Classification of incidents. Code: NT GN
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1 Technical standard Classification of incidents Code: NT GN Edition: 1 The following text is a translation of the original Procedure "Clasificación de incidentes (NT GN), Version 1, in order that the contents should be easily understood by all Gas Natural Fenosa employees. In the event of any discrepancy in interpretation which may arise from the translation, the contents of the original Spanish version currently in force shall prevail for all relevant purposes. THE MANAGING DIRECTOR Date approved: 21/01/2014 Date translated: 20/02/2014 Assess the need to print this document. Once printed it will be considered an uncontrolled copy. Let s protect the environment. Property of Gas Natural Fenosa. Reproduction is prohibited
2 Revision Log Version Date Reason for the version and/or summary of changes 1 14/01/2014 A newly drafted document that establishes the criteria for classifying incidents, and it includes comments and modifications derived from the pilot test. This regulation cancels Technical Regulation NT-502-GN, Management of Gas Accidents and Incidents Information. Edition: 1 Page: 2 of 10
3 Contents Page 1. Purpose 4 2. Scope 4 3. Reference documents 4 4. Definitions 4 5. Responsibilities 4 6. Development Basic principles Classification of incidents 9 7. Data record. Applicable forms List of Appendices 10 Edition: 1 Page: 3 of 10
4 1. Purpose The purpose of this document is to establish the criteria and guidelines for classifying incidents of any nature. This classification will be the basis, among other things, for establishing the notification levels according to the real or potential severity and for adopting decisions with respect to the scope and composition of the investigation team. 2. Scope It is applicable to all companies in which Gas Natural Fenosa holds a majority shareholding and those in which it has operational and/or management control. 3. Reference documents NG GN Manual for the Integrated Management System for Quality, Environment and Occupational Risk Prevention NT GN Incident and accident communication and investigation 4. Definitions Incident: An event that has not caused any personal injury, but under other circumstances, it could have caused personal injury or harm to the environment. 1 Malfunctions that only affect the operation of an installation or piece of equipment and that do not have the potential to harm people or the environment will not be considered incidents, but rather breakdowns, and they do not form a part of this procedure. Categories of Incidents: Very Serious, Serious, Less Serious and Minor. See section Responsibilities Regarding the responsibilities pertaining to handling incidents, the provisions set forth in section 5 of NT GN apply. The corporate areas of Prevention and Industrial Safety will be responsible for keeping the various criteria listed in this regulation updated and for ensuring the distribution of the content hereof. The Director of Purchasing, Prevention and General Services will be responsible for keeping the appendices to this procedure updated after receiving approval from the General Director. 1 The safety faults that are detected during the various visits to centres/works and that are corrected using other tools (OPS, IDS, works inspections, incident book, etc.) and/or applications will not be considered incidents. The term incident is associated with the fact that an incident has occurred. Edition: 1 Page: 4 of 10
5 6. Development 6.1. Basic principles Incident classification is developed as a necessary tool for several purposes: As a way to reflect on the severity of incidents, especially in cases in which little attention is usually paid and which are processed with minimum actual damage, but their potential severity makes an in-depth analysis necessary. As a methodology for prioritising the investigation of events whose relevance must be categorised in terms of their potential or real severity. In this same regard, notification to the various levels of the organisation should be based on this classification of events. As the basis for determining the units involved in the investigation process. As the basis for analysing trends to evaluate preventive actions with regard to the variation in the number of incidents of each class that may appear over time. Incidents will be categorised as Very Serious, Serious, Less Serious and Minor, depending on the following criteria, which take into account, on the one hand, the particular characteristics of the incident (effects according to the hazards or substances involved) and, on the other, the circumstances that are present or could be present in the event, which