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Incident/Accident Report

Unit / SBC SHPP


Date 02/04/2018 Location Near Store (SHPP-2 )
Site

INFORMATION ON THE INCIDENT


1 Nature of The activity Fire Incident at storage area
2 Location of the activity Material Storage area.
3 Date of the incident/accident 02/04/2018
4 Time of the Incident/accident 05:40 PM
0
5 Weather Conditions (if apply) 38 C
Name of the in charge person with
6
Designation
Mr: SRIDHAR RAO
Brief Description of the Incident/Accident:

As per the investigation mechanical team (S/C Manish indrajith) Workers are
remove GI shed which was provided for material storage purpose. CO2 type
Fire Extinguisher (9kg capacity) & wooden box are stored in the shed. During
the work the worker was used Arc welding for cutting of ms pipe. due to
negligence of the worker welding spark fall on the hessian cloth (fire
extinguisher packing cover )and catch fire ,immediately extinguish the flame at
starting stage . Fortunately no any injury in this incident 4 no’s of Fire
Extinguisher valve damaged fully CO2 gas discharged.

INFORMATION ON INJURED PERSON OR OWNER OF DAMAGED PROPERTY


Name NIL Date of Birth/Age

Address
Phone
Work: Home :
Numbers

Describe Nature of Damage of 4 No’s of Fire Extinguisher Valve damaged & CO2
5
property gas fully discharged.

MEIL/SAFETY/F-05/Rev.02
Unsafe Acts/Conditions which Unsafe Condition (Improper Storage of material)
6
caused stored in open place .

7 Safety appliances (Relevant) used Safety Helmet, Safety Shoe ,hand glove etc..
a)Immediate Extinguish the fire

b)Removed all plastic ,wooden & Peppers


8 Corrective action taken
c) Recommended to concern contractor supervisor
maintain good housekeeping before start HOT work.

a) Instruction given to the work crew for Fire blanket to be


use for hot work.

b)Recommended to Store keeper & Site in charge for this


kind of material do not kept on open place it should be
9 Preventive measures stored in separate storage area .

c) Instruction given to the concern site engineer to do not


start any activity without permit.

10 Witness with signatures


1.Mr:Jyoti Anand Giri (Mechanical Engineer )

2.Sailender (Supervisor ) S/C :manishindrajith

MEIL/SAFETY/F-05/Rev.02
Extinguish

MEIL/SAFETY/F-05/Rev.02
Valve Damaged Extinguisher

Signature of the Safety Officer Signature Project Head

MEIL/SAFETY/F-05/Rev.02

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