MAJOR ACCIDENT ANNOUNCEMENT (MAA)

:‫ﻟﻺﺳﺘﻌﻼﻡ‬ : ‫ ﺍﻟﻤﺸﺮﻭﻉ‬/‫ﺍﻟﻔﺮﻉ‬
(Contact) (Branch/Project)
:‫ﻣﻜﺎﻥ ﺍﻟﺤﺎﺩﺙ‬ :‫ﺍﻟﺒﻠــﺪ‬
(Location of acccident) (Country)
:‫ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﺍﻟﺒﻼﻍ‬ :‫ﺗﺎﺭﻳﺦ ﺍﻟﺤﺎﺩﺙ‬
(Notification issue date) (Date of accident)
Brief account of accident: :‫ﻭﺻﻒ ﻣﺨﺘﺼﺮ ﻟﻠﺤﺎﺩﺙ‬

Fatalities: : ‫ﺍﻟﻮﻓﻴﺎﺕ‬

: ‫ﻣﻮﻅﻒ ﺑﺎﻟﺸﺮﻛﺔ‬
(Employee)
: (‫ﻣﺘﻌﺎﻗـﺪ )ﻣﻘﺎﻭﻝ‬
(Contractor)
: ‫ﺍﻟﻄﺮﻑ ﺍﻟﺜﺎﻟﺚ‬
(Third Party)
Business impact / damage / loss: : ‫ ﺍﻟﺧﺳﺎﺭﺓ ﻋﻠﻰ ﺍﻟﻌﻣﻝ‬/ ‫ ﺍﻟﺗﻠﻔﻳﺎﺕ‬/ ‫ﺣﺟﻡ ﺍﻟﺗﺄﺛﻳﺭ‬

News media coverage seen: : ‫ﺍﻟﺘﻐﻄﻴﺔ ﺍﻹﻋﻼﻣﻴﺔ‬

Actions taken/underway: :‫ﺟﺎﺭﻱ ﺗﻨﻔﻴﺬﻫﺎ‬/ ‫ﺍﻹﺟﺮﺍءﺍﺕ ﻣﺘﺨﺬﺓ‬

Person in charge of response/investigation: ‫ﺍﻟﺸﺨﺺ ﺍﻟﻤﺴﺌﻮﻝ ﻋﻦ ﺍﻟﺘﺤﻘﻴﻖ ﻓﻲ ﺍﻟﺤﺎﺩﺙ‬

Issue No. (3) Issue Date: March2014 Revision No. (1) PJ-HSEMSF-4.5.3.1- 07