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    Incident Report, Underground Pipe

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    Salim Muftah
    An excavator accidentally hit and broke an underground water supply line during excavation work for a new construction camp, causing a large water leak. The incident occurred because proper safety protocols were not followed - no work permit was obtained, there was a lack of supervision, and no safety representative was present on site. The excavation work was postponed in response to the accident.

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    Incident Report, Underground Pipe

    Uploaded by

    Salim Muftah
    84 views1 page
    An excavator accidentally hit and broke an underground water supply line during excavation work for a new construction camp, causing a large water leak. The incident occurred because proper safety protocols were not followed - no work permit was obtained, there was a lack of supervision, and no safety representative was present on site. The excavation work was postponed in response to the accident.

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    Incident Report , Underground Pipe

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    An excavator accidentally hit and broke an underground water supply line during excavation work for a new construction camp, causing a large water leak. The incident occurred because proper safety protocols were not followed - no work permit was obtained, there was a lack of supervision, and no safety representative was present on site. The excavation work was postponed in response to the accident.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    84 views1 page

    Incident Report, Underground Pipe

    Uploaded by

    Salim Muftah
    An excavator accidentally hit and broke an underground water supply line during excavation work for a new construction camp, causing a large water leak. The incident occurred because proper safety protocols were not followed - no work permit was obtained, there was a lack of supervision, and no safety representative was present on site. The excavation work was postponed in response to the accident.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 1

    REPORT of INJURY

    INCIDENT SEVERITY: 2 P E A
    2 HQ / SUBSIDIARY:

    IMPACTED ELEMENT:
    Bonati contractor company
    FUNCTION AND DEPT. INJURED PERSON
    NAME SURNAME A) JOB WAREHOUSE WORKER ELECTRICAL MAINT. MECHANICAL MAINT. INSTRUMENTATION MAINT. LABORATORY PERSONNEL
    OFFICE PERSON MARINE CREW

    1
    JOB CENTER

    COMPANY

    EVENT LOCATION EVENT N

    Bonati new camp construction


    in case of INJURY in ITINERE YES TIME NO

    REGISTRATION AGE HIRED in YEAR JOB SENIORITY

    2013-INC-004

    WIRE- LINE PERSON.- W/O MANAGEMENT SUPERVISOR TECHNICIAN VISITOR DRIVER OTHER (Specify)

    INCIDENT DATE

    22 /04/2013

    15:30 AM

    ABANDONMENT DATE WORK SHIFT 1 2 ACTIVITY COVERED by WORK PERMIT / RISK ASSESSMENTYES
    3 D

    NO Excavator machine hit and broke down the EVENT DESCRIPTION underground water supply line to the JTS, Agip camps Today 22nd of April at approximately 4 pm the Bonati group start performing the excavation activities to install the fence posts all around their a new camp location accidently while using of the caused a huge water leak. excavator machine the operator hit and broke down the underground water supply line to the JTS, Agip camps caused a huge water leakage on all area around leakage on all area around

    PRODUCTION PERSON.

    B) EVENT LOCATION GAS / OIL PLANT DRILLING SITE CONSTRUCTION SITE PRODUCTION PTF. DRILLING PTF. PTF. IN CONSTRUCTION
    MAIN OFFICE

    ROAD WELL SUPPLY BASE OTHER (Specify)

    near to MAN camp


    G) TREATMENT SITE COMPANY SURGERY EXTERN. MEDICAL SURG. HOSPITAL

    C) EVENT SITE WELL HEAD AREA PROCESS PLANT TANK AREA RIG FLOOR YARD WORKSHOP INSTRUMENTAL/CHEM. LAB. ELET: CAB/CONTROL ROOM WAREHOUSE KITCHEN/QUARTERS OFFICE OWN VEHICLE COMPANY VEHICLE PIER THIRD PARTY VEHICLE OTHER (Specify)

    D) ACCIDENT TYPE E) CONTINGENT EVENT COLLISION WITH FALL of OBJECTS ELECTRICAL EQUIPMENT HIT BY OBJ. IMPROPERLY PLACED WELDING/CUTTING CRUSHED BY HAND TOOLS ADVERSE WEATHER RUN OVER BY ... MATERIALS HANDLING WHEELS, DRILLS, LATHES CUT INSTRUMENT MAINTEN. VEHICLES/EQUIPMENT EXCESSIVE PHISICAL STRAIN DESCEND from VEHICLES WORKING SURFACE/FLOOR FLAT FALL OPERATIONS in ELEVAT. ROAD ACCIDENT FALL FROM HEIGHT STAIRS & SCAFFOLDING ROAD CONDITIONS SLIPPED / TRIPPED TRANSFERRING FLUIDS OTHER (Specify) INHAL, INGEST, ABSORB. TRANSFERRING PEOPLE CONTACT DANGEROUS SUBST. CONTACT H/L TEMP. F) INCIDENT TYPE ELECTROCUTION FIRE PLANE CRASH ON BOARD / DRIVING... EXPLOSION NAVAL ACCIDENT OTHER (Specify) TOXIC SUBSTANCES RELEASE TRIPS/SLIPS AND FALLS STRUCTURES COLLAPSE OTHER (Specify) SPILL/DISCHARGED OTHER (Specify)

    underground pipe hited while excavatoin activity


    RESPIRATORY SYSTEM CARDIO VASC. SYSTEM DIGESTIVE SYSTEM MULTIPLE HEAD/LIMBS MULTIPLE HEAD/CHEST MULTIPLE CHEST/LIMBS MULTIPLE UPP/LOW LIMBS OTHER (Specify) I) INJURIES TYPE WOUNDS ABRASIONS BRIUSES and CRUSHING DISLOCATION, SPRAIN, STRAIN BACKLASH FRACTURE / INFRACTION CONCUSSION/ INTERNAL TRAUMA STRAIN INJURY MULTIPLE INJURIES FATAL ACCIDENT CASE INJURIES from FOREIGN BODIES/SUBST. INJURIES from HEAT/COLD INTOXICATION AMPUTATION ELECTROCUTION IONIZING RADIATION SUFFOCATION / DROWNING MEDICAL TREATMENT CASE OTHER (Specify)

    H) INJURIES LOCATION HEAD HAND/WRIST/FINGER FACE BACK/SPINAL COL. EYE ARM/SHOULDER EAR FOOT/ANKLE NOSE CHEST REGION MOUTH LUMBAR-SACRAL REGION NECK ABDOMINAL REGION LEG GROIN

    REMARKS

    The excavation activities have been postponed due to:1-No work permit has been applied for these activities 2- Lack of supervision 3- No safety representative in the location for Bonati contractor

    WITNESSES

    WORKING TEAM OCCASIONAL


    Naji Elmari

    / /
    HSEQ

    Signature Signature

    / / SUPERVISOR

    INJURED PERSON Signature (if possible)

    REPORT COMPILER

    DIAGNOSIS

    FIRST PROGNOSIS

    DEPARTMENT MANAGER HSE REPRESENTATIVE SUBSIDIARY GEN. MANAGER REPORT COMPILATION DATE
    Naji Elmari
    Massimo Vergani 23/04/2013

    Signature Signature Signature

    MOG-HSEQ-F-085 Rev A4 Accident/Incident

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