‫‪Safety Alert No.

3/2020‬‬ ‫ﺗﺤﺬﻳﺮ اﻟﺴﻼﻣﺔ رﻗﻢ ‪2020/3‬‬

‫‪Electric Burn Incident Due to Electrical Flashover‬‬ ‫ﺣﺎدﺛﺔ ﺣﺮوق ﻛﻬﺮﺑﺎﺋﻴﺔ ﻧﺎﺟﻤﺔ ﻋﻦ وﻣﻴﺾ ﻛﻬﺮﺑﺎﺋﻲ‬

‫‪Dear colleagues,‬‬ ‫اﻟﺰﻣﻼء اﻷﻋﺰاء‪،‬‬

‫‪On April 28, 2021, an unfortunate electric burn Incident took place in Adam‬‬ ‫ﻓﻲ ‪ 28‬إﺑﺮﻳﻞ ‪ ,2021‬وﻗﻊ ﺣﺎدث ﺣﺮوق ﻛﻬﺮﺑﺎﺋﻴﺔ ﻣﺆﺳﻒ ﻓﻲ وﻻﻳﺔ أدم )ﻣﺤﻮل ﺗﻮزﻳﻊ أرﺿﻲ ﻓﻲ ﻣﻨﻄﻘﺔ‬

‫‪(distribution Sub-station in Al-Raki Industrial Area) involving a worker who was‬‬ ‫اﻟﺮاﻛﻲ اﻟﺼﻨﺎﻋﻴﺔ( ﻷﺣﺪ ﻋﻤﺎل اﻟﻤﻘﺎوﻟﻴﻦ ﻋﻨﺪﻣﺎ ﻛﺎن ﻳﻘﻮم ﺑﻌﻤﻠﻴﺔ ﺗﺄرﻳﺾ ﺧﺎﻃﺌﺔ‪ ,‬ﺣﻴﺚ ﻗﺎم ﺑﺘﺄرﻳﺾ‬

‫‪performing wrong operation by earthing live part of main incomer cable from‬‬ ‫اﻟﺠﺰء اﻟﺤﻲ ﻣﻦ اﻟﻤﻐﺬي اﻟﺨﺎرج ﻣﻦ اﻟﻤﺤﻮل إﻟﻰ ﺻﻨﺪوق اﻟﺘﻮزﻳﻊ اﻟﺮﺋﻴﺴﻲ )أﺳﻔﻞ اﻟﻘﺎﻃﻊ اﻟﺮﺋﻴﺴﻲ‬

‫‪transformer to feeder pillar - using un-qualified earthing wire. The incident leaded‬‬ ‫ﺑﺎﺳﺘﺨﺪام ﻣﻮﺻﻞ ﻏﻴﺮ ﻣﻌﺘﻤﺪ ﻟﻠﺘﺄرﻳﺾ‪ .‬اﻟﺤﺎدﺛﺔ أدت إﻟﻰ ﻧﺸﻮء وﻣﻴﺾ ﻣﺼﺤﻮﺑﺎ ﺑﺸﺮار‬ ‫‪( MCCB‬‬

‫‪to a flashover resulted on painful burns over his hand and fingers.‬‬ ‫ﻛﻬﺮﺑﺎﺋﻲ ﻣﺘﺴﺒﺒﺎ ﻓﻲ إﺻﺎﺑﺔ اﻟﻌﺎﻣﻞ ﺑﺤﺮوق ﻣﺆﻟﻤﺔ ﻓﻲ اﻟﻴﺪ واﻷﺻﺎﺑﻊ ‪.‬‬

‫‪As per MZEC policy, Investigation has been conducted to investigate the main‬‬
‫ﺑﻨﺎءﹰ ﻋﻠﻰ ﺳﻴﺎﺳﺔ اﻟﺸﺮﻛﺔ‪ ,‬ﻓﻘﺪ ﺗﻢ إﺟﺮاء ﺗﺤﻘﻴﻖ ﻓﻲ اﻟﺤﺎدﺛﺔ ﻟﻠﻮﻗﻮف ﻋﻠﻰ اﻷﺳﺒﺎب اﻟﺮﺋﻴﺴﻴﺔ‬
‫‪causes & root causes.‬‬
‫واﻷﺳﺒﺎب اﻟﻔﺮﻋﻴﺔ ﻟﻠﺤﺎدﺛﺔ‪.‬‬

‫‪Main Causes:‬‬ ‫اﻷﺳﺒﺎب اﻟﺮﺋﻴﺴﻴﺔ‪:‬‬

‫)‪1- Lack of competency to perform the task (No electrical authorization‬‬ ‫‪ (1‬ﻋﺪم وﺟﻮد اﻟﻜﻔﺎءة اﻟﻤﻬﻨﻴﺔ ﻟﻠﻘﻴﺎم ﺑﻬﺬه اﻟﺠﺰﺋﻴﺔ ﻣﻦ اﻟﻌﻤﻞ ) اﻟﺸﺨﺺ ﻏﻴﺮ ﻣﺨﻮل(‬
‫)‪2- Illegal access to sub-station (due to CEP absence‬‬
‫‪ (2‬اﻟﺪﺧﻮل ﻏﻴﺮ اﻟﻘﺎﻧﻮﻧﻲ إﻟﻰ اﻟﻤﺤﻄﺔ )ﻓﻲ ﻇﻞ ﻏﻴﺎب اﻟﺸﺨﺺ اﻟﻤﺨﻮل ﻟﺪﺧﻮل اﻟﻤﺤﻄﺔ(‬
‫)‪3- Failure to use adequate PPE (including gloves and face shield‬‬
‫‪ (3‬ﻋﺪم اﺳﺘﺨﺪام أدوات اﻟﻮﻗﺎﻳﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻤﻨﺎﺳﺒﺔ )ﺑﻤﺎ ﻓﻴﻬﺎ واﻗﻲ اﻟﻮﺟﻪ و اﻟﻘﻔﺎزات(‬
‫‪4- Failure to carry out live test (zero voltage) and failure use adequate earth kit.‬‬
‫‪5- No Toolbox Talk prior executing the work from contractor side.‬‬ ‫‪ (4‬ﻋﺪم ﻓﺤﺺ وﺟﻮد ﺗﻴﺎر ﻛﻬﺮﺑﺎﺋﻲ و ﻋﺪم اﺳﺘﺨﺪام أدوات اﻟﺘﺄرﻳﺾ اﻟﻤﻌﺘﻤﺪة‪.‬‬

