SECTION 4 INCIDENT MANAGEMENT. CLASSIC STANDARD 4.01 Incident Management

Transcription

1 SECTION 4 INCIDENT MANAGEMENT CLASSIC STANDARD 4.01 Incident Management 1

2 Purpose The purpose of this standard is to: Define a process which ensures all incidents are reported, recorded and investigated in a timely manner to address legal and corporate requirements, prevent reoccurrence and to improve performance as per the process outlined in Annex A. Ensure incidents are rated in timely manner so that automatic internal notifications (including corporate) and external communications to regulatory authorities (if required) can occur within specified timeframes (refer to accountabilities section). Initiate incident investigations (at the appropriate level refer to Tables 1 and 2 in Accountabilities section) so that CLASSIC Standard 1.10 Corrective and Preventative Action Management Procedure can be implemented in a timely manner. Define responsibility for investigating incidents with Health, Safety, Environment, Community, Process, Quality and Security impacts and hazards that lead to, or may lead to harm. Scope The purpose of this standard is to document the requirements of RTA Weipa for the management of incidents and reporting of employee and contractor injuries and occupational illnesses. This includes the reporting, recording, and analysis of all incidents. Definitions For Rio Tinto Safety Incident definitions, refer to Rio Tinto Safety Standard B1. Injury and Incident Recording and Reporting. For definitions of consequences for Health, Safety, Environment, Community, Process, Quality and Security impacts refer to Annex B. Incident An incident is any undesired event that causes, or has the potential to cause injury, illness, property damage, harm to the environment, loss to production or quality or impact on the community or security. This includes a near miss/hit (refer to Annex B for definitions and descriptions of impact consequences). Maximum Reasonable Consequence (MRC) The largest realistic or credible consequence from an event. Maximum Reasonable Likelihood (MRL) The largest realistic or credible likelihood for an event. Maximum Reasonable Outcome (MRO) A rating automatically calculated in the SAP incident record based on a risk assessment of Maximum Reasonable Consequence and Maximum Reasonable Likelihood. An incident is classified as Significant when the actual consequence for one or more of the impacts (i.e. Health, Safety, Environment, Communities, Process, Quality and Security) is classified as catastrophic, major or serious, or the Maximum Reasonable Outcome is critical or high. For all s TapRoot is to be used as the investigation tool, and the investigation results must be reported to the site Health and Safety Committee. Any 2

3 s must also be published and communicated via the Rio Tinto HSE Portal Notices. s must be reported to the relevant regulatory authority and to Rio Tinto as outlined in Rio Tinto Safety Standard B1. Injury and Incident Recording and Reporting. Non-conformance Failure to meet an internal obligation. Non-compliance Failure to meet an external obligation. Event An incident, non-conformance or non-compliance. Hazard A hazard is any situation with the potential to cause harm to: the safety and/or health of people, processes, equipment, quality, security, the environment, the community or company reputation. Hazards are assigned to work areas and are often referred to as Agents in SAP. The listing of all hazards in the system is called the Hazard Register. Direct Cause This relates to substandard behaviour(s) and/or substandard condition(s) that are the immediate or direct causes unique to this incident. Root Cause The fundamental cause(s) that, if corrected, will prevent recurrence of an event or adverse condition. Accountabilities In the event of an incident, the accountability for investigating rests with the involved person s leader (involved persons may be injured persons or involved persons ). Where no person is identified as involved or injured (e.g a gear box failure spilling oil), the accountability for investigating the incident rests with the Work Area owner. The level of investigation required and accountability for leading investigation teams dependent on actual consequence is outlined in Table 1. 3

