal where legal prfessinal privilege has been applied. The respnsible Directr is respnsible t ensure that investigatins are cmplete, utcmes / actins are apprpriate t the class f the event and the standard f the HSE Learning Bulletin is suitable fr publicatin t the hub. CLASS 2 ENVIRONMENTAL EVENTS SENIOR LEADERSHIP INVOLVEMENT Fr all class 2 envirnmental events the Prject/Wrkplace Leader is respnsible fr ensuring the HSE Leader, Operatins Manager, Area Manager and respnsible Directr are ntified verbally within 1 hur f the event ccurring. The respnsible Directr and HSE Leader shall ntify the Managing Directr and the HSE General Manager respectively fr class 2 events that have the ptential fr regulatry invlvement. Class 2 envirnmental events shall be investigated using a recgnised investigatin prtcl. This may include a TapRt, ICam, 5 Why s investigatin prtcls as applicable.

7 SR Event Management and Reprting (Rev ) Sectin 7 Within 3 days f the class 2 event, the Prject Leader will cnvene a briefing with the relevant senir business leader t prvide an update n the investigatin and t allw the active invlvement in the investigatin prcess. The briefing will include discussin n the prgress f the investigatin and any specific initial findings. A status reprt n any rectificatin wrk r maintenance activities t the relevant envirnmental cntrls will als be prvided. The fllwing infrmatin relating t the event investigatin shall be frwarded t the senir business leader and HSE Leader: The cnditin f the envirnment and the status f any rectificatin r remediatin wrks The cmpleted event investigatin reprt, including apprpriate causal analysis and crrective actins Prgram fr the implementatin f the crrective actins and any maintenance activities A cmpleted HSE Learning Bulletin template t be included in the mnthly Learning Bulletin Any ther relevant infrmatin CAUSAL ANALYSIS AND INVESTIGATION FINDINGS Causal analysis is t be cmpleted fr all investigatins. Crrective actins shuld be develped t address each causal factr. The prject HSE lead r envirnmental lead shall ensure all crrective actins and causal factrs are lgged in IMPACT. Findings frm the investigatin are t be used by the prject team t develp crrective actins and recmmendatins. Crrective actins may include the review f relevant risk assessments, wrk methd statements, envirnmental cntrl plans, envirnmental peratinal cntrls, checklists, HSEMS System Requirements and Primary Standards. Implementatin and mnitring thrugh the CHSP r CEMP review prcess shall be undertaken fr all event crrective actins. The HSE Leader r nminee shall ensure that any identified crrective actins and recmmendatins fr HSEMS system changes are referred t the HSE General Manager r their nminee. COMMUNICATION AND SHARING OF LESSONS Sharing f lessns may take several frms as utlined belw. These requirements shuld be identified during either the investigatin prcess r senir leadership review. HSE Bulletins will be generated where event findings need t be cmmunicated internally acrss a prject r t anther prject r wrkplaces (refer t HSE Learning Bulletin Template). Fr distributin utside f the prject these bulletins shuld be frwarded t the HSE Leader r nminee wh will ensure distributin thrugh the central HSE team. At a prject level these bulletins shuld be cmmunicated t the relevant WHS cmmittee (where established) and psted n the prject ntice bard. Health, safety r envirnmental alerts are designed t ensure that where there is a likelihd f a similar repeat f an event that immediate actins are taken t rectify the situatin. All alerts must be apprved by the HSE General Manager r nminee prir t distributin.

8 SR Event Management and Reprting (Rev ) Sectin 8 HSE bulletins and alerts may be distributed by r uplading t igate and Next Gear HSEMS. FOLLOW UP AND REVIEW All investigatins are t be reviewed and signed by the Prject Leader. Each prject and business stream mnitrs effective clsure f crrective actins frm event investigatins. Review f crrective actins as implemented may be cnducted t determine nging effectiveness. In the case an Actual Class 1 event, the Prject Leader and the senir leadership team must als review the effectiveness f the event respnse. This is t be dne as a Cllective Insight. Respnse t Ptential Class 1 events may als be reviewed (e.g. if the EAP is required fllwing the event r emergency services invlved). REGULATIONS, GUIDES AND STANDARDS Wrk Health & Safety Act 2011 (ACT, NSW, QLD), 2012 (SA) and 2016 (NT) - Part 3 Occupatinal Safety and Health Act 1984 (WA) Sectin 23I Occupatinal Health and Safety Act 2004 (Vic) Part 3 Divisin 2 and Part 5 Prtectin f the Envirnment Operatins Act 1997 (NSW) Envirnmental Prtectin Act 1994 (QLD) Envirnment Prtectin Act 1970 (VIC) Envirnment Prtectin Act 1993 (SA) Envirnmental Prtectin Act 1986 (WA) Envirnmental Prtectin Act 1997 (ACT) Envirnmental Prtectin and Bidiversity Cnservatin Act 1999 (Cwth) GUIDES AND STANDARDS Guide fr cmpleting the OFSC Incident Reprt SafeWrk Australia Incident Ntificatin Fact sheet AS Railway Safety Management, Railway Safety Investigatin FORMS AND TEMPLATES E-T Incident Investigatin E-T a HSE Internal Incident Ntificatin E-T b Persnal Injury Reprt E-T Envirnmental Incident and Cmplaint Reprt E-G c Injury Classificatin Chart E-T Witness Statement C-T a Checklist fr Respnding t Class I incident

9 SR Event Management and Reprting (Rev ) Sectin 9 C-T b Class I Incident Flwchart (Laing O'Rurke access nly) Australia Hub Crisis Management Plan (restricted distributin)

