Metro-North Railroad Guide for Incident Reporting
|
|
- Walter Walters
- 5 years ago
- Views:
Transcription
1 Metro-North Railroad Guide for Incident Reporting Revised March 2017
2 MTA Metro-North Railroad Safety Policy Statement Metro-North Railroad recognizes that safety is the most critical element of our operation. We are committed to complete and accurate reporting of all accidents, incidents, injuries, and occupational illnesses arising from the operation of the railroad, to full compliance with the letter and spirit of the Federal Railroad Administration s accident reporting regulations. The harassment or intimidation of any person that is calculated to discourage or prevent such person from receiving proper medical treatment or from reporting such accident, incident, injury or illness will not be permitted or tolerated and will result in disciplinary action against any employee committing such harassment or intimidation. Working together as a cooperative team we will achieve Metro-North s safety goals and enhance the safety of our railroad. As employees, it is our responsibility to take ownership of our own safety and the safety of others. It is through the implementation of the System Safety Program Plan, that we identify safety responsibilities and how we are accountable throughout the organization, providing a safe, healthy working environment for our employees and a safe, comfortable environment for our customers and the public. As safety is the most important factor in the performance of duties, it is vital that every employee puts safety first, follows safety rules and work procedures, and uses sound judgment while performing their job. Complaints relating to an accident or injury are to be submitted in writing to the Vice President, System Safety describing in detail the date, time, witnesses (if any), and the nature of the incident giving rise to the complaint. If you have any questions in relation to this statement, please contact the Office of System Safety on the Safety Help Line: (212) or MNRSafetyConcerns@mnr.org
3 Table of Contents Section 1 Introduction Page 1.1 Purpose Definitions Relevant Contacts... 3 Section 2 Incident Reporting and Investigation 2.1 Immediately Following Incident Transportation of Injured Employees Initial Report of Incident (IR-1) Documenting Incident Site Medical Evaluation Medical Evaluation Considerations Incident Investigation Report (IR-2)... 7 Section 3 Responsibilities 3.1 Employee(s) Involved in an Incident Immediate Supervisor Lead Investigator (Department) Department Lead Operations Control Center Delay Clerk Occupational Health Services Department Office of System Safety Claims Services Department... 11
4 List of Appendices A- Incident/Injury Flowchart B- Initial Report of Incident (IR-1) C- Incident Investigation Report (IR-2) D- Employee/Witness Statement Form E- Employee Post Incident Instructions F- 15 Day Report G- Request for Occupational Health Services (MD-40)
5 Section 1 Introduction 1. Purpose The purpose of this guide is to provide a framework for managers and supervisors to carry out reporting and investigating workplace incidents. When an incident is reported in an accurate and timely manner, corrective actions can be identified and implemented to prevent reoccurrence. As a result of conducting a complete, detailed incident investigation, Metro-North Railroad (MNR) will create a safer work environment by: Identify the causal factors that contributed directly or indirectly to an incident. Identify deficiencies in systems, practices, and procedures. Utilize information to eliminate potential accidents, incidents, and injuries. Identify root cause(s) and implement corrective actions. Identify trends or areas of concern. Accurately track injury rates. Comply with regulatory reporting requirements. 2. Definitions Contributing Factor(s) - The factor(s) that contributed to an event or condition but, by itself, would not have caused the incident. Corrective Action(s): Measures taken to improve upon or resolve identified undesirable situations and prevent them from reoccurring. Federal Railroad Administration (FRA): The regulatory agency that develops and enforces railroad safety regulations, carries out investigations, analyzes railroad accidents and conducts safety assessments of railroads. Incident: Any unplanned occurrence or condition arising from railroad operations or the actions of employees or other persons, which results, or may result, in injury or illness to person(s) or damage to property. Injury: Harm to a person resulting from a single event, activity, occurrence, or exposure of short duration. Investigation: A detailed, systematic search for and review of facts in order to determine the "who, what, where, when, why, and how" of an incident or near miss, and to determine what corrective actions can be instituted to prevent reoccurrence. IR-1: Metro-North Initial Report of Incident. 1
