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ACCIDENT

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

Investigation Tool Kit :-


1) Record Book 6) Barrier Tape
2) Statement record form 7) Mechanical Tool
3) Camera 8) PPE
4) Torch light
5) Measuring Tape

Others (Please Specify) :


On the day of the incident,the concrete work for Pilecap CB8 Pile no 14&15 in Tower 1 zone 3
were carried out.The work is Incharge by Project Engineer,Site supervisor with two General worker and
Crane operator.Concrete work has been start at 05:30 Pm and is expected to be complete by 07:00 pm.
This concretet work are using a concrete supplier from Buildcon concrete sdn bhd and from Bukit Bintang
Plant and the total concrete is 25m3.An incident was occurred at 0615 Hrs while hoisting concrete from
concrete truck to discharged onto pilecap.
Further details on the accident are presented in initial report explaining the details of the incident before
during and after,The report is attach together.Refer attachment 1

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ACCIDENT
BSB-HSE-20-000 (Page 2 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
3.0 Method of Investigation

4P Fish Bone Diagram


People Position

EF
T FEC

Parts Papers

3.1 People (Person Involved/person Incharged)


– Identified person Involved
– Interviewing Injured Person,Person Incharged and others.
– Get a statement Immediately
– Interviewing Witness

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

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ACCIDENT
BSB-HSE-20-000 (Page 3 of
INVESTIGATION
7)
REPORT
HEALTH SAFETY & ENVIRONMENTAL
4.0 People (Person Involved/person Incharged)

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:-

Name of person involved : Ali Md Hossain


Age : 31 y.old Nationality : Bangladesh
Gender : Male Passport no. :BL 0787864
Designation :General Worker
Type of work when accident happened : Concrete workers
Condition of person affected A Bangladeshi worker was hit on his left hip.

Name of person involved : Jumaing Bin Baba


Age : Nationality : Malaysia
Gender : Male Passport no. :
Designation :Concrete Truck Driver
Type of work when accident happened : Driver
Condition of person affected Shocked

Name of person involved : Muhammad Ulul Azmi Bin Zainuddin


Age : 26 yld Nationality : Malaysia
Gender : Male I/c no. : 941221-03-5835
Designation :Crane Operator
Type of work when accident happened : Crane Operator
Condition of person affected Shocked

Name of witnesses : Muhammad Azri Bin Kamal

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Age : 30 Nationality : Malaysia
Gender : Male I/c no. : 900625-08-5723
Designation :Project Engineer
Type of work when accident happened : Person Incharged Works

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.

Jumain Baba statement:-


Pada 15/7/2020 jam 4:15 ptg sy menerima tempahan konkrit untuk dihantar ke tapak bina Riveria City dari syarikat
Pintaras Geotehcnics sebanyak 8M³.selepas selesai bancuhan dari Plant bukit bintang saya pon terus begerak ke
tapak bina tersebut pada jam 5.15 ptg dan tiba disana pada jam 5.45 ptg.Setelah sampai saya diarahkan oleh pekerja di
tapak bina untuk meletakan lori saya di tempat yang disediakan untuk mengeluarkan konkrit.Semasa kerja-kerja
konkrit berjalan saya memerhati dari bahagian depan lori,tiba-tiba saya perasan boom kren tersebut turun laju dan
menghempap bahagian atas buyung konkrit,saya sempat melarikan diri ke tempat yang selamat.Tetapi lori saya
menghadapi kerosakan yang agak teruk.Semua kerja-kerja dihentikan dan saya pergi melihat keadaan pekerja konkrit
yg berada di bahagian belakang lori,dan pekerja itu sempat melarikan diri dan hanya cedera ringan.

Project Engineer statement:-


Pada 15/7/2020 saya melakukan tugas seperti biasa, saya melakukan persiapan untuk kerja-kerja konkrit
pilecap cb8 P14/15. Kerja ini mengunakan kren untuk mengankut konkrit dari lori konkrit ke pilecap
yang hendak dikonkrit.Semasa kerja-kerja konkrit dijlankan aktiviti tersebut berjalan lancar,
setelah selesai tuangan keempat diisi dari lori konktrit tersebut, kren memulakan pidahan tong konkrit tersebut
tiba-tiba boom kren terhempas kebawah dan terkena lori konnkrit tersebut dan jatuh ke tanah.
Kerja-kerja telah dihentikan serta merta atas dasar keselamatan.