circumstances will provide an estimate of not only the actual damage but also the potential damage. Every item included has an associated score. All items chosen for the assessment of an incident are added, with the degree of severity or greater seriousness varying as the score increases. This classification will be made, unless there is more restrictive legislation Particular characteristics of the incident The purpose of this classification is a simple evaluation of the contribution to the severity of an incident, first considering the immediate risks of the materials and substances involved. Said immediate risk will be selected from the list for each incident. Normally, almost all incidents are processed with a single immediate risk, but in some complex incidents, there may be one or more risk simultaneously (i.e. electric arcing in a transformer and oil spill, both with the capacity to generate subsequent damage), so the system allows choosing one or more. Choosing more than one risk must be exceptional and only when they have clearly not occurred independently. An example is the case of gas incidents: if the main consequence is an explosion, it will be characterised as such, although previously there must have been a leak for gas to be in the atmosphere. Edition: 1 Page: 5 of 10
6 o Explosion. An explosion is the simultaneous release of heat, light and sound energy (and possible other types) in a very short interval of time. o Electrical arc. An electric arc is a disruptive discharge generated by the ionisation of a gaseous medium (such as air) between two surfaces or elements at a different potential. When an electric arc occurs, a flow of electrical charges occurs, and there is a large release of thermal energy, which causes a large temperature increase in the vicinity of the arc and pressure waves. o Gas leak. The uncontrolled emission of any flammable gas in the gaseous phase. This effect will normally be associated with natural gas and LPG. o Overpressure. It is an increase in pressure over the service pressure of a pipeline, which exceeds the maximum operating pressure. o Overvoltage. Permanent: voltage increases above 7% of the normal voltage, with an undetermined duration, generally due to an unbalance of the phases that is usually caused by breakage of the neutral. Transitory: a relevant increase in voltage, which could be in the kv range and of a very short duration, mainly originating from a lightening strike, but they can also occur due to switching on the network. o Fall or breakage of lines. Electricity distribution or communications lines that have lost their support or fastening or they have lost their physical continuity. o Oil spill. An accidental leak of oil that can affect human health, the soil, plants, bodies of water and underground water. o Other hazardous spills or emissions. Accidental leaks of other substances in liquid or gaseous form, which are harmful, hazardous and/or toxic in nature and can affect human health, the soil, plants and marine or continental waters. o Release of other energies. Of the kinetic or mechanical type, not chemical. This term would cover situations that include, for example, catastrophic failures of rotary elements, non-hazardous leaks of gases at high pressures, uncontrolled leaks of steam, falling equipment or materials suspended in the air, etc. o Water entry in the gas or electricity network. Effect on the distribution network resulting from entry by water into the same. o Leak/spillage of other potentially explosive chemical products This section includes leaks/spillages that involve chemical products whose characteristics make them likely to cause explosions (see the safety data sheet). Edition: 1 Page: 6 of 10
7 o Construction element failure. We consider construction elements to be all elements that constitute structures designed to allow access to, contain or support installations. (Braces, prefabricated items, buildings, doors, utility shafts, etc.) o Filtration. A flow discharged through the body of a dam, which exceeds the defined safety limit. o Land slide. The shifting of a wedge of soil that causes the complete or partial crumbling of the same. o Asphyxia. Suspension of or difficulty with breathing caused by the absence of oxygen. o Intoxication. Poisoning due to the presence of a toxic agent (such as CO). o Over-exertion: physical work that is done above the normal effort that a person could develop in a certain task. o Others. It includes any other immediate risk of the event other than the aforementioned Circumstances that are present The questions will be answered for each event, and the value that approximately represents the reality or estimated potentiality will be chosen. The circumstances