6 IR-2: Metro-North Incident Investigation Report. (Alternative Railroad-Designed Record to form FRA F ) Lost Time (Days away from work): The count of days away from work due to a work related injury or illness, including all calendar days, regardless of whether the injured employee would normally be scheduled to work. The count starts on the first calendar day after the injured employee has been examined by a physician or other licensed health care professional and continues until the injured employee returns to work. Medical Evaluation: A process that involves examination by a qualified health care professional that may involve non-invasive diagnostic procedures for the purposes of determining the nature and extent of injury. Medical Treatment: The care of an injury or illness by a qualified health care professional. Near Miss: Any unplanned event or condition arising from railroad operations or the actions of employees or other persons, which, under slightly different circumstances, would have resulted in injury or illness to person(s) or damage to property. The near miss event should be used as an opportunity to improve safety by learning from an incident that had the potential for more serious consequences. Non-Reportable: Injuries requiring no medical treatment beyond what is considered as First Aid in accordance with 49 CFR Part 225. Occupational Illness: Any abnormal condition or disorder that is not the result of any injury, but appears to be caused by environmental factors associated with an employee s occupation and employment within MNR, such as: contact dermatitis, poison ivy, respiratory conditions to a toxic agent, heatstroke, heat exhaustion or a noise-induced hearing problem. Regular Work Location: The location an employee routinely reports to for MNR purposes. Reportable Incident: Incident connected with the operation of the MNR that must be reported to the FRA because it meets the reporting threshold mandates. These include injury to an employee who needs medical treatment beyond first aid, receives a puncture wound from a medical sharp, is losing time or is placed on restricted duty for one day or more, and any occupational illness diagnosed by a physician. Restricted Duty (Days Restricted): When an employee is unfit to perform their normal routine job function or their normal work hours. 2
7 Root Cause(s): The immediate event(s) or condition(s) that caused an incident, which if had been previously corrected, would more than likely have prevented the incident Supervisor(s): Agreement and Non-Agreement employees with direct reports that are not supervisors. Work Related: An event or exposure in the work environment discernably causing or contributing to a resulting condition, or if an event or exposure occurring in the work environment is a discernable cause of a significant aggravation to a preexisting injury or illness. 3. Relevant Contacts Name/Organization Telephone Fax MNR Occupational Health Services (212) (212) MNR Office of System Safety (212) MNR Claims Services (212) (212) MNR Operations Control Center (212) (212) MNR Employee Assistance Program (212) MNR Legal Affairs (212) (212) MTA Police (888) (888) MTA-911PD 3
8 Section 2 Incident Reporting and Investigation Prompt reporting will initiate the incident notification process to ensure that the investigation will be adequately documented and that critical evidence will be preserved. An accurate and in-depth investigation will assist in determining the root cause(s) of an incident and allow for the implementation of appropriate corrective actions. The investigation also enables the MNR Claims Services (Claims) and Occupational Health Services (OHS) Departments to manage any medical evaluation and treatment more effectively. The investigation process is outlined in the IR-1 and IR-2 Flowcharts located in Appendix D of this document. 1. Immediately Following Incident A supervisor s first responsibility is to assist in providing prompt, appropriate first aid or emergency medical treatment for any person injured in an incident. If emergency medical treatment is requested or necessary, emergency medical responders must be contacted and tend to the injured employee(s) at the scene or the employee(s) must be promptly transported to the closest appropriate hospital or medical facility. A supervisor or designated responsible employee must accompany the injured employee(s) to the hospital or medical facility. In extreme cases, refusal of medical treatment must be made to responding medical professional. 2. Transportation of Injured Employees Emergency medical transportation must be summoned to transport severely injured employees for medical treatment. Company vehicles may only be used to provide transportation for minor medical evaluation and/or treatment. Under no circumstances may an employee s request for medical treatment or transportation to a hospital or medical facility be denied. If transportation to a hospital is requested by an employee, the railroad shall promptly arrange to have the employee transported to the nearest hospital where they can receive safe and appropriate medical evaluation and/or treatment. 3. Initial Report of Incident (IR-1) After ensuring medical attention to any injured employee(s), the supervisor must identify and document any relevant information at the incident site, as well as complete an IR-1 for each employee involved in the incident. Either immediately following an incident, or while others are providing prompt medical attention, but no later than the end of the shift of the Person Notified, the completed IR-1 must be submitted to the Operations Control Center (OCC) by or fax. If there will be a delay due to lack of access to the form or a fax machine, provide the information to the OCC by telephone. 4
