This document outlines an emergency action plan and accident reporting procedure. It details the individuals and their contact information that should be notified in the event of an accident, including the site engineer, safety officer, contractor management, consultant safety and package managers, and local emergency services. It also describes the process for submitting an initial accident report within 24 hours, updating on the victim's status, and reporting their fitness for duty after being discharged from the hospital.

1. 1. Location: xx,
2. Time: xx
3. What Happen: xx
(Information via Telephone)
Site Engr. / Safety Officer (Day)
Name:
site Engr. / Safety Officer (Night)
Name:
Rescue/Hospitalization/
Restoration Follow up
(Initial accident report)
- Prepare initial accident report incl. update the status
of victim by Contractor Safety Manager and submit
to Contractor Mgmt (SPM / PM)
- Contractor Mgmt (SPM / PM) will submit to
consultant package Managers the initial accident
report & updated status of victim within 24 hours
(Hospital FFD= Fit For Duty)
- After discharge from hospital FFD submit to
Contractor PM by Contractor Safety / Admin
- Contractor Mgmt submit FFD to consultant package
Managers
AccidentEmergency Action / Reporting
Diagram (package_____)
(Information via Telephone)
1. Location 2. Time 3. What Happens
4. Injury
PM:
Co- PM :
(Instruct For Rescue/ Hospitalization,
Restoration)
(Information via Telephone)
Note: Initial Incident/ Accident/Near miss
Information must be reach consultant Core
Team within 2 Hours
Contractor Safety In-Charge
Witness (worker)
Contractor Management
Contractor Safety Manager
Name:
Consultant Safety In-Charge
RE :
ARE :
DRE :
Consultant package Managers
ATL:
OM :
Consultant Core Team
Rescue/Hospitalization
Follow up
Contractor Admin. Manager
PD :
APD :
PM :
Client
Hospital:
Cell:
Fire Service: 999
or 02- 9555555
Via E-mail
& PhoneVia Phone Call
This Emergency Action Plan Must be
Submitted to the Engineer where any
change arrived.
Name: Name: