Académique Documents
Professionnel Documents
Culture Documents
CONTENTS
1 Purpose ...................................................................................................................................................... 4
2 Responsibilities ........................................................................................................................................... 4
3 Definitions ................................................................................................................................................... 4
4 Procedure Details ....................................................................................................................................... 7
4.1 INCIDENT CLASSES ........................................................................................................................ 7
4.2 Immediate Incident Response ........................................................................................................... 8
4.2.1 Injury Response ............................................................................................................................. 8
4.3 Incident Notification ........................................................................................................................... 8
4.3.1 Notification of Hierarchy and Timing .............................................................................................. 8
4.3.2 Level Table Explanation ................................................................................................................ 8
4.3.3 Brierty Incident Notification Schedule .......................................................................................... 10
4.4 Investigation Team .......................................................................................................................... 11
4.5 Investigation Management............................................................................................................... 11
4.5.1 Investigation Documentation Requirements Table ...................................................................... 11
4.5.2 Incident Investigation Table ......................................................................................................... 12
4.5.3 Summarising the Incident ............................................................................................................ 12
4.5.4 Guide to Gathering data .............................................................................................................. 13
4.5.5 Sequencing of events .................................................................................................................. 13
4.6 Analysis............................................................................................................................................ 13
4.6.1 Developing causes and contributing factors ................................................................................ 13
4.7 Risk Management and Action Planning ........................................................................................... 14
4.7.1 Risk Assessment and Management ............................................................................................ 14
4.7.2 Action Planning ............................................................................................................................ 14
4.8 Recording Investigation, Analysis and Actions ................................................................................ 14
4.8.1 INX InControl ............................................................................................................................... 14
4.8.2 Completing Event Report ............................................................................................................. 14
4.9 Action Management ......................................................................................................................... 15
4.10 Incident Review ............................................................................................................................... 15
4.11 Incident Close Out ........................................................................................................................... 15
4.12 Brierty Safety Alert and Lessons Learnt .......................................................................................... 16
5 Workplace Injury and Disease Codes ...................................................................................................... 16
5.1 Nature of Injury Code ....................................................................................................................... 16
5.2 Nature of Disease Code .................................................................................................................. 16
5.3 Bodily Location Code ....................................................................................................................... 17
5.4 Break Down Agency Code ............................................................................................................... 17
5.5 Mechanisms of Injury Code ............................................................................................................. 18
6 Incident Reporting Flow Chart .................................................................................................................. 19
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INCIDENT MANAGEMENT
SAFETY MANAGEMENT SYSTEM PROCEDURE
DOCUMENT CONTROL
Document ID Document Name Comment
08PR020C Incident Management
ABBREVIATIONS
Term Abbreviation Comment
Lost Time Injury LTI
Medical Treated Injury MTI
Minor Injury MI
First Aid Injury FAI
Restricted Duties Injury RDI
Total Recordable Frequency Rate TRFR
High Potential Incident HPI
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SAFETY MANAGEMENT SYSTEM PROCEDURE
1 PURPOSE
This procedure defines the Incident Management Process.
The scope of this procedure includes all events, which cause or have the potential to cause, injury, illness,
damage or loss to company assets, damage to the environment or public alarm and any other Occupational
Health Safety and Environment (OHS&E) events, which have the potential for learning or require corrective
actions for example: Environmental non-compliances, Community complaints, Plant, Property or product
incidents, Motor vehicle incidents, Breaches of occupational hygiene exposure limits and occupational
illnesses and incidents.
Incident
Incident
Incident Response Reporting / Investigation Analysis
Notification
Recording
Recording
Risk Review of Incident
Investigation, Action
Management / Management & Learning
Analysis and Management
Action Planning Risk
Actions
2 RESPONSIBILITIES
The Site Supervision with assistance of the Site Safety Advisor, Site Management will undertake the
responsibility of compiling the Incident Report
3 DEFINITIONS
Should: as highly recommended
Shall: as mandatory
AI (All Injuries) Any work related injury that requires treatment and includes first aid
injuries, medical treatment injuries, restricted work injuries, lost time
injuries and fatalities.
FAI (First Aid Injuries) Treatment administered by and within the qualifications of a trained
first aid attendant or Occupational Health Nurse.