9 Operations Control Center Phone: (212) or 2051 Fax: (212) Changes or revisions are not to be made to any IR-1. If there is inaccurate information provided on the IR-1, the IR-2 can be used to clarify or make changes as necessary. 4. Documenting Incident Site Identify and document any relevant information about the incident site as soon as possible. Note weather and environmental conditions, any equipment in the area and include weight and height of objects or tools when possible. Take relevant photos and, when appropriate, sketch the incident site. Any information that could affect the investigation should be recorded before any changes to the site take place. In special cases when possible, cordon off area with caution tape to preserve relevant information. It is also recommended to get employee and other witness statements as soon as possible after the incident has occurred. 5. Medical Evaluation After ensuring proper medical treatment for any injured employee(s) and documenting the incident site, the supervisor must arrange for an initial medical evaluation of the injured employee(s) by OHS or, if necessary, by a Physician or Other Licensed Health Care Professional (PLHCP) designated by MNR. If the injured employee(s) receives emergency medical evaluation and treatment, and the treating health care professional confirms that the employee is fit for duty, relevant paperwork must be sent to OHS and medical evaluation by OHS is not necessary. An employee is required to cooperate with a reasonable request to appear for a medical evaluation. However the evaluation must be scheduled in a manner that does not interfere with, or delay, an employee s medical treatment plan or doctor s orders. If a supervisor is in doubt as to how to handle a situation wherein the employee objects to a medical evaluation, he or she should seek guidance from their supervisor or from OHS. An initial medical evaluation must be conducted when an injured employee: 1. cannot complete his/her tour of duty, or; 2. cannot perform the assigned duties of his/her position, or; 3. suffers an injury including, but not limited to, the following type: o any injury to the neck, back, shoulder or knee o any injury to the eye(s), eye area, or ear(s) o head trauma 5
10 o o o o severe bleeding any loss of consciousness electric shock incident of a nature or severity that appears to be inconsistent with the circumstances of the incident If the employee declines medical treatment, supervisors may authorize exceptions to the requirement for an initial medical evaluation. Exceptions to a requirement for an initial medical evaluation are acceptable when the injuries are minor (e.g. minor cut, abrasion, bruise, or insect bite), and the circumstances of the incident are clearly established and consistent with the nature of the injury. If it is determined that an evaluation is not required, the Employee Post Incident Instructions (Appendix G) must still be completed. 6. Medical Evaluation Considerations Scheduling an Appointment with OHS If an injured employee is to have an initial medical evaluation by OHS, the supervisor must coordinate with the Department s Employee Availability Specialist or assigned administrator who must notify and confirm with OHS that the employee is coming for medical evaluation. Documentation The supervisor must complete Part 1 of the Request for Occupational Health Services Form (also referred to as MD-40, included as Appendix F), give a copy to the injured employee, and instruct the employee to present the form to OHS. If the employee is sent to OHS directly from a field location where an MD-40 may not be available, the supervisor should contact OHS to advise them of this situation. Following the initial medical evaluation, OHS will document the results (fit for duty; not fit for duty; applicable restrictions; etc.) on the MD-40 and give a copy to the employee. The employee must present the completed MD-40 to the supervisor prior to returning to work duty. Copies of the completed MD-40 must be submitted to the Office of System Safety by OHS upon receipt. Evaluation and/or Treatment Outside of MNR If an injured employee is evaluated or treated outside of MNR and is judged by a PLHCP to be fit for work duty, with appropriate documentation, it is not necessary for the employee to be evaluated by OHS. The employee must submit documentation to OHS, who will then immediately inform the supervisor whether the employee is fit for duty. If a supervisor has a question regarding an employee s status, he or she may contact OHS. 6
11 If an injured employee is evaluated outside of OHS, and is judged not fit for full duty, a follow up appointment with OHS must be scheduled by their Department. This enables OHS to effectively monitor the employee s recovery, rehabilitation and return to work status. 7. Incident Investigation Report (IR-2) A required and critical step in the incident investigation process is to prepare and submit an IR-2. The IR-2 form may be accessed through the intranet under Departments Office of the President Office of System Safety Incident/Injury Management. Upon its completion, an electronic copy of the report must be submitted within seven (7) days after the incident to: IR2@mnr.org. If there are any questions regarding the preparation of an IR-2 contact the Office of System Safety should be contacted. The IR-2 should be completed using the information preserved at the incident site and discovered during interviews of involved employees. The following items are required to be included in the report: Identify root cause(s) and contributing factor(s) Identify corrective actions, the person(s) and department responsible for their implementation, and completed/or expected completion date Identify incident location, date, and time Identify injured employee(s) and direct supervisor, along with their employee number Identify type of incident Identify and interview witnesses List notification date and time Identify the injury or illness and the affected body part, if applicable Describe the incident in detail Sketch the incident site, if applicable Describe property damage, if applicable Describe spills, if applicable Describe weather conditions at time of incident Identify if employee(s) were engaged in normal job duties Identify if the task being performed required special training or qualifications Identify if a Job Safety Briefing (JSB) was held prior to starting work Describe PPE worn by employee(s) at time of incident 7
