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8/7/2019 Incident presentation (Islam Megdad)
1/41
Ruwais Refinery Division
Safety, Environment & Fire Department
INCIDENTS, NEAR MISSES,
UNSAFE ACTS AND UNSAFE
CONDITIONS
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Ruwais Refinery Division
Safety, Environment & Fire Department
Objectives
To understand the policy of TAKREER and
perform work safely and properly.
To be able to distinguish between incident, near
miss, unsafe act and unsafe condition.
To understand the importance of near miss
reporting, HSE concerns and monthly HSE
performance reporting.
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Ruwais Refinery Division
Safety, Environment & Fire Department
TAKREERs Management is committed to:
Conducting activities in a manner designed to minimize HSE riskto a level which is As Low As Reasonably Practicable (ALARP).
Empowering all employees to refrain from actions that are
considered a threat to HSE.
Requiring contractors to manage HSE in line with this policy andto comply with the requirements of the company HSEManagement System Manual.
Purpose
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Ruwais Refinery Division
Safety, Environment & Fire Department
Incident: An event or chain of events which cause, or could have caused
injury, illness and/or damage to assets, the environment or third parties.
Accident: An Uncontrolled occurrence in the operation of a site which
leads to severe or catastrophic consequences to people, assets, the
environment and/or company reputation.
Near miss: An undesired event which had the potential for causing an
accident or under slightly different circumstances may have caused injury to
person, damage to plant, equipment, material or environment.
Definitions
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Ruwais Refinery Division
Safety, Environment & Fire Department
Unsafe Act: An act that has a potential to cause an accident or incident.
Unsafe Condition: A condition that has potential to cause an accident or
incident.
Definitions
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Ruwais Refinery Division
Safety, Environment & Fire Department
A loose cable is laid on the stairs.
A person got tripped but fortunately didnt loosehis balance.
The cable gets a cut by something as it is in the
passage and it causes a spark but nothing
happened.
A person trips over the cable, he fell from stairsand got some scratches.
The damaged cable produced an spark which
caused a fire and the cable burnt along with some
carpet or other stuff.
ExamplesUnsafe Condition
(HSE Concern)
Near miss
Near miss
Medical Treatment
(Minor accident)
Accident
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Ruwais Refinery Division
Safety, Environment & Fire Department
Examples
Unsafe Condition
Tube light fitting detached from roof and hanging.
Unsafe Act
A team of scaffolding group working on the scaffolding observed
throwing the tools from the scaffolding to the ground.
Near Miss
Tube light fitting detached from the roof and fell on ground, luckily
nobody injured.
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Ruwais Refinery Division
Safety, Environment & Fire Department
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Ruwais Refinery Division
Safety, Environment & Fire Department
The HSE Concerns (Unsafe Condition/Act) reporting is a
preventive approach and therefore reflects the overallpositive safety culture of an organization.
Near miss reporting are free learning opportunities and their
reporting should be encouraged as it helps reducing the
causes of accidents in future.
Near Miss Vs. HSE Concern
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Ruwais Refinery Division
Safety, Environment & Fire Department
Identify causes of incident
Controlling hazards
Investigation performed by a qualified person(s)
Prevent reoccurrences
Incident Investigation
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Ruwais Refinery Division
Safety, Environment & Fire Department
To share lessons learned, thiswill improve overall safety.
To prevent another employeefrom getting injured or killed.
To identify patterns ininjury-producing behaviors.
Why Share Near MissExperiences?
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Ruwais Refinery Division
Safety, Environment & Fire Department
Job Safety Analysis
Review/Revise policies and control procedures
Provide training to employees
Provide refresher training
Encourage employee participation
Ensure safe work conditions
Ensure proper job placement of employees
Corrective Measures and Tools
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Ruwais Refinery Division
Safety, Environment & Fire Department
Workplace provisions:
PURCHASE NEW TOOLS & EQUIPMENT
IMPROVE HOUSEKEEPING
REMOVE BROKEN EQUIPMENT OR TOOLS
IMPROVE LIGHTING
IMPROVE VENTILATION
LIMIT ACCESS
Corrective Measures and Tools
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Ruwais Refinery Division
Safety, Environment & Fire Department
No Accident?
OR
No Injury?
