Successfully reported this slideshow.

NGI-Incident Reporting

4,306 views

Published on

Published in: Technology
  • Be the first to comment

NGI-Incident Reporting

  1. 1. oasis International Training Center Presents
  2. 2. INCIDENT REPORTING
  3. 3. 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
  4. 4. 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
  5. 5. 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
  6. 6. Why to report ? <ul><li>To be able to make an analysis of the incident, </li></ul><ul><li>in order to avoid recurrence </li></ul><ul><li>To avoid that anomalies become accident </li></ul><ul><li>To brake the chain of events </li></ul>INCIDENT REPORTING
  7. 7. CHAIN OF EVENTS INCIDENT REPORTING
  8. 8. PROBABILITY - SEVERITY Nothing happened last time … it must be safe ! INCIDENT REPORTING
  9. 9. ANOMALY A potential hazard which has not yet caused an incident. INCIDENT REPORTING
  10. 10. <ul><li>DEFINITION : </li></ul><ul><ul><ul><ul><li>Any undesirable situation having the potential to cause an incident. </li></ul></ul></ul></ul>Anomalies are not incidents They are incident factors INCIDENT REPORTING ANOMALY
  11. 11. <ul><li>Definition: </li></ul><ul><li>Incidents are generally caused by a combination of several anomalies, such as : </li></ul><ul><ul><ul><li>Unsafe / Sub-standard acts or conditions </li></ul></ul></ul><ul><ul><ul><li>Unsafe / Sub-standard procedures / practices </li></ul></ul></ul><ul><ul><ul><li>Unsafe / Sub-standard equipment </li></ul></ul></ul><ul><ul><ul><li>Unsafe / Sub-standard environmental conditions </li></ul></ul></ul>ANOMALY INCIDENT REPORTING
  12. 12. 5.3 ANOMALY CARD SYSTEM Fill Anomaly card INCIDENT REPORTING ANOMALIES MANAGEMENT TOOL
  13. 13. An occurrence were people have not been injured, but who has damaged property, environment, or delayed work. INCIDENT REPORTING INCIDENT
  14. 14. An occurrence were people have almost been injured, or property damaged, but the consequences of which were avoided by circumstances. INCIDENT REPORTING NEAR MISS
  15. 15. <ul><li>DEFINITION OF A NEAR MISS : </li></ul><ul><ul><ul><li>An incident with negligible actual consequences, but with potential for harm / illness or damage / loss, pollution, or combination of all. </li></ul></ul></ul>The real severity of a near miss is always negligible , whereas its potential severity can range from negligible to catastrophic . INCIDENT INCIDENT REPORTING
  16. 16. An occurrence were Property have been damaged. Or people have been injured. INCIDENT REPORTING ACCIDENT
  17. 17. <ul><li>DEFINITION OF AN ACCIDENT : </li></ul><ul><ul><ul><li>An incident which results in actual injury / illness and / loss or damage / to environment or to material / production. </li></ul></ul></ul>The real consequences range from moderate to catastrophic in either of the three fields: human, environment or material / production. ACCIDENT INCIDENT REPORTING
  18. 18. <ul><li>Note: Accidents and near misses have basically the same causes, </li></ul><ul><li>… what makes the difference is the actual damage severity. </li></ul><ul><li>It depends on : </li></ul><ul><ul><ul><li>worsening factors </li></ul></ul></ul><ul><ul><ul><li>effectiveness of protective measures </li></ul></ul></ul><ul><ul><ul><li>and … luck </li></ul></ul></ul>INCIDENT REPORTING INCIDENT
  19. 19. INCIDENT ACCIDENT NEARMISS HUMAN EQUIPMENT / PRODUCTION ENVIRONMENT SUSTAINED DAMAGE NO or NEGLIGIBLE SUSTAINED DAMAGE INCIDENT REPORTING
  20. 20. 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
  21. 21. SEVERITY MATRIX Trade representative Comments and remedial Actions INCIDENT REPORTING
  22. 22. MEDICAL REPORT INCIDENT REPORTING
  23. 23. 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
  24. 24. INCIDENT REPORTING
  25. 25. Causes of LTA INCIDENT REPORTING
  26. 26. 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
  27. 27. INCIDENT MANAGEMENT 1 Witness 2 Take appropriate immediate action 3 Report 4 Analyse 5 Implement corrective actions INCIDENT REPORTING
  28. 28. REPORTING ANALYSIS REMEDIAL ACTION IMPLEMENTATION OF REMEDIAL ACTION INCIDENT REPORTING
  29. 29. IT CAN BE IMPLEMENTED ONLY WITH YOUR INVOLVMENT YOU ARE THE ACTORS SO ACT ! INCIDENT REPORTING
  30. 30. Thank you for your attention.

×