Procedure Incident Investigation Revision History Revision No# 001002 DATE Initiated By Description of Changes Completed By 22-12-2022- -HSE Manager - - 02-02-2023 -HSE Manager Distribution List Sr. No/ Designation Issue Date Distributed by 01 QHSE Coordinator QHSE Coordinator 02 General Manager/Executive Manager QHSE Coordinator 03 Document Number MIK-QHSEPR-21 Issue Number Revision Number Original Issue Date Revision Issue Date 22-12-20221.0 00 --- Document Prepared By Document Reviewed by QHSE Coordinator Activity Owner Document Approved By General Manager/Ex ecutive Manager Copyright This document contains confidential information. It may be copied in full or in parts only by Maraba Al Iraq Al Khadraa personnel and only for the purpose of Maraba Al Iraq Al Khadraa related activities. Disclosure of any information contained within this procedure to any person (s) outside the employee of Maraba Al Iraq Al Khadraa without written permission of the Top Management is strictly prohibited. Page 1 of 6 Incident Investigation Doc. No: MIK-QHSE-PR-21 Issue Number: 01 Revision Number: 00 Original Issue Date: 01st June 2018 Revision Issue date: 00 Contents Revision History ................................................................................................................................... 1 Distribution List ................................................................................................................................... 1 Contents ................................................................................................................................................ 2 1. Purpose ........................................................................................................................................ 3 2. Scope............................................................................................................................................ 3 3. Responsibilities .......................................................................................................................... 3 4. Procedure .................................................................................................................................... 3 4.1 Initial/ Immediate Actions .................................................................................................. 5 4.2 Notification of Incident/ Accident...................................................................................... 5 4.3 Investigation Team Members ............................................................................................ 5 4.1 Investigation and Corrective Action .................................................................................. 5 5. Related Records ......................................................................................................................... 6 This document is the property of Maraba Al Iraq Al Khadraa. Any copying and distribution of this document without the approval of the Management is prohibited. Page 2 of 6 Incident Investigation Doc. No: MIK-QHSE-PR-21 Issue Number: 01 Revision Number: 00 Original Issue Date: 01st June 2018 Revision Issue date: 00 1. Purpose The purpose of this procedure is to ensure a safe workplace for all employees and clients through effective and systematic Incident investigation and reporting mechanisms, to ensure that further risks of workplace incidents are eliminated. 2. Scope This procedure is applicable to all employees of the organization. 3. Responsibilities Concerned Head of Departments, Managers and Supervisors are responsible for this procedure. 4. Procedure The process for handling and investigation of QHSE incidents has been defined in the below mention flow chart. This document is the property of Maraba Al Iraq Al Khadraa. Any copying and distribution of this document without the approval of the Management is prohibited. Page 3 of 6 Incident Investigation, Corrective Action and Reporting Process Immediate Actions (First Aid/ Follow ERP) Initial Notification Form Take Control Record the Scene Initial Description Communication QHSE Department Team Form a Team Action Plan Observation & Information Gather Evidence Interviews Documents Determine & Analysis Causes Risk Assessment of Corrective Action Corrective Actions Action Plan Responsibilities & Timelines Report Lessons Learned (Incident Report) Follow Up Implementation & Effectiveness of Actions This document is the property of Maraba Al Iraq Al Khadraa. Any copying and distribution of this document without the approval of the Management is prohibited. Page 4 of 6 4.1 Initial/ Immediate Actions: Where appropriate, following actions must be initiated by the QHSE Coordinator at the spot of incident without waiting for formal appointment of investigation committee. They are also responsible to take on spot decisions depending upon the seriousness of the emergency. a) Take control at the scene of the incident, take charge; give specific instructions to specific people. b) Ensure provision of first aid to any injured person plus further medical care as required (this must be done only if it is safe to do so and no one else at risk). c) Call for the support of emergency services as necessary. d) Control and or prevent potential secondary incidents: make area safe; system may need to be shut off or locked out; barriers may need to be put up; any spills or leaks will need to be controlled. e) Start to identify sources of evidence. 4.2 Notification of Incident/ Accident: After occurrence of any incident, the Incharge of the area or QHSE Coordinator or any employee where the incident had happened records details of the incident on the ‘Incident Summary Report’ (MIK-FM-21-01-00) and report it to Head of Department for further investigations either manually or electronically. The incident may also be reported to QHSE Coordinator through e-mail. For reporting of initial details of incident the description of the event must include: a) Description of what actually happened and what was happening just prior to the event; b) The people present and in what capacity; c) Whether there were clear instructions for carrying out the job, and whether these were known to the people involved; d) Training and experience of people involved; e) Any abnormal or unusual conditions at the time of the event 4.3 Investigation Team Members: The QHSE Coordinator shall constitute investigation team. The members of team depend on the severity of incident. 4.1 Investigation and Corrective Action: a) QHSE Coordinator initiates ‘Incident Investigation Report’ (MIK-FM-21-02-00), for investigation of root cause of incident either himself or through investigation team by appointing a leader of team. This document is the property of Maraba Al Iraq Al Khadraa. Any copying and distribution of this document without the approval of the Management is prohibited. Page 5 of 6 b) QHSE Coordinator / Investigation Team proposes corrective action appropriate to the magnitude of problem and also for mitigating QHSE impact occurred (if any). The need of risk assessment of proposed corrective actions prior to implementation is also determined. c) QHSE Coordinator may advise the methodology for the purpose of risk assessment depending upon the nature of corrective action. d) QHSE Coordinator assigns the corrective actions to concerned Departmental Manager/s and agrees a time frame for the completion of corrective action and records changes, (on Incident Investigation Report in documented procedures resulting from corrective actions. e) After implementation of corrective action the Incharge report back to QHSE Coordinator. f) QHSE Coordinator is responsible follow-up in order to determine if the corrective action has been implemented and it is effective. When there is objective evidence that the corrective action is effective, the ‘Incident Investigation Report’ is closed out. 5. Related Records i. ii. Incidents Summary Incident Investigation Report MIK-FM-21-01-00 MIK-FM-21-02-00 -------------------------------------------add accident investigation form no iso 3 This document is the property of Maraba Al Iraq Al Khadraa. Any copying and distribution of this document without the approval of the Management is prohibited. Page 6 of 6