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Incident Investigation
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1.0 PURPOSE:

The purpose of this procedure is to ensure a safe workplace for all employees, contractors and
customer through effective and systematic Incident investigation and reporting mechanisms, to
ensure that further risks of workplace incidents are eliminated.

2.0 SCOPE:

This procedure is applicable to all personnel (i.e. employees, temporary workers, contract
personnel, visitors and any other person in the workplace.)

3.0 RESPONSIBILITY

a. Line supervisor: It is every line supervisor’s responsibility to fill the accident / incident
reporting form within 24 hours of an incident/accident and sent it to Safety Officer through
department head.

b. First Aid team: After first aid, medical department will inform to line supervisor of injured
person about the accident/incident so that he can start accident/ incident investigation process.

c. Safety Officer: Safety Officer, HR along with line supervisor will investigate incidents /
accidents and suggest corrective measures. In case of day away, HR will also generate accident
investigation report and circulate to all concerns.

d. Department Manager: It is the responsibility of the department manager to review all


incidents/accidents in their departments and ensure that corrective action procedures are
implemented effectively.

4.0 PROCEDURE

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The accidents and incidents are classified as follows

Near Miss: Something did occur but there was no harm caused.

First aid Cases/Minor Injury: An injury or occupational illness which requires first aid
treatment and the employee will resume the same job immediately.

Recordable Cases: An injury or occupational illness which requires external medical help
and employee will resume their job within 24 hours.

Day Away Cases: Accident or occupational illness which results from missing from one or
more full day from the assigned job excluding the day of accidents.

Debilitating Injuries: Accidents / occupational illnesses that produce amputations; loss of


use with any arms, legs, fingers, toes, eyesight, hearing, etc.; or other disease to human body

Fatalities: Accidents / occupational illnesses that produced a death

⮚ All the environmental and Safety incidents, and “Near Miss” cases need to be reported and
report must be submitted at the earliest but not later than 8 hours of the occurrence. The
respective department supervisor and HOD is responsible for the same.
⮚ The incidents are then investigated by a team headed by Safety Officer and coordinated by
HR and respective employees involved..
⮚ The follow-up and monitoring of the recommended corrective and preventive actions in the
investigation report will be done by the respective HOD.
Immediate:

⮚ Notify immediately about any serious incidents/near miss noticed by anyone to Safety
Officer & HR
⮚ They in turn will visit the site and depending on the severity and initiate required action and
notify to Management.
⮚ The first priority will be accorded to take care of the injured and hence the Ambulance will
be called and the injured person(s) will be sent for treatment .
⮚ The immediate action to mitigate the incidents, near miss will be decided by the Safety
officer, Head HR in consultation with respective HOD.
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⮚ In shifts, the shift in-charge will take the decision in consultation with the above persons.

Recording:

⮚ The subsequent detailed investigation will be recorded in the standard investigation format
⮚ The records will be stored in the respective department and the HOD is responsible to
maintain the same. Copies of the incident investigation report are given to Safety Offcier &
Head HR.
⮚ An trend /summary of all incident/near miss investigation report will be maintained by
Safety Officer and monthly reviewed with HR Head for any re-Occurance.

Investigation:

Investigation of the incident is to prevent further occurrences of the situation by identifying,


detecting, analysing and elimination and dealing with the root cause of potential
nonconformities.

⮚ All types of incidents/near miss need to be investigated factually and correctly.


⮚ The investigation will be done by respective supervisors along with the respective HOD for
all “Near Miss” (incidents that could have led to serious harm) and with their knowledge and
skill.
⮚ The serious incidents such as burns, fractures, amputation, hospitalization, cuts needing
sutures will be investigated by a team of members from the Safety committee along with the
Safety Officer & HR Head..
⮚ The investigators have the unfettered authority to stop the machines, discuss with team
members, and question anyone directly involved in the incident, including contractors and
passers-by to find out the root cause of the incident. They also have the authority to
interview the witness.
⮚ The investigators are authorized to take photographs of the site of incident and seal the
evidence.
⮚ The investigators have the authority to stop the operations in cases where it is found that
there is still a danger to the plant people on account of the incident.
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⮚ The team of investigators will submit the report to Safety Officer for further action.
⮚ The investigation reporting to statutory authorities will be done by Head HR

Corrective action:

Corrective actions are actions taken to eliminate the root cause(s) for incidents/near miss in order to
prevent recurrence. They are

⮚ Identification and implementation of corrective and preventive measures both for the short
term as well as long term. Advice may be taken from employees with good EHS expertise.
⮚ Evaluation of any impact on hazard identification and risk assessment result and any need to
update the HIRA control measures.
⮚ Recording any required changes in procedures/guidelines/Policies resulting from the
corrective actions also carried out.
⮚ Application of risk controls, or modification of existing risk control, to ensure that corrective
actions are taken and that they are effective.
⮚ The said CAPA is appropriate to the magnitude of problems and commensurate with the
safety risks encountered.

Preventive action:

Examples of elements to be considered in establishing, maintaining preventive action procedure


include

⮚ Use of appropriate sources of information i.e. trends in “no loss incidents”, Safety audit
reports, records, updating of risk analysis, new information on hazardous material, safety
“walk-through”,
⮚ Identification of any problem requiring preventive actions.
⮚ Initiation and implementation of preventive action and application of controls to ensure that
it is effective.
⮚ Recording any changes in procedures resulting from preventive action & submission for
approval.

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Follow-up:

Corrective and preventive action should be as permanent and effective as practicable. Checks must
be made on the effectiveness of corrective/preventive action taken. Outstanding/overdue actions
should be reported to Management at the earliest opportunity.

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