INCIDENT REPORT

Incident Ref No ARH/OSH/IR/2021/0009

Incident Date 19/08/2023 Time 7.30 AM

Reported by 21/08/2023 Dept. / Site SKMC-OSC-Clinic ENDO

Descriptions of Incident: Electrical cable Damaged

On August 19th at 7:30 am, we had planned to cut slabs in areas endo, 7, and 12. However, the civil team began coring
in the designated slab cutting area without informing anyone. During their coring work, they accidentally cut a conduit
containing a live circuit cable. As a result of the conduit being severed, water entered the FDB. This led to a short
circuit within the FDB, causing significant damage.
Unfortunately, prior to commencing the slab cutting, the civil team failed to notify the electrical team about the need to
protect the FDB.
What Acts or conditions led to the incident?
Several acts or conditions contributed to the incident:
Lack of Communication: The civil team started coring in the slab cutting area without informing anyone, including
the electrical team. This lack of communication resulted in the electrical team being unaware of the need to protect the
FDB.
Failure to Coordinate: There was a failure in coordinating between the civil and electrical teams. The civil team
proceeded with their work without considering the potential impact on the electrical infrastructure or consulting with
the electrical team beforehand.
Improper Planning: The slab cutting activity was not adequately planned, which led to confusion and
mismanagement. The absence of a clear plan for coordinating the work between different teams contributed to the
incident.
Lack of Safety Measures: The civil team did not take appropriate precautions to ensure the safety of the electrical
infrastructure. Cutting a conduit containing a live circuit cable without proper isolation or protection measures in place
increased the risk of damage or accidents.
Negligence: The civil team's failure to recognize the potential consequences of cutting the conduit without notifying the
electrical team indicates a lack of due diligence and negligence in their actions.
Why the unsafe act was committed, or why was the unsafe condition present?
The unsafe act and condition were present due to the following reasons:
Lack of Awareness: The civil team may have been unaware of the potential risks associated with cutting into the slab
without proper precautions. They may have lacked sufficient knowledge or training regarding electrical systems and the
importance of coordination with the electrical team.
Time Pressure: The civil team might have been working under tight deadlines or facing time constraints, leading them
to skip necessary safety protocols. The urgency to complete the coring work quickly could have overridden their
judgment, resulting in unsafe actions.
Communication Breakdown: There was a breakdown in communication between the civil and electrical teams. This
lack of communication could have been due to poor organizational structure, inadequate channels for information
sharing, or a failure to emphasize the importance of collaboration and coordination among different teams.
Inadequate Risk Assessment: Prior to commencing the coring work, a comprehensive risk assessment may not have
been conducted. Failure to identify and address potential hazards associated with cutting into the slab and working near
electrical infrastructure contributed to the unsafe condition.
Insufficient Training and Supervision: The civil team might not have received sufficient training or supervision
regarding safety procedures and protocols. A lack of oversight could have allowed unsafe practices to go unnoticed or
unaddressed.
What steps have been / will be taken to prevent a similar incident?
To prevent a similar incident in the future, several steps can be taken:

Improved Communication and Collaboration: Enhancing communication channels and fostering collaboration
between different teams involved in the project will be crucial. Clear lines of communication should be established,
ensuring that all relevant teams are informed and consulted before initiating any work that may impact the electrical
infrastructure.
Strengthened Planning and Risk Assessment: Emphasis should be placed on thorough planning and risk assessment
prior to undertaking any activities. A comprehensive evaluation of potential hazards, including electrical risks, should
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 Incident Ref No ARH/OSH/IR/2021/0009

be conducted, and appropriate safety measures should be implemented accordingly.

Enhanced Training and Awareness: Providing comprehensive training sessions to all relevant teams, including the
civil and electrical teams, will help raise awareness about safety protocols, electrical systems, and the importance of
coordination. Training should focus on recognizing hazards, understanding safety procedures, and promoting a safety-
conscious culture.
Implementation of Safety Procedures: Clear and well-documented safety procedures should be established and
implemented. This includes protocols for isolating electrical circuits, protecting sensitive equipment, and ensuring
proper communication and coordination between teams.
Regular Inspections and Audits: Regular inspections and audits should be conducted to identify any potential safety
gaps or non-compliance with established procedures. This includes inspecting the work area, verifying adherence to
safety measures, and addressing any issues promptly.
Promoting a Safety Culture: Encouraging a culture of safety within the organization is vital. This can be achieved
through ongoing safety training, open reporting of near-miss incidents, encouraging suggestions for improvement, and
recognizing and rewarding safe practices.
Continuous Improvement: Regular review of incidents, lessons learned, and feedback from employees should be used
to identify areas for improvement. Feedback loops should be established to implement corrective actions and make
necessary adjustments to prevent similar incidents in the future.

Person responsible for follow up actions:

Expected completion date 21/08/2023 Actual completion date 22/08/2023

Evaluation of Risk

Potential Consequences Probability of Reoccurrence

 Catastrophic  Probable
 Critical  Occasional
 Marginal  Remote
 Negligible  Improbable

Dept. Head / Project Manager Safety Officer

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