Final Incident

Investigation Report
(Non-Occupational Death)
Incident Date and Time: Monday, August 14, 2023 - 12:38 PM

Project: TB/Primary Infrastructure

Location: Triple Bay

Client: RSG

Contractor: AICC

Subcontractor: Rukan Al-Tameer Company Limited (7009803623)

Prepared by:

Aravinth Kannan Deputy H & S Manager

Checked by:

Abdul Wajid H & S Manager

Reviewed and endorsed by:

Mohamed Farhan Abuseif Assistant Director

Approved by:

Oussama Mohamed Elbardan Project Director

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TABLE OF CONTENT

1 EXECUTIVE SUMMARY........................................................................................................... 3
2 PROJECT DESCRIPTION...........................................................................................................5
3 INITIAL NOTIFICATION REPORT..............................................................................................7
4 POST INCIDENT REVIEW MEETING.........................................................................................9
5 INCIDENT TIMELINE............................................................................................................... 9
6 TABLE OF WITNESS INTERVIEWED.......................................................................................11
7 INCIDENT EVIDENCE.............................................................................................................11
8 FINAL INVESTIGATION REPORT............................................................................................13
9 ADDITIONAL CONCERNS ARISING OUT OF INVESTIGATION.................................................14
10 POSITIVE ASPECTS OF PERFORMANCE.................................................................................14
11 CORRECTIVE ACTIONS..........................................................................................................15

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 SECTION - 1
EXECUTIVE SUMMARY
1 EXECUTIVE SUMMARY

This document describes the investigation conducted for the Non-Occupational Incident (Death) of
Mr. MD Altap Hossain

An investigation team was established after the Post-Incident Review meeting to collect and analyze
documentation and to ensure the full repatriation and benefits of the deceased to the home country.

Investigation Team
Employe
Name Position Contact Email
r
Hassan Iqbal RSG H&S Manager 0568049867 Amjad.Pervaiz@RedSeaGlobal.com

Amjad Pervaiz RSG H&S Manager 0596206195 Hassan.Iqbal@RedSeaGlobal.com

Abdul Wajid Al Ayuni H&S Manager 0597945671 a.wajid@alayuni.com

Aravinth Kannan Al Ayuni Deputy H&S 0532285262 a.kannan@alayuni.com

Manager

Deceased Person Details

 Incident Date/Time: Monday, August 14, 2023 - 12:38 PM

 Name: MD ALTAP HOSSAIN

 Gender: Male

 Age: 37 years, 10 Months and 14 days

 Date of Birth: 1985 /11/21

 Marital Status: Married

 Children: Yes- 3 Daughters

 Nationality: Bangladesh

 Employer: Rukan Al-Tameer Company Limited (7009803623)

 IQAMA #: 2477615534

 Position/Trade: Employment contract lists him as “Labor”. His Iqama work visa is for “General
Worker”

 KSA Arrival and Employment Date: Rukan Al-Tameer Company Limited (7009803623) 21st
August 2021

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  AMAALA Project Arrival Date: 03rd August 2023, AMAALA Program 04, Triple Bay primary
Infra Project

 Cause/Time/Place of Death: 25th August 2023, 04:05 AM, Tabuk “Natural Death” as per MOI
Death Certificate.

 Date of Autopsy: No autopsy was conducted

 Repatriation Date/Accompanied Person Info: 11th September 2023/ Aktar Hosain Eakub Ali
(2255624799)

 Notification of Death to Family: AICC Site Manager contacted the family.

Brief Incident Overview

On 14 August 2023, at the Triple Bay Primary Infrastructure project sites i.e. Pump station 2,
Contractor (Al Ayuni) site clinic receives an emergency call regarding one worker complaining semi-
conscious and vomiting. Site emergency team attended the patient on site having high blood
pressure and vomiting.

Patient brought to Contractor site clinic and medical team contacted ISOS for assistance. ISOS team
attended the patient in site clinic and decided to take him to Central medical facility in Construction
village. The patient was diagnosed with hypertensive emergency, uncontrolled high blood pressure
235/110 with complication on the vital organs. Patient was stabilized onsite and referred to Al Wajh
Hospital as the activation of Helicopter was not approved due to weather conditions in Tabuk.

Patient was diagnosed with a stroke and was intubated and eventually went into a coma.