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MTI (Medical Treatment Injury) The management and care of a patient to combat disease or disorder
not including:
− Visits to a physician or other licensed health care
professional solely for observation or counselling;
− The conduct of diagnostic procedures, such as x-rays and
blood tests, including the administration of prescription
medications used solely for diagnostic purposes (e.g., eye
drops to dilate pupils); or
− First aid as defined above.
RDI (Restricted Duties Injury) A work related injury or illness (physical or psychological) that results
in an employee being kept by their employer, or by recommendation
of a registered/licensed physician or health care professional, from
performing one or more of their routine job functions or from working
a full shift they would otherwise have worked but not including the
day of injury/illness occurrence.
An injury that results in one complete shift or more (the day following
LTI (Lost Time Injury) an incident) away from the workplace. To be classified as a LTI is
must be declared by a General Practitioner on a Workers
Compensation medical certificate.
TRI (Total Recordable Injury) Any injury that results in medical treatment, restricted work, lost time
or fatality, loss of consciousness or significant injury or illness
diagnosed by a physician or other licensed health care professional.
Frequency Rate: How many incidents of that category type the company is likely to
Expressed as LTIFR, TRIFR, AIFR, expect per 1,000,000 man-hours worked. The formulae is: Number
DamageFR etc. of occurrences / number of hours x 1,000,000
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Duration Rate: Indicates that average lost time per injury for the period. Calculated
on a rolling 12 monthly time frame. The number of days lost /
number of incidents.
Near Miss An unplanned event that occurred at the workplace that, although not
resulting in any injury, disease, damage, environmental or other
adverse impact, had the potential to do so. A near miss can be any
severity of incident and is not dependant on the severity rating
calculated.
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Incidence Rate (IR) The number of occurrences (e.g. AI, MTI, RW, TRI and LTI) of injury
or disease for each one hundred workers employed.
Statutory Reportable Incident Any incident required under legislation to be reported to a Statutory
Authority (eg. WorkSafe, Division of Workplace Health and Safety,
Environmental Protection Authority, Police, Energy Safety Services
etc.) The requirements vary from state to state, therefore
confirmation of specific requirements needs to be obtained prior to
reporting.
High Potential Event Is where the potential likelihood of it being a Level 1,2 or 3 is of a
possibility.
4 PROCEDURE DETAILS
4.1 INCIDENT CLASSES
Incidents include but are not limited to:
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The person in control of the area where an incident has occurred shall initiate the emergency response
procedure in accordance with Site Specific Emergency Plans.
An Immediate corrective action shall be implemented to contain the effects of the incident and/or make the
plant, equipment or premises where the incident occurred, safe.
For any incident, which affects members of the public or attracts media attention, refer to the Brierty Limited
Emergency and Crisis plans.
In the case of traumatic events the Project Manager in consultation with the Emergency Management Team
will initiate the Brierty Limited Crisis Management Procedure to ensure people who may be emotionally
affected are given the earliest possible and professional support.
Once the area has been secured and the health of the person or persons involved has been determined,
where practicable they shall be subjected to an Alcohol Test and or depending on client requests a Drug test
maybe initiated
If the assessment of an injury or illness indicates that medical treatment is required, then the Project
Manager and Supervisor shall be notified promptly, they will then under take the following:
Ensure that the treating Doctor or hospital receives a letter setting out the existence of the Company
rehabilitation policy and the availability of selected duties for injured persons
Ensure that arrangements are made to inform the Next Of Kin and family of the situation.
Statutory reporting requirements such as Dept, of Mines and Petroleum or Worksafe Formats shall
be completed if the Principle employer wishes Brierty Limited to undertake this duty.
All incidents shall be reported to the client by end of shift, or sooner, if stipulated by the client’s
procedures.
All Level 1, Level 2 and Level 3 Serious / potentially serious incidents shall be reported immediately
as per the incident notification schedule
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The above table is a minimum standard. In order to meet the specified time allowances, notification may be
verbal via telephone, especially in after hour circumstances.
At least one member of the investigation team shall have received training in incident cause
analysis;
The responsible General Manager shall review the investigation of serious incidents;
Investigation teams shall be set up in accordance with the requirements in the table 4.4.2 Incident
Investigation Table
In Level 1 and 2 incidents where an additional formal report is required, the Serious Incident Investigation
Report” format shall be used.
Followed by:
Investigation and analysis of all incidents shall commence within two working days and an investigation
report shall be issued within two weeks.
