KOC.ge.007 HSE Incident Reporting and Investigation Procedure

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HSE Incident Reporting and Investigation Procedure Document Number: KOC.GE.007 Document Author:

TL HSE Systems

Document Coordinator:

Approved by:

KOC HSEMS Procedures Sub-committee

Authorized by:

KOC HSSE Implementation Committee

Original Issue Date:

21st January, 2004

Document Control Tier:

Tier 3

Revision/Review Date:

8th December, 2013

Next Review Date:

7th December, 2016

TL Standards

1.0 Purpose/Scope This procedure describes the process and responsibilities for reporting, investigation & corrective action of HSE incidents including near misses which occurs in KOC operational area or related to KOC activity. This controlled procedure applies to all KOC Directorates, contractors, sub-contractors and other third party personnel working in sites and operations where KOC has a management control. 2.0 Definitions 2.1

Incident – An undesired event that has caused or could have potentially caused personal injury, illness and / or damage (loss) to assets, production or harm to environment or company reputation.

2.2

Hazardous Condition- A hazard is any existing or potential condition in the workplace which, by itself or by interacting with other variables, can result in injury, illness property damage, Environment Damage and/or other losses.

2.3

Unsafe Act- Any undesired behavior or human error of a company/contractor employee in the Workplace that may contribute to the occurrence of an incident

2.4

Near miss- An unplanned or uncontrolled event or chain of events that has not resulted in Harm (i.e. not resulted in injury, illness or physical damage or environmental damage but had the potential to do so in other circumstances.)

2.5

High Potential Near Miss– Incident that involves unacceptable level of risks (such as potential to imminent fire, explosion, permanent disabling injury, fatality, production loss for more than a week, severe damage to property or environment) which will demand immediate remedial measures.

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2.6

Medium Potential Near Miss – Incident that involves manageable risks (where fire or explosion, disabling injury or fatality are not expected, but has potential of production loss exceeding not more than a day, no severe damage to property or environment) which will demand remedial measures within three months of its occurrence.

2.7

Low Potential Near Miss – Incident that involves minimum risks such as potential to only minor production loss for less than a day, no personal injury, and no damage to property / environment is expected) which will demand remedial measures within six months of its occurrence

2.8

Types of Incidents-Incidents may include, but are not limited to the following:  Injury or illness  Motor vehicle accidents  Asset damages  Fires/explosions  Environmental Incidents  Events leading to damage reputation

2.9

Work Related Incident- an incident that results from work-related activity or exposure. More details about the “Work-relatedness of the incidents” have been mentioned in Annexure-C.

2.10

Non- Work Related incident- an incident that results from non-workrelated activity or exposure. More details & examples of non-workrelated incidents” have been mentioned in Annexure-C.

2.11

HSE LIVE-HSE LIVE is a software being used by KOC to report, record and track HSE measures such as Incidents, Near Miss reports, Hazardous conditions, SOC (Safety Observations and Conversations), SVVs (Site Verification Visits) of CAEs/ NCAEs etc. All employees can access HSE LIVE through KOC Portal. HSE LIVE has been customized with the features required for reporting, monitoring, tracking and investigation of incidents. Further to this, corrective or preventive actions can be generated, notified and tracked through HSE LIVE. Information such as complete incident investigation reports, photos, sketches etc. can also be attached in HSE LIVE through KOC portal.

2.12

Lost Time Injury (LTI)-A fatality or lost workday case. The number of LTIs is the sum of fatalities and lost work day cases. 

Lost Workday Case (LWC): Any work-related injury or illness, other than a fatal injury, which results in a person being unfit for work on any day after the day of occurrence of the occupational injury. “Any day” includes rest days, weekend days, leave days, public holidays or days after ceasing employment.

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

Fatal Case – those work related injuries / illnesses that resulted in death of one or more employees. Only qualified physicians are authorized to certify death.

Number of Fatalities: The total number of Company’s employees and/ or Contractor’s employees who died as a result of an incident. ‘Delayed’ deaths that occur after the incident are to be included if the deaths were a direct result of the incident. For example, if a fire killed one person outright and a second person died three weeks later from lung damage caused by the fire, both are reported. In some cases, a delayed fatality occurs in the next calendar year after the incident. For example, if the above fire occurred on March 21, 2012, the second death from it might occur in April 2013. All fatalities from an incident are included in the report for the year of that incident. In the above case, the fatality in 2013 is reported with the 2012/13 data. 2.13

Industrial Non-Disabling Injury (INDI) - is any on-job work related injury/illness which requires medical treatment only, without causing disablement. It includes; 

First Aid Case (FAC) –Cases that are not serious to be reported as medical treatment or more serious cases but nevertheless require minor first aid treatment, e.g. dressing on a minor cut, removal of a splinter from a finger. First Aid Cases are not recordable incidents.



Medical Treatment Only Case (MTOC) – all medical treatment cases which neither result in restricted workday cases nor lost workday cases are termed as Medical Treatment Only Cases (MTOC). Such cases will require one or more visits to a medical professional, but will not restrict the employee from carrying out his normal duties.



Restricted Workday Case (RWC) – is one which caused a person not able to carry on his routine duties and is provided with lesser duty tasks.

2.14

Reportable Injuries- All work related personal injuries are reportable

2.15

Recordable Injuries- Recordable injuries are the work related Fatalities, Lost workday cases, Restricted Workday cases, Medical Treatment Only Cases.

2.16

Motor Vehicle Accident (MVA) - an undesired occurrence involving a motor vehicle that results in damage to vehicle, property damage or injury to people. Motor Vehicle Accidents shall be classified according to the severity of injuries or damages associated with each motor vehicle accident.

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

Minor – Any Motor Vehicle Accident where a company, contractor, sub-contractor or third party has a personal injury of FAC (First Aid Case) / MTOC (Medical Treatment Only Case) or RWC (Restricted work day case) associated with the MVA or minor damages to the vehicle.



Moderate – Any Motor Vehicle Accident causing a personal injury of Lost Work Day Case or whenever there is a roll over with or without personal injury or any MVA associated with significant damage to the vehicle, where the vehicle cannot be driven from the scene under its own power in a road worthy state.



Major – Any company, contractor, sub-contractor or third party fatality associated with a MVA or Multiple Lost Work day cases resulted from MVA.

2.17

KOC/ Contractors Vehicle- a motor vehicle owned, leased or rented and assigned to a particular person or business of KOC

2.18

Motor Vehicles (MV) shall include light and heavy vehicles upon which or by which any person or material may be transported upon a roadway. Motor Vehicle is defined as a vehicle which runs with internal combustion engine and is mobile. Fork lifts, vehicles on rails and bicycles shall be excluded. In addition to this, the vehicles which are not capable of moving with a speed of more than 16 KMPH shall be excluded from the list of Motor Vehicles.

2.19

Motor Vehicles Incidents of cranes and heavy equipment: Motor Vehicles such as cranes and heavy equipment while they are travelling from one location to another location shall be considered for reporting. Whereas the incidents of these cranes and heavy equipment while they are stagnant and engaged in lifting operations shall be excluded from motor vehicle accidents, however the incidents occurred during lifting operations shall be considered under a different criterion of incidents such as Asset Damages, Near misses etc. Incidents from Golf Carts shall be considered as MVAs.

2.20

Recordable MVAs: All Work related Motor Vehicle Accidents are recordable. More details about the work relatedness can be verified from Annexure-C.

2.21

Asset Damage – The loss or damage to KOC or contractor property, equipment or material resulting from an incident which will require some form of repair, restoration or replacement. This could include damage to 3rd party property from KOC activities or damage to KOC Property by 3rd party. The determination of the actual and potential impact of an incident, which affects company assets, shall consider both the primary and secondary losses Example: a production shutdown due to damaged equipment. All work related asset damages are reportable.

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 Minor Damage/Loss (Level 1): Minor damage and/or operational impact with costs up to 30,000 KD  Moderate Damage/Loss (Level 2): Partial damage and/or operational impact with costs up from 30,001 KD to 300,000 KD  Major Damage/Loss (Level 3): Major Damage and/or operational impact with costs from 300,001 KD and above. 2.22

Recordable Asset Damages: All work related asset damages are recordable.

2.23

Fire/ Explosion – Any undesired occurrence involving KOC/Contractor property, equipment or operations that result in flames, excessive heat or combustion and resulting in a fire or explosion. This could include damage to 3rd party property from KOC activities. This also includes electrical arcs that also involve a subsequent fire or evidence of combustion. Evidence of combustion includes flame, smoke or charring. 

Category I Fire: The fire/ smoke controlled and managed by the personnel at site.



Category II Fire: The fire at the site is controlled and managed with the assistance of KOC Fire team.



Category III Fire: The fire at the site is controlled and managed with the assistance of KOC Fire team and external assistance.

2.24

Reportable Fire Incidents - All incidents of fire/ explosion involving KOC/ Contractor property equipment or operations are reportable.

2.25

Recordable Fire Incidents - These are the fire incidents, which result in anyone or more of the following: • • •

Recordable Injury (Fatal, LWC, RWC and MTOC) Operational Interruptions  Reduction in throughput  Partial or Complete Shutdown Damage to property exceeding an amount of K.D 5000

Any proactive/ precautionary shutdown of facility, without any damage as a result of fire shall not be considered as recordable fire incident. 2.26

Environmental Incident: An unplanned event or chain of events that has or could have an adverse impact on the environment, such as Oil

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or Condensate Spill/ Leak, air emissions, flaring/ venting, solids or liquid releases/ spills etc. 

Oil or Condensate Spills/Leaks: A release from primary containment of any form of oil or condensate. Oil is defined as crude oil, lubricating oils, hydraulic oil, gasoline, diesel, aviation fuel, kerosene and other associated product refined from crude oil.



Air Emission/ Flaring Incident: Any unplanned or uncontrolled release of emissions to air such as uncontrolled flaring, gas leaks, incomplete combustion leading to black smoke and flare out conditions.



Solids or Liquids (Other than Oil) release /spill: Any unplanned or uncontrolled release to water or land, material/ wastes (liquids or solids) such as spillage of sewage, produced water, chemicals during storage, handling & transportation, drilling mud & cuttings, pipeline sludge, tank sludge, unauthorized dumping of wastes (hazardous & non-hazardous) and un authorized storage of wastes.

2.27

Reportable Environmental Incidents: Spills/ leaks of all hydrocarbon substances, which adversely affect the environment, irrespective of the quantity spilled/leaked are reportable.

2.28

Recordable Environmental Incidents: Spills/ Leaks of the following hydrocarbon substances are recordable.    

Crude Oil (Leaks/spills above one barrel) Oil Products (Leaks/spills above one barrel) Oily Water Leaks (Leaks/spills above one barrel) Condensate Leaks & Gas Leaks

However, if the quantity of spill is less than one barrel, (For Leaks/ Spills of Crude Oil Spills/ Oil Products/ Oily Water) they should be considered as only reportable environmental incidents). Recordable environmental incidents do not include spill/leak incidents involving effluent water, fresh water, brackish water, Hydro test water, and fire hydrant water, liquid chemical, solid chemical and other substances. 2.29

Volume of Spill- Any Loss of containment that results in a liquid release that reaches the environment, i.e. not contained/retained within secondary or other confinement. A spill is defined as any loss of containment that reaches the environment. The spill volume reported should reflect the volume of material that reaches the environment only (i.e., not inclusive of any released volume retained within secondary or other confinement). Reported volume reaching the environment is irrespective of the Revision Date: 8th December, 2013

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quantity recovered (i.e., represents the gross volume reaching the environment, not a net volume remaining in the environment). Secondary Containment: The facilities which have been purposefully designed and built to contain the leaked/ spilled crude substances such as “concrete spill pits, bunds and valve pits, knockout drums and purposefully built lined pits, burn off pit etc. 2.30

Incident Investigation Committee-This is the group of individuals that carries out an incident investigation. An incident investigation committee usually consists of at least one individual with appropriate technical and / or professional expertise relative to the incident, a head, an individual trained in Root Cause Analysis, and others as deemed necessary to thoroughly investigate and analyze the incident.

2.31

Incident Owner- The line manager or other senior company official managing the activity in which an incident occurred. For Near misses, incident owners are the line supervisors or the asset owners for the facility, (Team Leader) where the near miss has occurred and requires investigation of the incident. For Minor (Level) incidents, Incident Owners are the Team Leaders or Superintendent of Contracts who are managing the activity in which an incident occurred. For Moderate (Level 2) Incidents, Managers are the Incident Owners. Whereas for Major (Level 3) Incidents Deputy Chief Executive Officer (DCEO) of the Asset/Directorate under whose control the incident occurred, will be the Incident owner. Details about Incident Owner, Investigation Committee have been mentioned in table 2 under item no: 6 of this procedure. Further to this, more details about the incident owner have been mentioned in Annexure-D attached to this procedure.

2.32

Company Employee- Any person employed by and on the payroll of the reporting Company, including corporate and management personnel specifically involved in exploration and production. Persons employed under short-service contracts are included as Company employees provided they are paid directly by the Company.

