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BSB-HSE-20-000 (Page 1 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
1.0 Purpose
Applicable to major accidents including fatalities,permanent disabilities, major occupational illnesses or damage to property,
other major occurences such as fire, emergencies, legal notice and explosin or major environmental incident, product recall
which can or may have a severe impact to the image of the company.To be reported within 24-Hours (Overall Time Limit)
2.0 Background
Company : Pintaras Geotechnic Sdn Bhd Address : No 8 jln Majistret U1/26,
Telephone : 03-55691516 Hicom Glenmarie Industrial Park,
Date of Incident : 7/15/2020 40150,Shah Alam,
Time of Incident : 6:00 PM Selangor Darul Ehsan
Location of Accident : Riveria City Phase 2,Brickfield Time of Work : Overtime
Machinery Involved : SUMITOMO LS118 (SC500) 50 TON
Equipment I/D : RH2
Crane Reg No. : PMA 84961 Pma Validity 10-Dec-20
Crane Operator Muhamad Ulul Azmi Bin Zainuddin Jkkp Reg. : KN/17/OK/03/00169
Licence valid : 3/14/2021
Investigation Teams :-
Project manager - Mr. daniel Chan Project Engineer - Mr. Azri Kamal
Site Manager - Mr. Leslie nga Sr.Site Supervisor - Mr. Fadzly
PME Dept.Manager - Mr. Leornad swee Site Supervisor - Mr. Megat
Safety Health Officer - Mr. Nazlly
Site Safety Supervisor - Mr. Syed Omar
EF
T FEC
Parts Papers
3.2 Position
– Document the accident area before any changes are made.
i. Location victim
ii. The position of each witness
iii. Sources of machinery,Energy and Chemicals
iv. Other contributing factor
– Take pictures of the incident and draw a scale of diagram.
– Record the size
3.3 Parts
Identify and Record :-
Parts of machinery,building around the accident area before,during or after an accident that could affect the
i. incident
ii. Materials,Plant debrish,Tools,equipment and building
iii. Investigation may require a qualified person to comprehensively inspect or test the advanced equipment
iv. Reports from expert witnesses are part of the evidence of the investigation
3.4 Paper/Document
– Production schedule or process diagram
– Latest work procedures
– Qualification Record
– Training Record
– Corrective action
– Equipment maintenance record
– Accident Record
The first step of our investigation was to hold a meeting of the members of the safety committee to discuss
of the accident,How to identified the cause and how to ensure that accidents can be avoided throughout the
the cause construction is operating. During the discussion on the meeting,The investigation task
was assigned to each committee member to futher facilitate the detection of the cause of the accident.
The meeting was attended by :-
Project manager - Mr. daniel Chan Project Engineer - Mr. Azri Kamal
Site Manager - Mr. Leslie nga Sr.Site Supervisor - Mr. Fadzly
Sr. Site Manager - Mr. Khoo Teow Guan Site Supervisor - Mr. Megat
Safety Health Officer - Mr. Nazlly Site Supervisor - Mr. Azrul
Site Safety Supervisor - Mr. Syed Omar PME Dept.Manager - Mr. Leornad swee
Crane Operator.
4.1 The investigation began by identified and interviewing the witnesses and employees involved:-
ACCIDENT
BSB-HSE-20-000 (Page 4 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
4.2 Statement
Ali Md Hossain statement :-
Pada 15/7/2020 saya melakukan kerja seperti biasa,saya diarah untuk menjaga konkrit semasa kerja-kerja
konkrit pilecap. Saya menungu arahan dari ketua untuk memulakan kerja konkrit.Apabila lori konkrit tiba,saya
diarah untuk menjaga konkrit di lori tersebut.Semasa sedang bekerja seperti biasa,saya terdengar dentuman kuat dari
atas kepala,apabila saya tengok keatas boom kren itu jatuh diatas lori konkrit tersebut.saya betindak melarikan diri dari
situ untuk mengelakan boom jatuh diatas saya.Saya sempat mengelak dari ditimpa boom tersebut tetapi tangan kiri
saya terkena libasan wirerope tersebut.Saya terus dibawa ke klinik untuk pemeriksaan lanjut.Saya Cuma mendapat
cuti satu hari dan ubat sapu.
ACCIDENT
BSB-HSE-20-000 (Page 5 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
5.0 Position
5.1 Location Of Victim,Witness and Machinery :-
After being interviewed on all involved victim,truck driver,operator and witnesses who witnessed the incident,
had an initial glimpse of their position,position of the machinery and concrete truck involved during the incident.
