# Incident type Date Time Location BP Description Cause Findings Recommendation IP Unique ID

1. Incident root cause and its learning points to be

1. Work was carried out under in adequate
shared in TBT in all area.
supervision from B&R.
2. Area housekeeping to be done before starting of
2. Inadequate illumination found at workplace.
each activity.And this to be followed till the
3. Wrong position or posture of the workman was not
completion of the activity.
good.
3. All the activities to be done in presence of job
Person gt hurt on his left leg due to strike bystructural steel 4. Inadequate access to the workplace.
1 First Aid 04-01-2022 15:03 Anode Rodding Shop B&R supervisor at site for adequate supervision. Pradeep K Panika 1577023
as fell down on same level because of poor housekeeping. 5. Failing to keep constant attention to the site.
4. Area lighting will be ensured and enough lighting
Unsafe act done by Pradip Kumar Panika.
arrangements to be made before commencing the
6. Poor housekeeping observed at workplace as there
activity.
was no safe access provided.
5. Pre-job discussion to be done by the job supervisor
7. Non-availability of safety head from B&R to check
before starting of each separate activity.
and coordinate all the safety compliances.

1. Work was started with due excavation clearance

along with PTW and other formalities. 1. Utility drawing to be updated incorporating above
line. All plantwide pipeline drawings need to be cross
2. Utility and Fire team has approved based on their checked for its correctness.
experience & drawings available with them. 2. Electrical cable routing layout across the plant to be
During excavation with excavator underground pipe got 1. Wrong ground clearance was given by the 3. Effected pipe line details were not available in the cross checked and updated to avoid similar incidents.
2 Near Miss 02-07-2022 Anode ware house B&R
damaged concerned authority. drawing. This portion of the line might have been laid 3. Area assessment to be done with the help of Metal
later i.e. As-built drawing was not prepared after Detector prior to any excavation.
4. Communication of the incident to be done across all
installation of new line.
project areas to sensitize the people working on the
4. Following the above drawing is the root cause of safety precautions to be taken during excavations.
line puncture.
1. Adequate illumination must be provided before
starting of any activity.
2. Adequate supervision must be ensured in the
1. Poor Illumination
working area.
2. Poor supervision
While concrete dismantling with hydraulic breaker 02 inch 3. Any rocess line near to the working area must be
6 Near Miss 29-04-2022 16:00 Anode ware house B&R 3. Compressed air line was not barricaded
compressed line got damaged due to poor illumination barricaded in advance previous to the start of the
4. Excavator operator was unware the presence of
work and communication should be made to the
compressor line near to the dismantling area
operator well in advance.
4. Observation should be shared with the working
crew in general tbt in all area.
1. Hydra's boom got stuck wire rope sling attached to 1. Immediately infrom to Engg/Supervisor.
the top of the structure. 2.The supervisor and the engineer told both the
on date. 07.06.2022 @05:20 pm During material shifting.
2. The flag man that was engaged in that hydra was people that tomorrow its incident regard should be
7 Near Miss 07-06-2022 17:20 Anode Rodding Shop B&R Hydra boom gets stuck in a sling attached to the top
not properly skilled. So the flag man could not give discussed at a TBT.
structure.
the right signal, hydra's boom got stuck in the sling of 3. Flagman is must in hydra while material shifting
the above structure. and lifting.
1. Hazards in the working area should be identified
1. Pressure line was not isolated before dismantle and killed before to work.
activity. 2. Any pressure line in the working area shall be
A pressure pipe (1" Dia) is damaged and air is released
10 Near Miss 08-08-2022 16:54 Anode Rodding Shop B&R 2. Negligence of site engineer isolated before statr of the work.
during dismantling of concrete building
3. Poor supevision. 3. Incident should be discussed in the daily TBT to
4. Poor area lighting avoid further reccurrence.
4. Area lighting to be improved as per indian standard.

1. Nozzle of the gas cutting set was blocked as the

1. Intimated all contractors to use only ISI marked
gas cutter doing gas cutting activity very close to the
equipments in gas cutting set.
During gas cutting activity blow pipe of the torch was got metal. Metal went insid of the nozzle hole and
19 Near Miss 26.12.2022 12:00 Bake Oven B&R 2. Standard pin should be used for gas cutting set
Burst out, no injury or no any other damaged occurred. blocked.
nozzle cleaning.
2. Gas cutting torch was of non-standard material.
3. Oxygen flow must be greater in respect of DA flow.