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Ruwais Refinery Division
Safety, Environment & Fire Department
Incident vs. Accident
IncidentAccident or Near Miss
AccidentAn event that results in injuries,
damage to equipment or harm toenvironment and companyreputation
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Ruwais Refinery Division
Safety, Environment & Fire Department
Many Incidents Occur
Most Cause No Injuries
Most are not Reported
Incident
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Ruwais Refinery Division
Safety, Environment & Fire Department
Incident Research
W. H. HeinrichA Pioneer in Industrial
Accident Prevention,
found that, out of
330 Incidents
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8/7/2019 Incident presentation (Islam Megdad)
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Ruwais Refinery Division
Safety, Environment & Fire Department
330 Incidents
29: Minor Injuries
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Ruwais Refinery Division
Safety, Environment & Fire Department
330 Incidents
1: Serious or Fatal
Injury
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Safety, Environment & Fire Department
Your Chances of being Seriously
Injured or Killed in an Accident are:
Your Chances
1 out of 3301 out of 330
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Ruwais Refinery Division
Safety, Environment & Fire Department
The Near Miss Connection1
SeriousAccident
29minor injuries
300
Near Misses330
Incidents
11
OpportunityOpportunityto learnto learn
300300OpportunitiesOpportunities
to learnto learn
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Ruwais Refinery Division
Safety, Environment & Fire Department
The Difference BetweenNear Miss and Accident?
LUCK
Chances
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Safety, Environment & Fire Department
Near Miss or Injury?
BecauseWe Dont KnowWhichIncidents Will Cause Injuries
The Goal is toPrevent All Incidents
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To Prevent IncidentsPrevent Unsafe Acts
Unsafe Act Coworker Exposed
Accident or Near Miss
If Cause Not Corrected,
Unsafe Act Will Happen Again
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Ruwais Refinery Division
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Repeated Unsafe Acts
Will Cause Incidents to occur
Will Eventually Lead to Injuries
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Ruwais Refinery Division
Safety, Environment & Fire Department
Near misses Are FreeWarnings andOpportunities
Accidents are a Glimpseat
What Could Happen if
We Dont ACT NOW!We Dont ACT NOW!
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Ruwais Refinery Division
Safety, Environment & Fire Department
Incidents Are Opportunities
Opportunity to:
Recognize Hazard
And
Take 3 Steps
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Ruwais Refinery Division
Safety, Environment & Fire Department
Step 1: Reporting Accidents
Realize that it Happened:
Practice Incident Recall
Report Accidents Immediately
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Ruwais Refinery Division
Safety, Environment & Fire Department
Step 2: Investigating Accidents
Determine the Cause:
2% - Acts of God
10% - Unsafe Conditions
88% - Unsafe Acts ofPeople
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Unsafe Acts
Examples:
Inattentiveness
Carelessness
Creating Unsafe Conditions
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Ruwais Refinery Division
Safety, Environment & Fire Department
Step 3: Eliminating Accidents
Eliminate the Causes:
Removing Unsafe Conditions
Changing Unsafe Behavior
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Ruwais Refinery Division
Safety, Environment & Fire Department
Ignoring No Injury Incidents
Is Like Passing the Jar ofPills Around.
Out of 330:
300 People will have accidents
29 People will be Slightly Injured
OneWill Be Seriously or Fatally Injured
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Ruwais Refinery Division
Safety, Environment & Fire Department
Avoid Disaster
Stop Passing the
Jar Around
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Ruwais Refinery Division
Safety, Environment & Fire Department
Minor Accident?
Theres No Such Thing As a Minor
Accident
The Same Accident That Causes No
Injury Today May Take Someones Life
Tomorrow
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Ruwais Refinery Division
Safety, Environment & Fire Department
Remove the Causes
IfWe Fail to Remove the Cause of the
No-Injury Accident, ThenWe Fail to
Remove the Cause of the Accident That
Does Result in Injury
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Ruwais Refinery Division
Safety, Environment & Fire Department
No Excuses
Accept No Excuses:
Report Every Incident
Investigate Every incident
Eliminate Accident Causes
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Ruwais Refinery Division
Safety, Environment & Fire Department
Unsafe
Condition and Unsafe acts need to bereported through HSE Concerns Reporting
System.
HSE Concern Reporting Form
Near Miss Report
Monthly Performance Report
Reporting Forms
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Safety, Environment & Fire Department
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