2.33

Contractor Employee- Any person employed by a Contractor or Contractor’s Sub-Contractor(s) who is directly involved in execution of prescribed work under a contract with the reporting Company.

2.34

HSE Administrator (Asset/Directorate) - Any employee (Senior Engineer/Specialist/Engineer etc. not Technical Assistants/Secretaries) who is identified as single point responsible person to monitor and track reporting, investigation and corrective actions of all the incidents including near misses occurring in the Asset/Directorate.

2.35

Central HSE Administrator (Corporate) - Any employee (Senior Engineer/Specialist/Engineer etc. not Technical Assistants/Secretaries) who is identified as single point responsible person to monitor and track

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reporting, investigation and corrective actions of all the incidents including near misses occurring in the company. 2.36

Responsible Party – A person allocated a corrective or preventive action as a result of an incident investigation.

2.37

Immediate Causes- The unsafe acts and/or conditions that caused an incident.

2.38

Root Causes – The management system breakdown that permitted the substandard action or condition (immediate cause) to occur. Root Causes may also be referred to as System Causes or Underlying Causes.

2.39

Critical Factor- Certain Key issues as direct contributors to the failures or elements that went wrong and allowed the incident to occur. If those were not present the incident would not have occurred.

2.40

Terms of Reference – A formal document that defines the scope of an investigation for an incident, identifies references, provides objectives/guidance and lists the committee members and Incident Owner.

2.41

Frequency Rates & Formulas: 

Fatal Accident Rate (FAR): The number of fatalities per 100,000,000 (100 million) work hours Fatal Accident Rate: No of Fatalities during a period x 100,000,000 = _____________________________________ Total Man hours worked during the period



Lost Time Injury Frequency Rate (LTIFR): The number of lost time injuries (fatalities + lost work day cases) per 200,000 work hours. The number of LTIs is sum of Fatalities and Lost work day cases. Lost Time Injury Frequency Rate: No of Lost Time Injuries during a period x 200,000 = ____________________________________________ Total Man hours worked during the period



Total Recordable Injury Rate (TRIR): The number of recordable injuries per 200,000 man hours worked. Recordable injuries are the sum of Fatalities, Lost work day cases, Restricted work cases and Medical treatment Cases. Total Recordable Injury Rate (TRIR): No of recordable injuries during a period x 200,000 = ________________________________________ Total man hours worked during the period

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

Motor Vehicle Accident Frequency Rate (MVAFR): Number of motor vehicle incidents per million kilometers driven. Motor Vehicle Accident Frequency Rate (MVAFR): No. of Motor Vehicle Accidents during a period x 1,000,000 = _________________________________________ Total kilometers driven during the period o MVAs=All Work related MVAs (Minor+ Moderate+ Major)

2.42

Categorization of Incidents 

Minor Incident- an Industrial / Occupational incident, which occurs during work resulting to one or more of the following:     



Moderate incident- an Industrial / Occupational incident, which occurs during work resulting to one or more of the following:     



Industrial Non- Disabling Injury (INDI) Leak or spill up to 100 bbl. Minor Motor Vehicle Accident (MVA) Level 1 Asset Damage Incidents Category I – Fires / Explosions

Industrial Disabling Injury (IDI) - 1 Lost Work Case Leak or spill between 101 and 5000 Barrels. Moderate Motor Vehicle Accident (MVA) Level 2 Asset Damage Incidents Category II – Fires / Explosions

Major Incident- an Industrial / Occupational incident, which occurs during work resulting to one or more of the following:  One or more fatalities  Multiple Lost Workday Cases  Leak or spill more than 5000 Barrels  Major Motor Vehicle Accident (MVA)  Level 3 Asset Damage Incidents  Fire / Explosion category III or major  Environmental or social impact  Impact on company image or big media negative coverage  Legal Implications on KOC and its employees  Actual Evacuation or sheltering  Gas release that prompts either automatic or manual shutdown of a facility  An uncontrolled release of more than 10 tons of a regulated chemical

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Table 1: HSE Incidents Classification – Description

Category

Minor (Level 1)

Moderate (Level 2) Major (Level 3)

Category

Health & Safety (1)

Fires/ Explosions

Asset Damages

Oil Spills

(3)

(4)

(5)

30,000 KD

Up to100 Barrels

(2)

MVA with FAC or MTOC or RWC

Industrial Non Disabling Injuries (INDIs)

Cat I

One LWC

Cat II

MVA with LWC or Roll over

30,001- 300,000 KD

From 101 to 5000 Barrels

One or More Fatalities

Cat III

MVA with Fatality or Multiple LWCs

Above 300,001 KD

More than 5000 barrels

Or MVA with Minor dents/ damages

Multiple LWCs

Emergency Response

Legal (7)

(6) Minor

MVAs

Media Coverage/Social Impact (8)

Environmental Impact (9)

No Evacuation

Minor Legal issues

No Impact

No Impact

Partial Evacuation

Noncompliance and regulation breaches

Nation – wide Impact

Local Impact

Total Evacuation

Major breach of regulation, major litigation

Nation – wide / International Impact

(Level 1) Moderate (Level 2) Major (Level 3)

3.0

Local / National Level Impact

General Requirements KOC HSE Management System Guidelines – Element 8, Incident Analysis & Prevention

4.0 Key Roles & Responsibilities: The following are defined roles and responsibilities for the implementation and maintenance of the KOC HSE Incident Reporting, Investigation & Corrective Action Procedure. 4.1

Observer/ Reporter Observer of the incident including near miss can be a company employee or a contractor employee or a visitor.

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4.1.1: If observer is a company employee from a team, who is managing the activity or a facility, site where the incident occurred, he/she is responsible:  To report the incident immediately to Emergency Response Control Centre (ERC) by calling 160  To report the incident immediately to facility/ worksite supervisor  To take reasonable measures to contain the incident preventing further damage or harm if familiar with controlling the incident.  To report incident details through HSE LIVE: Within 24 hours of incident occurrence for all incidents. However for Level 2 (Moderate) and Level 3 (Major) incident, it shall be reported in HSE LIVE as well as through the prescribed Preliminary Incident Report format (Appendix No- E) to respective Asset / Directorate HSE Team by the end of the working shift. 4.1.2: If observer is from other Directorate/Group/Team or Contractor employee/Visitor, he/she is responsible to report the incident as under:  Observer reports to Contractor Supervisor, if activity is carried out by Contractor.  Contractor Supervisor will report to KOC Site Supervisor and KOC Site Supervisor reports to 160 (Emergency Response Control Center)  If KOC Site Supervisor is not available, Contractor Supervisor will report directly to 160 ((Emergency Response Control Center). Subsequently Contractor Supervisor should inform to the next available person of KOC Controlling Team.  If Contractor Supervisor is not available, KOC Supervisor will report the incident directly to 160. Subsequently KOC Supervisor should inform to the next available person of the contracting company.  If both KOC & Contractor Supervisors are not available reporter can report directly to 160 (Emergency Response Control Center). Subsequently reporter should inform to the next available person of KOC Controlling Team. (Please refer the schematic Incident reporting flow chart for guidance) 4.2

All Supervisors Supervisors (Other than Team Leaders) are those company employees who are managing the activity or a facility, site where the incident occurred. He/she is responsible: 

To verify that the incident has been reported to Emergency Response Control Center by calling 160 and if not, to report immediately



To inform Team Leader / Superintendent of Contract and further update on the incident till it is brought under control.



To take immediate remedial action to minimize and control loss associated with the incident.

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4.3



To ensure reporting of incident through HSE LIVE; all incidents are to be reported through HSE LIVE within 24 hours of incident occurrence. However for Level 2 (Moderate) and Level 3 (Major) incident, it shall be reported in HSE LIVE as well as through the prescribed Preliminary Incident Report format (Appendix E -as attached) to respective Asset / Directorate HSE Team by the end of the working shift.



To verify and approve the data of Incident mentioned in HSE LIVE and to notify the same to TL Controlling team as per the timeline mentioned in this procedure.



To ensure that the site is left undisturbed unless it is absolutely required to tackle the emergency and/or to make the area safe.



To ensure that the injured is transported to the clinic/ hospital by fastest means; however trained medical personnel shall handle the injured.



To ensure the safety of other people at the scene and to avoid any further escalation of the incident.

Team Leader of controlling team: Team Leaders of controlling teams are those who are managing the activity or a facility, site where the incident occurred. He/she is responsible:  

  



4.4

To verify and approve the data of Incident mentioned in HSE LIVE and to notify the same to Asset/Directorate HSE Team as per the timeline mentioned below. All incidents are to be reported through HSE LIVE within 24 hours of incident occurrence. However for Level 2 (Moderate) and Level 3 (Major) incident, it shall be reported in HSE LIVE as well as through the prescribed Preliminary Incident Report format (Appendix E) to respective Asset / Directorate HSE Team by the end of the working shift. To initiate action to bring the incident under control To advise supervisor to barricade and secure the scene including protecting from the weather In case if the Team Leader is only the Asset owner and not the incident owner, he/she should support and advise line management and respective Asset/Directorate HSE Team about the incident owner, who is managing the activity. If he/ she is the incident owner, he/ she should carry out all the roles and responsibilities as defined under item 13.0 for roles & responsibilities of Incident Owners.

Superintendent of Contracts: Superintendent of contract is a person who is managing the contract where the incident occurred. Superintendent of contract or the representative of superintendent of contract is responsible for all the incidents involved with the contractor activities under his/her control.

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Superintendent of Contract or representative is responsible:  To verify that all the incidents occurred with the contractors under his/her control are reported in time to ERC (160)  To take immediate remedial action so as to minimize and control loss associated with an incident.  To ensure that all the incidents occurred with the contractors under his/her control are reported in time through HSE LIVE. Superintendent of the contract or any representative is responsible to enter the data of the incidents in HSE LIVE as per the timeline indicated below.  All incidents are to be reported through HSE LIVE within 24 hours of incident occurrence. However for Level 2 (Moderate) and Level 3 (Major) incident, it shall be reported in HSE Live as well as through the prescribed Preliminary Incident Report format (Appendix E) to respective Asset / Directorate HSE Team by the end of the working shift.  To verify the data of the incidents entered in HSE LIVE, approve and notify to the respective Asset / Directorate HSE Team.  To initiate action to bring the incident under control  To carry out all the roles and responsibilities as defined under item 5.9 if he/she is the incident owner  To ensure that all these incidents are reflected in Contractor Monthly HSE Performance Reports which are being uploaded in HSE LIVE on monthly basis in line with Contractor HSE Oversight Procedure 4.5

Emergency Response Control Unit:  Emergency Response Control Unit is responsible for providing rescue as well as damage control support.  Emergency Response Control Room Operator is responsible for recording the incident details in the incident logbook and notifying all incidents to the concerned Teams / Groups.

4.6

Asset / Directorate HSE Team:  Responsible for monitoring and reviewing the incident reports including near miss reports, which are reported through HSE LIVE  Responsible to do the necessary follow up with respective Incident owners to ensure that all incidents including near misses pertaining to the asset /directorate, which are occurred but not reported through HSE LIVE are reported in time.  Responsible to vet/ approve the data of incidents including near miss reports through HSE LIVE, to ensure that the information mentioned in HSE LIVE is accurate based on the severity of the incident/ near miss. Revision Date: 8th December, 2013

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If the information mentioned by the reporter in HSE LIVE is inadequate, HSE Team can review/update/reject/correct the data with an objective of providing complete and accurate information before it is approved. However while doing this respective HSE team shall take reasonable measures to inform the reporter/incident owner about the changes they are making in the reports.  Responsible to verify and validate the incident for work relatedness in HSE LIVE as per Annexure-F  Responsible to verify and validate the recordable/reportable incidents  Whenever there is an incident of Level 3 (Major) or Level 2 (Moderate), Asset/Directorate HSE Team should do the necessary follow up with the concerned Incident Owner and guide the Incident Owner in filling the details of Preliminary Incident report format and in timely submission of report. There after Asset/ Directorate HSE Team should verify/validate the data and submit to TL HSE Systems by the end of the same working shift, so that the “Preliminary Incident Report” can be submitted to KPC through M (HSE)/ concerned DCEO on the same day. Format of Preliminary Incident Report is attached at Annexure-E.  Responsible to decide and determine the category of the incident based on the severity of the Incident, through HSE LIVE.  Responsible to review all near miss reports to ensure their accuracy / relevancy and approve/review/reject/update the data which includes verifying and categorizing the potential of Near Miss such as High / Medium / Low through HSE LIVE. Decides the Incident Owner and assists on request from Incident / Near miss Owner for preparing timebound corrective action plan.  Assist Incident Owners in formation of Incident Investigation Committees for necessary Investigation of the incidents including near misses occurred.  Responsible to ensure the availability of complete investigation reports in HSE LIVE. Responsible to review the immediate causes and root causes of the incidents including near misses in order to ensure that appropriate root causes are identified  Responsible to ensure action items are created in HSE LIVE for every reported incident including near miss by the incident owner/ investigation committee after investigation. Also responsible to review the action items/ recommendations and further additional action items may be provided as necessary with consultation of incident owner or his representative.