Sketch of the picture incident before and after has been made,where in the sketch shows the position of all those
involvedin the accident.from the information that has been obtain as a result of the interviewing sesion.
refer attcment 2:-
Crawler crane was used for hoisting concrete from concrete truck to discharged onto pilecap.Which is
Operate by competent Crane operator Mohd ulul Azmi.machinery has been inspected by crane operator and
Supervisor using Daily inspection checklist (Refer attachment 3) and monthly checklist done by Crane operator
and Safety supervisor using Monthly Checklist (Refer attachment 4).Enclosed machinery certificate of fitness
and crane operator licence.Refer attachment 5
6.0 Parts
Identify and Record :-
6.1 Parts of machinery,building around the accident area before,during or after an accident that could affect the
incidentTo identify the cause of the accident,the team from Machinery department went down to the field
with site team to check the condition of the damage part to find the cause of the failure.
To identifying the damaged item ,they inspected all the damaged parts or items was affected causes of the
incident by means of :-
1) To check boom hoist system by checking mast head of the machinery.
2)To dismantle mast head to inspect the all the Pulley bearing.
3)To inspect the broken wire rope and the parts of the machinery which make the wire rope can be broken
4)Identified damaged boom parts as cause of the incident by Checking all boom structure and boom
connection
Identified Damage Item : Boom wire rope,Pulleys ,boom top and intermidiate section & Pulleys bearing
ACCIDENT
BSB-HSE-20-000 (Page 6 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
6.2 To take data from everything related to accident for example such as lifted Materials,Plant debrish,
Tools,equipment and building which can also cause accident by looking at the load being lifted does it exceed
the proper load,the distance between the loads to be lifted is in the appropriate range as in the load chart,
the situation around the work activity enaugh space and equipment such as lifting gear is used according to the
suitblity of the load being lifted. After examining from the privious aspect, it was found that the incident was
not caused by it,because everyting in terms of that aspect has followed the specification and the proper way.
Otherwise the incident was involved third party which is concrete truck from BUILDCON CONCRETE
and has caused damage to the pitcher drum and attached ladder when the Crane boom was hit the truck
and the total lost has been send by the Buildcon representative.
Identified Damage Item : drum was partially dented and attached ladder was damaged.
6.3 Investigation may require a qualified person to comprehensively inspect or test the advanced equipment
as a result of identifying the damaged part, an investigation to identify the cause of the damage is carried out
cooperation and assistance from the source Pme Department section has been identified that the bearing is
and is stuck, and has caused one of the pulleys to not rotate while the boom is being lifted.
When pressure or coercion occurs on the pulley the pulley will be attracted or compete with the pulley
other and cause the pulley to rupture and produce fragments and sharp surfaces on the pulley
And at the same time the wire rope keeps running and is exposed to debris and the surface
ACCIDENT
BSB-HSE-20-000 (Page 7 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
6.4 Reports from expert witnesses are part of the evidence of the investigation
Report on damage to machinery parts and repair process has been issued by pme dept.In the report states the
type of goods exchanged and damaged goods.please refer attachment 6(Technical Report)
7.0 Paper/Document
7.1 – Production schedule or process diagram
Refer Attachment 7
– Ensure employees know they must not stand under loads and ensure operators never lift a load over an
employees
– Know, understand and comply with the lifting operation and lifting equipment regulation
– To carry out routine Mantainance and repairs of all on-site equipment at appropriate intervals such as
•Daily crane inspection –Refer attchment 3
ACCIDENT
BSB-HSE-20-000 (Page 8 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
8.0 CONCLUSION
The results of the investigation into the crane boom that fell on the construction site found fault with
self management. Caused damage to one of the parts of the machinery involved causing failure on
equipment and parties the pulley system because it does not keep the equipment or machinery in a safe condition.
And cause damage to machinery and third parties.The investigation into the dangerous incident is due
mechanical faults. In the investigation, those who are eligible to make the investigation are asked to participate
as well as to identify and help bring the accident investigation to a quick conclusion and logic.
Investigations are conducted by the safety committee members involved and are lead by Pme officers and two
people from the department of machinery and machinery maintenance. Where the investigation was conducted on
July 16-18, After a three-day investigation, officers from the Pme dept were able to conclude that the
machinery was not perfectly mechanical.Crank crawler Sumitomo LS118, SC500 intended load capacity 50 tons.
At the time of the crane incident in good condition without knowing the actual condition of the pulley bearing
condition while carrying out the concrete transfer activity the crane boom has fallen and hit the back of
the concrete truck and injured nearby workers, and the truck suffered damage to the pitcher.
while the worker involved was only slightly injured in the left arm and get a day off.
Conclusions can be drawn and found to fail to make a detailed scheduled inspection on each equipment embedded
in the crane boom movement system and failed to record the inspection.Inspection basics by operators and
supervisors working in a visual way is not enough to ensure each part qualified to inspect on the machinery
is safe.Detailed scheduled inspection by the operator and the supervisor machinery needs to be made
and recorded for future use. Daily inspection by operators and safety representatives ensure the condition
of the machinery is always in a safe condition, And monthly inspection by Pme dept can also ensure that
the use of machinery is properly regulated. Every job is also necessary have a perfect and safe plan
by having complete notifications and inspections.
Name :
Designation : Designation : SHO Designation : Project Manager
Date : Date : Date :
e asked to participate
ch equipment embedded