12 The Initial Report of Incident (IR-1), and the Incident Investigation Report (IR- 2), satisfy an FRA reporting requirement and therefore, every section must be completely and accurately filled out without exception. The IR-2 must be forwarded to the Office of System Safety no later than seven (7) days after the date of the incident. If completion of the report is delayed, notify the Office of System Safety immediately for further instruction. All investigative materials must be preserved. If the investigator identifies a broken or defective tool involved in the incident, for example, that tool must be preserved as service allows. Do not destroy any photographs, notes, drawings, or other materials created or collected during the investigation. A copy of the IR-1 originally sent to the OCC must be included with the completed IR-2 when submitting it to the Office of System Safety. The following items must also be submitted with the IR-2 package: Employee Statement Witness Statement(s) Post-Injury Instructions 15 Day Report Pictures (if applicable) Request for Occupational Health Services (MD-40) It is highly encouraged to send any additional medical or hospital documentation and/or a copy of the Job Safety Briefing (JSB) used the day of the incident with the IR-2 package. Participation in an investigation is mandatory and failure to do so is considered an act of insubordination. The employee labor agreement does not exclude any employee from participating in an investigation or giving a statement. It is not required, however, for any employee to be photographed for the purpose of the reenactment, and if necessary, the supervisor completing the report can use actor(s) in the photographs to fill in for the employee(s) involved. The Office of System Safety is available to review draft IR-2 s prior to their final submission to ensure accuracy and quality, and to assist in the reporting process. Please do not send the reports to the Field Safety Officers directly. Submit any draft IR-2 s to IR2@mnr.org and indicate that the IR-2 is a draft and that a review is requested. If an IR-2 needs corrections, a designated Office of System representative will conduct a follow-up. 8
13 Section 3 Responsibilities The following outlines the responsibilities of all individuals who may be involved in the incident investigation process. 1. Employee(s) Involved in an Incident Any employee involved in an incident is responsible for: a. Seeking and/or administering medical attention for injured person(s). b. Reporting the incident to his/her direct supervisor immediately. c. Following supervisor s instructions concerning an initial medical evaluation in the case of an injury or illness. d. Providing documentation of any and all medical evaluations associated with a work-related incident to OHS. e. Returning to the incident site to provide information necessary to the incident investigation and report as soon as reasonably possible. f. Participating fully and cooperating with person(s) conducting the investigation to provide complete, accurate, and timely information. 2. Immediate Supervisor The immediate supervisor of an employee involved in an incident is responsible for: a. Ensuring prompt and appropriate medical treatment or assistance to any injured person(s). b. Ensuring appropriate transport of injured person(s) to the nearest hospital or emergency medical facility. c. Identifying and documenting any relevant information at the incident site, as appropriate. d. Photographing and securing, where possible, any defective tools or other physical objects involved and preserving any and all photographs taken during the investigation. e. Completing an MNR Initial Report of Incident form (IR-1) and transmitting information as directed, as soon as possible, but not later than the end of their shift. f. Contacting the department lead to determine their lead investigator. g. Notifying injured employee(s) of the need for OHS documentation if a medical evaluation is performed by anyone outside of MNR. 9
