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CONSTRUCTION AND COMPLETION OF LIGHT RAIL TRANSIT LINE 3 (LRT 3)

FROM BANDAR UTAMA TO JOHAN SETIA

WAWASAN DENGKIL SDN. BHD.

PACKAGE GS05 – CONSTRUCTION AND COMPLETION OF GUIDEWAY, STATIONS, PARK


AND RIDES, ANCILLARY, BULDINGS AND OTHER ASSOCIATED WORKS PACKAGE GS05
FOR CONSTRUCTION AND COMPLETION OF LIGHT RAIL TRANSIT LINES 3 (LRT3) FROM
BANDAR UTAMA TO JOHAN SETIA

ABNORMAL EVENTS NOTIFICATION, INVESTIGATION &


REPORTING
FINAL INCIDENT REPORT
DAMAGED AIR SELANGOR’S WATER PIPE AT STN 14 ENT 2

Reference No. : KVLRT3-WISB-GS05-ESH-REP-000002

Revision 00

Date Issued : 10 January 2024

PREPARED BY: REVIEWED BY: APPROVED BY:

MOHD RIDUWAN BIN YUNOS MOHAMMAD ZUHAYR BIN JIWA FONG KAM HENG

SAFETY & HEALTH OFFICER DEPUTY PROJECT MANAGER PROJECT MANAGER


10 JANUARY 2024 10 JANUARY 2024 10 January 2024
ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
FINAL INCIDENT REPORT
DAMAGED AIR SELANGOR’S WATER PIPE AT STN 14 ENT 2
Document No. KVLRT3-WISB-GS05-ESH-REP-000002
Revision No. 00 Rev. Date 10 January 2024

REVISION HISTORY
Rev. No. Revision Details Rev. Date
00 Abnormal Events Notification, Investigation & Reporting Final 10/1/2024
Incident Report – Damaged Air Selangor’s Water Pipe at
STATION 14 Entrance 2

Wawasan Dengkil Sdn. Bhd. 2


ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

EXECUTIVE SUMMARY

1. Incident Briefing – Asbestos Cement A/C Water pipe


On 5th of January 2024, Wawasan Dengkil was carrying out works to backfill ground beam at
Station 14 Entrance 2 to be handed over to Wai Tat for RC works. The work was carried out by
the operator based on instructions given by Mr. Lee Jih Way, WD Supervisor in charge of
Station 14 Entrance 2. At around 1:50 pm, The excavator bucket hit the Asbestos Cement (A/C)
Water Pipe besides Federal Highway at the depth of 1 meter while carrying out soil excavation
for backfilling of the ground beam which has already been casted. The strike caused damage to
the Asbestos Cement water pipe and causing it to leak. This is due to no proper communication
between the Operator and PIC on the works to be carried out. When told to backfill the operator
carried out soil excavation works to backfill the said area instead of using the soil provided by
WD for backfilling works. The work was immediately stopped, and the incident was reported by
WD Supervisor to WD Safety and Health Department. The incident was then notified to Air
Selangor by WD Project Manager. Air Selangor then sent their appointed Contractor to site for
further investigation and rectification works. Air Selangor appointed contractor arrived on site at
2000 hours on 5th January 2024 to investigate regarding the incident and immediately carried out
rectifications works accompanied by WD PIC on site. Damaged Asbestos Cement A/C water
pipe rectified at 0500 on the 6th of January 2024.

2. Initial Findings

i) Daily Toolbox and Pre-Task Briefing was carried out prior to commencement of work.

ii) PTW and supervision by PIC was available.

iii) Poor coordination of work by PIC

iv) No proper communication established between PIC and operator.

3. Investigation Findings

Incident Cause

Immediate Cause

 The operator did not use the soil provided for backfilling but instead excavated the soil
next to the ground beam to backfill.

Contribution Factors

 There was no proper communication established between PIC and Operator

 Utilities information was not provided to the PIC and Operator which resulted in the
operator hitting the existing Asbestos Cement (A/C) Water pipe (525 mm) that was 1

Wawasan Dengkil Sdn. Bhd. 3


ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

meter below the ground.

Root Cause

 The work was not supervised by a designated person.

 Banksman was not provided for the backfilling works.

 Information on nearby utilities not provided.

Conclusion

1. The PIC did not consider the importance of supervision as he failed to fully supervise the
backfilling works at Station 14 Entrance 2.

2. The operator took a shortcut and excavated the location where the existing Asbestos Cement
(A/C) Water Pipe were without having the complete information on the existing utilities layout at
site.

3. No clear communication between the Operator and PIC on the works to be carried out.

Wawasan Dengkil Sdn. Bhd. 4


ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

Part 2 – Notification and Initial Details

Report Reference No. KVLRT3-WISB-GS05-ESH-REP-000002

Work Package Contractor Mill Mix / WDSB Description of activity Excavation to backfill casted
Ground Beam area
Package GS05 Location Station 14 Entrance 12

Confirmed Details of the Event

Classification of Event. Tick at which apply


X1: Fatality 2: LTI- 3: LTI- 4: 5: Major
Permanent Temporary Dangerous Environmental
disability disability Occurrence Incident
5A: Minor 6: 7: Medical Treatment 8: First Aid 9: Motor
Environmental Occupational Vehicle
incident Poisoning/diseas Accident
e) (MVA)
9A: Traffic 10: Property Damage 10A: Others 11: Near Miss 12: Security
Accident
– Not related to
construction
activity.
Actual Severity NM 1 2 3 4 5 Worst Potential Severity 1 2 3 4 5

