Hsi Investigation Procedure

Notification and Reporting Procedure
Notification and Reporting

Procedure
How we report HSE and Operational
accidents and near miss
Author Checked / Approved

Date Revision Issued / Emis
Auteur Verifier Approuvé
Updated to notification responsibilities,
distribution lists, information on PSE tiers, HSE HMD RISK ISG HSE
17/04/22 3 HMD HSE Mgr
examples of PSE tier 1 & 2 events, Adv Manager
Prescription medication, severity matrix
Updated to include improved Process
chang HMD HSE Mgr
ISG/IA HSE IA/ISG Ops
HMD 2 safety & Drops, reporting, and notification
Managers Managers
contacts
JV HSE Mgr
20/07/11 1 Updated and issued for operations Ops Manager Vice President
14/06/10 0 Issued for Operations JV HSE Mgr Ops Manager Vice President
DOCUMENT NUMBER
ISG UU00 A XXPP 000 0037 Rev 3
NUMERO DE DOCUMENT
DOCUMENT NUMBER
IAO JM OX 99 00 33014 X04
NUMERO DE DOCUMENT
17/4/22
1
Contents
1. PURPOSE 4
2. SCOPE 4
3. REPORTABLE AND RECORDABLE INCIDENTS 4
3.1. Recordable Occupational Illness and Injury 5
3.2. Uncontrolled Material Releases 5
3.3. Recordable Process Safety Related Incidents 5

3.3.1. Process Safety Event (PSE) 6
3.3.2. Process Safety Event Rate (PSER) 7
4. INITIAL REPORTING RESPONSIBILITIES 7
4.1. Responsible Reporting Party 7
4.2. Joint Venture IA/ISG/Wells HSE Managers (or their designate) role and responsibility 7
4.3. Reporting Process 7
5. INVESTIGATION 8
6. CLASSIFICATION 8
7. REPORTING 9
APPENDIX 1: ABREVIATIONS 10
APPENDIX 2: INCIDENT REPORTING FLOW CHART 11
APPENDIX 3: INITIAL INCIDENT ANNOUNCEMENT FORM (IIA) 11
APPENDIX 4: MAJOR INCIDENT ANNOUNCEMENT (MIA) FORM 13
APPENDIX 5: HIGH POTENTIAL (HIPO) INCIDENT ANNOUNCEMENT FORM 14
APPENDIX 6: LESSONS LEARNED REPORT 15
APPENDIX 7: GUIDANCE FOR NOTIFICATION AND REPORTING 16
APPENDIX 8: SH & M.E.M REPORTING REQUIREMENTS & TIMEFRAMES 17
2
APPENDIX 9: NOTIFICATION LISTS 20
APPENDIX 10: DEFINITIONS 23
APPENDIX 11: ACCIDENT/INCIDENT SEVERITY MATRIX (INCLUDING LOPC) 35
APPENDIX 12: DROPPED OBJECTS 37
APPENDIX 13: API 754 - PROCESS SAFETY TIER 1 & TIER 2 39
APPENDIX 14: TIER 3 & TIER 4 PROCESS SAFETY LEADING MEASURES 41
APPENDIX 15: PROCESS SAFETY EXAMPLES OF TIER 1 & TIER 2 EVENTS 43
APPENDIX 16: FLOWCHART FOR CLASSIFYING PROCESS SAFETY EVENT 45
APPENDIX 17: OPERATIONAL BOUNDARIES IN THE JV’S 46
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1. Purpose
This document sets the requirements for reporting, recording, classification, & notifications of In
Salah Gas (ISG) and In Amenas (IA) HSE and operational incidents, spills, near misses and unsafe
or unhealthy conditions. It sets out consistent processes to support:
 The ISG & IA requirement to always promptly report any accident, injury, illness, unsafe or
unhealthy condition, incident, spill or release of material to the environment so that steps can be
taken to correct, prevent or control these conditions immediately.
 Accurate and complete recording of reported incidents via the ISG and IA system SYNERGI.
 Classification of incidents according to their actual and potential severity such that action can be
taken according to the risk.
 Appropriate and rapid notification of serious incidents to line management and shareholders.
 Ensure appropriate level of investigation to determine what went wrong and implement actions
to mitigate adverse effects, including unsafe/unhealthy conditions.
Investigation of incidents is covered under IA & ISG Investigation procedure: IAO-JM-OX-99-00-

33013-X03 and UU00-A-XXPP-000-0068 respectively.
2. Scope
This procedure applies to all members of the ISG & IA workforce for any incident, near miss and
unsafe or unhealthy condition occurring within the IA and ISG projects, facilities, sites and
operations. See Appendix 17: Operational Boundaries.
It applies to all contractors and their associated subcontractors who perform work in the ISG & IA
work environment on behalf of ISG & IA. Contractors can use their own system to report and
investigate incidents, provided they meet the minimum requirements of this procedure. IA & ISG
shall provide guidance and assistance if requested, and at times may deem it necessary to conduct
its own investigation, which will require the co-operation and participation of the contractor.
Failure of any person to report an incident in a timely manner may result in disciplinary action being
taken.
3. Reportable and recordable Incidents
All incidents as listed below must be reported through the normal channels at the site where the
incident occurred or injured person is employed.
 Fatality or Occupational Injury. Classifications are made in accordance with OSHA injury
classifications; First Aid (FA), Medical Treatment (MT), Restricted Work/Job Transfer, Day Away
from Work Case (DAFWC), and Fatality.
 Occupational Illness or Disease
 Loss of Primary Containment of Hydrocarbon Liquids or Gasses (LOPC)
 Spills
 Fires and/or Explosions
 Flammable Gas Releases
 Road Traffic Accidents (RTA).
 Integrity Related Incidents
 Non-trivial Property Damage (PD)
 Any Near-miss or unsafe condition having a potential outcome of any of the above, including
process safety incidents
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 Security Incident
 Significant adverse reaction from Government Agencies & Authorities, Media, Non-Government
Organisations and/or Public
3.1. Recordable Occupational Illness and Injury

An incident is defined as recordable when it meets the following criteria:
1. Occurs in an ISG / IA work environment
2. Is ISG/ IA work related
3. Results in any of the consequences detailed in sub-sections 3.1 to 3.3.
Whether an incident injury is recordable or not does not alter the need to investigate it to prevent
recurrence and learn lessons.
A case is recordable if it results in any of the following criteria:

 a death
 day away from work
 injury sufficient to require Medical Treatment
 loss of consciousness
 restriction of work or motion (see RW definition below)
 transfer to another job
 significant injury or illness diagnosed by a physician or other licensed health professional,
such as;
 cancer
 chronic irreversible disease
 fractured or cracked bone, or
 punctured eardrum
Specific:
 needle sticks and cuts from sharp objects that are contaminated with another person’s blood
or other potentially infectious material
 occupational hearing loss (current hearing test must show 10dBA shift from current baseline
and total cumulative hearing loss must be 25 dBA or move above audiometric zero)
These are cases which are recordable under OSHA rules.
Recordable Injury, Illness Frequency (RIIF)

Total number of Recordable Injuries or Illness for every 200,000 hours worked in the same quarter or
year.
Total Recordable Injuries/Illness to workforce x 200,000
RIIF = Hours worked
3.2. Uncontrolled Material Releases

All Spills and Uncontrolled Material releases are required to be reported. A hydrocarbon spill greater
than 100 barrels, or less if at a sensitive location, would constitute a major incident. Uncontrolled
Material Releases /Spills shall use the table in Appendix 11 to define severity.
3.3. Recordable Process Safety Related Incidents

Process Safety is a disciplined framework for managing the integrity of hazardous operating systems
and processes by applying good design principles, engineering and operating practices.
It deals with the prevention and control of incidents that have the potential to release hazardous
materials or energy. Such incidents can cause toxic effects, fire or explosion and could ultimately
result in serious injuries, property damage, lost production and environmental impact.
API 754 & OGP 456 identifies leading and lagging process safety indicators useful for driving
performance improvement. It’s a framework for measuring activity, status or performance, and
classifies process safety indicators into four tiers of leading and lagging indicators. Tiers 1 and 2 are
5
suitable for shareholder or public reporting and Tiers 3 and 4 are intended for internal use at
individual sites and support continuous improvement.
Fig 1 depicts a process safety pyramid with four classifications or tiers. The tiers of the pyramid
represent a continuum of leading and lagging process safety indicators. Tier 1 is the most lagging
and Tier 4 is the most leading. (See API 754 / OGP 456 )
Common Industry KPI’s –

Targets set to zero
Common KPI’s across both JV’s –

Targets set toward zero in long term
lonlong term
JV selected KPI’s -
Target’s set to100% compliance
Fig1: Process Safety Indicator Pyramid
3.3.1. Process Safety Event (PSE)

A Process Safety Incident or Event is where unplanned or uncontrolled Loss of Primary Containment
(LOPC) of any material including non-toxic and non-flammable materials (for, nitrogen, compressed
Carbon Dioxide (CO2) or compressed air) from a process. It can also be an undesired event or
condition that, under slightly different circumstances, could have resulted in a LOPC of a material
from a process, known as a Process Safety Near Miss.
The definitions above for Process Safety Event aligns with APR RP 754
API categorises PSE into four Tiers:
 Tiers 1 and 2 represent mainly lagging KPIs and cover asset integrity major and less severe
incidents. A description of the consequence thresholds is in Appendix 13.
 Tier 3 PSE’s typically record a ‘near miss’ that has challenged the safety system by getting
through at least one barrier. See Appendix 14.
 Tier 4 PSE’s assess the systematic activities of the JV’S to maintain and improve its risk
control barriers. These performance indicators monitor a management system’s success in
achieving safe and reliable operations. See Appendix 14.
Loss of Primary Containment

In order to correctly classify a material release as being an LOPC Level 1-5, the following criteria
must be met within seven days of the material release:
1. For Tier 1 and Tier 2 Process Safety Event, the LOPC classification is based on acute flow –
see definition
2. Process Safety staff need to independently verify any release, unless the release is below the
level 5 threshold in Appendix 11. All material releases must be quantified and the final
calculation attached to the incident report (IR) in Synergi.
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3. IA & ISG use the 1-5 levels in Appendix 11 which is based on total release. API Tier 1 & Tier 2
can use a combination of Personal Safety incident and release volumes contained in Appendix
13. All LOPC Investigations shall report the released total volume (Appendix 11) &
calculate if the incident/release meets the API LOPC Tier 1 & Tier 2 Criteria (Appendix 13)
and if it does, report both Level 1-5 severity and LOPC Tier 1-2 in any investigation
report.
3.3.2. Process Safety Event Rate (PSER)

