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Incident Investigation Report

Particulars of incident:

Location: Kentex
Date: May 13, 2015 Time: 11:00 am
Manufacturing corporation

Type of incident (please circle below):

First Medical Treatment ? Environmental Property Damage Nearmiss Others:
fatality_______________________________________
Investigation Team: Contact No:
myself

Person(s) Involved:
Name: Leonilo Alibangbang Department:
Name: Aljon Peron fDepartment:
Phone:
Name: Department:
Witness(s):
Name: Leonilo Alibangbang Department:
Name: Aljon Peron Department:
Name: Department:
Describe the incident:(space overleaf for diagram if needed)

The incident happened on May 13, 2015 at 11:00 in the morning at Kentex Manufacturing Corporation. The fire
starts by a stray spark from the welding where the flammable chemicals (Super sealed) were stored in the
ground floor. The welders tried to kill the fire with water but it grows bigger and they experiences eye irritation
and hard breathing because of the oxidizing chemicals, they can no longer manage the fire and decided to
evacuate. Mr. Alibangbang shouted that all the staff remained inside should evacuate. The staff on the second
floor didn’t notice what is happening on the ground floor, but eventually the workers in the second floor noticed a
smoke from the ground floor. They tried to look for any exit points but found nothing due to huge fire and
everyone were trapped at the building.
Mr. Peron and his wife found and jumped in the roof of the canteen and jumped into the top of the truck parked
outside of the building. The wife of Mr. Peron suffered from burns at the arms and leg fracture. And the other
workers failed to evacuate and 72 were died.

Describe any illness or injury: What part of the body is affected and how?

72 were died. And 2 were injured (leg fracture)

Describe any equipment/tools involved: How equipment/tools area involved on the incident?
Company Logo

Welding machine

Analysis: What do you think caused or contributed to the incident? (Immediate cause / Underlying cause / root
cause )

The incident caused by a spark from the welding where the flammable chemicals (super sealeled) where stored.
The chemicals must be placed away in direct sunlight or near other heat sources. No smoke detectors and fire
alarm, sprinkle systems installed in the building. Staff was not able to undergo proper training on fire safety
program.

Prevention: What action has been taken to prevent a reoccurrence? (Short term / long term )

To prevent reoccurrence of the incident , the company should provide more exit points, they should have smoke
detectors and fire alarm and fire extinguishers. The staff also must undergo fire drill.

Treatment:
Hospital:N/A Date:
Type of treatment provided:
Reviewed by (Immediate Supervisor): Date & Signature: Irish A. Galleron
Evaluated by (HSE Representative) Date & Signature: I
Does the Incident need further investigation? Yes No
Notification and investigation: (24 hours) – Attached final investigation report
Approved by (Site Manager) Date & Signature:
In the event of a notifiable event, you must complete an incident investigation and submit report to Project Director

Photo of the Incident (As applicable)