Patient was transferred to Tabuk, King Khalid Hospital. AICC was saddened to learn that the
employee had passed away on August 25.

AICC ensured that all the remains of the deceased were shifted to his home country and all the
financial compensation were made. Documented evidences were provided.

Immediate Actions Taken in Response to the Incident

 12:38 hrs. AICC male nurse received a call, from Road 02 SIPS 02, about a worker feeling
unconsciousness and vomiting.

 12:45 hrs. Male nurse arrived at the scene and attended the patient. Upon checking, it was
found out that his blood pressure was very high. AICC Male nurse brought the patient to
clinic.

 12:58 hrs. AICC male nurse called EOC and informed them about the patient and asked for
assistance.

 13:05 hrs. iSOS arrived and attended the patient and provided medical attention.

 13:28 hrs. iSOS left the AICC clinic and moved the patient to CMF for further medical
treatment.

Incident Classification
Primary: “Non-Occupational Death”
Cause of Death: Natural Death

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 SECTION - 2
PROJECT DESCRIPTION
2 PROJECT DESCRIPTION

Project: TB/Primary Infrastructure

Location: Triple Bay
Client: AMAALA

AICC is tasked to perform the construction of infrastructure

of 25-30km² site on the coast with three pristine bays
Project that shall include the construction of the following:

- Roadways, earthworks, signage, road markings,

kerbs, etc.
- Street Lighting including associated low voltage
power networks
- Primary and Secondary Irrigation network including
associated pump stations
- Potable Water Distribution network including
associated pump stations
- MV & LV Power Distribution Cabling and
Substations
- Sewerage Gravity and Rising Mains including
associated pump stations
- Telecommunications/ICT Containment Network
- Storm water Drainage including swales, chutes,
channels, cut-off drainage, and
Embankment protection
- Wadi Crossings including associated culverts
- All temporary works required to complete the
construction works of the project.
- General site clearance after obtaining all relevant
approvals.
Specifically, the activities include:

- Installation of temporary facilities.

- Site preparation involving excavation, backfilling,
compaction and levelling;
- In-situ concrete works mostly in aprons;
- Construction of asphalt-paved access road which

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 will connect the site from the main highway;
- Slot drainage systems in aprons and underground
GRP pipes for storm water evacuation;
- Storm water cut-off channel;

Project Site Location

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 SECTION - 3
INITIAL NOTIFICATION REPORT
3 INITIAL NOTIFICATION REPORT

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8
 SECTION - 4
POST INCIDENT REVIEW MEETING
4 POST INCIDENT REVIEW MEETING

In this instance, as there were no suspicious circumstances for Mr. Md. Altab Hossain's natural
death, a review meeting was held by Mr. Mohamed Farhan Abuseif to send his body to his home
country and get all his financial compensation from his employer “Rukan Al-Tameer Company
Limited (7009803623) “ .

The cause of death is recorded as brain death to ischemic stroke ‘Natural Death’ which was declared
following examination by King Fahad Specialist Hospital –Tabuk & Kingdom of Saudi Arabia Ministry
of Interior Civil Affairs Authority. This is a Non-Occupational related death.

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 SECTION – 5
INCIDENT TIMELINE
5 INCIDENT TIMELINE
Dated Time (hrs) Description
14-08-2023 12:38 hrs AICC male nurse received a call, from Road 02 SIPS 02, about a
worker feeling unconsciousness and vomiting.
14-08-2023 12:45 hrs Male nurse arrived at the scene and attended the patient. Upon
checking, it was found out that his blood pressure was very high.
AICC Male nurse brought the patient to clinic.
14-08-2023 12:58 hrs AICC male nurse called EOC and informed them about the patient
and asked for assistance.
14-08-2023 13:05 hrs iSOS arrived and attended the patient and provided medical attention.
14-08-2023 13:28 hrs iSOS left the AICC clinic and moved the patient to CMF for further
medical treatment .
14-08-2023 14:02 hrs Al-Wajh General hospital received the patient for the further
treatment
21-08-223 11.25 hrs Patient was shifted to King Fahad Specialist Hopital –Tabuk further
medical treatment
25-08-2023 04:05 hrs King Fahad Specialist Hopital –Tabuk declared patient Brain Death to
ischemic stroke "Natural Death "
25-08-2023 04:15 hrs Rukan Al-Tameer Management has collected the death notification
from King Fahad Specialist Hospital-Tabuk
04-09-2023 11:45 hrs Rukan Al-Tameer Management (HR) Contacted the embassy of
Bangladesh to undertake the earliest repatriation process per
deceased family consent
07/09/2023 09:00 hrs Rukan Al-Tameer has collected the death notification from KSA
Ministry of Interior Public Security Affairs Criminal Investigation
management Alhamra Police Station 1
11/09/2023 14:30 hrs Deceased body repatriated to Bangladesh