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 Responsible to track the status of the action items and do the necessary follow up with the responsible party/ Incident owner to close action items through HSE LIVE.  Responsible to report the status of action items/recommendations of Level 2/ Level 3 incidents to HSE Systems Team & Safety Team of HSE Group on quarterly basis.  Responsible to close the incident reports including near miss reports through HSE LIVE, once all action items are completed  Responsible to conduct awareness on ‘Incident reporting, investigation and Corrective Action Procedure’ to support its proper understanding & compliance at asset / directorate level  Responsible to ensure that the lessons learnt from the incidents including near misses are shared among all the employees and contractors to avoid reoccurrence of such incidents and near misses.  Responsible to provide guidance to identify the incident owner whenever there is a conflict. In case the issue is not resolved at Asset/ Directorate Level, necessary guidance can be obtained from TL HSE Systems.  Responsible to provide guidance to incident owner on work relatedness of the incident in case of any ambiguity 4.7

Incident Investigation Committee  In order to start the investigation process and to inhibit from losing the evidence at site and to obtain the actual information from the witnesses, Investigation Committee should have a kick of meeting at the earliest.  For Level 3 Incidents the kick off meeting of all committee members should be held within 7 days of the formation of committee. For Level 2 Incidents, kick off meeting should be held within 2 days of the formation of committee.  Prepares a plan as a first step towards incident investigation  Investigates the circumstances leading to the incident  Recommends corrective actions based on incident investigation findings.  Categorize recommendations considering high, medium & low severity / potential severity as well as preventive / corrective measures with the time frame.  Provides a written incident investigation report outlining the situation before the incident, what happened during the incident, critical factors,

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immediate and root causes, and action to prevent recurrence of a similar incident (corrective actions)  Submits the final investigation report to the appointing authority of the investigation committee  Appointing authority (In case if he/she is not Incident Owner) shall release the investigation report to Incident owner  Incident owner shall distribute the report to all the concerned and upload the report in HSE LIVE and take necessary action to implement the recommendations.  Time line of all the above mentioned activities have been mentioned at item 14.0 for Time line of Investigation process  Use of HSE LIVE for investigation of incidents: Incident Investigation Module of HSE LIVE has all the features to report, record all the findings of the investigation and generate complete incident investigation report outlined at Annexure-B of this procedure. For level 1, minor incidents, incident investigation can be carried out with the support of HSE LIVE incident investigation module. Whereas for level 2 (Moderate) & level 3 (Major) incidents, it is recommended to use the HSE LIVE Incident Investigation module. In case the Incident Investigation module of HSE LIVE is not used for Level 2/Level 3 incidents, the relevant details of the investigation are to be entered in HSE LIVE by the respective incident Owner/ investigation committee in order to generate/ track the action items against all the recommendations. Further to this, investigation reports should be uploaded in HSE LIVE as PDF Format. 4.8 Responsible Party  Reviews appropriateness of assigned corrective action tasks with the Incident Owner  Ensures that all assigned corrective action tasks are completed their target dates

by

 Maintains communication with the Incident Owner on corrective action task completion status  Sends monthly report to the Incident owner about the current status of the Action Plan Program 4.9

Incident Owner The following are the roles and responsibilities of Incident owners:  To ensure reporting of the incident including near misses through HSE LIVE and share the information within the Team / Group / Directorate, all incidents including near misses are to be reported through HSE LIVE within 24 hours of incident occurrence. However for Level 2 (Moderate) Revision Date: 8th December, 2013

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and Level 3 (Major) incident, it shall be reported in HSE Live as well as through the prescribed Preliminary Incident Report format (Appendix E) to respective Asset / Directorate HSE Team by the end of the working shift.  Whenever there is an incident of Level 3 (Major) or Level 2 (Moderate) the Incident Owner shall fill the format of Preliminary Incident Report and submit to the respective Asset / Directorate HSE Team, by the end of the working shift. The Asset/Directorate HSE Team should do the necessary follow up with the concerned Incident Owner and guide the Incident Owner in filling the details of this format and timely submission of report. Format of Preliminary Incident Report is at Annexure-E  To verify and approve the data of Incident reported in HSE LIVE and to notify the same to Asset/Directorate HSE Team  To initiate action in order to bring the incident under control & to assess the potential risk & creates action item against the near miss reported for corrective action  To advise supervisor to barricade and secure the Incident scene including protecting from the weather.  To activate the formation of Investigation committee in consultation with the Asset/ Directorate HSE Team; appoints the Incident Investigation Committee for moderate & minor category incidents; whereas CEO – KPC appoints investigation Committee for major category incidents. For moderate incidents the committee shall be formed within 3 working days after the occurrence of incident.  To investigate reported near miss incidents including detail investigation of near miss incident bearing high potential risk.  Defines the Terms of Reference for the Incident Investigation as appointing authority for moderate category incidents  Coordinate and support the Incident Investigation Committee for completion of Investigation and timely issuance of Investigation Report.  Reviews and approves the Complete Incident Investigation Report for minor and moderate incidents (referring Appendix-B of this procedure). However, for major incident investigations, incident owner to ensure the draft report is reviewed and approved by HSE Management Committee.  Reviews corrective action tasks of the investigation report with the responsible party as appropriate to the type of the incident prior to its entry into HSE LIVE and release the Investigation report to all the concerned and upload the same in HSE LIVE.

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 Ensure periodic follow up and tracking of recommended action items for implementation. Also ensure to close the individual action items in the HSE LIVE, after receiving communication from responsible party on completion of corrective actions.  Plans, prioritizes and establishes (in association with Asset/Directorate HSE Team) a schedule on corrective / preventive measures for reported near miss cases based on their potential risks. Initiates the implementation of corrective measures & subsequent follow up until closure of near misses reported  For Major and Moderate incidents, prepares a detailed time-bound Action Plan implementation Program on the basis of recommendations of investigation report, with details of priority for each recommendation, target date & responsible party and shall ensure that copy is issued to all concerned personnel / TLHSE (Asset/ Directorate), Safety Team and HSE Systems Team.  Responsible for highlighting the update on Action plan items in Directorate HSE meetings for Moderate and Major Incidents.  Sends monthly report on status update of Action Plan Program for each incident including high potential near misses reported to Directorate HSE Team.  To ensure that the lessons learnt from the incidents including high potential near misses are shared among all the team/ Group members and contractors, to avoid reoccurrence of such incidents. 4.10

HSE Administrator (Asset/Directorate)  Monitors & Reviews the incident reports through HSE LIVE to ensure its accuracy and completeness.  Responsible to do the necessary follow up with respective Incident owners to ensure that all Incidents pertaining to the asset /directorate, which were not reported through HSELIVE are reported in time through HSE LIVE.  Ensures that appropriate immediate and root causes have been identified and corrective actions are recommended. Further to provide any additional corrective actions if required with the consultation of incident owner.  Responsible to support and advise HSE Team leaders in reviewing and approving the data of the incidents in HSE LIVE to ensure that the information mentioned in HSE LIVE about the incident is accurate and adequate. If the information mentioned by the reporter in HSE LIVE is not adequate, HSE Team will review/update/correct the data before it is approved in consultation with the respective incident owner/ reporter with an objective of providing complete and accurate information.

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 Responsible to review and reassign the category of the incident based on the severity of the Incident, through HSE LIVE.  Responsible to follow up with incident owner for timely issuance of Investigation Reports wherever necessary  Responsible to ensure the availability of complete investigation reports in HSE LIVE by Incident Owner.  Responsible to follow up/ track with incident owner on status of action items periodically, at least once in a month  Responsible to close the incident report through HSE LIVE once all action items are completed  Responsible to ensure that the lessons learnt from the incidents shared among all the employees and contractors to avoid reoccurrence of such incidents.

are

 Responsible to verify and review the status of the Incidents data in HSE LIVE on weekly/monthly & quarterly basis, to ensure the accuracy of the data 4.11

Central HSE Administrator (Corporate)  Monitors & Reviews the incident report through HSE LIVE to ensure its accuracy and completeness.  Responsible to do the necessary follow up with respective HSE administrator (Asset/Directorate) to ensure that all Incidents pertaining to the asset /directorate, are reported in time through HSELive.  Responsible to vet/ approve the data of incidents through HSE LIVE to ensure that the information mentioned in HSE LIVE about the incident is accurate. If the information mentioned by the reporter in HSE LIVE is not adequate, coordinate with HSE Administrators for review/update/correct the data with an objective of providing complete and accurate information before it is approved.  Responsible to verify and re assign the type/ category of the incident based on the severity of the Incident, through HSE LIVE.  Responsible to provide support to HSE Administrators/ Teams in organizing awareness sessions on “HSE Incident Reporting, Investigation & Corrective Action Procedure” in the Assets/Directorates  Responsible to verify and review the status of the Incidents data in HSE LIVE on weekly/monthly & quarterly basis, to ensure the accuracy of the data

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 Responsible to do the necessary follow up/ track status of action items periodically, at least once in a quarter and in order to update the same to senior management.  Responsible to develop necessary processes in HSE LIVE on reporting and tracking of Incidents and status of action items 4.12 Group Managers

4.13



Ensures this procedure is fully understood and implemented within their group. Also ensure that all the incidents occurring in the Group are reported and investigated as per respective procedures.



Ensure the implementation of corrective and preventive actions associated with operations under his/her jurisdiction.



Verify the status of action items and action plan implementation program periodically on the basis of recommendations of investigation report to confirm the closure of corrective as well as preventive actions.



Introduces programs in his/her group to address the root causes of the incidents occurring in the areas under his/her control, with an objective of minimizing incidents and enhancing HSE Performance.

Manager – HSE 

Ensures reporting of major incidents to KPC within 24 hours of their occurrence in the prescribed format Annexure-E



Reviews Major Incidents, as needed, and requests supplemental incident investigation to include detailed root cause analysis to accompany the on-site investigation.



Communicates Major Incident details to appropriate Team Leaders and staff, as needed



Communicates lessons learned from incident investigations to other Kcompanies, Team Leaders and staff, as needed.



Advises Senior Management, Group managers and Asset/Directorate HSE Teams on the programs to be included/ organized in minimizing the incidents there by enhancing HSE Performance of the company. Verify the status of action items on the basis of recommendations of investigation reports and appraises the same to senior management as and when it is required.

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4.14

Team Leader – HSE Systems 

Responsible for review and approval of Incidents through HSE LIVE



Responsible to coordinate with Asset/Directorate HSE Teams on reporting the incidents which occurred but not reported in HSE LIVE.



Responsible for internal reporting to KOC Management as well as external reporting to KPC and applicable regulatory agencies through Manager HSE



Responsible to advise Directorate/ Asset HSE Teams to identify incident ownership in case of any conflict or ambiguity



Responsible to provide necessary tools and support to central HSE Administrator



Responsible to verify the status of action items of all Incidents and update the same to HSEMS Implementation Committee and HSE Management Committee on quarterly basis



Responsible to carryout audits to verify the compliance on “HSE Incident Reporting, Investigation & Corrective Action Procedure”.



Responsible to support Safety Team in publishing the quarterly Poster on HSE Performance in the company



Responsible to control and approve the HSE Live Admin Users requested by Assets and Directorates

4.15

Team Leader – Safety 

Responsible to analyze incident data of all incidents including near misses reported and advice \the management on the programs that are to be organized in minimizing the incidents and enhancing the HSE Performance of the company.



Responsible to identify and carry out programs based on the root causes of the incidents including near misses and ensure that all the programs being organized are in line with the company policy to enhance the HSE Performance of the company.



Responsible to support the Assets in identifying & organizing suitable programs to minimize incidents including near misses reported based on the root causes of the incidents including near misses reported occurring in the company



Responsible to support HSE Systems Team to carry out the audits in order to verify the compliance on “HSE Incident Reporting, Investigation & Corrective action Procedure”

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4.16



Responsible to support the Asset/Directorate HSE Teams in Investigation of Incidents including near misses



Ensure that Major incidents and high potential HSE alerts are circulated within KOC.



Responsible to compile the critical & value added near misses, study & derive the lessons learnt from these near misses and prepares leaflet on the lessons learnt. Responsible to communicate the lessons learnt through KOC Postmaster or any other available means of communication.



Responsible to issue HSE Performance Poster on quarterly basis with the highlights of root causes of the incidents including near misses and actions taken to minimize the incidents & near misses.

