NGI-Incident Reporting
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NGI-Incident Reporting

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  • Too many anomalies will induce INCIDENTS who can be, or ACCIDENTS, or NEARMISSES Too many INCIDENTS will induce FATALATY. (Dead people)
  • The BIRD’S pyramid, issued of a statistical analysis, shows how starting from insignificant anomalies we arrive to a major accident.
  • An incident is the end of a chain of events.
  • Brake this chain, and the incident will not occur.
  • You can make unsafe things many times without any consequence, but you must know that one day the incident will come.

NGI-Incident Reporting NGI-Incident Reporting Presentation Transcript

  • oasis International Training Center Presents
  • INCIDENT REPORTING
  • What to be reported? The basis of accident prevention, resolves around the accurate and prompt reporting of anomalies. FATALITY ANOMALY INCIDENT INCIDENT ACCIDENT NEARMISS INCIDENT REPORTING
  • UNSAFE ACTS AND CONDITIONS 1 major accident - with human injury 10 minor accidents 30 incidents with material damage 600 incidents with no damage or no visible injury BIRD'S PYRAMID Anomalies / Incident factors USA 1969 Statistics by Mr BIRD based on 1.8 Million accidents which occurred in 21 different activities (3x10 9 man-hours) FAILURES, ERRORS... INCIDENT REPORTING 1 10 30 600
  • ASSALUYEH SITE, Phases 2 & 3 from November 1999 to July 2002 26,728 Anomalies reported 750 Accidents with nobody injured 557 Accidents with injured people 4 Fatalities INCIDENT REPORTING
  • Why to report ?
    • To be able to make an analysis of the incident,
    • in order to avoid recurrence
    • To avoid that anomalies become accident
    • To brake the chain of events
    INCIDENT REPORTING
  • CHAIN OF EVENTS INCIDENT REPORTING
  • PROBABILITY - SEVERITY Nothing happened last time … it must be safe ! INCIDENT REPORTING
  • ANOMALY A potential hazard which has not yet caused an incident. INCIDENT REPORTING
    • DEFINITION :
          • Any undesirable situation having the potential to cause an incident.
    Anomalies are not incidents They are incident factors INCIDENT REPORTING ANOMALY
    • Definition:
    • Incidents are generally caused by a combination of several anomalies, such as :
        • Unsafe / Sub-standard acts or conditions
        • Unsafe / Sub-standard procedures / practices
        • Unsafe / Sub-standard equipment
        • Unsafe / Sub-standard environmental conditions
    ANOMALY INCIDENT REPORTING
  • 5.3 ANOMALY CARD SYSTEM Fill Anomaly card INCIDENT REPORTING ANOMALIES MANAGEMENT TOOL
  • An occurrence were people have not been injured, but who has damaged property, environment, or delayed work. INCIDENT REPORTING INCIDENT
  • An occurrence were people have almost been injured, or property damaged, but the consequences of which were avoided by circumstances. INCIDENT REPORTING NEAR MISS
    • DEFINITION OF A NEAR MISS :
        • An incident with negligible actual consequences, but with potential for harm / illness or damage / loss, pollution, or combination of all.
    The real severity of a near miss is always negligible , whereas its potential severity can range from negligible to catastrophic . INCIDENT INCIDENT REPORTING
  • An occurrence were Property have been damaged. Or people have been injured. INCIDENT REPORTING ACCIDENT
    • DEFINITION OF AN ACCIDENT :
        • An incident which results in actual injury / illness and / loss or damage / to environment or to material / production.
    The real consequences range from moderate to catastrophic in either of the three fields: human, environment or material / production. ACCIDENT INCIDENT REPORTING
    • Note: Accidents and near misses have basically the same causes,
    • … what makes the difference is the actual damage severity.
    • It depends on :
        • worsening factors
        • effectiveness of protective measures
        • and … luck
    INCIDENT REPORTING INCIDENT
  • INCIDENT ACCIDENT NEARMISS HUMAN EQUIPMENT / PRODUCTION ENVIRONMENT SUSTAINED DAMAGE NO or NEGLIGIBLE SUSTAINED DAMAGE INCIDENT REPORTING
  • Incident short summary Description of the operation during which the incident occurred (what was done? Where? By whom ? Who ? Job-work/permit number ?) Brief description of damage to equipment and environment Immediate action taken to contain incident Additional action taken to prevent reoccurrence HSE Area Authority Comments 1 1 2 2 3 3 4 4 5 5 6 6 INCIDENT REPORTING
  • SEVERITY MATRIX Trade representative Comments and remedial Actions INCIDENT REPORTING
  • MEDICAL REPORT INCIDENT REPORTING
  • Circulation sheet HSE Site Manager Comments and Remedial Action Proposal Head of Maintenance Comments Head of Services Comments Head of Operations Supports Others or Identified by RSE Site Manager RSE Comments INCIDENT REPORTING
  • INCIDENT REPORTING
  • Causes of LTA INCIDENT REPORTING
  • Lost Time Severity Rate Number of lost days per 1 000 000 worked hours Lost Time Frequency Rate Number of LTA per 1 000 000 worked hours INCIDENT REPORTING
  • INCIDENT MANAGEMENT 1 Witness 2 Take appropriate immediate action 3 Report 4 Analyse 5 Implement corrective actions INCIDENT REPORTING
  • REPORTING ANALYSIS REMEDIAL ACTION IMPLEMENTATION OF REMEDIAL ACTION INCIDENT REPORTING
  • IT CAN BE IMPLEMENTED ONLY WITH YOUR INVOLVMENT YOU ARE THE ACTORS SO ACT ! INCIDENT REPORTING
  • Thank you for your attention.