The number of process safety events per 200,000 hours worked. The Tier 1 Process Safety Event
Rate is the number of Tier 1 process safety events per 200,000 hours worked, and the Tier 2
Process Safety Event Rate is the number of Tier 2 process safety events per 200,000 hours worked.
(No. of Process Safety Events) x 200,000

PSER =
Total workforce hours
Note: The convention in API RP 754 to use the terminology ‘PSE Rate’ (as opposed to frequency) and have
separate PSER’s for Tier 1 and Tier 2 Process Safety Events. See Appendix 13 for details of release thresholds
4. Initial Reporting Responsibilities
4.1. Responsible Reporting Party

The Responsible Reporting Party (RRP) is the most senior person accountable for and controlling
the operation or activity (reference the adopted Control of Work/ permitting system) and those whom
authority has been delegated for specific operational activities. Examples are tabulated below.
Operations or Activity Responsible Reporting Party

Operations Ops Manager
TAR Activities Ops Manager
Ops Construction Activities Project Manager
Drilling Wells Manager
Well Intervention under the control of Production Engineering Team Leader / Chef Div DEP
IA/ISG Ops
Major Projects Project Manager
Seismic Sub-surface Manager
Major Project outside Algeria Project Manager
Aviation (Not on JV site) Business Support Manager
If the operations or activity is occurring in District (D3) or In Amenas the RRP must report all
incidents to the ISG /IA Field Manager respectively for information, inclusion in the daily report and in
case of the need for medical or emergency response support.
4.2. Joint Venture IA/ISG/Wells HSE Managers (or their designate) role and
responsibility
Ensure notification of RRP of all accidents / incidents, to provide investigation guidance to those
involved, ensure JV notification as per notification lists, support development of Terms of Reference
for the RRP, ensure entry into Synergi and if required follow on action closure.
4.3. Reporting Process

The overall reporting process is summarised in Appendix 2. Initial reporting responsibilities are listed
below:
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 Any person who is involved in, and/or who witnesses or discovers an incident or spill shall report
it immediately to his/her Supervisor. If it is an incident involving a sub-contractor, then they must
first report it to their primary Contractor Management. The senior Contractor Site Representative
shall then report the incident to the Contract Accountable Manger (CAM).
 The Line and/or Contractor Supervisor shall immediately notify the Responsible Reporting
Person (RRP).
 The RRP shall immediately notify the JV HSE Manager based at Hassi Messaoud or designate,
who shall be responsible for all Shareholder notification & reporting. Local Incident Notification
and Reporting is the responsibility of the local HSE team. Notification & Reporting is completed
in accordance with Appendix 2 Incident reporting flow chart, Appendix 7 Guidance of notification
and reporting, Appendix 8 SH and M.E.M reporting requirements, Appendix 9 Notification lists
and Appendix 12 Dropped objects.
 The Initial Incident Announcement Form (IIA), see Appendix 3, shall be completed by the Line or
Site supervisor with support from the local HSE Function and approved by the RRP for all
incidents of severity level 1 to 4 . The timing and distribution list of IIA forms is detailed in
Appendix 7. For incidents classified as a High Potential (HIPO) or Major Incident then the HiPo
Announcement form and Major Incident Announcement (MIA) form will be used and distributed
within 24 hrs, see Appendix 4 and Appendix 5. The notification of a Major Incident to the SH
AST Director and appropriate Equinor and BP Vice President must be through personal
conversation. The MIA to the Sonatrach Notification List will be sent within 2 hours.
 All work related accident s & incidents should be notified by the line manager/supervisor and the
Doctor/Medic to legal CNAS through HR representative at site or HMD within 48hours in
accordance with JV HR procedures and legal requirements.
 All incidents should be reported within 24 hours to the Ministry (DMI) via the JV HSE Manager in
HMD in the daily report by fax or e-mail, Appendix 7 summarises Sonatrach and MEM
requirements.
In addition to the Notification & Reporting process, all incidents shall be listed on the Daily report to
Sonatrach and Monthly reports to all shareholders.
5. Investigation
All incidents shall be investigated in order to learn from the failure in the management system and
ensure corrective actions are defined. The degree of investigation shall be determined by the
potential severity of the incident. The relevant TA will decide the appropriate degree of investigation
required for integrity related incidents and near misses. With the exception of MIAs, HiPos and
DAFWCs all investigation reports will be completed within a one week from the incident.
All MIAs, HIPOs, DAFWCs and Process Safety Events Tier 1&2 require a formal Root Cause
Analysis and use of the Comprehensive List of Causes (CLC). The RRP requesting the investigation
will provide Terms of Reference (ToR). The investigation protocol is described in the JV
Investigation Procedure (ISG UU00-A-XXPP-00-0068 & IAO-JM-OX-99-00-33013).
Algerian Decree Nº 05-09 of January 08th, 2005: Art. 6. Requires members of the Committee of
Hygiene and Security (CHS Workforce members) to be part of the investigation process. It is
recommended as a minimum, this is for level 3 incidents and above.
Appropriate IA / ISG Supervision and Management will review all high severity incidents once the
investigation team has completed the investigation and recorded all findings and actions, this is
mandatory for the following type of incidents; HIPO, MIA, DAWFC and Process Safety Event.
After an Integrity Management or PSE Tier 1 events incident a pre-start-up safety review shall be
conducted to assure people, plant and process are ‘fit for purpose’.
6. Classification
Incidents, near misses and unsafe conditions shall be classified for actual severity and for potential
severity in accordance with Appendix 11 which defines incident outcomes associated with various
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severity incident levels. Appendix 12 shall be used to determine the potential effects of dropped
objects
Line Managers/Supervisors at each location are responsible for assigning the initial classification of
each incident, and for notifying the relevant personnel of the event. Incidents will be classified in
terms of their severity and whether they are integrity related. Integrity related incidents will require
review by both the HSE and IM function.
The RRP will evaluate the classification to ensure it meets the OSHA criteria and determine if other
reporting is required (e.g. HIPO, MIA etc). The local HSE Function shall advise on incident
classification and review the accuracy of the submitted incident records. As classification can be
complex, the investigation team should seek direction from the HMD HSE Manager when
considering the classification of an incident before finalising the report. Where there is a potential for
several classifications in one event, the general rule is to focus on the priority of People,
Environment then Plant/Equipment and actual rather than potential severity, recognising for example
a large dropped object may be more significant classification than a First Aid Case.
For HIPOs, MIAs and Tier 1 PSE, the RRP in consultation with the JV (ISG &IA) HSE Manager will
convene a team to evaluate the initial incident notification and to confirm the classification. This will
occur with the input from the affected contractor, the IA or ISG Site Representative, relevant
Contract Accountable Manager, local HSE Function and Technical Authority as required by the
nature of the incident.
7. Reporting
All investigations will be documented, the report template is provided under IA & ISG Investigation
procedure: IAO-JM-OX-99-00-33013-X03 and for UU00-A-XXPP-000-0068 respectively. The report
must be confirmed and signed by all members of the investigation team. The RRP shall approve the
final version of the investigation report. In the case of integrity related or process safety incidents the
report shall be approved by both the RRP and relevant TA. A one page lessons learned report will
be produced by the investigation Team Leader for all incidents of severity level 3 and above, see
Appendix 5. (The Investigation Report can be distributed as lessons learnt document ‹ level 3)
SYNERGI is the IT system for recording and following up HSE and operational incidents, near
misses and unsafe acts / conditions (note: Wells utilise Drilling contractor UA/UC systems). In
synergi unsafe acts/ unsafe conditions are reported as safety observations/ safety conversation. It is
the responsibility of the RRP to ensure all incidents data and reports are entered in SYNERGI. The
RRP is accountable for the accuracy of the data entered in to SYNERGI, including classifications.
Actions from the investigation report must be recorded in the system for follow-up purposes. In
addition, other facts regarding the incident which have been recorded in SYNERGI must be updated
in accordance with the conclusions of the investigation report. The investigation report and
supporting documentation will be attached to the case in SYNERGI. The actual and potential
severity of incidents shall be established in accordance with the severity matrix in Appendix 11 and
recorded within SYNERGI.
The RRP will ensure all spills are entered into SYNERGI as incidents including those below the
notification criteria of less than a barrel to ensure any corrective actions and lessons learned are
captured.
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APPENDIX 1: ABREVIATIONS
D3 : District three
DPP : Direction de Protection du Patrimoine (Ministry)
CAM Contract Accountable Manger
CLC : Comprehensive List of Causes
CNAS : Caisse Nationale d’Assurance sociale (Insurance)
DAFWC : Day Away From Work Case
ER : Emergency response
FA : First Aid
FAC : First Aid Case
HIPo : High Potential Accident
HR : Human Resource
IA : In Amenas
IIA : Initial Incident Announcement
IM : Incident Management
ISG : In Salah Gas
JV : Joint Venture
LEL : Lower Explosive Limit
LOPC : Loss Of Primary Containment
MEM : Ministry of Energy and Mines
MIA : Major Incident Announcement
MT : Medical Treatment
MTC: Medical Treatment Case
OSHA : Occupational safety and Health Administration
PD : Property Damage
RRP : Responsible Reporting Person
RTA : Road Traffic Accidents
RWC : Restricted Work Case
SH : SONATRACH
Synergi : Software system for recording and following up HSE inputs.
TA : Technical Authority
ToR : Terms of Reference
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APPENDIX 2: INCIDENT REPORTING FLOW CHART
INCIDENT
Verbal report to Supervisor

Supervisor verbal report to RRP Active ER as required
RRP verbal report to Associations HSE Mgr
No No Is the
Is the incident incident an Yes
Severity Level MIA or HiPo
3 or 4
Verbal communication
Yes to Shareholders
Initial Incident Announcement

MIA or HiPO Announcement
(IIA) form within 24 hours to
form within 8 hours to
Notification List 1
Notification List 1 & 2
Competent person to enter incident facts in SYNERGI within 48 hours
Investigation Report Investigation Report to Notification List 1

Investigation report to Notification
optional depending on within 7 days (with the exception of
potential severity List 1 & 2 within 30days
DAWFC which is 10 days)
Competent person to update SYNERGI case data / classifications within 48 hours of issue
of the final report. Note: Final report to be an attached document within SYNERGI.
Lessons learned report Lessons Learned Report to

optional depending on
potential severity Notification lists 1 & 2 within 10 days
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APPENDIX 3: INITIAL INCIDENT ANNOUNCEMENT FORM (IIA)
INITIAL INCIDENT ANNOUNCEMENT
URGENT
Association: Contact:
(JV BP/SH/ Equinor)
Project/Operation Name:
Country: Location of incident:
Date of incident: Time of incident:
Actual Severity: SYNERGI Case No:
Brief account of incident:
Potential Outcome/Severity:
Likely Cause:
Actions Taken:
Management Comments:
Person in charge:
Name:
Company:
Email Distribution for Level 4 incidents and above: ISG: GHSEISGInitialincidnotiflist@jvgas.com or IA:
GHSEIAInitialincidnotiflist@jvgas.com or GHSEHMDInitialincidnotiflist@jvgas.com
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APPENDIX 4: MAJOR INCIDENT ANNOUNCEMENT (MIA) FORM
Major Incident Announcement URGENT
Business Issued by:

