INDUSTRIAL ACCIDENT REPORT

(FIRE)
Implementation 22-June-2007
Revision No 00
Page

Insurance FI-I-HO-0049179
Policy No:
Department: Production
IMMEDIATE INFORMATION

Section: RK
Location: RK#3 Entrance
Date: April 24, 2019
Time fire 2430 HRS
start:
Time fire 0130 HRS
control:
Cause of Fire: Burned-down wirings/accumulated powder dust in wire rack
Damage:
(equipment,
machine, RK#3
wirings,fire
ext..etc..)

Around 1430 HRS of April 23, 2019, the Maintenance utility personnel were doing their routine greasing
and cleaning activity in RK# 3. While doing their activity they noticed that powder dust that accumulated in
the top portion of the area (walls, support beams, roofing trusses & wire racks) are smoldering (nagbaga)
due to the extreme heat coming from the Rotary Kiln. When the utility personnel procced to remove the
smoldering dust by sweeping and spraying with water the dust suddenly burst into fire. At around 4:30 PM
a concerned neighbor noticed and called asking questions regarding the bursting fire. Production Manager
Robert Fortich talked to the caller and explained that it is just part of routine maintenance activity. Robert
Fortich called the attention of the Safety Officer Randy Pedroza to take action and monitor the activity. The
safety officer immediately went to the scene and gave instruction to utility the personnel to avoid spraying
water directly on the smoldering dust to avoid the dust from bursting. Maintenance manager Giovanni
Tabada was also in the area monitoring and giving instructions to his personnel. At around 5:00PM the
Plant Manager Nuriatsu Tokinaga together with Robert Fortich came to the area and gave instruction to
make sure to remove the hot powder dust to prevent the cause of fire. The safety officer, maintenance
manager and QMT-MAD Filmar Pitogo remained together with 4 utility personnel to continue removing hot
INCIDENT DETAILS:
dust in the RK# (Describe theand
3 PC tank incident
beamsin aincluding
time-ordered
themanner including
walls. At aroundpersonnel
6:00PMinvolve.)
the hot dust was already
under control. The safety officer and the maintenance manager checked the area and decided to halt the
activity.
 INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page

DURING THE INCIDENT:

We decided to turn off the circuit breaker of the product cooler.(performed CAC by-pass)

AFTER THE INCIDENT:

We used fire extinguishers #29 and #10 to prevent the fire from spreading and avoid further damage.

CAUSE OF ACCIDENT CAUSE DETAIL

Cause based on Human Factor
H1: Less knowledge, Skill less, Less experience
H2: Careless, Disregard dangerous condition
H3: Ignore instruction & S.O.P.
H4: Instinctive Action
H5: Panic condition
H6: Wrong Judgment
H7: Decline of function by aging
H8: Bad body condition, Over work
H9: Careless condition by simple repetition work
H10: No cause on Human
Immediate Cause

Cause based on Facility

E1: Lack of working space E7:Error on function of machine (Design/Maintenance)
E2: Unsuitable surrounding condition
E3: Lack of Safety device  Control panel wiring burned down causing damage
E4: Lack of instruction sign in some equipments.
E5: Lack of safety equipment
E6: Unsuitable working tool & device (hand /
installed)
E7: Error on function of machine (Design /
Maintenance)
E8: Error on control of machine (Design /
Maintenance)
E10: No cause on Facility
Cause based on Management
Roo
 INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page

M1: Insufficient S.O.P

M2: Unsuitable worker assignment
M3: Insufficient safety guidance and training
M4: Insufficient instruction & supervision
t Cause

M5: Insufficient management to keep safe

Working condition (Housekeeping)
M6: Less care of safety tool and equipment
M7: Less care to Keep consciousness of Safety in
good condition
M8: Ignore unsafe condition and action
M10: No cause on Management

Action Plan Responsibility Implementation Date

REMARKS OF THE DEPARTMENT CAUSING THE INCIDENT.

___________________
Department Manager
 INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page

ANALYSIS & COMMENT OF THE SAFETY COMMITTEE.

Prepared by:
Approved by:
___________________
___________________
Safety Officer
Safety Manager

SKETCH OF THE CONDITION.

 INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page

Corrective Action/ Preventive Action:

 INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page

Approve by:

Mr. Amado Go Mr.Noriatsu Tokinaga Mr. Junard Go ___________________

President Plant Manager Asst. Plant Manager Department Manager
INDUSTRIAL ACCIDENT REPORT
(FIRE)
Implementation 22-June-2007
Revision No 00
Page