10 SR Event Management and Reprting (Rev ) Sectin 10 APPENDIX 1 ENVIRONMENTAL INCIDENT CLASSIFICATION GUIDELINES ENVIRONMENTAL INCIDENT CLASSIFICATIONS Class One Class Tw (Including Ptential) Class Three Class One Envirnmental Incidents create permanent r lng term damage t the envirnment. This damage will result in the envirnment taking 12 mnths r mre t return t pre-existing cnditins. These incidents must be reprted immediately t the HSE General Manager, Head f Legal and Envirnmental Leader Serius r material envirnmental harm r damage. Envirnmental ntices that are nt actined Reprtable incident and likely prsecutin > $50,000 Cst t make gd >$50,000 Water Pllutin Chemical, il r diesel spills r pllutant discharges 50L t nearby waterways. Failure f sediment basin r spillway pnd. The intentinal discharge f waters that are plluted r cntaminated, utside the water quality guidelines r utside limits set by licenses r apprvals n the Prject 1000L. Sewage/septic verflws int nearby water curses 50L. Class Tw Envirnmental Incidents create shrt t medium term damage t the envirnment. This damage will result in the envirnment taking up t 12 mnths t return t pre-existing cnditins Class 2 incidents must be reprted immediately t the HSE Leader r Envirnmental Leader Manager Parameters Ptential r actual material envirnmental harm r damage reprtable as per State regulatin Prsecutin <= $50,000 Infringement Ntices by any authrity related t envirnmental legislatin r planning apprvals cnditins Cst t make gd n envirnmental damage $ $50,000 Water Pllutin Examples Chemical, il r diesel spills r pllutant discharges t waterways nsite/ffsite between 5 50L. Deliberate discharge ffsite f water (dewatering) in excess f apprved limits r withut verificatin testing Wilful r negligent damage t ersin and sediment cntrls, leading t sediment laden water mving ffsite. Grund/Sil Pllutin Any fuel/il/chemical spills cntained n site between 100L Class Three Envirnmental Incidents typically cause shrt term r nuisance damage. The damage is easily rectified usually within ne day. Class 3 incidents d nt cause medium r lng term damage. All incidents MUST be reprted int IMPACT within 48 hurs Minr pllutin event Minr failure f envirnmental cntrls. N mandatry external reprting requirements Typically cst $5,000 t make gd. Water Pllutin Oil/fuel/chemical spill/leak 5L t waterways Grund/Sil Pllutin Oil/fuel/chemical spill/leak 100L t grund, i.e. hydraulic il spill/failure/diesel spill frm machinery/equipment/refuelling r curing cmpund r radiatr fluid. Other Overflw t grund frm n-site sewage/septic tanks 100L Dust emissin (remaining visible at 20 m frm site extents r

11 SR Event Management and Reprting (Rev ) Sectin 11 Grund/Sil Pllutin Oil/Fuel/Chemical Spill 1000L nsite r a large spill that has mved ff site t the surrunding envirnment. Any spill r discharge which threatens t alter the classificatin f land t a cntaminated site. Wilful dispsal f waste materials/liquid t an unlawful facility. Other Overflw t grund frm nsite sewage/septic tanks between >1000L Spreading fire ants/electric ants/crazy ants utside f the restricted area Breaking an Envirnmental Prtectin Order r Ntice. Majr breach f licence cnditins Wilful damage/destructin t native vegetatin Wilful damage/destructin f cultural/heritage artefacts r significant places Odur, dust r nise pllutin that reaches an ffensive level and that may unreasnably impact n nearby envirnmental receptrs and residents. Fire that travels beynd the site bundary causing adverse impact t the envirnment r cmmunity. 1000L caused by refuelling, hydraulic failure r diesel spills. Wilful discharge r dispsal f cntaminated materials/liquids ff site t the grund/sil 50L. Dispsal f waste at an unapprved facility r illegal dumping nsite/ffsite: Cnstructin waste Spil material Liquid waste Hazardus wastes Other Overflw t grund frm n-site sewage/septic tanks between 100L 1000L. Cmplaints relating t excessive dust levels nsite and ffsite, affecting envirnmental receptrs and nearby residents. Nise pllutin that reaches an ffensive level and causing impact n nearby envirnmental receptrs and residents Damage r lss t threatened/vulnerable/ endangered fauna r flra species. Cmplaints relating t dur Nt having required licence/permits r apprvals. Wrking utside permitted hurs accrding t permits/apprvals. Unauthrised vegetatin remval utside apprved clearing limits. Wrks utside f prject bundary limits r assessment ftprint withut apprval. Damage t external prperty as a result f cnstructin vibratin. Minr breach f envirnmental licence cnditin. A fire that is cntained within the site bundary and that desn t nt cause r ptentially cause adverse effects t the envirnment r lcal cmmunity. Transprt and dispsal f fire ant items utside f fire ant restricted areas. visible at a sensitive receptr, whichever is less, e.g. dust settlement n surrunding prperties Sediment Cntrl: Damage r partial failure; where run-ff des nt leave the site. Lights unwanted illuminatin f neighburing prperties. Cmplaints recrd all unless cnfirmed as vexatius. Nt cvering lads n trucks carrying material ff site resulting in r with the ptential t result in waste entering the surrunding envirnment.

12 SR Event Management and Reprting (Rev ) Sectin 12 Supplying plant r materials cntaining pest plant reprductive material. Damage t cultural/heritage items. Near Miss Class 3 incident type that des nt result in any envirnmental damage. Fr example fuel, chemical r il leak that des nt cntaminate the grund r water