Country: Location of incident:
Date of incident: Time of incident:
Severity Level SYNERGI Case No:
Brief account of incident:
People: Number of Number of Description / details

injuries fatalities
Employee
Contractor
Third party
Business impact/damage/loss:
External agencies involved:
News media coverage seen:
What assistance has been requested:
JV person in JV Manager / JV
charge of Leader
response/
Investigation
Office telephone: Office telephone:
Mobile telephone: Mobile telephone
Home telephone:
Send by E-mail to ISG: GHSEISGInitialincidnotiflist@jvgas.com or IA: GHSEIAInitialincidnotiflist@jvgas.com or

HMD: GHSEHMDInitialincidnotiflist@jvgas.com
Add other addressees as necessary to meet JV, Shareholders or Algerian requirements
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APPENDIX 5: HIGH POTENTIAL (HIPO) INCIDENT ANNOUNCEMENT FORM
HIGH POTENTIAL INCIDENT ANNOUNCEMENT

URGENT
Algeria JV Unit: Contact:
Country: Location of Incident:
Date of Incident: Time of Incident:
Potential Severity SYNERGI Case No:

Brief Account of Incident:
Potential Outcome:
Likely Causes:
Actions Taken:
Person in charge of Response/Investigation:
Send by E-mail to ISG: GHSEISGInitialincidnotiflist@jvgas.com or IA: GHSEIAInitialincidnotiflist@jvgas.com or

HMD: GHSEHMDInitialincidnotiflist@jvgas.com
Add other addressees as necessary to meet JV, Shareholders or Algerian requirements
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APPENDIX 6: LESSONS LEARNED REPORT
Safety Communication
Lessons Learned Report
Type of Incident:
Business Unit: North Africa
Country: Algeria System Causes: Job Factors
Location of Incident: Actions being taken to prevent recurrence:
Date of Incident:
SYNERGI Case No:
Brief Account of Incident:

(Brief account of the incident using just the facts. Lessons learned & messages:
Include critical steps that led to incident)
(State the key message you want readers of this
Potential outcome: Lessons Learned Report to take away from the
(Describe what the potential outcome could have incident and communicate to the workforce)
been under different circumstances but be specific,
i.e., falling 90’, lock out tag out not used where high
concentration of hydrocarbons is present, etc)
What went right?:
What went wrong?: (Critical Factors) Photographs

List in bullet form 3-5 possible immediate causes
and 3-5 possible system causes of the incident
using the Comprehensive List of Causes:
(Use this space to insert pictures, illustrations,
drawings, etc. that will help readers understand the
Immediate Causes: Actions magnitude of the incident: conditions, distance,
size, weight, proximity, surroundings, and extent of
Actions being taken to prevent recurrence: damages.
For further details contact;

Position:
Email:
Tel:
System Causes: Personal Factors
Actions being taken to prevent recurrence:
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APPENDIX 7: GUIDANCE FOR NOTIFICATION AND REPORTING

(in addition to local/ site requirements)
Incident Verbal Notification Email Notification & Reporting
From To Time To IIA Investigation Lessons Learned
Frame
Severity RRP HMD HSE Mgr BP&  Notification List 1 – ISG, Within Investigation report with Within 10 days after
Level 1 & 2: Equinor IA & HMD 24hrs root cause analysis issue of investigation
HMD HSE Mgr ISG & IA Senior Mgt:
Within  Notification List 2 - issued within 30 days. report
or RRP  ISG President 8hrs Shareholders
 ISG Vice President
 ISG Ops Mgr SH within
 IA General Mgr 2hrs
 IA Deputy General Mgr
 IA Ops Mgr
 Business Support Mgr
ISG & IA Senior Shareholders:
Mgt to notify  Director Division Association SH
respective
 BP VP OBO
parent company
contacts.  BP VP HSSE & Engineering Algeria
 Equinor Algeria Asset VP & Country Mgr
 Equinor Algeria HSE Mgr
Severity RRP HMD HSE Mgr No later  Notification List 1- Within Investigation report with With 10 days after
Level 3: than next Relevant JV (ISG or IA) 24hrs root cause analysis issue of investigation
HMD HSE Mgr Relevant Senior Mgrs:
day and HMD issued within 10 days report
or RRP  ISG President
 ISG Vice President
OR
 IA General Mgr
 IA Deputy General Mgr
Severity RRP Associations Mgr  Notification List 1- Within Investigation report Optional
Level 4: Relevant JV (ISG or IA) 24hrs within 7days
and HMD
Severity Not required Daily Report Optional depending on Optional

Level 5: potential severity
Note: HMD HSE Manager is responsible for all Shareholder email Notification & Reporting. Local / site Notification and Reporting is the
responsibility of the local HSE Manager / team. Joint Venture IA/ISG/Wells HSE Managers or their designate to ensure correct compliance
with this procedure and any entry into Synergi.
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APPENDIX 8: SH & M.E.M REPORTING REQUIREMENTS & TIMEFRAMES

DCG- Associations – SONATRACH - Djenane El Malik Hydra - Alger - Algérie ( Algeria )
Tel : +213 (0) 21 54 87 61 – Fax +213 (0) 21 54 96 71
17
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These contact details are updated frequently. The latest list of names and contacts is held by the HMD HSE Manager and
HSE coordinator.
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APPENDIX 9: NOTIFICATION LISTS
NOTIFICATION LIST 1
IN SALAH IN AMENAS HASSI MESSAOUD

GHSEISGInitialincidnotiflist@jvgas.com GHSEIAInitialincidnotiflist@jvgas.com GHSEHMDInitialincidnotiflist@jvgas.com
ISG President General Manager ISG President

ISG Vice President Deputy General Manager ISG Vice President
Operations Manager Operations Manager IA General Manager
Ops Field Manager Project Manager IA Deputy General Manager
Ops HSE Mgr Ops Field Manager Wells Manager
Chef Division Technical Wells HSE Manager
Ops Technical Mgr
Support
Ops Project Mgr Chef Division Exploitation HSE HMD Manager
Production Eng Team Leader Chef Division Maintenance Security Manager
Security Manager Security Manager Sub-Surface Mgr
HSE HMD Mgr Chef Division DEP HMD HSE Coordinator
HMD HSE Coordinator Chef Division HSE Business Support Manager
Wells Manager Chef Division Logistics Health Advisor
Wells HSE Manager HSE HMD Mgr SCM Manager
Wells Engineering Manager HMD HSE Coordinator SCM Base De Vie Supervisor
Wells Manager ISG Operations Manager
Wells HSE Manager IA Operations Manager
Wells Engineering Manager HR Manager
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NOTIFICATION LIST 2 - SHAREHOLDERS

POSITION NAME EMAIL ADDRESS PHONE NUMBERS
DDI/PPT MOBILE
BP Algeria Andrew Andrew.toffolo@uk.bp.com +44 (0)7867 902470
Head of Toffolo
Country
Equinor Bjørn Kåre vike@equinor.com +47 9717 2046

Country Viken
Manager
SONATRACH NOTIFICATION LIST
SONATRACH Contacts Name-Email Telephone Number

Mohamed Merzkane
Directeur Sante sécurité & 023 48 95 61*
Environnement /Direction Mohamed.Merzkane@Sonatrach.dz L.D : 023 48 96 30
Gestion des Associations Ast-hse-report@sonatrach.dz
Mob : 00213 661 987 497
Farid Temmim Mob : 00213 671 613 359

Chef de Département Santé
& Sécurité/Direction Gestion Farid.TEMMIM@Sonatrach.dz L D : 00213 23 489 593
des Associations Accinc.HSE.EP@sonatrach.dz
Diaz 21-2101-5301
Coordinateur de sureté Abdelouahid Lehain 023 48 96 16*
interne DCG AST ABDELOUAHID.LEHAIN@sonatrach.dz L.D : 023 48 95 46
(INCIDENTS Sécuritaires) ast-hse-sie@sonatrach.dz Mob : 00213 671 596 683
Standard
00213-23-483-030
General Communications SH
Main alarm & Notification Centre (Sonatrach network)

Direct landline
+213 (0)29 187 276
PCT Hass R’Mel Main Alarm& #21 2601 5525 (1st)

Notification center #21 2601 5173
#21 2601 5121
Fax
HSE: +213 (0)29 187 626
Security: +213 (0)29 187 604
Main alarm & Notification Centre (Fibre, Sonatrach network))
+213 (0)29 459 835
Extension numbers via optic fibre
PCT In Amenas: Main Alarm&
#21 2501 3856
Notification center #21 2501 3857
Fax HSE Department INAS
Ligne Fax +213 (0)29 459 834
21
Extension numbers via optic fibre

#21 2301 6006
PCT Hassi Messaoud: Main Phone Number (Once the PCT is mobilised)
Alarm& Notification center
+213 (0)29 730 641
+213 (0)29 730 643
Mail address : Se-pct@sonatrach.dz
22
APPENDIX 10: DEFINITIONS
Acute Flow The calculation of LOPC severity is based on the acute flow from primary
containment. The use of acute flow is a way of acknowledging that slow,
long-term releases that are able to diffuse away, or be easily dispersed,
are potentially less hazardous than sudden releases of significant
amounts.
Acute flow is the maximum quantity of material released in any hour. If the
release duration of the material is less than one hour, then the total
amount released is the quantity that is used to determine the severity of
the LOPC.
Aviation incident See ICAO’s Annex 13, Aircraft Accident and Incident Investigation for
standards and recommended practices on the conduct of aircraft accident
and incident investigation (Information also included in IOGP report 590
Aircraft Management Guidelines )
Carbon Dioxide C02 Colourless and Odourless gas, and may accumulate at low elevations as
1.5 time heavier than air. At low concentrations gaseous carbon dioxide
appears to have little toxicological effect and is not harmful to health. High
concentrations can displace oxygen in air & can affect respiratory
functions, nausea, confusion and potential for loss of life through
asphyxiation. This may be more prevalent in confined spaces, cellars &
sumps where oxygen is displaced.
Workforce Exposure Limits for CO2:

 Long term exposure limit (8 hr reference period) 5,000ppm
 Short term exposure limit (15 minute reference period) 15,000ppm
At around 40,000 ppm it is immediately dangerous to life
(Taken from HSE EH40/2005 WEL 4th Ed 2020 )
Chemical Spill A release from primary containment of any pure chemical, chemical
mixture or compound ( excluding gaseous releases to the atmosphere) for
which an MSDS is required
Consequence The effect, result or outcome of an event
Contractor An individual who is under a contractual relationship to supply
ISG or IA with goods and/or services. A contractual relationship covers:
 All individuals contracted directly or sub-contracted
 All employees of companies contracted directly or sub-contracted
 All situations where a contract has not been raised but ISG/ IA’s
procurement policy would normally expect there to be a contract in
place. This applies to all levels including sub-contracted
relationships.
Note: For the purposes of HSE reporting any sub-contractor is

to be treated as if they held a contract directly with ISG or IA.
Days Away From An injury which results in the injured person being unfit to perform his
Work Case (DAFWC) normal duties the day or shift after the day when the injury occurred, or
any subsequent designated work day. Time missed seeking Medical
Treatment is not counted as Days Away from Work if the employee is
capable of performing all of their routine job functions.
23
Dropped Objects The DROPS Calculator is effectively a graph template upon which you
Calculator "plot" a dropped object, based upon the mass of the object and the
distance it fell, in order to determine its potential effects.
Explosion An Incident involving the unintentional, rapid and destructive release of
materials and / or energy, including detonations, deflagrations and
physical overpressures that result in physical damage.
Any explosion of any kind should be reported.

