Professional Documents
Culture Documents
IA - IO Raspón en La Estructura de La Cabina Del Tractor Oruga CA - 18.08.22
IA - IO Raspón en La Estructura de La Cabina Del Tractor Oruga CA - 18.08.22
Consequences
• Raspadura de cinta reflectiva y estructura posterior izquierdo de la cabina.
Immediate Actions
• El supervisor de operaciones reporta el evento a Central de Emergencias.
• El trabajador pasa prueba de alcoholemia con resultado negativo.
• Se inicia el proceso de investigación con el equipo multidisciplinario.
Approved by
Name: James Atalaya Chacon Title: Gerente General de Operaciones
Phone: +51 949 462 192 Email: jatalaya@volcan.com.pe
This HSEC Alert is not intended to be comprehensive or provide definitive safety or environmental advice. The
information may change upon further investigation and more information becoming available.
The information contained in the alert should be factual and not contain opinions or speculation.
Title: Zn_HSEC_Incident Reporting Form Effective date: 14/07/2017 Version: 2.1 Page: 1 / 1
ID: GZn HSEC FRM 001 Review period: 1 year Status: Approved
THIS DOCUMENT IS UNCONTROLLED UNLESS VIEWED ON THE INTRANET
Incident Alert
Form
Cuneta de la rampa 387 donde el tractor de orugas realizaba Posición final del tractor en la rampa 387
la limpieza
Details about the Deceased/Injured Person(s) (for multiple fatalities/injuries copy-paste this table)
Name: Gender:
Date of birth: Marital status:
Capacity/relation of the deceased to the company at the moment of death:
If unauthorised person provide detail below: No aplica
<<insert text>>
If the deceased/injured was an employee or contractor, please indicate his/her:
Employment date: Job classification:
Years of experience:
What is the status of the injured person(s) now?
Title: Zn_HSEC_Incident Reporting Form Effective date: 14/07/2017 Version: 2.1 Page: 2 / 1
ID: GZn HSEC FRM 001 Review period: 1 year Status: Approved
THIS DOCUMENT IS UNCONTROLLED UNLESS VIEWED ON THE INTRANET
Incident Alert
Form
Title: Zn_HSEC_Incident Reporting Form Effective date: 14/07/2017 Version: 2.1 Page: 3 / 1
ID: GZn HSEC FRM 001 Review period: 1 year Status: Approved
THIS DOCUMENT IS UNCONTROLLED UNLESS VIEWED ON THE INTRANET