2012 Section 6: Incident Reporting & Investigation Total Oilfield Rentals LP 10/1/2012
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6.0. Incident Reporting & Investigation Rev B October 1, 2012 Table of Contents 6.1. INCIDENT REPORTING AND INVESTIGATION... 5 6.1.1. DEFINITIONS... 5 6.1.2. INTRODUCTION... 5 6.1.3. REPORTING INCIDENTS... 5 6.1.4. ACCIDENT PREVENTION... 7 6.1.5. INCIDENT INVESTIGATION... 7 6.1.6. REPORTING/INVESTIGATION PROCEDURE... 8 6.1.7. RECORD RETENTION... 10 6.1.8. INVESTIGATION FOLLOW-UP... 10 6.0. Incident Reporting & Investigation Page 3
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6.1. Incident Reporting and Investigation 6.1.1. 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. 6.1.2. 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. 6.1.3. Reporting Incidents All employees are required to report all incidents or accidents, regardless of severity. 6.0. Incident Reporting & Investigation Page 5
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. 6.0. Incident Reporting & Investigation Page 6
6.1.4. 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. 6.1.5. 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. 6.0. Incident Reporting & Investigation Page 7
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. 6.1.6. 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. 6.0. Incident Reporting & Investigation Page 8
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. 6.0. Incident Reporting & Investigation Page 9
6.1.7. 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. 6.1.8. 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. 6.0. Incident Reporting & Investigation Page 10