attempt to provide an idea of the scope of the event, in both its real aspects and potential aspects. The following are considered: o Fire. A fire that could follow an incident is a circumstance that continues over time and can therefore cause more damage. Consequently, an incident that takes place with a fire will always be an aggravating circumstance of the potential. o Voltage involved V 1 kv 1 < V 66 kv 66 < V 132 kv V > 132 kv o Impact on the site. This refers to the degree of control that has been exercised over an incident occurring at a facility either by human means (such as putting out a fire with an extinguisher) or by technical controls provided for that purpose. The duration of the event, including the time required to detect it and to end it, is a factor to be considered. (1) Edition: 1 Page: 7 of 10
8 Event under control. Event partially controlled. Event not controlled. o Impact off the site. Whenever there are or there could be damages off site of the facility. (1) This situation will also be assessed whenever it may concern facilities that are not within their own premises, such as electric distribution lines or gas or water pipelines that run on public land. It will likewise apply when the event takes place at the homes of customers, at the common premises of a group of homeowners and at facilities that provide service to customers and the management thereof is entrusted to any company of Gas Natural Fenosa. o Pressure on the natural gas or LGP network A gas leak on a distribution network will involve greater risk as the operating pressure increases. MOP > 5 bar 0.5 < MOP 5 bar MOP 0.5 bar o Confined space o Possibility of the formation of explosive atmospheres (ATEX) o Recurrence (1) Certain. High probability that it might occur again and in a short period of time. Probable. It will occur again, but not as a daily event (there are good reasons to believe it will happen) Unlikely. It is not expected to occur again in the immediate future o Accumulation of gas in enclosed spaces (basements, buildings, homes, etc.) o Potential number of injured persons (1) > 4 o Effect on other services of our distribution networks (electricity and gas) o Forestry jobs o Working at height Edition: 1 Page: 8 of 10
9 o Possible explosive atmosphere o Handling of toxic/corrosive chemical products o Jobs that involve earth-moving o Jobs with machinery o Jobs with vehicles o Underwater jobs o Work permits needed o Others. All situations that cannot be assigned to any of the aforementioned situations. These incidents, depending on the circumstances, will be assessed with justification and score from 0 to 30 points. (1) The indicated fields must always be filled in 6.2. Classification of incidents An incident will be classified according to the following scales: Very Serious Incidents. Incidents with a score exceeding 160 points will be considered major events. Serious Incidents: when the score is equal to or less than 160 points and equal to or greater than 110 points. An incident will also be classified in this category when the potential number of injured persons is greater than 4. Less Serious Incidents: when the score is less than 110 points and equal to or greater than 60 points. Minor Incidents: below 60 points. Appendix 01 includes the assessments of various effects and circumstances, presented in table form. For example, an incident that takes place with a gas explosion will have an initial value defined in the table (30). The severity of the explosion will be determined by the circumstances that are present in the incident. Continuing with the example: If a fire also occurs: 20 points If the network pressure is between 0.5 and 5 bar: 20 points If the potential number of injured persons is 1: 20 points If recurrence were possible: 15 points If it has an impact off the site: 20 points The final score in this example would be 125 points, corresponding to a Serious category. Edition: 1 Page: 9 of 10
10 For some circumstances, depending on the value, the event will be directly classified into a category. For example, if the potential number of injured persons exceeds 4, the event will directly be classified at a minimum in the Serious category. If the results of the score of an incident seem inconsistent with the estimated severity of the event, either more or less, the Prevention and Industrial Safety units of the country will be consulted to establish a single criterion. 7. Data record. Applicable forms Not applicable 8. List of Appendices NT GN-AX.01. Assessment of the effects and circumstances of an event NT GN-AX.02. Implementation sheet Edition: 1 Page: 10 of 10