Crane Operator statement:-


Pada 15/7/2020 saya telah diarah oleh pegawai tapak untuk mengendalikan jentera kren RH2 untuk kerja-kerja
konkrit CB8 P14/15. Seperti biasa sebelum memulakan kerja,saya membuat pemeriksaan pada jentera sebelum
mengendalikannya untuk memastikan semua dalam keadaan baik.Sementara menunggu persiapan yang dibuat oleh
jurutera di kawasan yang hendak dikonkrit saya melakukan kerja-kerja mengalihkan besi rebar.Pada jam 5:45 ptg
lori konkrit tiba di tapak bina saya pon mula melakukan kerja konrit seperti biasa. Saya telah menuang konkrit
pilecap tersebut sebanyak tiga kali,Apabila kali keempat setelah selesai tong konkrit diisi dari lori konkrit
saya menaikan boom pada 35° untuk dituang pada pilecap tersebut, Tiba-tiba satu bunyi yang pelik kedengaran
dan Boom pon jatuh dengan tiba2 diatas lori konkrit tersebut.Saya sempat hayun kren jauh dari pekerja konkrit

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yang berada di bawah. Setelah itu saya terus mematikan enjin kren dan memberhentikan kerja serta merta.

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:-

5.2 Sources of machinery,Energy and Chemicals :-


Equipmet or machinery used during the incident is as follows:-
Construction Equipment name : Crawler Crane
Specification : Sumitomo LS118,SC500 (50 ton) Equiipment I/d : RH2
Model : Sumitomo LS 118RH
Pma No. : PMA 84961 Pma Validity : 10 DEC 2020
Registered Company : Pintaras Jaya Berhad

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

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Estimate loss due to accident : RM10,000.00
- Costs including property damage,loss of
working hour,investigation costs,costs oh
handling the victim etc.

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.

Name Company : Buildcon Concrete Sdn Bhd


Roc no : 397618-w
Adress : 6th Floor, Yeoh Tiong lay Plaza, 55 Jalan Bukit Bintang,55100 Kuala Lumpur
Batching Plant : TRX TUN RAZAK
Driver Name : Jummaing Bin Baba
Nationality :Malaysia
Positition : Lorry Driver

Estimate loss due to accident : RM25,000


- Costs including property damage,loss of
working hour,investigation costs,costs oh
handling the victim etc.

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

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by looking at the trend system pulley works to see which part causes the wirerope

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

7.2 – Latest work procedures


Safe operating procedure for lifting work have been improved to ensure safe working methods.
Refer attachment 8

7.3 – Qualification Record


Qualification for machinery and crane operator during the incident are also included once in this report.
refer attchment 9

7.4 – Corrective action


Apprpriately train all employees
– Need to makesure to provide appropriate health and safety training to all employees so they are competent
at their jobs.By training the employees it can be increase workplace safety,statisfaction and profit as to
reduce injuries,fatalities,accidents and sickness absence.

– 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

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•Montly crane Inspection –Refer attchment 4
•Ensure a supervisor is present on site at all times when crane are in operation
•Make employees aware of, and strictly enforce, your load and lifting limits
•Ensure clear warning signals are displayed on site when needed.
•Sellect appropriate PPE for all Employess
•Properly safety-plan all jobs before starting work and decide who's in charged of pre job safety planing for
permit to work and lifting plan –Refer attchment 10
• Revised Hirarc for improvement

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.

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Submitted by : Verified by : Approved by :

Name :
Designation : Designation : SHO Designation : Project Manager
Date : Date : Date :

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damage to property,
dent, product recall
Overall Time Limit)

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tnessed the incident,
ed during the incident.
e position of all those

crane operator and


one by Crane operator
certificate of fitness

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at the incident was

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he report states the

hey are competent

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ery in a safe condition.

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ch equipment embedded

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