Safety Flash & Lessons Learned from....................................

Accident/Incident
`
Brief Account of accident:

Type of the incident :

Branch :
Country: Egypt
Date of Accident :

Summary of immediate causes: Summary of Possible System Causes:

Learned Lessons :

Issue No. (3) Issue Date: March2014 Revision No. (1) Page 1 of 2 PJ-HSEMSF-4.5.3.1- 10
 Safety Flash & Lessons Learned from.................................... Accident/Incident

(‫ )ﻳﺸﻤﻞ ﺗﻔﺎﺻﻴﻞ ﺍﻟﺤﺪﺙ‬:‫ﻭﺻﻒ ﻛﺎﻣﻞ‬

: ‫ﻧﻮﻉ ﺍﻟﺤﺎﺩﺙ‬
:‫ﺍﻟﻔﺮﻉ‬
:‫ﺍﻟﺪﻭﻟﺔ‬
: ‫ﺗﺎﺭﻳﺦ ﺍﻟﺤﺎﺩﺙ‬

‫ﺃﺳﺒﺎﺏ ﻣﺘﻌﻠﻘﺔ ﺑﺎﻟﻨﻈﺎﻡ‬ :‫ﺍﻷﺳﺒﺎﺏ ﺍﻟﻤﺒﺎﺷﺮﺓ‬

: ‫ﺍﻟﺪﺭﻭﺱ ﺍﻟﻤﺴﺘﻔﺎﺩﺓ‬

Contact:

Tarek Adly – Petrojet Consultant for HSE : Tarek.Adly@stepup.com.co

Ali Azouz – Petrojet HSE General Manager : aliazouzhse@gmail.com

aliazouz@petrojet.com.eg

Issue No. (3) Issue Date: March2014 Revision No. (1) Page 2 of 2 PJ-HSEMSF-4.5.3.1- 10