4 Table 1: Level of investigation required depending on Actual Consequence Refer to Annex B for definitions of actual consequences for all impact types Safety Environment Consequence number, descriptor, significance Formal, detailed TapRoot Investigation required? Investigation Team Lead by: Near miss/hit 0 No Nominated W5 First Aid treatment Near source confined and promptly reversible impact 1 Minor No Nominated W5 Medical treatment Lost time injury (RWDI or LDI) Single fatality/pdi Multiple fatalities/pdis Near-source confined and short-term reversible impact Near-source confined and medium term recovery impact Impact that is unconfined and requiring long term recovery, leaving residual damage Impact that is widespread unconfined and requiring long term recovery, leaving major residual damage 2 Medium 3 Serious 4 Major 5 Catastrophic No Superintendent / Specialist (Stratum II) RWDI: Manager (Stratum III) LDI: General Manager General Manager* General Manager* * For any incident with an actual consequence of 4 or 5 at least one InvestigationTeam Member should be independent of the operation. Table 2: Level of investigation required depending on Maximum Reasonable Outcome Maximum Reasonable Outcome Formal, detailed TapRoot Investigation required? Investigation Team Lead by: Low No N/A Moderate No N/A High Critical Superintendent/Specialist (Stratum II) Manager (Stratum III) All Employees and Contractors shall: Immediately take appropriate action(s) to eliminate or minimise risks associated with the incident that they have observed. Report all incidents to their immediate leader. Raise an incident report in SAP. Follow the Incident Management Process Flow outlined in Annex A. Participate in any incident analysis as required by their leader. 4

5 Crew Leaders and Superintendents shall ensure that Relevant incident impacts are rated for Actual Consequence and Maximum Reasonable Outcome for incidents occurring in their work area. s are reported to the MRU Manager as soon as possible but no later than 12 hours after the incident. Detailed TapRoot Root Cause Incident investigation teams are established according to the matrix in Tables 1 and 2. A site Health and Safety Representative is to be invited as part of investigating team for H&S s; for environment s a member of the Environment Team should be involved. CLASSIC Standard 1.10 Corrective and Preventative Action Management is implemented immediately upon completion of the incident investigation. The status of incident actions are monitored and updated regularly. Relevant incidents that have occurred in their work area during the month are discussed at the team health, safety and environment meeting. Quality of data entered into SAP for all injuries and incidents is checked and maintained to a high level of accuracy and precision. Green and/or Red Communication Banners are distributed to site within 24 hours of an incident occurring (as per Annex A: Incident Management Process Flow). MRU Managers shall ensure that: s are reported to the General Manager as soon as possible but no later than 12 hours after the incident. Applicable incidents are reported to the Department of Natural Resources and Mines and other relevant government authorities within the required time frame (see Annex C: Reporting to Government Authorities). They immediately report any violation of an environmental regulation or licence breach to the Specialist Environment Scientist. They immediately report all significant health, safety and security incidents to the Health and Safety Superintendent. They immediately report all significant community incidents to the Manager Community Relations. There are a sufficient number of personnel trained in TapRoot to conduct analysis of incidents that occur within their area of responsibility. The appropriate level of analysis is conducted in their area of responsibility (as per Table 1 and 2). The Health, Safety and Training Manager shall ensure that the: Health and Safety Superintendent posts significant health and safety incidents onto the Rio Tinto portal in a timely manner. The Planning and Environment Manager shall ensure that the: Environment Superintendent posts significant environmental incidents onto the Rio Tinto portal in a timely manner. The Managing Director shall: Report and communicate incidents as per the Rio Tinto Aluminium CBEP 12.2 Reporting Incidents to Rio Tinto. 5

6 References Classic Standard 2.07 Hazard Analysis and Safe Work Practices-Risk Matrix Classic Standard 1.09 Management of Change System Environmental Management Reviews at the Weipa Site Procedure Corporate Reporting Process Rio Tinto Safety Standard B1. Injury and Incident Recording and Reporting. Classic Standard 1.10 Corrective and Preventative Action Management Rio Tinto Aluminium CBEP 12.2 Reporting Incidents to Rio Tinto Documents Nil Annexes Annex A Incident Management Process Flow Annex B Definitions and Descriptions of Incident Types Annex C Reporting to Government Authorities Annex D Incident Template Annex E Injury Response Flowchart Annex F Banner Notification Information Records SAP system Root Cause Incident Investigation Reports (for significant incidents only) on M:drive/SiteSafety/Incident Investigation/Significant Investigations/(Year) Banners (for significant incidents only) on M:drive/SiteSafety/Banners. 6