includes unbiased, prompt and accurate incident investigations. The basic
purpose ... will be thoroughly investigated utilizing the Taproot investigation
process.
Ardent Services, LLC
Page 1 of 4
Safety Manual
Document No.:
Incident Investigation Program
O-SS-SPP-0038 Safety Manual Sect:
E.2
Revision:
4
Rel. Date:
Oct 2012
Last Review:
March 2016
1.0 Purpose
Incident prevention and control of hazards is the result of a well-designed and executed HSE program. One of the keys to a successful program includes unbiased, prompt and accurate incident investigations. The basic purpose of these investigations is to determine measures that can be taken to prevent similar incidents in the future. This section addresses: o Ardent Policy o Management Responsibilities o Hazard Control o Role of Supervisors o Investigation Procedures
2.0 Policy
It is the policy of Ardent Services that investigation of all work related incidents, injuries and illnesses are to be conducted in a professional manner to identify probable causes and are used to develop specific management actions for the prevention of future incidents. Each incident will be investigated to the appropriate level with regard to the incident severity. o Near miss incidents and minor first aid cases will be investigated by on site supervision with participation from involved employees to determine general cause of incident and determine applicable corrections to be applied. o Incidents that have the potential to result in serious safety or environmental consequences shall be investigated using the Tap Root Investigation Process. All incident investigations shall be conducted by personnel knowledgeable in investigation techniques, processes involved, and other relevant specialties to the operation. The incident investigation process shall address all of the following components: o The nature of the incident o Human and/or other contributing factors leading to the incident o Recommended changes identified as a result of the investigation
3.0 Responsibilities 3.1.
Management
Oversee all necessary medical care for injured workers or escort injured employees’ to appropriate medical facility if required.
Conduct incident prevention and investigation training for supervisors.
Ardent Services, LLC
Page 2 of 4
Safety Manual
Document No.:
Incident Investigation Program
O-SS-SPP-0038 Safety Manual Sect:
E.2
Revision:
4
Rel. Date:
Oct 2012
Last Review:
March 2016
Ensure all incidents and injuries are properly investigated.
Ensure immediate and long term corrective actions are taken to prevent reoccurrence.
Maintain incident, injury and illness reports permanently on file.
Provide all necessary equipment and resources to investigators.
Communicate all investigation findings and corrective actions to all ardent employees via a Safety Alert document.
3.2.
Supervisors
Provide First Aid for any injured persons.
Eliminate or control hazards.
Take action to protect people and property from secondary effects of incidents.
Conduct immediate initial incident investigations.
Report all incidents to management as soon after the event as possible.
Collect and preserve all evidence that may be useful in an investigation.
Conduct interviews of witnesses in a polite professional manner.
Document incident scene information to determine the cause
3.3. Field Safety Personnel In the event the project has assigned Field Safety Personnel they will perform the duties listed in Section 3.2 and Section 5. 3.4.
Employees
Immediately report all incidents & injuries to their supervisor
Assist as requested in all incident investigations
Report all hazardous conditions and incidents involving near-misses to supervisors
For injured employees working independently without direct supervision, such as on an offshore platform, the operations manager responsible for the affected employee will be responsible for initiating the investigation process or appointing someone to initiate the process.
Ardent Services, LLC
Page 3 of 4
Safety Manual
Document No.:
Incident Investigation Program
O-SS-SPP-0038 Safety Manual Sect:
E.2
Revision:
4
Rel. Date:
Oct 2012
Last Review:
March 2016
4.0 Initial Investigation Procedures
The initial investigation has three purposes: o Prevent further possible injury or property damage o Collect facts about the incident o Collect and preserve evidence
4.1.
Steps
Secure the area. Do not disturb the scene unless a hazard exists.
Prepare the necessary sketches and photographs. Label each carefully and keep accurate records. List all equipment and materials involved.
Record conditions such as weather, temperature, illumination, noise, ventilation
Interview each victim and witness and interview those who were present before the incident and those who arrived at the site shortly after the incident. Keep accurate records of each interview. Use a tape recorder if desired and if approved.
4.2.
Determine
What was not normal before the incident?
Where did the abnormality occur?
When it was first noted?
How it occurred?
5.0 Follow-up Incident Investigation
The follow-up investigation is used to analyze data and determine the causes and corrective actions necessary to prevent reoccurrence.
Steps
Analyze the data obtained in the initial investigation
Repeat any of the prior steps, if necessary.
Determine: o Why did the incident occur? o A likely sequence of events and probable causes (direct, indirect, basic)
Ardent Services, LLC
Page 4 of 4
Safety Manual
Document No.:
Incident Investigation Program
O-SS-SPP-0038 Safety Manual Sect:
E.2
Revision:
4
Rel. Date:
Oct 2012
Last Review:
March 2016
Determine the most likely causes.
Conduct a post-investigation briefing.
Prepare a summary report, including the recommended actions to prevent a recurrence.
Communicate findings and corrective actions to all employees via a Safety Alert process to prevent reoccurrence.
6.0 Investigation Report
An incident investigation is not complete until a report is prepared and submitted to management. The majority of incidents will be investigated and reported using the Incident Report form. A copy can be found in Appendix A to this document, titled “Incident Report Form”, document number O-SS-FRM-0092.
7.0 Records
All incident reports will be maintained on file permanently. They shall receive timely review by upper management to ensure proper corrective actions have been taken.
8.0 Training
Training will be completed prior to assignment with an annual refresher.
8.1.
Awareness Level
8.2.
First Responder & Investigator
9.0
All employees will be trained at this level of this program and will address reporting of incidents to supervisory personnel, and their role in incident investigations. All supervisory and designated safety personnel will be trained in this program. Also see Sections 3.2 and 5 of this program
Attachments
“Incident Report Form” O-SS-FRM-0092 “Vehicle Accident Report Form” O-SS-FRM-0093 “Witness Statement” O-SS-FRM-0085