Explosions are typically related to Process-Safety Incidents. For example:
 A 'puff' during a furnace start-up that results in damage to the
refractory or bends the walls
 A failure of a pressure control system on a tank that results in an
overpressure that bulges a tank.
Explosions do not include:
 An overpressure that results in the activation of a relief valve
 An overpressure that results in the burst of a rupture disk
 A 'puff' during a furnace start-up that results in no damage to the
furnace.
Fatality JV (ISG &IA) Any Incident that results in the death of a JV Employee and
occurs in the JV Work Environment. This includes both
work-related and non-work-related fatalities.
Contractor Any Incident that results in the death of a JV Contractor and

occurs in the JV Work Environment. This includes both
work-related and non-work-related fatalities.
Third Party Any Incident that results in the death of a third party who is
in or impacted by the JV Work Environment. This includes
both work-related and non-work-related fatalities.
Fire
An incident involving either the unintentional ignition of material resulting in
flame, smoke, charring or singeing, or the evidence that any of these have
occurred, regardless of the presence of flame.
Guidance: Any fire of any magnitude is included irrespective of whether it
is considered a Process Safety Event or not.
Examples of fires that may be considered Process Safety Events include:

• A gas, oil or chemical release that results in a flame.
• A tangible indication of a fire in a plant handling hydrocarbons (for
example soot on the inside of a distillation tower, or smouldering
insulation) where no flame was actually seen.
Examples of fires that are not normally considered Process Safety Events
include:
• A paper or cardboard fire in a garbage/ trash can in an office building.
• A fire during equipment repair in a maintenance shop.
• A solvent fire in a laboratory.
• A fire from a 120 or 220Volt shorted switch in an operation handling
hydrocarbons.
Note: For an electrical fire to be considered a Process Safety Event it must

result in a LOPC from a process. Electrical arcs are no longer included in
the definition of a fire.
First Aid Case (FAC) A work-related injury that requires one-time treatment and subsequent
24
observation (for example minor scratches, bums, cuts, splinters which do

not ordinarily require medical care) and does not result in a DAFWC or a
RWC. Such treatment and observation are considered first aid even if
provided by a physician or registered medical professional. Examples
include;
 Non-prescription medications at non-prescription strength
 Tetanus shots
 Cleaning, flushing or soaking wounds on the surface if the skin
 Bandages, butterfly bandages and steri-strips
 Hot/cold therapy
 Non-rigid support
 Temporary immobilization devices while transporting;
 Drilling of nail
 Eye patches
 Removing foreign bodies from eye by using only irrigation and
cotton swab
 Removing splinter from other than eye by irrigation, tweezers or
other simple means
 Finger guards
 Massages
 Drinking fluids for relief of heat stress
Hydrocarbon Spill Any loss of primary containment of liquid hydrocarbon. Spills less than 1
barrel are not recordable but must be reported locally in SYNERGI. (1
barrel = 159 litre = 42 US gallons).
Number of:
The number of accidental or unplanned losses of hydrocarbon from
primary containment from a JV or contractor operation, irrespective of any
secondary containment or recovery.
Volume Unrecovered:
The volume in litres, of spilled hydrocarbon that remains in the
environment (i.e. the ground, water, atmosphere or food chain) following
initial clean-up and treatment operations. Soil remediation does not
constitute recovery.
Note: The Hydrocarbon spill metric includes spills >= 1bbl, irrespective of
severity or material category
High Potential An incident or near miss including a security incident, where the most
Incident (HiPo) serious probable outcome is a Major Incident, see MIA definition for
examples.
Incident An unplanned event or occurrence that affects or has the potential to affect
the health or safety, or security of people, or assets, or the environment.
It includes:
 Incidents with consequence: Accidents
 Incidents without consequence: Near Miss
Incident Actual The classification of the actual consequence of the Incident
Severity according to the Incident Severity matrix in Appendix 9.
Incident Potential The classification, using the guidelines in Appendix 9, of the consequence
Severity of the incident that might have occurred under different circumstances.
Integrity Related Where a loss of containment has occurred or there has been a failure of
Incident an engineered system (including mechanical, electrical, structural, lifting,
and protective systems/ devices) where actual/ potential for harm to
people or the environment exists.
25
Leaks A leak will cause sufficient concern to fix it quickly. It is a release equal or
exceeding;
 In the case of oil; 1 drop per 15 seconds (4 drops per minute) or 1 litre
per 24hrs
 In the case of gases; ‘20% LEL’ reading on the hand held gas
detectors placed 10cm downwind of the leak source.
Loss of Primary An unplanned or uncontrolled release of material from primary
Containment (LOPC) containment.
Guidance: Unplanned or unintentional releases are to be reported as loss

of primary containment (LOPC) irrespective of the need for an immediate
corrective action.
Included as LOPC Excluded from LOPC

Leaks and spills, including those Fugitive emissions (e.g., Leak
that are contained by secondary Detection and Repair -LDAR
containment. identified leaks)
Relief device discharging gas or Emissions that are covered
vapour direct to atmosphere or under permit or regulation.
discharging liquid direct to ground Permit emission excursions are
or a sewer system.* not LOPCs. but can be
reported as environmental
events.
Relief device discharging to a Controlled drainage or venting
properly designed and operated of process equipment as part
recovery, neutralization or of a maintenance preparation
destruction systems such as a procedure or process control
flare, or scrubber irrespective of scheme.
whether emissions limits from that
system are exceeded.*
Liquid releases, either ignited or Products of combustion,
un-ignited, from a flare stack. including smoke, from flares
and fires or bumps to the flare
not caused by an upset
Release of material through the Transfer of material between
inner wall into the inter-space of a storage tanks, even if material
double-walled tank transfer to a different tank than
intended, if receiving tanks are
designed and intended to
contain fluid transferred.
Release of material onto the roof Sampling from a process.
of a floating roof tank.
* Where there are multiple relief valves lifting from a single event. it
should be recorded as one incident.
Major Incident A health, safety, security or environmental incident in which the actual
Accident severity represents a Level 1 & 2 impact on the severity matrix. Examples
(MIA) include any of the following:
 One of more fatalities
 Ten or more injuries or health affects requiring hospital treatment for
more than 24 hours
26
 Cost of accidental damage exceeding US$5 Million

 Oil spill of more than 100 barrels, or less if at a sensitive location
 Release of more than ten tonnes of a classified chemical.
 Significant enforcement action from authorities
 Public / investor / interest group outrage.
Medical Treatment A work-related injury that requires attention from a medical practitioner
Case (MTC) (even if treatment is provided by someone other than physician, e.g.
suturing by a medic) but does not result in either a DAFWC or a RWCI.
Examples:
 Treatment of infection
 Application of antiseptics during second or subsequent visit to
medical personnel
 Treatment of second or third degree burn(s)
 application of sutures (stitches)
 Application of butterfly adhesive dressing(s) or steri-strip(s) in lieu
of sutures
 Removal of foreign bodies embedded in eye
 Removal of foreign bodies from wound; if procedure is complicated
because of depth of embedment, size, or location
 Use of prescription medications (except a single dose administered
on first visit for minor injury or discomfort)
 Use of hot or cold soaking therapy during second or subsequent
visit to medical personnel
 Application of hot or cold compress(es) during second or
subsequent visit to medical personnel
 Application of heat therapy during second or subsequent visit to
medical personnel
 Use of whirlpool bath therapy during second or subsequent visit to
medical personnel
 Positive x-ray diagnosis (fractures, broken bones, etc.)
 Admission to a hospital or equivalent medical facility for treatment.
 If an employee loses consciousness as the result of a work-related
injury or illness, the case must be recorded no matter what type of
treatment was provided.
Near Miss An incident that did not, but had the potential to affect (under different
circumstances), the health, safety and security of
People or assets or the environment
Note sometimes referred to as an Incident without consequences.

