Incident Flash Report SF19-04

Flash Report Number: SF19-04-1912-1550-001

Injured Person: N/A Age:

Location: KM 26+500 Nationality:
Date of Incident: 29-Nov-2019 Time of Incident:
Contractor: Private Vehicle
If Subcontractor (please specify):

Description of Incident: (Please attach photograph if available.)

One White Lexus sports car with plate number 300 SUK plunged into the excavation, according to the driver his speed is more
than 200kph.
He did not sustained any visible injury due to the deployment of airbag.

Immediate cause of Incident:

Overspeeding

Type of Injury / Incident

First Aid Injury Medical Treatment Injury Restricted Work Injury
LTI Fires Damage Incidents
Heat Stress Security Others
Environmental Incident Level 1 (<25 litres.) Level 2 (25≥ to ≤100 litres.) Level 3 (>100 litres.)

Please Indicate the estimated amount of Spilled Material: N/A

Anticipated number days off work: N/A

Immediate action taken to prevent similar incident:

N/A

Reported by: Reviewed by:

Bernard D.Frane
Name & Signature Name & Signature

REV-01 Page 1 of 2
 Incident Flash Report SF19-04

The car was removed from the excavation by RTCC Personnel.

REV-01 Page 2 of 2