11 Appendix 01. Assessment of the effects and circumstances of an event EFFECTS OF THE EVENT VALUE Electric arc 30 Asphyxia Fall lines 20 Oil spill 10 Reservoir embankment slides 15 Emission of toxic gases 20 Entry of water in network 10 Gas leak 20 Explosion 30 Construction element failure 20 Filtration 15 Leak/spillage of other potentially explosive chemical products 20 Intoxication 20 Release of other energies (mechanical, kinetic) 20 Others 5 Other spillages or emissions 10 Line breakage 20 Overpressure 20 Overvoltage 20 NT GN-AX.01 Date: 14/01/2014 Edition: 1 Page: 1 of 2
12 Appendix 01. Assessment of the effects and circumstances of an event CIRCUMSTANCE VARIABLE VALUE Accumulation of gas in enclosed premises YES 20 Effect on other services of our networks (electricity and gas) YES 20 Confined space YES 30 Work permits needed YES 20 Impact on the Site NO CONTROL PARTIAL CONTROL CONTROL Impact Off Site YES 30 Fire YES 20 Handling of toxic/corrosive chemical products YES 20 Potential number of injured persons > 4 Others YES 0-30 Possible Explosive Atmosphere YES 20 Natural gas or LPG network pressure Recurrence Voltage involved MOP > 5 bar 0.5 < MOP 5 bar MOP 0.5 bar CERTAIN PROBABLE UNLIKELY V > 132 kv 66 kv < V 132 kv 1 kv < V 66 kv V 1 kv Working at height YES 20 Forestry jobs YES 20 Jobs with machinery YES 15 Jobs that involve earth-moving YES 15 Underwater jobs YES 15 Jobs with vehicles YES NT GN-AX.01 Date: 14/01/2014 Edition: 1 Page: 2 of 2
13 Appendix 02. Requirements sheet for tool implementation Tool H12 Accident and incident management Name of the network Knowledge and Experience Management Approval date of the design 21 October 2013 Planned implementation dates January - February 2014 Description of the tool Define the management process of the occupational and industrial accident rate and incident rate in all the stages thereof: notification, investigation, statistical analysis, improvement actions, lessons learned and implementation of improvements Associated documentation NT GN: Accident and Incident Communication, Investigation and Follow-up Process NT GN: Classification of Incidents Scope (area, group, related businesses) The entire group, including all units and companies and all persons, including third parties and collaborating companies. To view each of the responsibilities by level, see points 5 and 6 of NT GN Implementation strategy Implementation will begin with the approval of said regulations. Notification will be made as it has been up to now, in the updated Excel form, which is attached with the procedure (NT GN FO.01). The form must be completed and sent to all corporate units so that it can be uploaded centrally. Said form must also be used for an accident investigation, unless the complexity of the investigation requires a specific report. Corporate units will follow up on the accident rate statistics based on the indexes described in Appendix 4. In the midterm, when the evolution of the current computer system (Ecua) has finalised, data will be captured directly by the user according to the aforementioned Excel model. Communication Corporate communication of launch of the H12 tool at the microsite of Naturalnet, Safety and Health Commitment Plan - Advances in the project, and cascaded information given by the hierarchical line, as with all other tools. Required training Classroom and on-line training has been defined according to the various profiles of the personnel involved in the process, which will be given during the first half of 2014; in no case does it limit use of the tool. Monitoring and reporting The accident/incident rates will be monitored based on the indicators defined in Appendix 4 of NT GN and according to the deadlines established in Appendix 5 of said regulation and the deadlines indicated in the regulation itself. Some of the indexes referred to in Appendix 4 are defined in Appendix 3 of NT GN as reactive indexes. For NT GN-AX.02 Date: 14/01/2014 Edition: 1 Page: 1 of 2
14 Appendix 02. Requirements sheet for tool implementation monitoring, the provisions of said regulation will be taken into account. Risks and contingency plans No risks of relevance have been detected Representatives of the network For coordination in the post-implementation phase: Sponsor: Pedro Luis Pérez Vallejo Leader: Javier Giner Jiménez Technical Management of Regulated Businesses María Dolores García Aparicio Spain Reg. Electricity Bus.: José Luis Alcaide Rodríguez Mexico Gas and Generation: Palemón Torres Cano Training: Nury Rector Rubio Generation Spain: Rosa Ana Suárez ORP: Antonio Vázquez Vazquez Spain Wholesale Business: Segundo Alfonso Fernández Project office: Mª Teresa Domínguez, Amaya González, Miguel Sánchez Ariza, Antonio Vázquez NT GN-AX.02 Date: 14/01/2014 Edition: 1 Page: 2 of 2
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