Protocol: Protocol for Reporting & Investigating of Hazards & Incidences at St George Clinical School Document Number: STGCL.PTCL.4 Version 2.0 Issue Date: 19th August 2010 Review Date: August 2012 1. Purpose The purpose of this protocol is to clarify how to choose when to report a Hazard / Incident: 1.1. through the UNSW on-line system 1.2. through the SESIAHS IIMS system 1.3. through both UNSW and SESIAHS systems This protocol also seeks to clarify the process for incident / accident investigation and resolution of reported hazards. 2. Scope This protocol applies to all Hazards and Incidences that occur at St George Clinical School and at the Animal Facility. 3. Definitions Hazard – A hazard is a source of potential harm or a situation with a potential to cause loss to people, property or environment 4. Local Procedure for choosing the appropriate system to report a Hazard or Incident 4.1. There are three options to report a Hazard / Incident: Complete the UNSW Hazard / Incident Report on-line through myUNSW and report through UNSW Complete the SESIAHS IIMS report on line Complete both the UNSW Hazard / Incident Report Form on-line through myUNSW and report through UNSW and complete the SESIAHS IIMS report on line 4.2. If UNSW staff / student has been involved in an accident / incident or want to report a hazard then this is done through the UNSW System. 4.3. If the incident / hazard involves a UNSW Staff / student but is caused by a facility issue then it is reported through both the UNSW System and the SESIAHS IIMS system, the latter so that the Hospital are aware of and can resolve the facility issue. 4.4. If the incident / hazard involves a Hospital Staff member it is reported through the SESIAHS IIMS system only. STGCL Protocol for reporting / investigating hazards & incidences Uncontrolled document when printed Date Effective: 19/08/2010 Current Version: 2.0, 19/08/2010 5. Investigation of a Hazard / Incident The process for investigation of a Hazard / Incident depends on what organization(s) the person(s) affected by the Hazard / Incident is from, what has caused the incident / hazard and what organization is responsible for resolving the hazard / incident root cause. 5.1. If UNSW staff / student has been involved in an accident / incident or want to report a hazard that is caused by UNSW Plant / Procedures, the reporting of the hazard or incident is done through the UNSW system. The Supervisor of the person who reported the hazard or who was involved in the incident completes the actions to be taken to correct the issue, assigns the actions to relevant people and sets a timeline for the actions to be completed via the my-UNSW on-line system. The corrective actions are automatically populated onto the on-line Corrective Actions Register Corrective Actions are followed up until closure via the St George Clinical School Level 3 OHS Committee The Corrective Action is closed on the UNSW system 5.2. If the incident / hazard involves a UNSW Staff / student but is caused by a facility issue then it is reported through both the UNSW System and the SESIAHS IIMS system, the latter so that the Hospital are aware of and can resolve the facility issue. The Supervisor of the person who reported the hazard or who was involved in the incident completes the actions to be taken to correct the issue, assigns the actions to relevant people and sets a timeline for the actions to be completed via the my-UNSW on-line system. The corrective actions are automatically populated onto the on-line Corrective Actions Register If any of the corrective actions involve Engineering Department or other Hospital Departments, the Chairperson of the St George Clinical School OHS Committee communicates in writing with the Chairperson of the St George Hospital OHS Committee to request that the issue is added to the St George Hospital OHS Agenda for discussion and resolution. Open Corrective Actions remain on the OHS Agenda of the St George Clinical School OHS Committee and are followed up until closure via the St George Clinical School Level 3 OHS Committee in consultation with the St George Hospital OHS Committee. Once satisfactory closure has been reached, the Corrective Action is closed on the UNSW system 5.3. If the incident / hazard involves a Hospital Staff member it is reported through the SESIAHS IIMS system only. This accident / incident / hazard is investigated through the St George Hospital OHS System only 6. Review 6.1. This protocol will be reviewed in two years, unless there are changes in the process, changes in the legislative requirements or if there is any incident that requires changes to be made. STGCL Protocol for reporting / investigating hazards & incidences Uncontrolled document when printed Date Effective: 19/08/2010 Current Version: 2.0, 19/08/2010 7. Legal & Policy Framework N/A Associated Documents N/A 8. Evaluation & History Version Date Author Approval 1.0 22/04/2010 Sinead O’Reilly 2.0 19/08/2010 Sinead O’Reilly Sections Modified Details of amendments Head of School New Protocol N/A Head of School 1,4 & addition of 5 Incorporation of the process for accident / incident investigation and hazard resolution. Refer to UNSW on-line system for Incident / Hazard reporting and automatic population of the corrective actions register. STGCL Protocol for reporting / investigating hazards & incidences Uncontrolled document when printed Signature of Approver Date Effective: 19/08/2010 Current Version: 2.0, 19/08/2010