Team Leader – Health & Environment  Responsible to analyze incidents including near misses related to Health & Environmental issues and advice the management on the programs that are to be organized in enhancing the HSE Performance of the company.  Responsible to identify and carry out programs based on the root causes of the incidents including near misses related to Health &Environment and ensure that all the programs being organized are in line with the company policy to enhance the HSE Performance of the company.  Responsible to support the Assets in identifying & organizing suitable programs to minimize the incidents including near misses related to H&E based on the root causes of the incidents including near misses occurring in the company.  Responsible to support the Asset/ Directorate HSE Teams in Investigation of Incidents including near misses related to H&E Incidents  Responsible to support HSE Systems Team to carry out the audits in order to verify the compliance on “HSE Incident Reporting, Investigation & Corrective action Procedure”  Responsible to support Safety Team in publishing the quarterly Poster on HSE Performance in the company

5.0 Procedure 5.1

Incident Reporting:  All incidents including near misses shall be reported through HSE LIVE. The observer (KOC or Contractor Employees) of an incident should take reasonable measures to contain the incident preventing further Revision Date: 8th December, 2013

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damage or harm, and inform ERC (Emergency Response Control Center (160) immediately and subsequently is responsible for immediate reporting of HSE incidents to the immediate supervisor. Simultaneously the incident including near misses is to be reported through HSE LIVE within 24 hours of incident occurrence for all and Minor (Level 1) incidents. However for Level 2 (Moderate) and Level 3 (Major) incident, it shall be reported in HSE Live as well as through the prescribed Preliminary Incident Report format Appendix (E) to respective Asset / Directorate HSE Team. All incidents if necessary are reviewed and updated in HSE LIVE based on the consequences, by the end of working shift in which the incident came under control.  Supervisor, Team Leader Controlling Team, Asset/Directorate HSE Team Leader & TL HSE Systems should review/approve the incidents in HSE LIVE within 24 hours for all incidents.  As outlined under the item no: 5 for roles and responsibilities, the site supervisor or other individual with immediate direct access to the incident scene shall ensure that the incident scene is made safe and protected from disturbance.  Any alterations to an incident scene, such as movement of objects, clean up, or other activities shall be video recorded as required for use by the Investigation Committee. Such alterations may be noted on the HSE LIVE. Incident information shall be collected, communicated, and reported as indicated in Annexure- A, attached to this procedure.  If an incident is classified as a Major Incident, verbal notification of the incident shall be provided to CEO by the respective DCEO. Major Incidents may trigger emergency response, and further investigation & reporting by independent investigation committee, but still it is required to report the incident through HSE LIVE basic incident information. Refer Annexure-A for more details.  As outlined in Annexure-F attached to this procedure, incidents can be work-related or non-work related. All incidents are to be reported through HSE LIVE. If there is an incident reported through HSE LIVE, which is not work related, the concerned Asset/Directorate HSE TL should verify and define this incident as non-work related through HSE LIVE before it is approved and saved. TL HSE Systems should once again verify and validate based on the definitions, before it is saved in HSE LIVE.  All incidents can be reported through HSE LIVE. While submitting reports through HSE LIVE, based on the definitions, incidents are to be defined whether they are recordable or not. Responsibility of defining and fixing every incident for their record ability lies with TL HSE (Asset/Directorate).However; it needs to be validated by TL HSE Systems while approving the incidents in HSE LIVE. HSE LIVE System has the features to report/record/track all the inputs. HSE LIVE help menu files can be used to know the step by step information about the usage of HSE LIVE and reporting of incidents in HSE LIVE.

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5.2

Near Miss Reporting:  Any employee observing a Near miss incident should notify the same to the concerned Asset / Directorate HSE Team by entering the details of near miss incident in HSE LIVE. Upon saving the data, HSE LIVE System send a notification to the respective Asset / Directorate HSE Team Leader for further necessary action. If there are any near misses with the contractors/visitors, they can approach the concerned controlling team (with whom they are working) for entry of Near Miss reports through HSE LIVE.  Similarly occurrence of a genuine & credible Near miss incident can also be communicated through telephone or verbally by providing appropriate details to Asset / Directorate HSE Team (Refer Annexure G for Near Miss Reporting Block Diagram). Minimum information to be considered as a complete near miss report is summarized hereunder:  Name: . . . . . . . . . . . . . . . . . . . . . . . ………( Mandatory)  KOC / Badge #: . . . . . . . . . . . . . . . . …… ( Mandatory)  Date & Time of Occurrence: . . . . . . . . . . . .(Mandatory)  Exact Location: . . . . . . . . . . . . . . . ……….(Mandatory)  Exact Unit / Equipment / Item / System: . . . (Mandatory)  Clear Description of the incident ………… (Mandatory)  Suggestion: . . . . . . …………. . . . . . . . . . . .(Optional) However all the relevant fields have been created in HSE LIVE to facilitate easy reporting of near misses by employees? HSE LIVE System has a provision to alert the employees with a pop up message for all the mandatory fields. Near miss Identification Criteria & Examples A. Criteria  It must be an incident.  No personnel injury  No damage to property  No production loss  No adverse impact to the environment  No damage to Company reputation.

B. Examples  Splashing of hot water while opening vehicle radiator cap but not causing any burn injury to anybody around.  Any person tripping & skidding but no personal injury is sustained.  Feeling exhausted due to heat with no impact on health.  Overload of electrical circuit causing tripping of running pumps but no asset damage or no production loss.

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5.3

5.4

Time line of reporting: 

All incidents including near misses are to be reported through HSE LIVE within 24 hours of incident occurrence. However it shall be further updated in HSE LIVE by the Incident Owner based on the consequences by the end of the working shift in which the incident brought under control. Whenever there is an incident of Level 3 (Major) or Level 2 Moderate), the Incident Owner shall fill the format of Preliminary Incident Report and submit to the respective Asset / Directorate HSE Team, by the end of the working shift. The Asset/Directorate HSE Team should do the necessary follow up with the concerned Incident Owner and guide the Incident Owner in filling the details of this format and timely submission of report. There after Asset/ Directorate HSE Team should verify/ validate the data and submit to TL HSE Systems by the end of the same working shift, so that the “Preliminary Incident Report” can be submitted to KPC through M (HSE)/ concerned DY.CEO on the same day. Format of Preliminary Incident Report is at Annexure-E



Incidents reported late (by more than 7 days) should be supported with a letter of justification from the concerned controlling team to the respective Asset/Directorate TL (HSE) for approval.

Appointing the Incident Owner & Investigation Committee.  An Incident Owner and Investigation Committee will be designated for the incident based on the criteria listed in Table 2 mentioned below. The Incident Owner must be a line manager responsible for managing the activity in which the incident or near miss occurred and will be designated at a level commensurate with the severity or potential severity of the incident. The Incident Owner will appoint the Investigation Committee for moderate & minor category incidents, ensuring the committee consists of appropriate technical expertise. However the investigation committee for major category incident (Level – 3) will be constituted by CEO – KPC in consultation with KOC – CEO  The Investigation Committee must consist of at least two individuals, with additional personnel as needed. An Investigation Committee Head will be designated to lead the Investigation Committee and serve as the point of contact for the committee. In addition to this, one facilitator also should be nominated to support the investigation process and to coordinate with all committee members in completing the task successfully as per the time. The composition of the Investigation Committee should have the following general characteristics:  Committee members knowledgeable in the activity being undertaken at the time of the incident  Committee members knowledgeable in incident investigation techniques and root cause analysis  Committee members who are adequately independent of the incident  Representative from other K- Companies shall be involved in all major incident investigations. Revision Date: 8th December, 2013

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5.5

Investigation Committee for Domestic Incidents: In case of domestic incident of minor or moderate category occurring in Ahmadi Area; Manager, Ahmadi Services Group shall form a committee to investigate it. The domestic incident investigation committee shall have representatives from concerned Teams / Groups such as Ahmadi Hospital Maintenance Team, Fire Team, Ahmadi Security & Support Services Team, Utilities Team and the respective incident owner in consideration to type and category of incident. However for domestic incident of major category Dy. CEO (Corporate Services Directorate) will form an internal investigation committee with all members belonging to KOC but across Groups / Teams of required expertise.

5.6

Investigation Committee for Major Incidents: For Level 3 – Major Incidents, KPC CEO in coordination with KOC CEO will form the Investigation Committee comprising members from internal & external agencies as specified in Table – 2 below. The head of committee for major incident investigation shall ensure the following:  



Complete the investigation and present the draft findings of Incident Investigation and recommendations to KOC HSE Management Committee. Administrative and Legal recommendations shall be brought to the notice of KPC CEO, who will liaise with KOC CEO in order to form an administrative and legal task force to follow the accident consequences from administrative and legal aspects. The task force members for such administrative and legal purpose shall be from outside the oil sector. Prepare and issue the final report within 45 days, along with recommendations to prevent its re-occurrence identifying the functional responsibility before its submission to KPC CEO and issue the final report within 45 days to the appointing authority of Incident Investigation Committee.

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Table 2: Incident Owner & Investigation Committee Designation Severity / Potential Severity Level

1 (Minor)

2 (Moderate)

Incident Owner

Severity of Incident

Industrial Non - Disabling Injury (INDI) Leak or spill less than100 bbl. Minor Motor Vehicle Accident (MVA) Cost of damage up to 30,000 KD Category I – Fires / Explosions Lost Work day case – 1 LWC Leak or spill between 100 and 5000 Barrels. Moderate Motor Vehicle Accident (MVA) Cost of damage from 30000 to 300,000 KD Category II – Fires / Explosions One or more Contractor) Multiple Lost incidents

fatalities

Workday

(KOC

Cases

Investigation Committee

Team Leader

Local Investigation – To be investigated by Team Leader & respective area Safety Officer within 7 working days of its occurrence. HSE LIVE investigation module shall be used for investigation of Incident.

Manager

Investigation by Committee within Directorate managing the activity where incident occurred. The committee to be headed by TL or Asset / Directorate HSE TL & investigation shall be completed and report shall be issued within 14 working days of its occurrence.

or

time

Major damage and/or operational impact (production loss) with costs > 300,000 KD

Investigation Committee formed by KPC CEO & chaired by DY.CEO from another K-Company comprising of members from following departments / agency:

Fire / Explosion category III or major (i.e. which requires external assistance)

 Major MVA

Outside Directorate & HSE Group Representatives or Directorate

Environmental or social impact

HSE Team representatives of KOC.  

Impact on company image or big media negative coverage 3 (Major)

Legal Implications on KOC and its employees

KPC & its subsidiaries Scientific/Technical/ academic Gov’t. Agency &Legal Agency One Facilitator to support the investigation process and coordinate with all committee members.

 DY.CEO

Actual Evacuation or sheltering Oil spill more than 5000 Barrels due to: 1. Oil Tankers Incident 2. Blow out (on shore / off shore) 3. Damage to Pipe Lines (land / shore) 4. Collapse of oil tank 5. Other sources where continuous minor oil leak is occurring for long periods

Note: 1.

2.

Incident investigation committee shall be formed within seven days from the date of incident occurrence. Investigation shall be completed within 30 working days and the report shall be issued within 45 working days from the date of incident occurrence.

Gas release that prompts either automatic or manual shutdown of a facility An uncontrolled release of more than 10 tons of a regulated chemical

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5.7

5.8

Near Miss Investigation: 

On identifying the Near miss incident owner, the Near miss incident shall be investigated and based on the findings action items shall be generated by Asset / Directorate HSE Team. The degree and formality for the Near miss investigation and corrective measures may vary depending upon the potential risks involved. It is essential that each genuine Near miss must be investigated with root cause analysis followed by recommendations. Incident Owner can seek the assistance from respective Asset / Directorate HSE Team for investigation and recommendation if required.



Incident / Near miss owners on the basis of recommendations shall prepare a scheduled corrective action plan for time-bound implementation and shall also provide monthly status to respective Asset / Directorate HSE Team (on or before 5th day of the following month). The action items must be prioritized in relation to risk potential so that high risk bearing Near miss Case to be addressed at an earliest.



All Near misses shall be investigated with in a span of 7 working days. However, the high potential Near Misses shall be attended immediately after receiving the report. Investigation of high potential near misses shall be completed within 3 working days.

Issuing Investigation Committee Terms of Reference The appointing authority/ KPC shall initiate the investigation by issuing Terms of Reference (TOR) to the Investigation Committee Head. Incident investigation committee shall be formed within seven days from the date of incident controlled/ operation normalization of the major incident occurrence. The Terms of Reference should provide the details of the requirements of the investigation and authority to investigate the incident. At a minimum, Terms of Reference shall include the following:         

Defined scope of work Listing of Investigation Committee members Investigation objectives Investigation process steps, including Sequence of events leading up to and through the incident Post-incident events, including emergency response Statement of, “if and when legal advice should be sought during the investigation Time line of Investigation and report issuance. Contact details of the authorities to whom the report should be issued.