Occupational Illness An abnormal condition or disorder, other than one resulting from an
and Industrial occupational injury, caused by exposure to environmental factors
Diseases associated with employment. It includes acute and chronic illness or
diseases that may be caused by inhalation, absorption, ingestion or direct
contact. Chronic conditions should be reported once in the period during
which the condition was first diagnosed.
Injuries are caused by instantaneous identifiable events in the working

environment. Illnesses are caused by anything other than identifiable
instantaneous events e.g. if repeated or prolonged exposure is involved
the outcome is considered an illness. Additionally a judgement needs to be
made as to whether or not this exposure was work-related.
Occupational Injury An occupational injury is any harm to an individual caused by an
instantaneous event in the work environment. Instantaneous events are
27
characterised by a sudden and unexpected physical changes which

occurs over a short time and which results in immediate harm to people. A
short time may be described as the snap of your finger or a single breath.
Therefore, conditions such as sunburn, welders flash, friction
blisters, or repetitive motion induced conditions are illnesses.
Back problems are always considered injuries.
Whether an adverse health effect is classified as an occupational injury or
occupational illness is determined by the nature of the original event or
exposure which caused the case. Illnesses are caused by anything other
than identifiable instantaneous events, e.g. if repeated or prolonged
exposure is involved, the outcome is considered to be an illness.
Where an injury or illness has multiple causations, if any of the causation
is from a work activity, it is sufficient to make the case work-related. ‘Back
cases’ should be treated like any other health incident and dealt with on a
case by case basis.
Operational These are incidents where all protective devices and operational controls
Excursions Beyond have failed and one or more design limits of equipment have been
Design Limits exceeded, e.g. for internal or external pressures, temperatures, flow
velocities or structural loadings. Such incidents require formal
investigation irrespective of the severity of the excursion or whether there
is any immediate consequence.
Operational Boundary An incident is within the “Operational Boundary” if any of the following
applies:
 It occurs at a JV operated asset (which includes unmanned assets
such as wellheads and pipelines where JV Workforce are not present
on a day to day basis,
 It occurs at an “E&P contractor-led site doing a significant amount of
work for the JV
 It is an operational incident that occurs at a JV operated site,
irrespective of who is operating the equipment
 Vehicles/Aircraft: The asset in question is solely dedicated
to JV business use
Appendix 15 provides more guidance on activities within the operational

boundaries.
Prescription From OGP 2016 SU . For purposes of reporting, prescription medication
Medication means:
 All antibiotics, including those dispensed as prophylaxis where injury
has occurred to the subject individual Only Exceptions: Dermal
applications of Bacitracin, Neosporin, Polysporin, Polymyxin, Iodine,
or similar preparation Diphenhydramine greater than 50 milligrams
(mg) in a single application or any dose ‘injected’.
 All analgesic and nonsteroidal anti-inflammatory medication (NSAID)
including:
 Ibuprofen – Greater than 467 mg in a single dose
 Naproxen Sodium – Greater than 220 mg in a single dose
 Ketoprofen – Greater than 25 mg in a single dose
 Codeine analgesics – Greater than 16 mg in a single dose
NOTE: Shortening the dosing interval to less than the label instructions for
over Safety data reporting user should be reviewed. If it produces a total
dose of the above listed or labeled allowed OTC amount it is considered
28
reportable
 Exceptions: Acetylsalicylic acid (Aspirin) , acetaminophen
(paracetamol) and dermal applications of NSAID’s not obtained by
prescription are not considered medical treatment
 All dermally applied steroid applications. Exceptions: Hydrocortisone
preparations in strengths of 1 percent or less
 All vaccinations used for work-related exposure. Exceptions: Tetanus
 All narcotic analgesics (except codeine as listed above)
 All bronchodilators. Exceptions: Epinephrine aerosol 5.5 mg/ml or less
 All muscle relaxants (e.g., benzodiazepines, methocarbamol, and
cyclobenzaprine)
 All injections are reportable unless specified above
All other medications (not listed above) that legally require a prescription
for purchase or use in the state or country where the injury occurred.
Exception: Medication used for the sole purpose of diagnosis (e.g. dilating
or numbing an eye for exam purposes only) is not considered medical
treatment.
For areas that are not clear, please seek the advice from a Company
physician or medical consultant and document your reasoning for
classification.
Primary Containment A tank, vessel, pipe or equipment intended to serve as the primary
container or used for the transfer of the material. Primary containers may
be designed with secondary containment systems to contain and control
the release. Secondary containment systems include, but are not limited
to, tank dykes, curbing around process equipment, drainage collection
systems into segregated oily drain systems, the outer wall of double walled
tanks etc.
Process Safety A disciplined framework for managing the integrity of hazardous operating
systems and processes by applying good design principles, engineering
and operating practices. It deals with the prevention and control of
incidents that have the potential to release hazardous materials or energy.
Such incidents can cause toxic effects, fire or explosion and could
ultimately result in serious injuries, property damage, lost production and
environmental impact.
Process Safety An unplanned event or occurrence which has, or could have, released
Incident hazardous materials or energy. Examples include:
 Loss of Primary Containment, eg oil spills, gas release from process
plant
 Fires or Explosions resulting from a flammable liquid or gas release
 Injuries or Fatalities resulting from fire or explosion
A Tier 1 Process Safety Event (T-1 PSE) is a LOPC with greatest
Process Safety Event consequence. It’s an unplanned or uncontrolled release of any material,
Tier 1 including non-toxic and non-flammable materials (for example,
compressed air), from a process that results in one or more of the
consequences listed:
 An employee, contractor or sub-contractor DAFW injury and/or
fatality.
 A hospital admission and/or fatality of a third party.
 An officially declared community evacuation or community shelter-in-
place.
 A fire or explosion resulting in greater than or equal to $25,000 of
29
direct cost to the company.

 A pressure relief device (PRD) discharge to atmosphere whether
directly or via a downstream destructive device that results in one or
more of the following four consequences:
 Liquid carryover.
 Discharge to a potentially unsafe location.
 An onsite shelter-in-place.
 Public protective measure (for example, road closures).
 A discharge quantity material greater than the threshold
quantities in Appendix 14 in any one-hour period
Note: 1) Non-toxic and non-flammable materials (for example, hot water,

N2, compressed carbon dioxide (CO2) or compressed air) don’t have
threshold quantities and are only included in this definition because of their
potential to result in one of the other consequences.
Note: 2) From API 754: A discharge quantity of material greater than the
threshold quantities in Table 1 Appendix 14 in any one-hour period
Process Safety Event A Tier 2 PSE (T-2 PSE) represents LOPC events with a lesser
Tier 2 consequence. Tier 2 PSEs (even those contained by secondary systems)
indicate barrier system weakness that may be potential precursors of
future, more significant incidents. A Tier 2 PSE is an LOPC with a lesser
consequence. It’s an unplanned or uncontrolled release of any material,
including non-toxic and non-flammable materials (for example, steam, hot
condensate, N2), from a process that results in one or more of the
consequences listed below and isn’t reported in Tier 1.
 An employee, contractor or sub-contractor recordable Injury.
 A fire or explosion resulting in greater than or equal to $2,500 of direct
cost to the company.
 PRD discharge to atmosphere whether directly or via a downstream
destructive device that results in one or more of the following four
consequences:
 Liquid carryover.
 Discharge to a potentially unsafe location.
 An onsite shelter-in-place.
 Public protective measures (for example, road closures).
 A discharge quantity of material greater than the threshold
quantities in Appendix 14 in any one-hour period
Process Safety Tier 3 KPIs are used to monitor the performance of the barriers that
Events Tear 3 prevent Tier 1 and 2 LOPC events.
A Tier 3 indicator records an operational situation which has challenged

the safety system by progressing through one or more barrier weaknesses
to result in an event or condition with:
 release thresholds or consequences that do not meet the criteria for

Tier 1 or 2 PSEs, or
 no actual consequences but the recognition that, in other
circumstances, further barriers could have been breached and a Tier
1 or 2 PSE could have happened.
Tier 3 KPIs reflect outcomes of unintended, unplanned or uncontrolled

events, conditions, circumstances, or effects that represent impairment or
30
failure of a barrier; therefore, targets for Tier 3 KPIs are typically set
towards zero.
Process Safety Tier 4 KPIs are used to monitor the implementation (operating discipline)
Events Tear 4 and effectiveness (performance) of the Management System Elements
that support the performance of key barriers.
Process Safety Near An unplanned event or occurrence that did not result in a release of
Miss hazardous materials or energy but could have, with the potential to result
in a loss of primary containment, process fire or explosion
Produced Water Formation water from the oil reservoir that is co-produced with the oil and
subsequently separated. Separated perched and condensed water from
gas/condensate fields is included in this category.
Process Safety An unplanned event or occurrence which has, or could have, released
Incident hazardous materials or energy. Examples include:
 Loss of Primary Containment (e.g. oil spills, gas releases) from
process plant
 Fires or Explosions resulting from a flammable liquid or gas
release
 Injuries or Fatalities resulting from a Fire or Explosion.
PRD Pressure Reducing Device A device designed to open and relieve excess
pressure (e.g. safety valve, thermal relief, rupture disk, rupture pin,
deflagration vent, pressure/vacuum vents, etc.).
Responsible The person accountable for and controlling the operation or activity (via a
Reporting Person Control of Work/ permitting system) and those whom authority has been
(RRP) delegated for specific operational activities. See list above
Restricted Work Case A work-related injury which causes the injured person to:
(RWC) or Job  Be assigned to another job on a temporary basis, or
Transfer
 Work at their permanent job less than full-time, or
 Work at their permanent job without undertaking all the normal
duties.
 Where no meaningful restricted work is being performed, the
incident is recorded as a DAFWC
An incident is classified as a restricted work or job transfer case when:
 The member of the JV Workforce/ Contractors is kept from
performing one or more of the routine functions of his or her job, or
from working the full workday that he or she would otherwise have
been scheduled to work or is transferred to a different job for all or
part of his/her period of recuperation.
 A physician or other licensed health care professional
recommends that the member of the JV Workforce/ Contractors
not perform one or more of the routine functions of his or her job,
or not work the full workday that he or she would otherwise have
been scheduled to work or is transferred to a different job for all or
part of his/her period of recuperation and/or work period.
Routine functions are these work activities the member of the JV

Workforce/ Contractors regularly performs at least once a week.
Road Traffic A work-related accident involving a motor vehicle that occurs on or off-
Accident (RTA) road resulting in injury, or loss/damage, or harm to the environment,
whether this impacts JV and/or its contractor directly, or impacts a third
party. This is irrespective of whether the accident was preventable or non-
31
preventable. It excludes all accidents where:

 The JV Workforce vehicle was legally parked
 The journey is to or from the driver’s home and normal place of
work
 Minor wear and tear is the case (e.g. stone damage to a
windscreen, minor paintwork damage)
 An Incident is the result of vandalism, or theft
 A company provided vehicle is being driven on non-work related
activities (e.g. private business, leisure).
Accidents involving vehicles which occur on the road and result in damage
or a work related injury, includes work related operation of vehicles by JV
employees (although the vehicle may be owned, hired or leased) and
product delivery vehicles or vehicles over 3.5 T unladen operated by JV
contractors
This is irrespective of whether the accident was preventable or non-
preventable. It excludes all accidents where:
 The JV workforce vehicle was legally parked- to be reported as
property damage
 Minor wear and tear is the case (e.g. stone damage to a windscreen,
minor paintwork damage, doors or mirrors bumped in parking lots)
 An incident is the result of vandalism, or theft
 A low speed, low severity PD incident (impact with stationary object)
which has no potential to cause harm to an individual.
 A company provided vehicle is being driven on non-work related
activities (e.g. private business, leisure).
Secondary Secondary containment systems include, but are not limited to, tank
containment dykes, curbing around process equipment, drainage collection systems
into segregated oily drain systems, the outer wall of double walled tanks.
Security Incident An incident involving terrorist activity, or theft of company, personal, or
Business Partner (contractor) property or information, burglary, robbery,
assault, arson, information loss, threats, alcohol or drugs, firearms, fraud,
or other violation of company policy that warrants notification of
Management Team and may require further escalation to shareholders
and invocation of the Civil Crisis Plan
A vehicle accident a severity level of 1 to 4 inclusive. The very minor

severity 5 incidents are excluded from this measure. If any one of the
following occurs the accident must have a severity level of at least 4:
Severe Road Traffic
 Any incident involving a motor vehicle rollover, or incurring disabling
Accident
damage requiring any of the Motor Vehicle(s) involved (JV and/ or 3rd
party) to be recovered from the scene.
 Recordable injury to any single person off site.
 Any off-site spill greater than one (01) barrel of product, while in
transit, by a company motor vehicle.
With the following exceptions;

 Vehicle was operable, yet it was towed due to the driver not being
physically or mentally alert to safely operate their motor vehicle.
 Damaged vehicle is repairable at the scene of the incident, yet it is
determined that the minor repairs, e.g., tire or lamp replacement,
cannot be completed safely on the roadside. Therefore, the motor
32
vehicle is towed to a safe location to complete the minor repairs.

