INITIAL NOTIFICATION INCIDENT (INI)
OPERATIONAL AND ENVIRONMENTAL INCIDENTS
Notification To:
Notification Date:
To be submitted to the Regulation & Supervision Bureau (as per the Incident Reporting Regulations)
1.
Reporting Entity Information:
Incident No. (for official use by RSB)
Name of Licensee:
Address of Licensee:
Authorized Contact Person:
Email Address:
Telephone Number:
Mobile Number:
2.
Yes
Reporting on behalf of Contractor
No
Name of Principle Contractor:
Type of Business:
Address:
Name of Sub-Contractor:
Type of Business:
Address:
3.
Incident Information
Date of Incident (dd/mm/year):
Type of Incident:
Time (24 hr):
__:__
__ /__ /____
☐ Operational
☐
Electricity
☐
Water
☐
Wastewater
☐
Other:
☐
Water
Incident Summary: (full incident
description to be completed in
Section 9)
☐
Environmental (In case of any
environmental impact)
☐
Air
☐
☐
Land
Sea
Incident Location on Site:
GPS Coordinates:
N:
E:
☐
Emergency Services Department
☐
Other (Specify):
☐
Yes
Incident Workplace Address:
Applicable Reports:
Attached:
☐
No
☐
Yes
☐
No
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INITIAL NOTIFICATION INCIDENT (INI)
OPERATIONAL AND ENVIRONMENTAL INCIDENTS
4.
More information
Electricity
(event or chain of unplanned events that results in one or more of the following)
Generation
☐
1.
The loss of generation output of more
than 200 MW
☐
2.
☐
3.
☐
4.
☐
5.
☐
6.
☐
7.
Any generation tripping that causes
under frequency load-shedding
Repeat failure of a particular type of
equipment or component thereof
Evidence of trespass on operational land
or premises
☐
8.
Any environmental discharge which exceeds
the permissible levels as shown under
Appendix N of the Power and Water
Agreements
Simultaneous tripping/loss of multiple
transmission circuits
Loss of generation outside of the limit of
the Normal Infeed Loss Risk as per the
Electricity Transmission System Security
Standards
Any transmission system Incident causing
interruption to any User (where the term
User is as defined in the Electricity
Transmission Code)
☐
2.
☐
4.
Frequency deviation outside of the limits
49.8 Hz to 50.2 Hz
Voltage deviation outside of the limits required
by the Electricity Transmission Security System
Standard or Electricity Transmission Code
☐
6.
Any fault on the transmission system
that causes an outage of any generation
unit or results in a restriction of output
from any production Licensee
An inability to comply fully with the
Electricity Transmission System Security
Standard, Electricity Transmission Code,
Emirates National Grid Code and GCCIA
Interconnector Transmission Code
☐
8.
☐
10. An overhead line conductor being at less than
its design height
Simultaneous tripping/forced outage of any
two machines even if the second machine
trip/forced outage is a consequence to the first
More than two forced outages for a specific
machine/unit within 48 hours
Fire, explosion or implosion
Transmission
☐
1.
☐
3.
☐
5.
☐
7.
☐
9.
Any transmission system Incident or unplanned
circumstance where load is at risk to a single
credible contingency (sites with an agreed
derogation from the Bureau will be excluded
from reporting)
Loss of output at 220kV, 132kV, 22kV and 11kV
from any transformer in any grid station
Distribution
☐
1.
An interruption of demand of above 10 MW
for a period of 3 minutes or longer
☐
2.
An interruption of demand of above 5 MW for a
period of 1 hour of longer
☐
3.
Loss of output at 33kV, 22kV, 11kV or 6.6kV
from any transformer at any grid station or
primary substation
☐
4.
An outage on any 33kV, 22kV, 11kV busbar section
at any grid station or primary substation
☐
5.
Any incident where there is evidence of loss
of demand of above 10 MW resulting from
voltage disturbance
☐
6.
An interruption where the supply to any user (where
the term User is as defined in the Electricity
Distribution Code) is not restored within 12 hours
☐
7.
Manual load curtailment for a load of 1MW
or more for more than six hours during any
24 hours
☐
8.
An overhead line conductor being at less than its
design height
Page 2 of 5
INITIAL NOTIFICATION INCIDENT (INI)
OPERATIONAL AND ENVIRONMENTAL INCIDENTS
Water
(event or chain of unplanned events that results in one or more of the following)
Desalination
☐
1.
☐
3.
The simultaneous outage of any two
distillers or reverse osmosis units
More than two unplanned outages for a
specific distiller within 48 hours
☐
2.
☐
4.
☐
2.
☐
4.
☐
2.