General Information

Weather Conditions (temperature, humidity, wind etc): Good


Lighting/ Visibility: Good

Details of the Event

The EVENT

AS PER THE DETAILS IN PAGE 3

TIME EVENT
Clarification Of Scope of Work
a) WD was appointed for excavation and backfilling works for entrance 2 Station 14
b) Wai Tat was appointed to carry out RC works at entrance 2 Station 14.
Chronology of Incident (Pipe Burst at Station 14 Entrance 2)
05/01/2024 @ 1145 Wai Tat informed Mr. Lee Jih Way WD Site Supervisor
Wawasan Dengkil Sdn. Bhd. 5 over to
that the ground beam has been casted and handed
WD for back filling works.
05/01/2024@ 1300 PTT talk was conducted by Site Safety Supervisor Mr.
ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

IMMEDIATE ACTION

1. WD stopped all ground beam backfilling works at Station 14 entrance 2.


2. WD cordoned off the affected area.
3. WD submitted Initial Incident Report
4. WD immediately notified the incident to AIS (Air Selangor)

6/1/2024 8.00 p.m.


Air Selangor contractor arrived at the scene, and further inspection was carried out. It was found that the water pipe
involved was 525 mm in size, and the damage was at the water pipe joint. The main valve for the damaged water pipe
joint was closed by Air Selangor, to prevent overflowing so that the appointed contractor from Air Selangor can proceed
with the patching works. The Patching work on the damaged water pipe was rectified at 5.00am on 7/1/2024. (Photo
attached)

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ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

Wawasan Dengkil Sdn. Bhd. 7


ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

Witnesses

Name Occupation Employer Witness Statement provided


Saravana Kumar A/L Selvadurai Plant & Machinery WDSB
Inspector

General Information

Asphyxiation Amputation Burn / Scald Concussion


Contusion / Brusing Crush / Trap Injury Dislocation Electric Shock
Effects of Weather Foreign Body Fracture Ill Health
Ingestion Internal Injuries Jolt / Jar Loss of Consciousness
Loss of Sight Multiple Injuries Open wound/Laceration None
Poisoning Shock / Trauma Sprains / Strains Other (list below)
Other: Air Selangor’s property damage

Causes of the Event

Immediate Causes (i.e. what unsafe act or condition led to the event such as weather, plant and equipment, competency etc.).

The operator did not use the soil provided for backfilling but instead excavated the soil next to the
ground beam to backfill.

Underlying/ Root Causes (personal or job factors);

AS PER DETAILS IN PAGE 3

The contractors fail to comply Clause:

OSHA 1994 SECTION 15

It shall be the duty of every employer and self-employed person to ensure as far as practicable, the
safety, health, and welfare of all his workers.

5.1 Contractor’s General Safety Health Obligations

a) Responsibility: The WPC shall have full responsibility for the management and control of all safety
and health matters on the Site and may not delegate that responsibility not withstanding any approved
sub-contracting arrangements. The responsibility includes the safety and health of all persons working
on or visiting the Site including WPC of all levels, Other Works Contractors entitled to be on the Site and
the protection of the public in the vicinity of the Site who may be affected by the Works. The WPC shall
ensure that all workers employed are fully conversant with the safety and health requirements.

5.17.1 Excavations
h) Excavation preparation Check List.

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ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

vi) Suitably competent (sub-contractor) supervision and labour are available.

Remedial Action to Prevent a Reoccurrence (what has been done


to control/the causes?)
No Recommendation Person Responsible Due Date
1 Coordination meeting among contractors to be made Wai Tatt Engineering Immediate
before proceeding work

2 PIC to check utilities mapping drawing before Wawasan Dengkil Immedaite


commencement of work

3 One full time general worker to standby for every Wawasan Dengkil Immediate
excavation work.

4 To ensure area of excavation is free from any utilities Wawasan Dengkil Ongoing

5 Provide trained banksman for all excavation activites Wawasan Dengkil Immediate

6 To carry out piloting before any excavation activities Relevant WPC Immedaite

Name of Person Completing the Report:


Mohd Riduwan Bin Yunos
Position:
Safety and Health Officer

Signature:

Date:
10/1/2024

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ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

Appendix G – Witness Statement (Template)

Date of Incident: 5/1/2024 Time of Incident: 1.50 p.m.

Location of Incident: Station 14 Entrance 2

Accident / Incident Involving: Asbestos Cement (A/C) Water Pipe Burst


Injury Type: Nil

Witness Name: Saravana Kumar A/L Selvadurai Job Title: Plant & Machinery Inspector

Witness Address: B1-22-11, Beverly Tower, Plaza Medan Putra, Jalan Medan Putra 6, Bandar Menjalara,
52200 Kepong, Kuala Lumpur.

Name of Company: Wawasan Dengkil Sdn. Bhd.

Statement:

On the 5th of January 2024 which was on Friday. I was on duty and had received a notification at around 2.00
p.m. regarding Air Selangor pipe burst at Station 14 Entrance 2. I proceed to the area immediately. On site, I
had obtained information that backfilling for ground beam works at Station 14 Entrance 2 work was ongoing,
the excavator used was WD's excavator.

Signature: Date: 10/1/2024

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ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

Appendix H – Incident Register


Form No. KVLRT3/SULRT3/ESH/REGIS
Revision 03
INCIDENT REGISTER
Issue date 18 June 2018
Page Page 39 of 40

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ABNORMAL EVENTS NOTIFICATION, INVESTIGATION & REPORTING
Document No. KVLRT3-MRCBGK-GEN-ESH-PRO-000009
Revision No. 09 Rev. Date 28 August 2023

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