It is determined based on investigation and corroborating evidence that
damages sustained to a 3rd party motor vehicle rendering it inoperable
occurred prior to contacting the company.
Supervisor Any person who is responsible for supervising the activity of others. This
applies at all levels within the organisation.
SYNERGI Approver An individual, typically the report originator’s immediate supervisor,
established within SYNERGI by the Local Administrator, who agrees with
the owner of the record that the data entered is accurate based on the
facts known at the time and agrees that the record is available for global
view and available for inclusion in monthly statistics.
Uncontrolled Material Any Material Release event where process fluids are released from
Release/ Event primary containment and which results in the need for immediate
corrective action (e.g. shutdown, evacuation, isolation or containment) to
mitigate the effects of loss of containment. Fugitive emissions and minor
flange, hose joint or seal liquid leaks which can be contained by capturing
the fluid for safe disposal should not be included. An example may include
the rupture of a temporary chemical storage container or breaking
containment where the release of fluids was uncontrolled.
Unsafe Act An observed behaviour that differs from the expected safe way of working
that did not, but could have, either resulted in an incident or made an
incident more likely and/or severe
Unsafe Condition Any departure from the required or expected performance or condition of
equipment (Plant), procedures (Process), operations or working
environment, which if not addressed could result in an Incident, or make a
consequence of an incident more likely and/or severe.
Work Environment The establishment and other locations including vehicles where one or
more ISG/IA employees or ISG/IA contractors are working or are present
as a condition of their employment/ contract. The work environment
includes not only physical locations, but also the equipment or materials
used by the employee or contractor during the course of his or her work.
Examples include;
 Production facilities
 Construction sites
 Drilling and well locations
 Aircraft
 Roads within ISG/ IA facilities
 Route for continuous land mobilisation and material handling ops
between ISG/IA work locations
 Contractor run fabrication yard dedicated to the sole use if ISG/IA
 Temporary camp
Work Related An incident must be considered work-related if an event or exposure in the
work environment caused or contributed to that incident occurring. For
injury or illness, an incident must be considered work-related if the event
or exposure caused or contributed to the resulting condition or significantly
aggravated a pre-existing injury or illness.
Work-relatedness is presumed for injuries and illnesses resulting from

events or exposures occurring in the work environment unless one of the
following exceptions applies in its entirety:
 Occurs when the employee was present in the work environment
as a member of the general public
 Results solely from voluntary participation in a wellness program
33
or in a medical, fitness, or recreational activity

 Involves signs or symptoms that surface at work but result solely
from a non-work related event or exposure
 Is solely the result of an employee eating, drinking, or preparing
food or drink for personal consumption.
 Is solely the result of an employee doing personal tasks at the
establishment outside of the employee’s assigned working hours.
 Is solely the result of personal grooming, self-medication for a non-
work-related condition, or is intentionally self-inflicted.
 Is caused by a vehicle accident and it occurs on a company
owned parking lot or road while the employee is commuting
 Is the common cold or flu
 Is a mental illness (unless it is post-traumatic stress syndrome
where it can be tied to a specific workplace incident, or are
Incidents where the employee voluntarily provides an opinion from
a physician or other licensed health care professional stating the
employee’s mental illness is work-related).
If an unsafe condition causes an injury & the injured employee is off
shift/rest, it’s still work related, where the cause/unsafe condition is the
responsibility of the Joint Venture to test/maintain/repair the unsafe
condition. For example, if an employee’s is off shift tripping over a broken
step its work related, however slipping in the shower is not work related,
unless the shower condition was found to be unsafe.
In the JV- non work related incidents shall be reported but no recorded in
the HSE statistics of the Joint Venture. Appendix 19 provides information
on Operational Boundary, reporting and recording of HSE incidents
34
APPENDIX 11: ACCIDENT/INCIDENT SEVERITY MATRIX (INCLUDING LOPC)

(Note: Severity Matrix is available in SYNERGI, see ‘Favourites’)
Impact Loss of
Health Safety Environment Cost Business Impact Security
Level production
 3 or more illness
 3 or more  Prolonged adverse  Civil unrest requiring
related fatalities
fatalities  Damage to sensitive environment attention with social and evacuation of staff
 Life-threatening with restoration to equivalent media impact. 
 Life-threatening capability > 6 months  >$ 500m
Downtime  Targeted attack against JV
health effect for 3 or
1 injuries for 3 or  Risk to our license to > 10days personnel, assets or
more workers
more workers  Damage to non-sensitive operate. operations
 30 or more environment with restoration to
 30 or more equivalent capability > 1 year.  Intervention from  Hostage taking, kidnap,
serious health
serious injuries shareholders murder
effects
 Targeted attack against

 Damage to sensitive environment  Short term adverse non-JV target but which
 1-2 fatalities
 1-2 fatalities with restoration to equivalent attention with some impacts JV personnel
resulting from  $100 -  Downtime
resulting from injury capability > 3 months social and media  Major criminal act
2 illness $500m > 5 days
 10-29 serious  Damage to non-sensitive impact.
 10-29 serious  Serious assault
injuries environment with restoration to  Requires shareholder
health effects
equivalent capability > 6 months. support  Serious strike or protest
 Bomb threat
 Regulatory compliance
 Damage to sensitive environment
issue does not lead to
 1 or more  1 or more with restoration to equivalent
regulatory or higher
permanent health permanent injury capability > 1 months  $10-  Downtime  Serious criminal act
3 severity level
disabilities disabilities  Damage to non-sensitive $100m > 3 days  Significant theft
consequence.
 DAFWC  DAFWC environment with restoration to
 Possible investigation or
equivalent capability > 3 months.
query from shareholders

with restoration to equivalent  Breach of company policy
 1 or more  1 or more
capability in weeks  Downtime leading to disciplinary
4 Recordable illness# Recordable injury  $1- $10m  Disruption to local action
 Damage to non-sensitive > 1 day
 MTC & RWC  MTC & RWC operations internally
environment with restoration to  Minor criminal act
equivalent capability > 1 months.

with restoration to equivalent
 First aid cases
capability in days  Isolated event short  Downtime
5  Single or multiple  First aid cases  $0 to $1m  Minor theft
 Damage to non-sensitive term complaints < 1 day
over-exposures
environment with restoration to
equivalent capability weeks.
35
LOPC POTENTIAL SEVERITY CLASSIFICATION - FOR USE IN SYNERGI REPORTING – Total release
Table 1: LOPC* of Flammable Gases, Liquids and Other Hazardous Categories
Type of Substance Flammable Gases and Vapours Flammable Liquids Other Hazardous Categories including combustible or corrosive gases/
(Rule of Thumb: conversion factor is approximately 150 fluids/vapours or solids
Impact Level Confined Releases Unconfined releases kg = 1 barrel)
1 >5000kg >50000kg > 100,000 kg >1000 bbl (fluids)

>200,000 kg (gas/vapours/solids)
2 500<5000kg 5000<50000 10000<100,000 kg 100 <1000 bbl (fluids)
20,000 <200,000 kg (gas/vapours/solids)
3 50<500kgs 500 <5000 1000<10000 kg 10 <100 bbl (fluids)
2000 <20,000 kg (gas/vapours/solids)
4 5<50kg 50<500kg 100<1000 kg 1 < 10 bbl (fluids)
200 < 2000 kg (gas/vapours/solids)
5 <5kg <50kg <100 kg < 1 bbl (fluids)
< 200 kg (gas/vapours/solids)
Definitions Definition of flammable gas: Definition of flammable liquid: A comprehensive list of substances is available under the categorization
Gaseous material, at ambient temperature/ Liquids having a flashpoint less than or equal to 38 ˚C, or of Packing Group II or III materials as defined by United Nations (UN)
pressure, that forms a flammable mixture Dangerous Goods definitions.
High-flash liquids (38 ˚C or higher) stored or handled at
where the Lower Flammable Limit is <13%, or temperatures above or within 8 ˚C of their closed cup (e.g., corrosives including acid or base, organic peroxides, pyrophoric,
the range between the Lower and Upper flashpoint. combustible liquid >38 ˚C flash point, heating oils)
Flammability Limit is >12%.
Table 2: Potential Severity Classification (Potential Human Inhalation Hazard) – LOPC of Toxic Substances
Substance Class Lower Toxicity Substance Medium Toxicity Substance Higher Toxicity Substance Acutely Toxic Substance
(Class D) (Class C) (Class B) (Class A)
Impact Level All gas, vapour, mist or aerosol LOPC, regardless of location
Level 1 > 4000 kg > 2000 kg > 1000 kg > 50 kg
Level 2 2000 < 4000 kg 1000 < 2000 kg 250 < 1000 kg 15 < 50 kg
Level 3 200 < 2000 kg 100 < 1000 kg 25 < 250 kg 5.0 kg < 15 kg
Level 4 50 < 200 kg 25 < 100 kg 5 < 25 kg 0.5 < 5.0 kg
Level 5 < 50 kg < 25 kg < 5 kg < 0.5 kg