ISOS Case Update:

14-August-23:
 Mr. Mohamed Altap Hussain (Patient) is 38-year-old Bangladeshi male with no know history of
hypertension brought to the site clinic with high blood pressure 235/110 associated with altered mental
status and severe vomiting.
 The patient was diagnosed with hypertensive emergency, uncontrolled high blood pressure with
complication on the vital organs.
 The patient was stabilized onsite and an attempt to activate the helicopter came negative due to
weather conditions.
 The patient was transferred to Al Wajah Hospital, discrepancy from MERP, as this is a life-threatening
condition, and an immediate therapeutic intervention is prompted.
 The patient was intubated on arrival and underwent CT brain which excludes brain bleeding. The
patient admitted to ICU under close monitoring.

15-August-23
 Patient remains admitted at AlWajh Hospital.
 Patient was intubated and ventilated as his conscious level had dropped further but an urgent CT scan
did not show any acute hemorrhage.

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  Patient blood pressure improved on an infusion of blood pressure lowering medication, but he remains
on Ventilator.
 The plan of the hospital is to monitor him, repeat scan tomorrow and if unchanged stop the sedation to
and see if he can come off the Endotracheal tube tomorrow.

16-August-23:
 Patient in coma and remains on ventilator.
 Repeat CT today showed a posterior circulation stroke.
 Due to this his doctor at AlWajh has referred him to a higher center for more advanced monitoring and
care.
 Case update will be communicated when gets acceptance for the transfer via the Internal Saudi
escalation process.

17-August-23:
 Patient remains admitted to Al Wajh Hospital ICU in a critical condition.
 He is intubated and mechanically ventilated with severely depressed consciousness.
 The patient was diagnosed with a massive stroke to the brainstem and the prognosis is guarded.
 The request to transfer the patient to a higher facility came negative as the receiving advised that no
further treatment is indicated.
 The patient requires aggressive rehabilitation with close monitoring in a specialized center.

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 SECTION - 6
TABLE OF WITNESS INTERVIEWED
6 TABLE OF WITNESS INTERVIEWED

S. No Name Designation Employer Nationality

1 Naif Abdullah Paramedic AICC Saudi

2 Adam Mohamed Register Nurse AICC Sudan

3 Abdul Wajid H & S Manager AICC Pakistan

4 Alsid Foreman AICC Egypt

5 Sajid Ambulance Driver AICC Pakistan

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 SECTION - 7
INCIDENT EVIDENCE
7 INCIDENT EVIDENCE

Appendix - A DEATH INCIDENT NOTIFICATION

Appendix - B INITIAL INCIDENT REPORT
Appendix - C WITNESS STATEMENT
Appendix - D IQAMA AND PASSPORT COPY

Appendix - E INDUCTION RECORD

Appendix - F PROJECT ID CARD COPY

Appendix – G TIME SHEET

Appendix – H SALARY PAY SLIP

Appendix – I SITE CLINIC MEDICAL HISTORY
Appendix – J PERSONNEL ACTION FORM
KING FAHAD SPECIALIST HOSPITAL –TABUK MEDICAL CERTIFICATE & DEATH
Appendix – K
NOTIFICATION FORM
Appendix – L BUPA INSURANCE
Appendix – M SAUDI WORK HISTORY / MUQEEM
Appendix - N CAMP ACCOMMODATION RECORD
Appendix - O FAMILY PROOF DETAILS
Appendix - P BANK DECLARATION LETTER FROM MD ALTP WIFE
NOC LETTER FROM CONSULATE GENERAL OF THE PEOPLE’S REPUBLIC OF
Appendix – Q
BANGLADESH,JEDDAH
Appendix – R DEATH CERTIFICATE FROM MINISTRY OF INTERIOR

