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Accident/Incident Report: Health, Safety and Environmental Plan

A property damage incident occurred at a construction site on April 29, 2020 due to strong winds. Approximately 70 meters of boundary fencing and the project signboard were damaged. The damaged area was immediately barricaded to prevent access. The root cause was determined to be an unforeseen environmental disturbance from the strong winds. Two witnesses from the construction company were present. An accident report was filed and distributed to relevant managers and departments.

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129 views2 pages

Accident/Incident Report: Health, Safety and Environmental Plan

A property damage incident occurred at a construction site on April 29, 2020 due to strong winds. Approximately 70 meters of boundary fencing and the project signboard were damaged. The damaged area was immediately barricaded to prevent access. The root cause was determined to be an unforeseen environmental disturbance from the strong winds. Two witnesses from the construction company were present. An accident report was filed and distributed to relevant managers and departments.

Uploaded by

jones
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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HEALTH, SAFETY AND ENVIRONMENTAL PLAN

ACCIDENT/INCIDENT REPORT
Details of Person Making This Report:

Name : JAMES NEEL Position: SAFETY OFFICER

Contact No: 0581161933

Date & Time of Report: 29/04/2020 Signature: JAMES NEEL

Accident/ Incident Details:

Project / Location &


TLS General Date of Event 29/04/2020
Plot no:
Transport /5330231
Date Reported Reported By MUTHU KUMAR
29/04/2020
Event Type:-
Type of Treatment:-
Fatality / Major / 3 Day /
Minor or 1st aid /Major/
(1st aid / Doctor / Hospital) Dangerous Occurrence / PROPERTY DAMAGE
Vehicle Accident / Near
Miss) / Property Damage &
Environmental
Disturbance(Strong wind)
wind)
IP Name & ID no - __
IP (Injured Party)
Details Date of Joining & Position - __

Age and Sex - __

Event Details (What Happened)

Due to strong wind that hit our project site on 29-04-2020, boundary sheet of 70 running
meters and the project signboard has been damaged.

Action Taken (immediate & to prevent reoccurrence)

- Area has been immediately barricaded where the fencing has been damaged.

Immediate Cause (Classification Codes)

Page 1 of 2 LBC/HSEP/SF-06 REV: 00


HEALTH, SAFETY AND ENVIRONMENTAL PLAN
ACCIDENT/INCIDENT REPORT
A Treading on nails etc E Collapse of excavation I Trapped by machinery M Burns or scalds Q Welding flash

B Falls from height F Falling objects J Use of hand tools N Strains or sprains R Road accident

C Falls into excavation G Striking fixed object K Handling materials O Electric shock S Horse play suspected

D Falls on level ground H Struck by moving plant L Foreign bodies in eye P Heat exhaustion T Other unclassified

Root Cause

Unforeseen Act /
Unsafe Act Lack of Information Lack of Competence Environmental
Disturbance
Others
Management system
Unsafe Condition Lack of Training Poor Supervison
failure

Disabling Injury N Lost time N

Witnesses to the Accident / Incident

Name Position Company Contact No.

Kumar Site Engineer LBC 0564225178

Muthu kumar Project Engineer LBC 0555671884

Report Distribution:

Project Manager: HSE Engineer Others

Operation Manager General Manager Personal Depart.

Page 2 of 2 LBC/HSEP/SF-06 REV: 00

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