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5.9

Conducting the Incident Investigation  For level 1, minor incidents, incident investigation is to be carried out with the support of HSE LIVE incident investigation module. Once the Investigation is completed, necessary action items are to be created by investigation committee/incident owner. However additional action items may be provided as necessary by Asset/Directorate HSE Team, in consultation with the incident owner or his representative.  Whereas for level 2 (Moderate) & level 3 (Major) incidents, it is recommended to use the HSE LIVE Incident Investigation module. In case the Incident Investigation module of HSE LIVE is not used for Level 2/Level 3 incidents, the relevant details of the investigation are to be entered in HSE LIVE by the respective investigation committee/Incident owner in order to generate/ track the action items against all the recommendations. Further to this, complete Incident Investigation Report issued by Investigation Committee is to be uploaded in HSE LIVE by the concerned Incident owner/ TL HSE (Asset/directorate). 5.9.1 Mobilizing to the Incident Scene The incident owner upon receiving the information of any major incident shall communicate to CEO and in turn he will inform KPC CEO for subsequent formation of Investigation Committee taking into account the category of incident. The Incident Investigation Committee once formed shall start the investigation process as soon as possible 5.9.2 Collecting Investigation Evidence (Fact Finding) Facts surrounding the incident can be obtained by collecting information from four primary sources: People, Positions, Parts, and Papers. To form a clear picture of the incident in order to determine immediate and root causes, all available information sources should be used. It is also advisable taking photographs of the incident site as supporting evidence in the investigation process. The incident site should be kept undisturbed until the required information from the site has been gathered. 5.9.3 Conducting Witness Interviews (People) Interviews of incident witnesses shall be conducted as soon as practicable. If there are multiple witnesses to an incident, interviews should be conducted separately, not in a group setting. Interviews shall be conducted by two members as a minimum of the Incident Investigation Committee, with one member responsible for the interview (asking questions), and the other responsible for recording / documenting the interview (taking notes). The audio recording of statements and interviews in addition to other means of authentication should be done, if feasible as a part of investigation process. Revision Date: 8th December, 2013

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To ensure all relevant facts are revealed and captured during witness interviews, interviewers should begin by asking broad, open-ended questions such as “who, what, where, when, why, and how”. More specific, detailed questioning may continue based on responses to the broad questions. Interview notes for incidents involving an employee or contractor injury or fatality must be reviewed and signed by the interviewee. 5.9.4 Surveying the Incident Scene (Positions) At least one member of the Incident Investigation Committee shall review the scene of the incident. For minor (level 1) incidents where sufficient scene detail is included in the HSE LIVE, the site visit may be substituted by verification of the scene details with the individual reporting the incident. Incident scene surveys should focus on establishing positions of individuals, equipment, materials, etc., before, during, and after the incident or near miss. Diagrams and/or photographs shall be used, as appropriate, to document the incident scene, and shall be appropriately labeled with a description of the image. Where applicable, incident scene surveys may include, but are not limited to:     

Resting positions of equipment and other items Positions of individuals before, during, and after the incident Evidence of movement, such as skid marks, paint damage, etc. Location of Personal Protective Equipment (PPE) and/or alarms Operating conditions

5.9.5 Collecting Physical Evidence (Parts)  Unless it is necessary to safely secure the area, no physical evidence should be moved prior to surveying and documenting the scene of an incident. Once positions of critical materials, equipment, etc., have been determined and documented, physical evidence necessary for the investigation may be cataloged and removed for further investigation.  Prior to destructive testing of any physical evidence, approval shall be obtained from the head of Incident Investigation Committee, and clearance shall be obtained from legal counsel. 5.9.6 Reviewing Relevant Documents (Paper) The Incident Investigation Committee shall review documents relevant to the circumstances surrounding the incident. Examples of documents that may be relevant to an incident include, but are not limited to:        

Work Permits Material Certificates Operating Procedures / Operations Daily Reports Process Diagrams Project Plans HSE Plans Work Control Procedures Awareness & Training Records Revision Date: 8th December, 2013

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    

Maintenance Schedule & Records Inspection & Audit Schedules & Records Previous Incident & Near- miss Report Vendor documents / manuals Medical Certificates

5.9.7 Evaluating Investigation Evidence  The Incident Investigation Committee Head is responsible for coordination of all evidence collected by the investigation committee. Once collected, the investigation committee will determine the sequence of events leading up to the incident, the immediate causes of the incident, the root causes of the incident, and make recommendations for preventing similar incidents in the future. 5.9.8 Determining the Sequence of Events  The investigation committee shall establish a chronology of events by Date, Time, and Place, indicating the likely movement and progression of events as well as conditions leading up to the incident. Less complicated sequence of events may be written as a narrative. Complex sequence of events involving multiple individuals, equipment, or other materials may require the construction of an event timeline (diagram). 5.9.9 Determining Immediate and Root Causes  The investigation committee shall determine and document the likely critical factors, immediate and root causes of the incident. Immediate causes are defined as the “symptoms” of the root causes, or the cursory, direct cause of the incident. Alternatively, immediate causes can be defined as the substandard acts or conditions leading to the incident. Root causes are defined as the management system breakdown that permitted the substandard action or condition (immediate cause) to occur. Root Causes may also be referred to as System Causes or Underlying Causes.  The Comprehensive List of Causes (CLC) and HSE Live investigation module may be used to aid the investigation committee determine both immediate and root causes. 5.9.10 Recommendations to Prevent Incident Recurrence  The recommendations shall be categorized considering high, medium & low severity / potential severity. Accordingly the investigation process shall identify corrective actions to prevent the recurrence of similar incidents. Corrective actions shall address root causes and conditions by identifying and correcting failures in systems and procedures which led to the incident and could pose a similar hazard in the future. The investigation

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committee may rely on outside experts, as appropriate, to provide advice when determining corrective actions.  Corrective actions shall be reviewed & approved by the incident Owner and documented in the HSE LIVE for action tracking. The Responsible Parties assigned to each corrective action shall be notified by the incident Owner, and timelines for completion of action items will be recorded. Where Responsible Parties are outside the authority of the incident Owner, DY. CEO or the CEO will notify corrective actions. The Directorate HSE Team leader shall ensure the entry of corrective action tasks into the HSE LIVE, as appropriate and updating the same periodically at least, on monthly basis. Incident owner is responsible for tracking open corrective action items and communicating it to concerned Directorate HSE Team & HSE Group. 5.9.11 Preparation of the Investigation Report & usage of HSE LIVE  Level 3 and 2 Incidents, as defined in Table 2, require the Incident Investigation Committee to produce a written Incident Investigation Report. The Incident Investigation Committee Head is responsible for submitting the report to the incident Owner. Appendix B outlines the content of Incident Investigation Reports for Level 3 and 2 incidents. The Incident Investigation Committee Head is responsible for quality and timely submission of the Incident Investigation Report.  Incident Investigation Module of HSE LIVE has all the features to report, record all the findings of the investigation and generate complete incident investigation report as outlined at Annexure-B of this procedure.  The original hardcopy of Incident Investigation Report shall be maintained by the incident owner for all Level 2 & Level 3 incidents in accordance with the HSE Records Management Procedure. 5.10 Time line of Investigation process  Minor incidents (level 1) – All Minor Incidents are to be investigated within 7 working days.  Moderate (level 2) incidents – All Moderate (level 2) incidents are to be investigated within 14 working days. Report of Complete Incident Investigation is to be issued to all the concerned.  Major (level 3) incidents – Incident investigation committee shall be formed within 7 working days from the date of incident occurrence. Investigation shall be completed within 30 working days of the Incident occurrence. Investigation Report shall be issued within 45 working days of the incident occurrence to the appointing authority  All Near misses shall be investigated with in a span of 7 working days. However, the high potential Near Misses shall be attended immediately after receiving the report. Investigation of high potential near misses shall be completed within 3 working days. Revision Date: 8th December, 2013

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5.11 External Agency & Company Reporting  Summary of incident investigation reporting and other required notifications to external agencies and interested parties outside of KOC (such as KPC and / or the public) shall be coordinated through HSE Systems Team. 5.12 Communicating Lessons Learned Once incidents including near misses have been reported and investigated (locally for minor Incidents (level 1); or an independent investigation committee for major (level 3) and moderate (level 2) incidents and initial corrective and preventive actions developed, significant lessons learned from the incidents including near misses shall be communicated – both within KOC and other KPC organizations - as deemed appropriate by the Team Leader Safety, Team Leader Health & Environment and/ or Asset / Directorate HSE Team Leaders. The following are potential avenues for communicating lessons learned: 

HSE Bulletins & Communication Notices



Email notification for KOC Management



HSE LIVE



Presentation at HSE meetings



Notifications in KOC newsletters



Through KOC Postmaster



Safety Team/ Directorate/ Asset Team Portal

6.0 Key Documents/ Tools/ References         

HSE LIVE Comprehensive List of Causes KPC CEO Directives on Investigation of Major Incidents KPC Oil Spill Contingency Plan KOC General Emergency Procedure KPC H&S Reporting Guideline / Definitions KOC.GE.025 - KOC Crisis Management Plan KOC.GE.026-KOC Corporate Emergency Response Plan KOC.EV.004-Management of wastewater discharge procedure

7.0 Abbreviations      

CEO – DCEO – KOC – HSE – HSE MS – KPC –

Chief Executive Officer Deputy Chief Executive Officer Kuwait Oil Company Health Safety and Environment Health Safety & Environment Management System Kuwait Petroleum Corporation Revision Date: 8th December, 2013

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                 

CLC USD KD Bbls TL LTI INDI MVA LWDC MTOC RWC TRIR LTIFR PPE MV OGP GCC IC

– – – – – – – – – – – – – – – – – –

Comprehensive List of Causes United States Dollar Kuwaiti Dinar Barrels Team Leader Lost Time Injury Industrial Non Disabling Injury Motor Vehicle Accident Lost Work Day Case Medical Treatment Only Case Restricted Workday Case Total Recordable Injury Rate Lost Time Injury Frequency Rate Personal Protective Equipment Motor Vehicle International Association of Oil & Gas Producers Gulf Cooperation Council Internal Combustion

8.0 HSE Records (Retention Time)    

Incident Investigation Committee Reports (Indefinite) Reports or statements of the Witness (Indefinite) HSE Lessons Learnt (5 Years) Related Correspondents (Indefinite)

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Review and Revision Log Review/Revision Revision Details Date December 13, 2003

Draft issued for HSEMS Implementation Committee review

January 21, 2004

Issued after review by HSEMS Implementation Committee.

December 25, 2005

Update after review by HSEMS Implementation Committee.

November 25, 2006

To align the Procedure on the updated & approved Incident Investigation Form by HSEMS Implementation Committee.

February 11, 2007

Re-aligned the Procedure on the revised Incident Investigation Report Form adding Integrity Management Incidents. Also, added Observer’s responsibility.

October 06, 2008

Update after internal review and re-aligned MVA reporting definition with KPC MVA Reporting Guidelines and incorporating KPC Proposal on Investigation Committee for major incidents.

December 08, 2013

Major review and revision of the procedure by amalgamating the HSE Incident Reporting Procedure (KOC.GE.007), Incident Investigation & Corrective Action Procedure (KOC.GE.008) and Near Miss reporting procedure (KOC.GE.047) to avoid duplication and confusion among employees and teams. New definitions such as Work related and non-work related incidents, reportable and recordable incidents etc. added. Revised the definitions of Environmental Incidents, Asset Damages. Included elaborated Roles and responsibilities in specific. Added guideline for Incident owners as per the approved document on Incident Owners. Included the details of HSE LIVE and specified the usage of HSE LIVE Investigation Module for investigation of Incidents. Defined timeline for Reporting, Investigation and Issuance of Incident Investigation Reports. Consequently, KOC.GE.008 and KOC.GE.047 are now withdrawn/removed from the list of HSE MS Procedures.

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Annexure-A – HSE Incident Reporting & Investigation Block Diagram Incident

Report immediately to ERC (160). (By Observer) Level 2 & Level 3 Incidents Investigation Report the Incident through HSE LIVE within 24 Hrs. and notify to Supervisor.

Level 1 Incidents investigation

Supervisor shall review/approve the Incident through HSE LIVE and notify to TL (Controlling Team) within 24 hours and further updated as required if necessary based on consequences by the end of the shift the incident brought under control.

For Level 1 Incidents, TL (Controlling Team)/Incident owner shall form a committee and investigate the incident within 7 working days with the help of HSE LIVE Investigation module

TL (Controlling Team) shall review/approve the Incident through HSE LIVE and notify to TL HSE (Asset/Directorate) within 24 hours and further updated as required if necessary based on consequences by the end of the shift the incident brought under control

In consultation with the incident owner, TL HSE (Asset/Directorate) shall review and further update the action items against the recommendations.

TL HSE (Asset/Directorate) shall review/approve the Incident through HSE LIVE and notify to TL HSE Systems within 24 hours and further updated as required based on the consequences by the end of the shift the incident brought under control.

TL HSE (Asset/Directorate) shall do necessary follow up with Incident Owner to close all action items and close the incident, after completion of action items. TL HSE (Asset/Directorate)/ Incident Owner shall issue lessons learnt on some of the significant/ high potential minor incidents.

TL HSE Systems Team shall review/approve the Incident through HSE LIVE and capture the statistics for further reporting to Senior Management, KPC as per the reporting requirements.