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A preliminary site visit shall be made to familiarise the investigation team with the site, the damage,
the names of witnesses, and the process and plant equipment.
Photographs of the site are invaluable. A record of the location and viewpoint of each photograph
shall be kept.
Sketch plans and notes shall be kept as appropriate.
Examination of the damage caused by the incident usually yields much useful information.
Always check that new hazards are not created as a result of the investigation activities.
Witnesses shall be encouraged to write down their experience whilst it is fresh and before they have
talked to other witnesses.
Evidence collection usually begins as soon as possible after the incident. As the analysis proceeds
additional information may be required and shall be collected. Team members shall be assigned
responsibility for collecting the evidence as required. The source, date, time and place and who
provided each piece of information shall be recorded.
People
Environment
Equipment
Procedures
Organisation
4.6 ANALYSIS
Cause Description
Failed or Absent Defences Failures that result from inadequate or absent defences that failed to detect and/or
protect against technical and/or human errors. These are often the last minute
measures that failed or were missing.
Person or Team Factors Person or team factors are errors or violations made by a person or work team and
had an immediate adverse effect or were associated with personnel having direct
contact with equipment.
Environmental Factors Workplace factor are conditions in existence immediately prior to, or at the time of the
incident. These might be task, situational or environmental conditions that have
impacted on human and/or equipment performance.
Organisational Factors These factors may include management decisions; poorly designed equipment;
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This activity will give an overall perspective of the degree of risk that needs to be considered in planning
corrective and preventative actions. Regardless of the risk rating given to the circumstances / causes of
incidents all OH&S risks are to be reduced as far as practicable.
Corrective actions shall prevent the incident from recurring. Recommendations shall arise out of the
findings of the investigation.
Corrective actions shall address the causes. There may be more than one possible corrective action
for each cause.
It shall be decided which causes shall be worked on and in which priority. In addition, it is important
to identify as many potential corrective actions as possible.
Brainstorming is a tool that can be used to generate possible corrective actions.
The investigation team shall ensure the investigation details, corrective and preventative actions,
those responsible for completing actions, completion dates and dates for evaluation and follow up
are recorded.
All recommendations shall be documented including those considered and rejected. Investigation
records may be subpoenaed as evidence in any future legal action.
It is important that facts are distinguished from opinions in the report and the basis for conclusions is
recorded.
A review of the effectiveness of corrective actions is conducted on completion of the action plan at
which point a residual risk rating is calculated. If corrective actions have been ineffective or have not
reduced risks as far as practicable, a new action plan shall be identified and implemented.
InControl includes logging and management of any type of incident or event related to OHSE including
hazards, audits, injuries and investigation reports. Exposure hours are recorded to produce statistics in
accordance with OHSE Standards. It includes automated follow up and close out of actions. Reporting is
very strong with InControl, and data can be extracted from the data base to spreadsheet for analysis
purposes
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and stored in the Brierty data base in which is InControl. Completing 08FC029C_Serious Incident
Investigation Report
Upon completion of the incident investigation, analysis, risk management and action planning, the hard copy
of the report will be collated with all the evidence and placed into the report format. This report format will
then be visualised and if necessary corrected by the Project Manager. Once this has been under taken the
report will then be signed off by the Project Manager and issued to the client and if applicable forwarded on
to the state regulatory, General Manager and South Perth office.
A report will be made available by the site safety advisor through InControl notifying site personnel of when
an incidents action needs to be completed.
Once this has been under taken then the site Project Manger and Safety personnel will coordinate a residual
risk review of the incident.
Examination of the residual risk shall include assessing it to confirm that risks have been reduced as far as
practicable. The residual risk ranking shall then be entered into the corrective action register, and a copy will
be sent to the HSEQ Manager who will then inform the Senior Management of the Review of Risk and
Incident Management.
Originals of the Incident Forms, attachments and any additional formal reports shall be forwarded to the
Safety Coordinator for filing.
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Records of incidents and occupational illnesses shall be retained indefinitely. Where required, records of
injuries, occupational illnesses and other incidents shall be summarised and retained in accordance with
local legislative requirements.
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13 Underground environment
14 Live animals
15 Non-living animals
16 Human agencies
17 Biological agencies
18 Non-physical agencies
98 Other agencies
99 Unspecified agencies
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Incident
No
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