Note: The categorization is aligned with guidance from industry bodies such as the Center for Chemical Process Safety (CCPS) guidelines based on UN Dangerous Goods definitions. November 2007
* Where the event is a Spill or Uncontrolled Material Release, (See definition) the above tables shall be used
36
APPENDIX 12: DROPPED OBJECTS
All dropped objects that occur on, or at a JV establishment or location, or as a result of JV-
related work, will be appropriately assessed and reported. Whilst the actual severity of any
dropped object is generally easy to determine, it’s important that in all cases the most likely
potential severity of the dropped object is understood. To assist in understanding the most likely
potential severity, the JV uses the industry standard Dropped Object Prevention Scheme
(DROPS) consequence calculator (see below). The use of DROPS gives an indication of the
likely severity of a dropped object. In any analysis consider the following questions:
 Was the energy potential expended in some way as the object fell (such as deflected by
pipe-work)? If so, it should be assumed that DROPS may have overestimated the likely
potential severity.
 Was the object that dropped of differing size? The DROPS calculator was based on an
object delivering a force over a small surface area (point load), so the force delivered
from an object of differing size and makeup needs to be considered.
 Was the dropped object made of solid material? DROPS assumes a solid object. In
some rare cases the material may not always be solid and DROPS may have
overestimated the likely potential severity.
 Where an object falls into an area that is barriered off or into an area where no
personnel were present due to infrequent visits by individuals (for example, maintenance
carried out once per month), it should be assumed that people would not have been
present when the object fell. However, the opposite also holds true for an object falling in
an area where it would be reasonable to expect someone could have been present (for
example, a high-use walkway).
Note: Any re-assessment of the likely severity as a result of any of the above questions is going
to be subjective. The purpose of this guidance is to make sure that a meaningful review of the
likely potential severity indicated by the DROPS calculator is carried out, even if the eventual
outcome remains unchanged
Decide whether the incident is JV reportable as a HiPo. The ultimate potential of any dropped
object incident is determined by asking what the most serious probable outcome would have
been. For a HiPo, the most relevant serious probable outcome refers to those incidents that
could have led to either:
 A fatality
 Multiple serious injuries.
In reaching a conclusion as to the likely potential severity of a dropped object incident, further
consideration will also be given to the following:
 The location in which the object falls, locations rarely accessed by people would not be
High Potential.
 There has to be proximity – for a dropped object incident to be defined as a HiPo, the
following two criteria must be met: 1)An individual needs to be close to the impact area
when the dropped object actually lands. 2) In a position where it would be reasonable
to assume that in slightly different circumstances they could have been struck by the
object (such as they have just left the area where it actually landed).
37
Dropped Object Calculator
Source: Dropped Objects Prevention Scheme
38
APPENDIX 13: API 754 - PROCESS SAFETY TIER 1 & TIER 2
Process Safety Tier-1 material release threshold quantities:

Note this is Acute Flow (See definition)
API RP-754 Material Hazard Classification1,2 Threshold Quantity Threshold
Threshold (unconfined / Quantity (confined
Release outdoors) / indoors3)
Category
5 Flammable gases and vapours (API RP-754 500 kg 250 kg
threshold release category 5)
6 Flammable liquids (API RP-754 threshold 1000 kg 500 kg
release category 6)
7 Other hazardous categories including 2000 kg 1000 kg
combustible or corrosive gases/fluids/vapours
or solids. Material with flashpoint < 60 ˚C
released or released above its flashpoint (API
RP-754 threshold release category 7).
n/a Other hazardous categories including n/a n/a

combustible or corrosive gases/fluids/vapours
or solids. Material with flashpoint > 60 ˚C
released at a temperature below its flashpoint
(API RP-754 threshold release category not
applicable for Tier 1)
1 Acutely toxic substance (Class A) (API RP- 5 kg 2.5 kg
754 threshold release category 1)
2 Higher toxicity substance (Class B) (API RP- 25 kg 12.5 kg
3 Medium toxicity substance (Class C) (API 100 kg 50 kg
RP-754 threshold release category 3)
4 Lower toxicity substance (Class D) (API RP- 200 kg 100 kg
Note:
1. Many materials exhibit multiple hazards. Correct placement in Hazard Zone or Packing Group shall
follow the rules of DOT 49 CFR 173.2a or UN Recommendations on the Transportation of Dangerous
Goods, Section 2.
2. For solutions not listed on the UNDGL, the anhydrous component shall determine the toxic hazard or
packing group classification. The threshold quantity of the solution shall be back calculated based on the
threshold quantity of the dry component weight.
3. Indoors is defined as a structure composed of four complete (floor to ceiling) walls, floors and roof.
API 754 Process Safety Tier-2 material release threshold quantities

Note this is Acute Flow (See definition in Appendix 10)
API RP-754 Material Hazard Classification1,2 Threshold Threshold Quantity

Threshold Quantity (confined /
Release (unconfined / indoors3)
Category outdoors)
5 Flammable gases and vapours (API RP-754 50 kg 25 kg

threshold release category 5).
6 Flammable liquids and other hazardous 100 kg 50 kg
categories (API RP-754 threshold release
category 6).
combustible or corrosive gases/
fluids/vapours or solids. Material with
39
flashpoint < 60 ˚C released or released above

its flashpoint (API RP-754 threshold release
category 6).
combustible or corrosive gases / fluids /
vapours or solids. Material with flashpoint >
60 ˚C released at a temperature below its
flashpoint (API RP-754 threshold release
category 7).
1 Acutely toxic substance (Class A) (API RP- 0.5 kg 0.25 kg
754 threshold release category 1).
2 Toxic substance (Class B) (API RP-754 2.5 kg 1.2 kg
3 Toxic substance (Class C) (API RP-754 10 kg 5 kg
4 Toxic substance (Class D) (API RP-754 20 kg 10 kg
Note:
1. Many materials exhibit multiple hazards. Correct placement in hazard zone or packing croup shall
follow the rules of DOT 49 CFR 173.2a or UN Recommendations on the Transportation of Dangerous
Goods, Section 2.
2. For solutions not listed on the UNDGL, the anhydrous component shall determine the toxic hazard or
packing group classification. The threshold quantity of the solution shall be back calculated based on the
threshold quantity of the dry component weight.
3. Indoors is defined as a structure composed of four complete (floor to ceiling) walls, floors and roof.
An LOPC, including Pressure Relief Devise (PRD) discharge and upset emission from a permitted
or regulated source, is a Tier 1 or 2 PSE when it results in one or more of the consequences,
irrespective of the amount of material released:
PSE Level
Consequence Tier 1 Tier 2
Injury to employee or Fatality and/or Lost Workday Recordable occupational injury
contractor Case (days away from work (Restricted work case or Medical
case) treatment case)
Injury to third party Fatality, or injury/illness that None
results in a hospital admission
*Fire or explosion Fire or Explosion resulting in Fire or Explosion resulting in
greater than or equal to greater than or equal to $2,500 of
$100,000 of direct cost to the direct cost to the Company.
Company
*For a fire or explosion, the classification should be done on the fire or explosion direct cost not the
release rate. Fire or Explosion takes precedence over release rate in this case. Source IOGP report 456
Process Safety KPI’s
40
APPENDIX 14: TIER 3 & TIER 4 PROCESS SAFETY LEADING MEASURES
(Taken from OGP Report: Process safety – Recommended practice on Key Performance
Indicators 456 – Nov 2018)
Tier 3 and 4 indicators are primarily designed for monitoring and review of barriers and the
management systems that support their performance, especially at the operational level.
Tier 3 indicators
KPIs can provide considerable insight into systematic weaknesses and improvement opportunities
for hardware barriers, particularly Process Containment, and human barriers, with response to
process alarm and upset conditions
Barrier challenges:
a) An unintended or undesirable condition (excessive temperature or pressure, change in

fluid gas composition, corrosion, overfill or other circumstances) causes the hazard (i.e.,
hydrocarbon liquid or gas) to create an effect that places stress (a ‘challenge’) on the
barriers.
b) The challenge is detected (e.g., by sensors or other means) and acted upon through
hardware controls, such as relief systems or through human intervention.
c) Because the challenge was not intended, it provides evidence that the overall system of
barriers is weak or is impaired.
d) The number of challenges and their characteristics are recorded so that the data can be
classified for reporting as Tier 3 KPIs.
The data has greatest value when the characteristics are analysed to confirm the initial and root
causes of the challenges and determine how barriers have been compromised to allow such
challenges to occur.
Tier 3 KPIs: Examples of these Challenges to safety systems include:
 safe operating limit excursions

 demands on safety systems, which can be defined with greater specificity to monitor:
‒ activation of Mechanical Shutdown System
‒ activation of Pressure Relief Device (PRD), including those into flares
‒ well control upsets/kicks
‒ activation of a safety instrumented system (SIS)
 safety systems that failed on demand, which could separately monitor:
‒ prevention systems, such as pressure relief and isolation
‒ mitigation systems, such as alarm, ignition control, and suppression
 average (and/or maximum) Alarm Rate, which could include the human response by
adding:
‒ number of alarms per control panel operator above target threshold
 primary containment inspection or testing results outside acceptable limits
 LOPC below Tier 2 thresholds
 non-conformances within plant operating procedures
 temporary modifications continuing longer than planned managed through an ORA
Tier 4 indicators
These are leading measures that monitor operational activity to maintain or strengthen a barrier or
management system. Barriers can be assessed using a combination of leading and lagging KPIs.
Tier 3 KPIs are more lagging and record the number of failures of a barrier.
41
In general, Tier 3 indicators are selected such that targets are set towards 0 in the long term, while
Tier 4 indicators are selected such that targets are set towards 100% conformance in the long
term.
Tier 4 indicators proactively measure the asset’s efforts to maintain and improve the completeness,
integrity, strength, or quality of barriers and supporting Management System Elements.
Tier 4 indicators support understanding of the effort required to reduce barrier weaknesses to an
appropriate level in terms of risk management.
Measures can be focused on:
 equipment maintenance, inspection and testing

 process hazard and major incident risk assessments
 quality of, and adherence to, operating procedures
 facility management of change
 contractor capability and management
 audit improvement actions
 process safety initiatives
 workforce and management training and development
 technical competence assessment and assurance.
 completion of audits or other checking processes of Permit to Work (PTW)
 Management of Change (MOC)
 monitoring over-time and extended shifts
 ensuring adequate manpower is in place for all shifts.
42
APPENDIX 15: PROCESS SAFETY EXAMPLES OF TIER 1 & TIER 2