For Level 2 Incident owner shall form Incident Investigation Committee. Whereas for Level 3 (Major) Incidents, KPC CEO shall form the Investigation Committee. (As per the procedure). In addition to this, a Preliminary Incident Report (As per Annexure-E) is to be submitted by Incident Owner with in the end of the shift of the incident occurrence to TL HSE (Asset/Dir.)

TL HSE (Asset/Directorate) shall submit Preliminary Incident Report to TL HSE Systems within the end of the shift of the incident occurrence and support Incident owner in formation of Investigation Committee

Incident Investigation Committee shall investigate the incident and submit the report as per the timeline mentioned in the procedure In consultation with incident owner, TL HSE (Asset/Dir.) shall review and further update/ create the action items and do necessary follow up to close action items.

TL HSE (Asset/Dir.) shall issue alerts on lessons learnt on the incidents occurred and save the data of Lessons Learnt in HSE LIVE

TL Safety /TL HSE Systems shall issue lessons learnt on some of the significant incidents across the directorate/ KOC and save the data in HSE LIVE.

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Annexure-B – Incident Investigation Report Outline B.1 Contents of Incident Investigation Report          

Title Page Executive Summary Table of Contents Terms of Reference Incident Description Discussion of the Evidence and Losses Critical factors contributing to the incident occurrence Immediate Causes Root Causes Recommendations to Prevent Recurrence

B.2 Appendices:  Diagrams and Photographs (Positions)  Documentation (Papers/Parts)  Interviews (People)  Copy of the HSE LIVE report  Non-contributory factors (if any) B.3 A brief outline of the requirements for each part of the report are given below B.3.1

Title Page – Includes title, location and date of the incident and date of the report and the accident and incident database reference.

B.3.2

Executive Summary – 'High-level' summarized description of the incident, highlighting significant findings/conclusions and referencing the Investigating Committee’s recommendations.

B.3.3

Table of Contents – A listing of the report contents and page numbers.

B.3.4

Terms of Reference – A formal document that defines the scope of an investigation for an incident, identifies references, provides objectives/guidance and lists the committee members and Incident Owner.

B.3.5

Incident Description – A description of the situation (sequence of event) before the incident, what happened during the incident, and actions taken after the incident? The questions who, what, where and when must be answered.

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B.3.6

Discussion of the Evidence & Losses – This section should take the reader through the logical discussion of the evidence that leads to the conclusion of immediate causes.

B.3.7

Critical Factor: Certain Key issues as direct contributors to the failures or elements that went wrong and allowed the incident to occur. If those were not present the incident would not have occurred

B.3.8

Immediate Causes – Substandard actions or conditions which led to the incident occurring. 'Symptoms' of the root causes.

B.3.9

Root Causes – The management system breakdown that permitted the unsafe acts or conditions (immediate cause) to occur. Root Causes may also be referred to as System Causes or Underlying Causes. The 'whys' of the immediate causes

B.3.10

Recommendations to Prevent Recurrence – A review of each immediate and root cause to develop recommended actions to address all identified causes. Specific tasks to address immediate and root causes should be developed here, with designated Responsible Parties for each item, and target dates for completion of each task.

B.3.11

Signatories – After the report has been reviewed and agreed by the Owner, The Investigation Committee Head will sign the report as representative of the Investigation Committee and the Owner shall sign the report to signify acceptance of the findings and recommended actions on behalf of the Directorate.

B.4. Appendices: B.4.1

Diagrams & Photographs – Visual aids and other materials collected to correlate and illustrate location and/or progressive locations of people, equipment etc. that were influential in incident cause and/or prevention.

B.4.2

Documentation – Supporting documentation of relevance to the overall report should be contained in this section. This should include procedures, copies of Work Permits, or other documents of importance. If equipment was damaged, the details may be recorded in this section.

B.4.3

Interviews – Summaries of the information gained from each witness interview. Interview statements should not be a verbatim record of each interview. Detailed interview notes may be appended to the report or archived as considered appropriate.

B.4.4

HSE Database Record – Primary information required to document the incident in the HSE Incident Reporting Database. (Only for paper copies of the Incident Investigation

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Report or when the report cannot be accessed through HSE Incident Reporting Database) B.4.5

Non-contributory Factors – System or other deficiencies discovered during an investigating that have no bearing on the incident being investigated or its outcome, if recorded during the investigation non-contributory factors should be clearly stated as such in the report.

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Annexure-C Definitions and Guidelines on Work Related & Non Work Relate Incidents. C.1

Incident – An undesired event that has caused or could have potentially caused personal injury, illness and / or damage (loss) to assets, production or harm to environment or company reputation.

C.2

Work Related Incident- an incident that results from workrelated activity or exposure.

C.3

Non- Work Related incident- an incident that results from nonwork-related activity or exposure.

C.4

Work-Relatedness: An injury or illness is work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Work-relatedness is presumed for Injuries and illnesses resulting from events or exposures occurring in the work environment, unless an exception applies.

C.5

Work-related injuries and illnesses- Work-related injuries and illnesses are identified through a clinical assessment by site medical in combination with information from line management, site HSE (including occupational health specialists) and the primary care physician(personal physician).

C.6

Work Environment: The establishment and other locations where one or more employees are working or are present as a condition of their employment. The work environment includes not only physical locations, but also the equipment or materials used by the employee during the course of his or her work.

C.7

Personal Job: Refers to jobs unrelated to employees’ job. For example, if an employee uses a company break area to visit bank for his/ her personal work and is engaged in a personal job.

C.8

General Guidelines to decide work-relatedness C8.1 Respective KOC Supervisor must verify thoroughly for both injury /illness to establish work-relatedness and non- work relatedness; if in doubt the supervisor shall refer to respective HSE Teams/ employee physician / health care professional (KOC Hospital) as applicable. C8.2. All incidents that results from work related activities or exposures are considered as work related. If the Revision Date: 8th December, 2013

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incident is work-related, then reporting through HSE LIVE is a must and it has to be considered for company incident statistical/ HSE performance reporting purposes. C8.3. Immediate supervisor or Line Manager should verify and do necessary follow up to ensure that all work related incidents are reported and notified through HSE LIVE within 24 hours of incident occurrence. If the incident is of Level 2 (Moderate) or Level 3 (Major) category then it has to be reported with in the end of the shift through HSE LIVE. C8.4 If an injury is caused outside Kuwait while on company business, then the company doctor/ Supervisor shall decide about the category of the injury based on the relevant evidences and it’s work relatedness. Based on the report, the line management shall decide on the work relatedness and approve the incident and follow as per procedures C9

Decision on work-related or non-work-related incident: Evaluate the employee’s work duties and environment to decide whether or not one or more events or exposures in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing condition. For motor vehicle accident occurring on a public street or highway, injuries must be reported, if the travel is for business purposes.

C10

Incident occurring during business travel Injuries and illnesses that occur while an employee is on travel status are work-related if, at the time of the injury or illness, the employee was engaged in work activities “in the interest of the employer.” Examples of such activities include travel to and from customer contacts, conducting job tasks, attending trainings, conferences, workshops etc. and entertaining or being entertained to transact, discuss, or promote business (work-related entertainment includes only entertainment activities being engaged in at the direction of the employer). Determination of work-relatedness is to be assessed by the line management in consultation with the HSE team of the respective Asset/Directorate. Expert advice may occasionally be sought from TL HSE Systems in particularly complex cases.

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C11 Non work-related Situations An injury or illness occurring in the work environment that falls under one of the following exceptions is considered as non-work related: o At the time of the injury or illness, the employee was present in the work environment as a member of the general public rather than as an employee. o The injury or illness that occurs outside the work environment but the signs or symptoms that surface at work. o The injury or illness results solely from voluntary participation in a wellness program or in a medical, fitness or recreational activity such as blood donation, physical examination, flu shot, exercise class, racquetball, or baseball. o The injury or illness is solely the result of an employee eating drinking, or preparing food or drink for personal consumption (whether bought on the employer’s premises or brought in). For example, if the employee is injured by choking on a sandwich while in the employer’s establishment, the case would not be considered workrelated. o Note: If the employee is made ill by ingesting food contaminated by workplace contaminants (such as lead), or gets food poisoning from food supplied by the employer, the case would be considered work- related. o The injury or illness is solely the result of an employee doing personal tasks (unrelated to their employment) at the establishment outside of the employee’s assigned working hours. o The injury or illness is solely the result of personal grooming, self-medication for a non-work-related condition, or is intentionally self-inflicted. o An employee volunteered to come to the KOC facility on his day off to get his physical examination or for any other activity. He was injured in a car accident on his way. o The injury or illness is caused by a motor vehicle accident and occurs on a company parking lot or company access road while the employee is commuting to or from work.

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o The illness is the common cold or flu (Note: contagious diseases such as tuberculosis, brucellosis, hepatitis A, or plague are considered work-related if the employee is infected at work). o The illness is a mental illness. Mental illness will not be considered work-related unless the employee voluntarily provides the employer with an opinion from a physician or other licensed health care professional with appropriate training and experience (psychiatrist, psychologist, psychiatric nurse practitioner, etc.) Stating that the employee has a mental illness that is workrelated. C12. In addition to the points mentioned above, the following needs to be considered while reporting MVAs While reporting Motor Vehicle Accidents the following criteria shall be followed. o MVAs of Company employees: Motor Vehicle Incidents within and outside the company premises, during the journeys made for official purposes with all vehicles whether they are company or personal shall be considered as work related. o MVAs of Contractor Employees: Motor Vehicle Incidents involving contractor vehicles, with in the company premises during the journeys made for official purpose shall only be considered as work related. o Motor Vehicle incidents occurred during the journeys from home to job and job to home and the incidents occurred during the off duty timings shall be considered as non-work related. o While assessing the severity of Motor Vehicle Incidents, injuries/fatalities of second and third party personnel also shall be considered. C13.

Reporting requirements-contractors and visitors: 

All work-related injuries and illnesses for contractor employees shall be reported. However, while reporting through HSE LIVE, the concerned Superintendent of the Contract (Controlling Team) should ensure entering/ notifying the incident details in HSE LIVE.



Any injuries or illnesses to visitors must be reported to the concerned Asset/Directorate HSE Teams for Revision Date: 8th December, 2013

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information and further necessary investigation as deemed fit to capture the lessons learnt and avoid re occurrence of these incidents. However they should not be considered for statistics as recordable incidents. 

Any injuries / illness to visitor who is on company business / work activities and the injury / illness happened to her / him due to company’s managing activities shall be considered for reporting in HSE Live. “

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Annexure-D A Guideline on identifying the “Incident Owner” for the incidents of KOC D1.

Purpose To identify the Incident Owner for every incident that is occurring, while performing the company business and to account the HSE Statistics properly to a particular Team/ Group/ Asset/ Directorate so that necessary action can be taken care to avoid reoccurrence of such incidents.

D2

Incident Scenarios Based on the past experience and observations made over the period of time, different scenarios were created and details were provided accordingly about the incident owner to whom the incident is accounted for.

D3

Requirements for Incident reporting All work related incidents irrespective of whether they cause injuries or not, shall be reported/ investigated thoroughly and necessary action shall be taken by the Incident Owner to avoid reoccurrence of such incidents in the company. Statistics of the incidents shall be maintained by Incident owners through HSE LIVE and the details of the root causes and action taken shall be updated in HSE LIVE for all the work related incidents.

D4

Incident owners at different Scenarios  Incident owners are the line managers or other senior company officials managing the activity/ facility, under whose influence the incident occurred. However the clause managing the activity or managing the facility will be applicable based on the type of incident.  There are some incidents, where the incident owner will be the company official who is managing the activity.  For example, for the incidents such as Personal injuries, Motor Vehicle Accidents etc. incident owner will be the company official who is managing the activity.  Whereas in some other cases, the incident owner will be, the company official who is managing the facility  For example, for the incidents such as fires, environmental incidents, blow outs etc. where there is no involvement of contractor activities; or there is no clarity about the involvement of contractor activities, but there are injuries of contractor employees during the fire incident in any facility, the

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



D5

team/ group/asset who is managing the facility will be incident owner In case of any ambiguity of Identification of Incident owner, the identification of incident owner can be done based on the scenarios/examples defined in the Annexure “Guidelines on identifying the Incident Owner for the incidents of KOC”. In case if any incident is with different scenario and is not covered in this document, the final authority of deciding the incident owner lies with the respective TL HSE (Asset/ Directorate). Whenever there is a conflict of identifying the incident owner, the concerned Asset/Directorate HSE Teams should be consulted. In case the issue is not resolved at Asset/Directorate Level, necessary guidance can be obtained from TL HSE Systems, to ensure timely submission of reports in HSE LIVE, KOC Senior Management and KPC (Where ever it is essential).

