HSE Incident and Near Miss Analysis
HSE Incident and Near Miss Analysis
TARGET Cards submitted TARGET Score Total Near Misses Hours worked Total Incident Count Hours worked Peruvian Law OSHA Rates
40% TRIR
1
27% 26% 29%
25% 10 0.2M
0.2M 5
18% 16%
500 16%
20%
7% 21%
24% 5 0.1M
Total Recordables 0.14
15%
11% 3 5 3 3 7 9 5 9 5 4 2 2 4 3 7 3 2 4 2
0 0% 0 0.0M 0 0.0M MTIR
Jan-22
Feb-22
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Jan-22
Feb-22
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Dec-22
Jan-22
Feb-22
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Dec-22
0
Medical Treatment
0.00
% at Risk NM-GC / Injury Ratio # Incidents by Incident Type
RWDIR
1
Property Da… 17
5% 9
3.9%
5.1% First Aid 10
8 Restricted Duty
2.5% 2.6% 2.8%
2.3%
2.8%
Information … 5
0.14
2.1%
2.8% Vehicle Acci… 3
2.2% 2.2% LTIR
1.8% 1.8%
0
1.6% Goal: 6 Injury 1
0% 6
Security 1
Jan-22
Feb-22
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Dec-22
Jan-23
Jan-22
Feb-22
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Dec-22
Jan-23
Lost Time
Spill 1 0.00
1.8% 1.8%
2.2% 2.2%
1.8%
92,289 2,110
0 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3
2 2
-2 b-2 ar-2
2
r
2 2 2 2 2 2 2 2 2 3 3
-2 y-2 n-2 ul-2 g-2 p-2 ct-2 v-2 c-2 n-2 b-2 ar-2
3
n-2 b-2 ar-2 r-2 y-2 n-2 ul-2 g-2 p-2 ct-2 v-2 c-2 n-2 b-2 ar-2 # of Total Obs # At Risk Obs
Ja n
Fe M Ap Ma Ju J Au Se O No De Ja Fe M Ja Fe M Ap Ma Ju J Au Se O No De Ja Fe M
At Risk Occurrence - Card Title Which Questions resulted in the At Risk condition/behavior?
Observation_Name % At # At Risk # of At # of Total Question # At Risk %GT # At
Risk Obs Risk Cards Cards Obs Risk Obs
Crane / Hoist Lifting 5.7% 13 4 19 Did worker wear proper fitting eye protection? 74 3.5%
COVID-19 COMPLIANCE 5.6% 174 75 281 Is the barricade tagged on all sides? 61 2.9%
Housekeeping 5.0% 202 76 365 Is the barricade tag complete? 48 2.3%
Truck Loading 3.7% 10 5 27 Is worker wearing appropriate gloves for the work performed? 46 2.2%
Manual Lifting 3.6% 133 59 311 Is the work area clean and orderly? 44 2.1%
Barricades 3.3% 257 86 866 Are workers wearing face coverings properly (covering mouth and nose loops secured 38 1.8%
Fall Protection 3.2% 130 51 406 behind the ears)?
PPE 3.2% 132 73 416 Is work area cleaned up and all waste disposed of in the correct manner? 38 1.8%
Equipment / Human Interface 3.1% 2 2 5 Did worker know the weight before lifting load? 37 1.8%
Working at Height 3.0% 124 50 317 Is the barricade installed properly i.e. fully encloses affected work area? 37 1.8%
Offi A 2 7% 16 10 54
Total 2.3% 2,110 1,054 8,422 Total 2,110 100.0%
82
1/1/2022 3/31/2023
Total Near Misses by MonthYear NM-GC / Injury Ratio
9 Total Near Misses
14
9
Case Number HiPo Date What Happened Corrective Action Text (Pipe Delimited)
2022-021 N 1/5/22 During normal operation the electrical power to Unit 400 was Review incident with O&M personnel | Review alarm and shutdown subroutines in ALLEN BRADLEY
interrupted in Generator 400-TG-2911D due to excessive PLC for the remaining generators 400-TG-2911A/B/C and make the necessary corrections if needed
detonation in the cylinders. | Review alarm and shutdown subroutines in generator 400-TG-2911D.ALLEN BRADLEY PLC |
Replacement of 12 spark plugs in 400-TG-2911D Generator | Generador 400-TG-2911-D remained
offline and was scheduled for maintenance. | Operator coordinated to resume power with
Generator 400-TG-2911-A |
2022-022 N 1/12/22 A subcontractor´s scaffold crew was modifying a scaffold Ensure that revised procedure has been reviewed with all subcontractor´s personnel. | Conduct a
structure on the top of sphere T-1 when a 6-foot long scaffold Site-wide Safety Standown to review incident and reinforce the importance to assess risks of
ledger fell approximately 78 feet (26 meters) into the barricaded scaffold erection. | Review incident with involved personnel. | Revise procedure to include measures
area below. The scaffold helper had placed the ledger on the to secure and store materials in elevated work areas. | IMMEDIATE ACTION: Supervision conducted
surface of the dome resulting in the ledger rolling off the sphere. a Standown with subcontractor personnel. | IMMEDIATE ACTION: Supervision held a meeting to
review the incident with involved and affected personel. |
2022-034 N 1/18/22 During normal operation the power supply to Unit 400 was Issue and review HSE Lessons Learned with O&M personnel. | Run air cooling fans during rainy
i t t di G t 400 TG 2911 C d t hi h d f 2 ti h d d th ti i th d il t | I t ll ti f i