‫‪ (5‬ﻋﺪم ﻋﻤﻞ اﻻﺟﺘﻤﺎع اﻟﺘﻮﻋﻮي اﻟﻘﺼﻴﺮ ﻗﺒﻞ ﺗﻨﻔﻴﺬ اﻟﻌﻤﻞ ﺑﻤﻮﻗﻊ اﻟﻌﻤﻞ ﻣﻦ ﺟﻬﺔ اﻟﻤﻘﺎول‪.‬‬
‫‪Underlying Causes:‬‬
‫‪1- No enough orientation to worker on scope from contractor side.‬‬
‫اﻷﺳﺒﺎب اﻟﻔﺮﻋﻴﺔ‪:‬‬
‫& ‪2- Lack of security & safety restriction guidance for asset master key distribution‬‬
‫‪use.‬‬ ‫‪ (1‬ﻋﺪم وﺟﻮد ﺗﻌﺮﻳﻒ ﻛﺎف ﻟﻠﻌﺎﻣﻞ ﺑﻤﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ ﻓﻲ اﻟﻌﻤﻞ ﻣﻦ ﻗﺒﻞ اﻟﻤﻘﺎول‪.‬‬

‫‪3- Starting work with absence of CEP1.‬‬ ‫‪ (2‬ﻋﺪم وﺟﻮد ﺗﻌﻠﻴﻤﺎت ﻣﻠﺰﻣﺔ ﺑﻤﺘﻄﻠﺒﺎت اﻷﻣﺎن واﻟﺴﻼﻣﺔ اﻟﻤﻨﺎﺳﺒﺔ ﻋﻨﺪ ﺗﻮزﻳﻊ واﺳﺘﺨﺪام ﻣﻔﺎﺗﻴﺢ‬
‫أﺻﻮل اﻟﺸﺮﻛﺔ‬

‫‪ (3‬ﻣﺒﺎﺷﺮة اﻟﻌﻤﻞ ﻓﻲ ﻇﻞ ﻏﻴﺎب اﻟﻤﺸﺮف اﻟﻤﺨﻮل )‪(CEP1‬‬

‫‪Lessons Learned:‬‬
‫‪1- Suitable security & safety restriction conditions shall be imposed during asset‬‬
‫‪master key distribution.‬‬ ‫اﻟﺪروس اﻟﻤﺴﺘﻔﺎدة‬

‫‪2- Adequate worker HSE orientation, shall be considered prior attending work‬‬ ‫‪ (1‬ﻳﺠﺐ ﻓﺮض اﻟﻘﻴﻮد واﻻﺷﺘﺮاﻃﺎت اﻟﻤﻨﺎﺳﺒﺔ ﻓﻲ ﻣﺠﺎل اﻷﻣﺎن واﻟﺴﻼﻣﺔ ﻋﻨﺪ ﺗﻮزﻳﻊ ﻣﻔﺎﺗﻴﺢ اﻷﺻﻮل‬
‫‪site.‬‬ ‫‪ (2‬ﻳﺠﺐ اﻟﺘﺄﻛﺪ ﻣﻦ ﺗﻘﺪﻳﻢ ﺗﻌﺮﻳﻒ ﻛﺎف ﻟﻠﻌﻤﺎل ﺑﺎﻟﻤﺨﺎﻃﺮ اﻟﻤﺤﺘﻤﻠﺔ ﻓﻲ ﻣﻮﻗﻊ اﻟﻌﻤﻞ ﻗﺒﻞ ﻣﺒﺎﺷﺮة‬
‫‪3- Adequate work supervision, shall be considered by contractor along working‬‬ ‫اﻟﻌﻤﻞ‪.‬‬
‫‪time‬‬
‫‪ (3‬ﻳﺠﺐ ﻋﻠﻰ اﻟﻤﻘﺎوﻟﻴﻦ اﻟﺘﺄﻛﺪ ﻣﻦ وﺟﻮد اﻹﺷﺮاف اﻟﻔﻌﹼﺎل ﻃﻮال ﺳﺎﻋﺎت اﻟﻌﻤﻞ‬

‫‪By working together, we will get through these challenging times.‬‬

‫ﺷﻜﺮا ﻋﻠﻰ ﺗﻌﺎوﻧﻜﻢ اﻟﻤﺘﻮاﺻﻞ‪ ،‬وﻟﻨﻌﻤﻞ ﻣﻌﺎﹰ ﻟﺘﺠﺎوز ﻫﺬه اﻷوﻗﺎت اﻟﺼﻌﺒﺔ‪.‬‬

‫‪With Compliments,‬‬
‫ﻣﻊ ﺗﺤﻴﺎت‪،‬‬
‫‪QHSE Department‬‬
‫داﺋﺮة اﻟﺠﻮدة واﻟﺼﺤﺔ واﻟﺴﻼﻣﺔ واﻟﺒﻴﺌﺔ‬