Scenarios            

Scenario: 1: Incidents of employees working permanently in the Assets Scenario: 2: Incidents of employees from different directorates on visits Scenario 3: Incidents of seconded employees working for different Assets/ Directorates. Scenario: 4: Incidents of OSSCO/KDC/UPDC /PMC employees. Scenario: 5: Incidents from the projects being handled by OTS Scenario: 6: Incidents from the projects being handled by Major Projects Scenario: 7: Incidents of Contractor employees Scenario: 8: Incidents of visitors Scenario: 9: Incidents pertaining to Drilling activities Scenario: 10: Incidents occurring in Contractor Camps Scenario: 11: Incidents of MVAs Scenario: 12: Incidents of Ahmadi Residential Area

Methodology: The incident is accounted for/ to identify the incident owner based on the scenarios: Details have been briefed through various scenarios given below.

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D5.1 Scenario: 1: Incidents to employees working permanently in the Assets Incidents involving employees working at one particular Asset permanently shall be accounted to the concerned Team/Group/ Asset where they are permanently stationed. o Accordingly the concerned Team Leader/Manager/DCEO of the Asset will be the Incident Owner (Based on the severity of the incident). o Example 1: If an employee “X” of GC 9 injured while working in GC 9, the incident owner will be:  For Minor-Level 1 incident: TL Production Operations-EK-1  For Moderate-Level 2 incident: Manager-EK  For Major -Level 3 incident: DCEO S&EK

D5.2. Scenario: 2: Incidents of employees from different directorates on visits  Incidents involving employees of various directorates who are on a visit to a particular Asset for activities such as Audits/ Inspection/ SVVs/ Meetings etc. shall be accounted to the concerned directorate where they are permanently stationed. o



Accordingly the concerned Team Leader/Manager/DCEO of the Directorate, where the employee is working; will be the Incident Owner. (Based on the severity of the incident).

Example 2: If an employee “X” of HSE Systems Team/HSE Group, CSD Directorate is on a visit to GC 15 for audit and injured in GC 15, the incident owner will be: o

For Minor-Level 1 incident: TL HSE Systems

o

For Moderate-Level 2 incident: Manager-HSE Group

o

For Major -Level 3 incident: DCEO (Corporate Services Directorate)

Note: Example: In case of personal injury as a result of any process incident in GC 15 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of the HSE Systems Team will include the injury details of the injured. However, the incident shall be accounted to Prod Operations Team of NK Directorate. Means the incident owner will be Prod Operations Team of NK.

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D5.3

Scenario: 3: Incidents of seconded employees working for different Assets/ Directorates. 

Incidents pertaining to the employees from different directorates who are seconded/ deputed to Assets/ Directorates on deputation/ temporary duty shall be accounted to the concerned Team/Group/Asset where they are working at the time of incident.



Accordingly the concerned Team Leader/ Manager/ DCEO of the Directorate, where the employee is working on deputation; will be the Incident Owner. (Based on the severity of the incident).



Example 3: If an employee “X” of Inspection & Corrosion (S&EK) Team from Industrial Services Group of TSD is working for S&EK on deputation (Or seconded) for OTS Team (S&EK) and injured in GC 9 while supervising an activity being managed by OTS Team (S&EK), the incident owner will be:



For Minor -Level 1 incident: TL Operations Technical Services Team(S&EK) For Moderate-Level 2 incident: Manager- Operations Support Group For Major -Level 3 incident: DCEO (S&EK)

 

Note: In case of personal injury as a result of any process incident in GC 9 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of Inspection & Corrosion (S&EK) Team & OTS (S&EK) will include the injury details of the injured. However the incident shall be accounted to Prod operations-EK-1 Team of S&EK Directorate. Means the incident owner will be Prod operations-EK-1 Team of S&EK. D5.4. Scenario: 4: Incidents of OSSCO/KDC/UPDC /PMC employees. o

There are many employees from OSSCO (Other than Security employees) / KDC/ GDMC/ UPDC/ NAPESCO etc. manpower consulting companies & PMC companies working for KOC in different Teams/Groups/Directorates.

o

Incidents of these employees shall be considered as KOC Incidents.

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o

Hence incidents pertaining to these employees shall be accounted to the concerned Team/Group/Asset where they are working.

o

Accordingly the concerned Team Leader/ Manager/ DCEO of the Directorate, where the employee is working; will be the Incident owner. (Based on the severity of the incident) Incidents pertaining to the OSSCO Security employees shall not be included in KOC statistics. However these incidents need to be investigated by the concerned Team/ Group/ Asset of KOC, where they are working at the time of incident. For investigation purpose, the concerned Team Leader/ Manager/ DCEO of the Directorate, where the OSSCO employees are working will be the Incident Owner. (Based on the severity of the incident).

o

o

Example 4: If a Senior Drilling Engineer of OSSCO working for “Development Drilling & work over Team IV” injured during a visit to a drilling rig, this incident should be accounted to “Development Drilling & work over Team IV.” Based on the severity of the incident, the incident owner will be:  For Minor-Level 1 incident: TL Dev. Drilling & work over team IV:  For Moderate-Level 2 incident: Manager-(Development Drilling)  For Major -Level 3 incident: DCEO (Drilling & Technology Directorate)

o

Example 5: If a Hygiene Officer of KDC working for “HSE (E&PD) Team” injured during a visit to a drilling rig, this incident should be accounted to “HSE (E&PD) Team” Based on the severity of the incident, the incident owner will be:

o

  

o

For Minor-Level 1 incident: TL HSE (E&PD) For Moderate-Level 2 incident: Manager-(Technical Support Group) For Major -Level 3 incident: DCEO (Drilling & Technology Directorate)

Example 6: If a PMC employee from Worley Parsons Kuwait working for TB11 - Major Projects Team VI injured while supervising an activity of cross country pipe line nearby Burgan road and if the contract is being managed by Major Projects Team VI, this incident should be accounted to “TB11 - Major Projects Team VI “ Revision Date: 8th December, 2013

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o

Based on the severity of the incident, the incident owner will be:  For Minor-Level 1 incident: TB11 - Major Projects Team VI  For Moderate-Level 2 incident: Manager- Major Projects Group II  For Major -Level 3 incident:  DCEO (Major Projects & Technical Services Directorate)

D5.5 Scenario: 5: Incidents from the projects being handled by OTS o

Injuries involving company employees of OTS (Operations Technical Services Team) who are working at various sites (even at sites not demarcated as exclusive project sites) shall be accounted to OTS in their records irrespective of the location.

o

For example if an employee “X” of OTS (S&EK) Team is working in GC 9 and injured in GC 9 while supervising an activity being managed by OTS, the incident owner will be: 

For Minor-Level 1 incident: TL – OTS Team (S&EK)



For Moderate-Level Support Group



For Major -Level 3 incident: DCEO (S&EK)

2

incident:

Manager-Operations

o

Note: In case of personal injury as a result of any process incident in GC 9 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of OTS (S&EK) will include the injury details of the injured. However the incident shall be accounted to Prod operations-EK-1 Team of S&EK Directorate. Means the incident owner will be Prod operations-EK-1 Team of S&EK.

o

Injuries involving contractor employees from the contracts being managed by OTS: Please refer the details of “Scenario 7 for Contractors”

D5.6. Scenario: 6: Incidents from the projects being handled by Major Projects o

Injuries involving company employees of Major Projects who are working at various sites (even at sites not demarcated as exclusive project sites) shall be accounted to the concerned Team/Group of Major Projects & Technical Services Directorate in their records irrespective of the location. Revision Date: 8th December, 2013

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Example 7: If an employee “X” of Major Projects Team-1 Team is working in GC 9 and injured in GC 9 while supervising an activity being managed by Major Projects Team-1, the incident owner will be:  For Minor-Level 1 incident: TL Major Projects Team-1  For Moderate-Level 2 incident: Manager-Major Projects Group-1  For Major -Level 3 incident: Dy. Chairman & DCEO (Major Projects & Technical Services Directorate)

o

Note: In case of personal injury as a result of any process incident in GC 9 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of Major Projects Team-1 will include the injury details of the injured. However the incident shall be accounted to Prod operations-EK1 Team of S&EK Directorate. Means the incident owner will be Prod operations-EK-1 Team of S&EK. 

Injuries involving contractor employees from the contracts being managed by Major Projects: Please refer the details of “Scenario 7 for Contractors”

D5.7. Scenario: 7: Incidents of Contractor employees Incidents pertaining to the contractor employees of a contractor shall be accounted to the concerned superintendent of the contract/or the team who is managing the contractual activities. Accordingly the concerned Team Leader/ Manager/ DCEO of the Directorate, who is managing the contract, will be the Incident Owner. (Based on the severity of the incident) Example 8: If a contractor employee of a contractor working for Major Projects Team 1 got injured, an if the project is not handed over to Asset, irrespective of the location of the asset where the incident occurred, the statistics should be accounted to Major Projects Team 1. o o o o

Based on the severity of the incident, the incident owner will be: For Minor-Level 1 incident: TL Major Projects Team 1 For Moderate(Level 2)incident: Manager-(MPG I ) For Major -Level 3 incident: Dy. Chairman & DCEO (Major Projects & Technical Services Directorate)

Till the time the project is not handed over to the Assets, all incidents involving contractors of Major Projects who are working at various sites Revision Date: 8th December, 2013

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shall be accounted to the concerned Team/Group of Major Projects & Technical Services Directorate, irrespective of the location. Once the project is handed over to the Asset, the incidents occurred will be accounted to the concerned Asset. Note: In case of personal injury as a result of any process incident in GC 9 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of Major Projects Team-1 will include the injury details of the injured. However the incident shall be accounted to Prod operations-EK-1 Team of S&EK Directorate. Means the incident owner will be Prod operations-EK-1 Team of S&EK. Incidents of contractor employees of the contractors being managed by OTS (Operational Technical Support) who are working at various sites (even at sites not demarcated as exclusive project sites) shall be accounted to OTS in their records irrespective of the location. Till the time the project is not handed over to the Production Operations Team, all incidents involving contractors of OTS who are working at various sites shall be accounted to OTS. Once the project is handed over to Production Operations Team, the incidents occurred will be accounted to the concerned Production Operations Team. Example 9: If a Contractor employee of “X” contractor who is being managed by OTS (S&EK) Team injured in GC 9 while carrying out an activity being managed by OTS, the incident owner will be: o For Minor-Level 1 incident: TL OTS o For Moderate-Level 2 incident: Manager-Operations Support Group o For Major -Level 3 incident: DCEO S&EK o Note: In case of personal injury as a result of any process incident in GC 9 (such as toxic gas release or fire which has caused a personal injury as a consequence to the incident), the records of OTS (S&EK) will include the injury details of the injured. However the incident shall be accounted to Prod operations-EK-1 Team of S&EK Directorate. Means the incident owner will be Prod operations-EK-1 Team of S&EK. Personal Injuries, MVAs due to contractor activities: In case there are some personal injuries or Motor Vehicle Accidents due to the involvement of contractor activities, the team/ group/asset who is managing the contract will be incident owner. Revision Date: 8th December, 2013

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Example 10: If there is a “Personal Injury” to a contractor employee while he is working in GC 20 and if the controlling team, who is managing the activity, is TL Maintenance (EK-1), the incident owner will be: For Minor-Level 1 incident: TL Maintenance EK-1  For Moderate-Level 2 incident: Manager-EK  For Major -Level 3 incident: DCEO S&EK  Fire Incidents, Environmental Incidents due to contractor activities: In case there is a fire incident or environmental incident due to the involvement of contractor activities, the team/ group/asset who is managing the activity will be incident owner. Example 11: If there is a “Gas Leak” inside GC 20, during the repair and maintenance activities of a valve in GC 20, and if the controlling team, who is managing the activity is TL Maintenance (EK-1), the incident owner will be: o For Minor-Level 1 incident: TL Maintenance EK-1 o For Moderate-Level 2 incident: Manager-EK o For Major -Level 3 incident: DCEO S&EK

o Fire Incidents, Environmental Incidents, Blow outs, Building collapses etc. incidents where there is no involvement of contractor activities; or there is no clarity about the involvement of contractor activities: In case there are some fire incidents or environmental incidents, blow outs etc. where there is no involvement of contractor activities; or there is no clarity about the involvement of contractor activities, but there are injuries of contractor employees during the fire incident, the team/ group/asset who is managing the facility will be incident owner. However, while investigating they can involve the concerned Superintendent of the Contract, who is managing the contractual employees who got injured. Example 12: If there is a “Fire” inside GC 9, the incident owner will be: o o o o

For Minor-Level 1 incident: TL Production Operations-EK-1 For Moderate-Level 2 incident: Manager-EK For Major -Level 3 incident: DCEO S&EK However while investigating the incident, Superintendent of Contract (Controlling Team) who is managing the contractual employees who got injured also should be involved to avoid the re occurrence of such incidents.