EVENTS
(More examples can be found in IOGP report 456 Process Safety KPI’s)
LOPC Classification
1. A valve leak occurred in a gas turbine acoustic enclosure which is Tier 2
accessible to the workforce. The quantity of gas released was 40 kg
within 1 hour. This is a Tier 2 PSE, because the LOPC exceeds the
threshold quantity for an indoor release of flammable gas. If equipment
or a work area is enclosed (apart from louvers and/or air intakes) then
the indoor release threshold quantities should be used for determining
whether an LOPC occurring in any one-hour period is a Tier 1 or Tier 2
PSE
2. An operator opens a quality control sample point to collect a routine Tier 2
sample of oil and material splashes on him. The operator runs to a safety
shower leaving the sample point open and a Tier 2 threshold quantity is
released. This is a Tier 2 PSE since the release of a threshold quantity
was unplanned or uncontrolled.
3. There is a 10 bbl. spill of condensate that steadily leaks from piping Not Tier 1 or
outdoor onto soil over a two-week time period. Simple calculations show Tier 2, report
the spill rate was approximately 0.03 bbl. per hour. This is not a Tier 1 or in Synergi
Tier 2 PSE since the spill event did not exceed the threshold quantity in
any one-hour period.
4. A pipeline leaks and releases 2,200 lbs./1000 kg of flammable gas Tier 1
above ground within one hour; however, the release occurred in a
remote location and not on a facility. This is a reportable Tier 1 PSE
since ‘remoteness’ is not a consideration and the release exceeded a
Tier 1 threshold quantity.
5. A faulty tank gauge results in the overfilling of a storage tank containing Tier 1
oil with a flash point <23°C (73 °F)/API Gravity over 15. Approximately
50 barrels (7,000 kgs) of liquid overflows into the tank’s diked area. This
incident is a Tier 1 PSE since it is a release of (1000 kg/7 bbl.) or more of
a flammable liquid within any one-hour period, regardless of secondary
containment.
If the spill had been less than (1000 kg/7 bbl.), but equal to or greater
than (100 kg/0.7 bbl.), it would be a Tier 2 PSE
6. An operator purposely drains 20 bbl. of hydrocarbon with a flash point Not a PSE
>60 °C (140 °F) ≤ 93°C (200 °F) at a temperature below its flash point event
into an oily water collection system within one hour as part of a vessel
cleaning operation. Since the drainage is planned and controlled and the
collection system is designed for such service, this is not a reportable
Tier 1 or 2 PSE.
Injury
7. An operator walks through a process unit and slips and falls to the
ground and suffers in an occupational injury, which is a lost work day DAFWC not
case (LWDC). The slip/fall is due to weather conditions, ‘chronic’ oily PSE event
floors, and slippery shoes. This is not a Tier 1 or Tier 2 PSE. Personal
safety ‘slip/trip/fall’ incidents that are not directly associated with
evacuating from or responding to a LOPC are specifically excluded.
Same as above, except that the operator slips and falls while responding
8. to a small spill of liquid with a flash point <23 °C (73 °F) quantity less Tier 1 PSE
than 7 barrels in 1 hour, resulting in a recordable LWDC incident. This and DAFWC
would also be recorded as a Tier 1 PSE since the operator is responding
to an LOPC, even though the LOPC is below the Tier 1 threshold
quantity in Table
43
9. Same as above, except that the operator slips and falls several hours DAFWC not
after the incident has concluded. This is a recordable LWDC incident but PSE event
would not be a reported as a PSE. Occupational safety events that are
not directly associated with onsite response to a LOPC are excluded. A
slip or fall after the LOPC has concluded (such as ‘after-the-fact’ clean-
up and remediation) is not directly associated with onsite response
10. A scaffolding contractor is injured after falling from a scaffold ladder while Tier 1 PSE
evacuating from a LOPC on nearby equipment. The contractor is absent and DAFWC
from work for 5 days and the injury is recorded as a recordable DAFWC
incident and the LOPC is then classified as a Tier 1 PSE, whether or not
the release exceeded the Threshold quantities.
11. A maintenance contractor opens a process valve and gets sprayed with Tier 1 &
less than the Tier 1 or Tier 2 Threshold Quantity of sulphuric acid DAFWC
resulting in severe burn and several weeks off work due to the injury.
This is a Tier 1 PSE because it is an unplanned or uncontrolled LOPC
that results in a lost work day case.
Fire
12. A pump lube oil system fire from a leak causes damage greater than Tier 1
$100,000, but does not create a LOPC greater than the threshold
quantity or cause a fatality or serious injury. This is a Tier 1 PSE since
the damage was greater than $100,000.
13. An electrical fire impacts the operation of the process resulting in an Tier 1
acute release outdoors of 3,300 lbs. (1500 kg or about 10 bbl.) of oil (API
Gravity ca. 40, flash point). This is a Tier 1 PSE since the LOPC exceeds
the reporting threshold quantity of 2,200 lb. (1000 kg, 7bbl) for a
flammable liquid.
Drilling
14. During an extended well test at 10,000 Barrel Per Day rate with 1250 Tier 1
gas-to-oil ratio, a slug of liquid extinguished the flare flame, resulting in a
release of un-combusted natural gas at 520,000 SCF per hour until the
flare was reignited 10 minutes later. This is a Tier 1 PSE because the
flare failed to operate as designed (it was not designed for cold venting)
when it flamed out resulting in an unplanned and uncontrolled release
(LOPC) of flammable gas significantly exceeding the Tier 1 release
quantity of 1100 lb. (500 kg) within one hour.
15. While drilling a well, there is a loss of hydrostatic overbalance resulting in Not a Tier 1 or
a well kick. Standard Well Control procedures are implemented to re- Tier 2, report
establish full control. These procedures result in the planned venting of in Synergi
the kick through the rig’s choke and kill system and de-gasser. No
flammable impacts were observed on the rig or area. This was a planned
release consistent with procedures and therefore not a Tier 1 or Tier 2
PSE, even though the gas release may have exceeded the release
quantity thresholds for the PSE KPI. Companies may report this within
their Tier 3 KPIs because this is a demand on a safety system or a PRD
activation.
16. While drilling a well, a shallow gas pocket is struck, causing a loss of well Tier 1 & Spill
control. Mud, cuttings and 100 barrels of oil are released to the
environment, and 1.8 MMSCF of gas (about 64,000 kg) are discharged
through the diverter valve to the atmosphere. The release continued for
two days at an average of 900,000 SCFD. This meets the criteria for
both a Tier 1 PSE because of the flammable gas LOPC. It is also a
reportable spill (over 1 barrel) to the environment under environmental
reporting requirements.
44
APPENDIX 16: FLOWCHART FOR CLASSIFYING PROCESS SAFETY

EVENT
PROCESS SAFETY EVENT FLOW CHART
An unplanned or uncontrolled release of An employee, contractor or subcontractor

any material including non toxic and non YES Tier 2 PSE
Not a tier 1 or tier Recordable Injury
flammable materials from a process that NO
2 PSE
results in one or more of the consequences
below
NO
YES
A Fire or Explosion resulting in >$25,0000

YES
costs
An employee, contractor or subcontractor
YES Tier 1 PSE
DAFWC or Fatality or hospital admission
NO
NO
A Pressure relief device (PRD) discharge to

atmosphere whether directly or via a
downstream destructive device that results
A Community evacuation or shelter in place YES in one or more of the following: Liquid carry YES
over: Discharge to a potentially unsafe
location, road closure, or a PRD discharge
severity level 4 in Appendix 10
NO
NO
A Fire or Explosion resulting in >$25,0000

YES
costs
A release of material greater than

YES
quantities in Appendix 10 severity level 4
NO
NO
A Pressure relief device (PRD) discharge to

atmosphere whether directly or via a
downstream destructive device that results
Consider reporting as a Tier 3 event or
in one or more of the following: Liquid carry YES
Severity level 5 , depending on the event.
over: Discharge to a potentially unsafe
location, road closure, or a PRD discharge
severity level 1-3 in Appendix 10
NO
A release of material greater than

YES
quantities in Appendix 10 severity level 1-3
NO
45
APPENDIX 17: OPERATIONAL BOUNDARIES IN THE JV’S
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Notification and Reporting Procedure

Notification and Reporting

Author Checked / Approved

3. REPORTABLE AND RECORDABLE INCIDENTS 4

3.1. Recordable Occupational Illness and Injury 5

3.2. Uncontrolled Material Releases 5

3.3. Recordable Process Safety Related Incidents 5

4. INITIAL REPORTING RESPONSIBILITIES 7

4.1. Responsible Reporting Party 7

4.3. Reporting Process 7

APPENDIX 2: INCIDENT REPORTING FLOW CHART 11

APPENDIX 3: INITIAL INCIDENT ANNOUNCEMENT FORM (IIA) 11

APPENDIX 4: MAJOR INCIDENT ANNOUNCEMENT (MIA) FORM 13

APPENDIX 5: HIGH POTENTIAL (HIPO) INCIDENT ANNOUNCEMENT FORM 14

APPENDIX 6: LESSONS LEARNED REPORT 15

APPENDIX 7: GUIDANCE FOR NOTIFICATION AND REPORTING 16

APPENDIX 8: SH & M.E.M REPORTING REQUIREMENTS & TIMEFRAMES 17

APPENDIX 9: NOTIFICATION LISTS 20

APPENDIX 10: DEFINITIONS 23

APPENDIX 11: ACCIDENT/INCIDENT SEVERITY MATRIX (INCLUDING LOPC) 35

APPENDIX 12: DROPPED OBJECTS 37

APPENDIX 13: API 754 - PROCESS SAFETY TIER 1 & TIER 2 39

APPENDIX 14: TIER 3 & TIER 4 PROCESS SAFETY LEADING MEASURES 41

APPENDIX 15: PROCESS SAFETY EXAMPLES OF TIER 1 & TIER 2 EVENTS 43

APPENDIX 16: FLOWCHART FOR CLASSIFYING PROCESS SAFETY EVENT 45

APPENDIX 17: OPERATIONAL BOUNDARIES IN THE JV’S 46

Investigation of incidents is covered under IA & ISG Investigation procedure: IAO-JM-OX-99-00-

3. Reportable and recordable Incidents

3.1. Recordable Occupational Illness and Injury

A case is recordable if it results in any of the following criteria:

These are cases which are recordable under OSHA rules.

Recordable Injury, Illness Frequency (RIIF)

3.2. Uncontrolled Material Releases

3.3. Recordable Process Safety Related Incidents

Common Industry KPI’s –

Common KPI’s across both JV’s –

Fig1: Process Safety Indicator Pyramid

3.3.1. Process Safety Event (PSE)

Loss of Primary Containment

3.3.2. Process Safety Event Rate (PSER)

(No. of Process Safety Events) x 200,000

4. Initial Reporting Responsibilities

4.1. Responsible Reporting Party

Operations or Activity Responsible Reporting Party

4.3. Reporting Process

APPENDIX 2: INCIDENT REPORTING FLOW CHART

Verbal report to Supervisor

RRP verbal report to Associations HSE Mgr

Initial Incident Announcement

Competent person to enter incident facts in SYNERGI within 48 hours

Investigation Report Investigation Report to Notification List 1

Lessons learned report Lessons Learned Report to

APPENDIX 3: INITIAL INCIDENT ANNOUNCEMENT FORM (IIA)

INITIAL INCIDENT ANNOUNCEMENT

Country: Location of incident:

Date of incident: Time of incident:

Actual Severity: SYNERGI Case No:

Brief account of incident:

APPENDIX 4: MAJOR INCIDENT ANNOUNCEMENT (MIA) FORM

Major Incident Announcement URGENT

Business Issued by:

Brief account of incident:

People: Number of Number of Description / details