Case Date of Incident Site/Client Classification Incident Type Classification Employee Brief Description Corrective
Number Peruvian Law Last Name
2022-036 Sunday, January 23, 2022 PERU LNG N/A Property Non Injury/Illness A crane operator was setting a vertical mooring Revise Method Statem
Damage Incident Type unit onto its base in the jetty when the load monitoring parameters
swang coming in contact with a control panel short alignment pins a
causing it to dislodge off the base and fall to equipment from the ba
the floor. | Conduct a meeting w
the lift, to review the in
learned. | Supervisor to
crew. |
2022-041 Tuesday, January 25, 2022 PERU LNG N/A Property Non Injury/Illness A mechanic crew had connected the barge´s Discuss incident with p
Damage Incident Type line to Breasting Dolphin #2 quick release VSTs lifting maneuvers
mooring hook in the jetty, and as the line was lifting maneuver, navig
being tensioned the hook swang outwards anchoring and mooring
causing damage to its stopper. VST's. | Supervision to
involved personnel | IM
3449
k) OL A G E… S
Bla
n
PS LIM LN O P LGA
( RE RU TR SO
PE PE
# CA closed
84.0% 50% 26.2 502.9
200 Closed late Open Overdue
132
100
On Time Overdue
215 22 21 16 0 0%
Corrective Action key word search
# CA open 192 1
Search
20-Q1
20-Q2
20-Q3
20-Q4
21-Q1
21-Q2
21-Q3
21-Q4
22-Q1
22-Q2
22-Q3
22-Q4
23-Q1
23-Q2
0
0-30d 31-90d 91-180d 91-180d +180d
554015523 - SYNCRUDE BU PROJECTS A specific JSA will be developed for moving/carrying material with focus on manual handling of ma… 2020-973 ADAM BELLETT 9/9/2020 9
APT0051 - Villa El Salvador Workshop/Ware… Access to the area was restricted and Site manager was informed about the incident 2022-969 MARTIN JARA 12/5/2022 1
501178 - WEC 0233 Repairs To Tanks 2,4 - Discuss with all employees the lessons learned regarding the near miss. - Better communication be… 2021-746 UNKNOWN 6/28/2021 6
155003262 - PERU LNG - Ethane Recovery Uni IMMEDIATE ACTION: Supervision held a meeting with crew on the importance of safe storage of to… 2021-966 FRANKLIN MORAN 8/26/2021 8
554196394 - SUNCOR 2020 SPRING TURNA… Supervision contacted the client and one was installed. 2020-668 Chad Wouters 6/8/2020 6
155003262 - PERU LNG - Ethane Recovery Uni Supervision held a meeting with work crew to review incident and reinforce the requirement to ens… 2021-1238 KENYI MITSUTA 11/18/2021 11
155605001 - PlusPetrol-Pisco Base Load Supervision held a meeting with work crew to review incident. 2021-503 WILLIAM OJEDA 4/23/2021 4
554023189 - Suncor Fall 2022 Turnaround The correct style of shackle was brought to the work front and swapped out. reviewed great catch a… 2022-608 TESS CALHOUN 8/9/2022 8
554018958 - Suncor Spring 2022 TA The disc was removed from the area and placed in a Kuney Bag 2022-441 Chad Wouters 6/3/2022 6
554012066 - SUNCOR FALL 2021 TURNARO… The employee contacted a forklift operator and placed a steel plate over it preventing tripping haza… 2021-1127 Chad Wouters 10/23/2021 10
# Incidents by date
74 Unsafe Acts Personal Factors Job Factors MS Failures
Incidents Count 11 11
10 13
8
Date of Incident 6
7 By Safety Management System Failure
5
4
1/1/2019 9/8/2021 3 3 3
5.41%
0 9.46%
-Q1 -Q2 -Q3 -Q4 -Q1 -Q2 -Q3 -Q4 -Q1 -Q2 -Q3
19 19 19 19 20 20 20 20 21 21 21
Inadequate Supervision …
# Incidents by classification # Incidents by Site/Client
9.46%
N/A
(Blank)
Non-Doctor's First… 55 50
56
Doctor's First Aid 11 59.46% Cutting Corners
Medical Only (Rec… 4 11 16.22% Poor Workplace Training
4 2 1
Restricted Duty (R… 4 0
Case Site/Client Work Location Date Of Unsafe Act Unsafe Condition Personal Factors
Number Incident
2019-144 155605003 - Malvinas Base Load 2/3/2019 Failure to identify hazard or risk Slippery Floors or walkways Inattention
2019-172 155605001 - Pisco Base Load 2/5/2019 Improper method of performing job Improper Body Position Lack of knowledge/skill for task
2019-281 155605001 - Pisco Base Load 2/20/2019 Improper body mechanics or position for task Improper Body Position Inattention
2019-311 155605001 - Pisco Base Load 2/26/2019 Inattention/Lack of awareness Action of Fellow Associate Inattention
2019-332 155605003 - Malvinas Base Load 3/1/2019 Failure to identify hazard or risk Inexperience Poor Judgment
2019-348 155605003 - Malvinas Base Load 3/6/2019 Failure to identify hazard or risk Congested or Restricted Work Area Poor Judgment
2019-455 155605003 - Malvinas Base Load 3/16/2019 Failure to identify hazard or risk Slippery Floors or walkways Inattention
2019 512 155605003 Malvinas Base Load 3/23/2019 Failure to identify hazard or risk Action of Fellow Associate Inattention