The interruption of supply to one or more
customers of 1MGD (4,540 m3/day) or more
for a period of 12 hours or longer
☐
4.
The interruption of supply to 1 or more
customers for a period of 24 hours or longer
☐
6.
A significant and unexpected or unusual
deterioration in the quality of the water at any
point within the distribution system which by
reason of its effect or likely effect gives rise or
is likely to give rise to a significant risk to the
health of consumers.
The loss of plant with a production capacity of
more than 15 MGD (68,100 m3/day)
A significant and unexpected deterioration in
the quality of a raw water source, which
effects, or may affect the water production
from quantity or quality perspective
Transmission
☐
1.
☐
3.
☐
☐
☐
A total tripping to any transmission
pumping station component that results
in failing to deliver 50% or more of the
agreed Water targets according to the
daily dispatch schedule
A failure in the transmission system that
causes a shutdown to either 50% of the
Desalination capacity or production loss
of more than 25 MGD (113,500 m3/day)
Distribution
1. The interruption of supply to one or
more customers of 2.5 MGD (11,350
m3/day) or more for a period of six hours
or longer
3. the interruption of supply to 100
customers or more for a period of 12
hours or longer
5. The interruption of supply to 1000 or
more customers for a period of 24 hours
or longer
Damage to a trunk main that causes total
pipeline shutdown for more than 24 hours or if
it results in failing to deliver 50% or more of the
agreed water targets according to the daily
dispatch schedule
A significant and unexpected or unusual
deterioration in the quality of the water
entering the supply which by reason of its
effect or likely effect gives rise or is likely to
give rise to a significant risk to the health of
consumers
Page 3 of 5
INITIAL NOTIFICATION INCIDENT (INI)
OPERATIONAL AND ENVIRONMENTAL INCIDENTS
Wastewater
(event or chain of unplanned events that results in one or more of the following)
☐
☐
☐
☐
Collection
1. The release into the collection system of
a trade effluent without a consent or in
breach of a condition of a Consent
3. The issuance of an improvement notice
or termination notice to a trade effluent
consent holder under Regulations 6.4 or
6.5 of the Trade Effluent Control
Regulations 2010
5. Pump station power or mechanical
failure which cannot be resolved within 8
hours
7. Partial or complete failure to one or
more of the main pumping station
pumps or discharge lines
Treatment
☐
1.
☐
Disposal
1. A discharge of Recycled Water to the
☐
3.
☐
5.
The occurrence of a trend of breaches of any
recycled water or biosolids quality standard
for a parameter in Schedule A or B of the
Recycled Water & Biosolids Regulations.
environment under the site contingency plan
as defined by Regulation 5.3.1 (e) of the
RW&B Regulations 2010
A failure of a disposal system that prevents
the delivery of recycled water or biosolids
supply to a customer for more than 24hrs or
by more than 50% of the agreed volume or
mass.
Pump station power or mechanical failure
which cannot be resolved within 8 hours
Power loss in multiple Pump Stations
☐
2.
The release into the collection system of a
prohibited waste
☐
4.
Detection of any cross connection, backflow or
other fault with potential to contaminate any
other third party water network (potable,
recycled or stormwater etc.)
☐
6.
Power loss in multiple Pump Stations
☐
2.
Detection of any cross connection, backflow or other
fault with potential to contaminate any other third
party water network (potable, recycled, stormwater
etc.)
☐
2.
Any discharge of Biosolids to landfill under the site
contingency plan as defined by Regulation 5.3.1 (e)
of the Recycled Water & Biosolids Regulations.
☐
4.
Detection of any cross connection, backflow or other
fault with potential to contaminate any other third
party water network (potable, stormwater etc.)
☐
6.
Partial or complete permanent failure to one
or/more of the main pumping station pumps or
discharge lines.
Page 4 of 5
INITIAL NOTIFICATION INCIDENT (INI)
OPERATIONAL AND ENVIRONMENTAL INCIDENTS
5.
Incident Description:
1.
Sequence of Events:
(Clearly describe the sequence of events that lead to the Incident and
describe the tasks being performed at the time of the Incident.)
2.
Consequences:
(Clearly describe the consequences of the Incident and describe impact
on operations, people, equipment and the environment.)
3.
Most Likely Causes:
(If possible identify the immediate causes of the Incident, nature of
defect, failures, etc.)
4.
Remedial Action:
(Clearly describe the actions taken to prevent further recurrence of the
Incident and actions taken to rectify the situation.)
5.
Other information:
(Provide any other information that may be of relevance, i.e. police
presence, media interest, public involvement.)
6. Bureau Contact Details:
Telephone
Office
Reception
(02) 6543 666
HSE Manager
(02) 6543 527
Email:
incident@rsb.gov.ae
Page 5 of 5