Appendix – S MAKTAB AMAL

Appendix - T FINAL EXIT VISA
PAYMENT SUMMARY- END OF SERVICE BENEFIT
Appendix - U
MINISTRY OF HEALTH- FORENSIC LAB REPORT
Appendix -V

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 DEATH CERTIFICATE ATTESTED AND STAMPED BY CONSULATE GENERAL OF
Appendix -W
THE PEOPLE’S REPUBLIC OF BANGLADESH,JEDDAH -KSA
Appendix -X AIR WAY BILL FOR AIR CARGO SERVICES
Appendix -Y TERMINAL COFFIN HANDLING
KSA MINISTRY OF INTERIROR PUBLIC SECURITY AFFAIRS CRIMINAL
Appendix -Z
INVESTIGATION MANAGEMENT ALHAMRA POLICE STATION
Appendix - AA PERMISSION FOR BURYING OUTISDE THE KINGDOM

SECTION – 8
FINAL INVESTIGATION REPORT
8 FINAL INVESTIGATION REPORT

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Medical History:

The site's first aid clinic didn't record any medical history/visits by the deceased employee during his
stay at the project.

Medical Response:
Medical Diagnosis:
First Aid Given?
First Aider:
Treatment Given:
Employee Taken to the Hospital?
Transportation Method
Name of Hospital
Other Response Activities:
Has counselling been
scheduled/provided to workers
affected by incident?
Counselling details
Employee was diagnosed having a stroke and was intubated
eventually falling into a coma
Yes, Witness statement was attached
AICC
Transferred to hospital for immediate care
Yes
ISOS Ambulance
Al Wajh General Hospital, KSA.
Yes
Note: For motivating the workforce, AICC management
conducted an effective briefing session: This meeting attempts
to eliminate nervousness, give comfort and support, identify
and evaluate emotional consequences, refer employees to
extra mental health services as needed, and ensure follow-up
care.

Counselling provided by Asst PD/PM, HSM

Have all payments (Insurance, Yes
Diya, Salary, Contributions) been
settled?
Provide specific details of all  End of Services Amount: 7502/-SAR transferred to Embassy
payments and amounts of Bangladesh for distribution according to shariah Law
Death Certificate Obtained? Yes. Attached Incident Investigation Appendices- APPENDIX – R
Police clearance and NOC Yes. Attached Incident Investigation Appendices- APPENDIX – Z
obtained for repatriation of
deceased?
Flight details obtained for Yes. Attached Appendices- APPENDIX – X & Y
repatriation of deceased?
Deceased has been repatriated to Yes
native country/family?

SECTION – 9
ADDITIONAL CONCERNS ARISING OUT
OF THE INVESTIGATION
9 ADDITIONAL CONCERNS ARISING OUT OF INVESTIGATION

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  Investigation found there a basic medical examination is usually conducted for all new
workers at the project site to check the employee's health, but some of sub contractor's
employees did not receive this basic medical examination.

SECTION – 10
POSITIVE ASPECTS OF PERFORMANCE

10 POSITIVE ASPECTS OF PERFORMANCE

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  AICC dedicated a senior-level Administration team to formalize the repatriation process at its
earliest to address the genuine grievances of the deceased family.

 Emergency response process initiated from the contractor through the EOC to ISOS was
found to be positive in reference to response times and care provided.

SECTION – 11
CORRECTIVE ACTIONS

11 CORRECTIVE ACTIONS

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 Target Actual
Ite Responsible
Corrective Action Completion Completion Verified by
m# Person
Date Date
Implement a baseline pre-screening for all AICC PM/HSE/
1 08/25/2023 In Progress Abdul Waji
workers at AMAALA triple Bay project. Medical Team
First Aid and CPR training to be
AICC H&S
2 conducted for AICC Key Staff 09/28/2023 Closed ABDUL WAJ
Manager
For motivating the workforce, AICC
management conducted an effective
briefing session: This meeting attempts to
eliminate nervousness, give comfort and AICC PD/ Mohamed
3 08/26/2023 Closed
support, identify, and evaluate emotional PM/HSE Farhan Abus
consequences, refer employees to extra
mental health services as needed, and
ensure follow-up care.
RSG staff,
Lesson learnt from the incident was
AICC H&S and
4 communicated from the Contractor to all 09/09/2023 Closed Abdul Waji
senior AICC
workers through mass TBT
management.

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