Incidents of Contractor Motor Vehicle Accidents: Revision Date: 8th December, 2013

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o

Refer Scenario 10 for MVAs

Incidents of Contractors occurring in Camps: o Refer Scenario 11 D5.8 Scenario: 8: Incidents to visitors Injuries involving visitors shall be recorded and investigated by the concerned Team/ Group/ Asset/ Directorate where the incident occurred. But they will not be included in the statistics of KOC. However if there is a third party (A person with no business relation with the company or contractor) fatality, because of KOC operational activities, they shall be included in KOC statistics. K.3. Note: Company employees & Contractor employees should not be considered as visitors. If any company employees or contractor employee is on a visit to different Asset/Directorate and got injured, the incident owner will be as defined in other scenarios. D5.9 Scenario: 9: Incidents pertaining to drilling activities As per the Permit to Work HSEMS procedures, wells should be properly handed over for the activities such as Drilling & Work over operations. The responsibility of proper hand over lies with the concerned Operational team, for which the well is belonging to. In case if there is any incident nearer to the well or with in the well before the well is handed over to Drilling Rig/Work over Rig it should be accounted to the concerned Operational Team/Asset for which the well is belonging to. Once the well is taken over by Drilling Rig , all the incidents due to rig activities occurred near the wells and in the rig premises during drilling/work over activities, (till the time the well is not handed over to production Operations) shall be accounted to the concerned team/group of E&PD under whom the activities are managed. Incidents occurred due to Service contractors at Drilling rigs: As defined in the scenario 7 for contractor employees, Incidents pertaining to the contractor employees of a contractor shall be accounted to the concerned Superintendent of the contract or the team who is managing the facility. Example 13: In case there is an incident of personal injury to the contractor employee of M/S Halliburton, while they are carrying out an activity for Revision Date: 8th December, 2013

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Drilling Rig of BWD-144, the incident owner will be the controlling team, who is managing the facility. i.e. respective Drilling Team Incidents of contractor & Sub Contractor employees working in a Drilling Rig: As defined in the scenario 7; Incidents pertaining to the contractor employees and subcontractor of a contractor shall be accounted to the concerned Superintendent of the contract/ or the team who is managing the contract. Example 14: In case there is an incident of personal injury to the contractor employee of M/S KDC working at Drilling Rig, KDC-15 the incident owner will be the controlling team, who is managing the contract i.e. respective Drilling Team o o o

For Minor-Level 1 incident: TL respective Drilling Team For Moderate-Level 2 incident: Manager- respective Drilling Group For Major -Level 3 incident: DCEO (Drilling & Technology Directorate)

Example 15: In case there is an incident of personal injury to the Company Man of M/S OSSCO working at Drilling Rig, KDC-15 the incident owner will be the controlling team, who is managing the contract i.e. respective Drilling Team For Minor-Level 1 incident: respective Drilling Team For Moderate-Level 2 incident: Manager- respective Drilling Group For Major -Level 3 incident: DCEO (Drilling & Technology Directorate) Example 16: In case there is an incident of Fire/blow out KDC-15 and as a result there are some personal injuries to the Service contractor employee of M/S Halliburton, while they are working at KDC-15 the incident owner will be the controlling team, who is managing the facility i.e. Drilling Team o o o

For Minor-Level 1 incident: respective Drilling Team For Moderate-Level 2 incident: Manager- Respective Drilling Group o For Major -Level 3 incident: DCEO (Drilling & Technology Directorate) Example 17: In case there is a personal injury of a contractor employee while he is working at Mud pit of plant of KDC nearer to KDC-15, incident owner will be the team who is managing the facility i.e. TL Deep Drilling & work over Gas Team-1 o o

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Example 18: In case there is an incident of personal injury to the contractor employee working at Drilling Yard, while carrying out some material handling operations, the incident owner will be the team who is managing the activities/ facility of the contractor Example 19: In case there is a fire incident at Drilling Yard, the incident owner will be the team who is managing the facility. Example 20: In case there is an incident of personal injury to the contractor employee working at Core Stores, while carrying out some material handling operations, the incident owner will be the team who is managing the facility Example 21: In case there is a fire incident at Core Stores, the incident owner will be the team who is managing the facility. Example 22: In case there is a fire incident near by the pit (belonging to Drilling Rig; the incident owner will be the controlling team, who is managing the facility i.e. respective Drilling Team o

For Minor-Level 1 incident: respective Drilling Team

o o

For Moderate-Level 2 incident: Manager- Respective Deep Group For Major -Level 3 incident: DCEO (Drilling & Technology Directorate) Incidents occurred in Camps. Refer Scenario 10

o o

D5.10 Scenario: 10: Incidents occurring in Contractor Camps Incidents occurred in the contractor camps located within KOC premises: If there is any incident occurred in the contractor camp area, during any activity linked with company business (Work related), it should be reported and included in the statistics. For this incident the incident owner will be the company official who is managing the contract. However the concerned team who is managing the contract should thoroughly investigate the incident to decide about the work relatedness of the incident. While doing this, they can take the support of Asset/Directorate HSE Team. For example, the following cases are to be considered as work related: 

Personal injuries of contractor employees who are doing maintenance activities (To support the contractor activities at site)

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



Personal injuries of contractor employees who are preparing food, laundry to support the contractor activities at site, during working hours. All the other incidents occurring in camps, such as slips & trips occurred to employees while taking bath in the camp area, fights among the contractor employees, etc. during the rest period should not be considered as work related. However the Contractor should take due measures to ensure that the premises allocated to them to carry out KOC business are safe.

Incidents occurred in the contractor camps/ facilities located outside the KOC premises where there is no KOC Supervision: As KOC has no control on the contractor activities being carried out in the camps/ facilities yards/ workshops located outside KOC boundaries, they should not be counted in KOC statistics. However, the concerned controlling team who is managing the contract can convey the message to contractor to take due measures to ensure that the camps/facilities being maintained by contractors are safe. D5.11 Scenario: 11: Incidents of MVAs MVAs of Company employees: Motor Vehicle Incidents within and outside the company premises, during the journeys made for official purposes with all vehicles whether they are company or personal shall be considered as work related. MVAs of Contractor Employees: Motor Vehicle Incidents involving contractor vehicles, with in the company premises during the journeys made for official purpose shall only be considered as work related. Motor Vehicle incidents occurred during the journeys from home to job and job to home and the incidents occurred during the off duty timings irrespective of the place/area shall be considered as non-work related. While assessing the severity of Motor Vehicle Incidents, injuries/fatalities of second and third party personnel also shall be considered. Example 23: If there is a motor vehicle incident occurred near by BS 140 round about for an employee of Production Operations Team -WK, who is on visit to sites/ wells, based on the severity of the incident, the incident owner will be: o For Minor-Level 1 incident: TL Production Operations-WK o For Moderate-Level 2 incident: Manager (Operations Group)-WK o For Major -Level 3 incident: DCEO WK

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Example 24: If there is a motor vehicle incident occurred near by BS 140 to a contractor employee working for Major Projects Team -1, during the working hours, for company business, based on the severity of the incident, the incident owner will be: o For Minor-Level 1 incident: TL Major Projects Team 1 o For Moderate-Level 2 incidents: Manager-(Major Projects Group I) o For Major -Level 3 incident: Dy. Chairman & DCEO (Major Projects & Technical Services Directorate) D5.12 Scenario: 12: Incidents of Ahmadi Area Incidents pertaining to the company employees working in different offices of Ahmadi: As mentioned at Scenario 1, Incidents involving employees working with one particular Directorate/ Asset permanently shall be accounted to the concerned Team/Group/ Asset where they are permanently posted, irrespective of the location of the incident. However, if there is an involvement of office facility/equipment which is maintained by Corporate Services Directorate, the concerned team/group & HSE Team (CSD) can be involved for the investigation of incidents. Example 25: If an employee of “Field Development SK” whose office located in the KOC office complex injured, the incident owner will be: o For Minor-Level 1 incident: TL (Field Development SK) o For Moderate-Level 2 incident: Manager (Fields Development SK) o For Major -Level 3 incident: DCEO S&EK Whereas for the incidents such as Fires, Property damages of office buildings, the incident owner will be: o For Minor-Level 1 incident: TL who is responsible for the maintenance activities of the area/office where the incident occurred o For Moderate-Level 2 incident: Manager (Corporate Services Group) o For Major -Level 3 incident: DCEO (Corporate Services Directorate)

D6 Domestic incidents Domestic incidents occurring in Ahmadi Town ship, such as Personal injuries of employees in the home while taking bath, fires in the kitchen of a house etc. are to be considered as “Non Industrial/ Not work related” incidents. Hence they will not be accounted in KOC Statistics. However these incidents can be investigated to avoid reoccurrence of such incidents in future, through necessary actions/recommendations.

D7 Investigation Committee for Domestic Incident Revision Date: 8th December, 2013

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In case of domestic incident of minor or moderate category occurring in Ahmadi Area; Manager – Ahmadi Services shall form a committee to investigate it. The domestic incident investigation committee shall have representatives from concerned Teams / Groups such as HSE Team (CSD), Fire Team, Ahmadi Security & Support Services Team, Utilities Team and the respective incident owner in consideration to type and category of incident. However for domestic incident of major category DCEO (Corporate Services Directorate) will form an internal investigation committee with all members belonging to KOC but across Groups /Teams of required expertise.

D8. Scenario’s and cases which were not covered in this document 

In case if any incident is with different scenario and is not covered in this document, the final authority of deciding the incident owner lies with the respective TL HSE (Asset/ Directorate). Further in case there is a doubt, they can approach TL HSE Systems Team for necessary advice/ guidance.



D9 Role of HSE Administrators Central HSE  Administrator (Corporate)

HSE  Administrator‐ Asset/Directorate

HSE  Administrator‐ Asset/Directorate

HSE  Administrator‐ Asset/Directorate

(HSE  Administrator‐ Asset/Directorate

HSE  Administrator‐ Asset/Directorate

(HSE  Administrator‐ Asset/Directorate

HSE  Administrator‐ Asset/Directorate

HSE  Administrator‐ Asset/Directorate

(HSE  Administrator‐ Asset/Directorate

(SEK)

HSE  Administrator‐ Asset/Directorate

(NK)

(WK)

(MP&TSD)

(D&T)

(E&G)

(P&C)

(CSD)

(A&F)

(GM)





In order to comply with HSE Reporting requirements and to support the Asset/Directorate/Group in identifying Incident owners as and when it is required, HSE Systems Team & All the Asset/Directorate HSE Teams should identify 2 people as HSE Administrators (Main & Standby) and the same should be notified to all the teams, so that all the teams can contact and take necessary guidance on the related HSE matters Responsibilities of Central HSE Administrator & Asset/Directorate HSE Administrators have been mentioned under item no: 5. 10 & 5.11.

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Annexure-E – Format of Preliminary Incident Report

Preliminary Incident Report Kuwait Oil Company

Incident Type

Category of the Incident

Date of Incident

KOC/ Contractor

Time of Incident

Name of the Contractor

Controlling Team/ Group

Location of the Incident

Description of Incident

Particulars of the injured: Name (s) of the employees / Designation/ company Nationality/ Age

Particulars of the deceased: Name (s) of the employees / Designation/ company Nationality/ Age

Immediate Causes/ Root Causes of the Incident Description of Damages/ Injuries Immediate Action Taken Attachments/ Photos-If any? Note: Whenever there is an incident of Level 3 (Major) or Level 2 (Moderate), the Incident Owner shall fill this format and submit to the respective Asset / Directorate HSE Team, by the end of the working shift. The Asset/Directorate HSE Team should do the necessary follow up with the concerned Incident Owner and guide the Incident Owner in filling the details of this format and timely submission of report. There after Asset/ Directorate HSE Team should verify/validate the data and submit to TL HSE Systems by the end of the same working shift, so that the “Preliminary Incident Report” can be submitted to KPC through M (HSE)/ concerned DCEO on the same day.

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Annexure-F – Incidents -Block Diagram

Incidents

Non Work Related Incidents

Work Related Incidents

Reportable Incidents

Recordable Incidents

1. TL HSE Asset/Directorate to review/define the work relatedness & recordability of the incidents in HSE LIVE. 2. TL HSE Systems to validate the work relatedness & recordability of the incidents prior to the approval in HSE LIVE. 3. All Work Related Incidents are to be investigated. However, among the nonwork related incidents reported, based on the consequences of the incidents, TL HSE Asset/Directorate can decide and advise Incident Owners for investigation of some of the incidents to address the root causes and to avoid reoccurrence of such incidents and to share lessons learnt. 4. For more details about Work Relatedness & Recordability please refer the definitions mentioned under item 2 Definitions & Annexure-C of this procedure.

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Annexure-G – Near Miss Reporting System Block Diagram

Near Miss

Report to line Supervisor (for immediate danger cases) (Genuine & credible near misses also can be reported through telephone to Directorate HSE Teams.)

(1) Reporting Through HSE LIVE

(2) Scrutinizing (Review & Approve) by Asset / Directorate HSE Team

(3) Identify the incident owner and assist in investigation of Near miss and create action items

(4) Action Plan & Implementation by Incident owner

(5) Review Report & Close out.

Revision Date: 8th December, 2013

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