14 h. Assisting the lead investigator, as appropriate, in conducting the incident investigation and determining and executing corrective actions as established by the investigation. 3. Lead Investigator (Department) The Lead Investigator shall be determined by the Department Head, and is responsible for: a. Contacting the Office of System Safety to review and assist in the incident investigation process. b. Meeting with person(s) involved in the incident, at the incident site if necessary, to initiate the incident investigation using the MNR Incident Investigation Report Form (IR-2) based on review with a representative from the Office of System Safety. c. Reviewing the incident reporting and investigation process details with appropriate, affected person(s). d. Analyzing, in conjunction with the Office of System Safety, as appropriate, the facts and determining root cause(s) and contributing factor(s) of the incident. e. Completing an IR-2 and submitting to department lead for review and signature. 4. Department Lead The Department Lead must be above the Immediate Supervisor and is responsible for: a. Assigning the lead investigator when notified of incident. b. Reviewing and approving a completed IR-2. c. Submitting a completed and signed IR-2 to the Office of System Safety within seven (7) days of incident. d. Assigning a representative to present and discuss the incident and findings at the Incident Safety Review. e. Ensuring implementation of any corrective actions, as described in the IR Operations Control Center Delay Clerk The Operations Control Center (OCC) Delay Clerk is responsible for: a. Immediately, upon receipt of the IR-1, paging the Injury Group with a brief notification of the incident (excluding name and employee number). b. Immediately faxing a copy of the IR-1 to the Office of System Safety and OHS. c. Including the IR-1 in the Daily Operations Report. 10
15 6. Occupational Health Services Department The Occupational Health Services (OHS) Department is responsible for: a. Providing timely appointments for post-incident evaluations of injured employees. b. Timely evaluation and reporting employees fitness for duty status. c. Managing employees back to full duty in coordination with treating medical professionals, the employee s department, and Claims. d. General medical case management guidance. e. Forwarding all medical information received to the Office of System Safety. 7. Office of System Safety The Office of System Safety is responsible for: a. Participating in incident investigations, either directly or by review of the report, as deemed appropriate. b. Reviewing the incident investigation documentation to ensure it is complete. c. Periodically auditing investigation process to ensure all departments follow these guidelines. d. Providing technical support for the investigation as needed, (e.g. conducting exposure monitoring, hazard assessments, regulatory review). e. Reporting all incidents to external agencies, such as the Federal Railroad Administration (FRA), as required. 8. Claims Services Department The Claims Services Department is responsible for: a. Reviewing all incoming injury and occupational illness cases. b. Coordinating post injury management. c. Tracking injured employees work status. d. Forwarding all medical information received to the Office of System Safety. 11
16 Appendix A Incident/Injury Flowchart
17 Appendix B Initial Report of Incident (IR-1)
18 Appendix C Incident Investigation Report (IR-2)
19
20
21
22
23
24
25 Appendix D Employee/Witness Statement Form
26 Appendix E Employee Post Incident Instructions
27 Appendix F 15 Day Report
28 Appendix G Request for Occupational Health Services (MD-40)
OSH Incident Reporting & Investigation Procedure
Contents Document Review and Approval... 2 1. Purpose and Scope... 3 2. Procedure... 3 2.1 Injury, Illness and OSH Incident Classification... 3 2.2 Recordable and Reportable Incidents... 4 2.3 Incident
More informationINCIDENT INVESTIGATION & REPORTING BEST PRACTICES
Preparation: Safety Mgr Authority: President Issuing Dept: Safety Page: Page 1 of 8 Purpose The purpose of this program is to have effective procedures for reporting and evaluating/investigating incidents
More informationESSENTIAL SAFETY RESOURCES
ESSENTIAL SAFETY RESOURCES ADM-1005 INCIDENT INVESTIGATION AND REPORTING Rev. 0 Effective Date: Originator: Safety Advisor s Signature: Type Name Approval: HSE Manager s Signature: Type Name Approval:
More informationINCIDENT INVESTIGATION AND REPORT PROGRAM
1. PURPOSE The purpose of this program is to have effective procedures for reporting and evaluating - investigating incidents and non-conformances in order to prevent further occurrences. 2. RESPONSIBILITIES
More informationIncident Management June 2018
Incident Management June 2018 Table of Contents 1.0 Purpose... 1 2.0 Scope... 1 3.0 Definitions... 1 4.0 Responsibilities... 2 4.1. Senior Executives, Deans and Directors... 2 4.2. Supervisors... 3 4.3.
More informationFLOCO2, Ltd. Safety Management System. Preparation: Safety Mgr Authority: President Issuing Dept: Safety Page: Page 1 of 11
Purpose Issue Revision Preparation: Safety Mgr Authority: President Issuing Dept: Safety Page: Page 1 of The purpose of this program is to have effective procedures for reporting and evaluating/investigating
More informationSCALES NW, INC INCIDENT INVESTIGATION AND REPORTING
Purpose The purpose of this program is to have effective procedures for reporting and evaluating/investigating incidents and non-conformances in order to prevent further occurrences. Responsibilities Responsibilities
More informationAccident Management Procedure
WILTSHIRE POLICE FORCE PROCEDURE Accident Management Procedure Effective from: 05.03.15 Page 1 of 12 TABLE OF CONTENTS Identification... 3 Ownership... 3 Revision History... 3 Approvals... 3 Distribution...
More informationOccupational Health and Safety Policy
Occupational Health and Safety Policy INTRODUCTION The Occupational Health and Safety Act 2004, under which all employees and employers in Victoria are covered underpins this policy. The Act aims to provide
More informationIncident Reporting Policy and Procedure
Incident Reporting Policy and Procedure Category: Number: Responsibility: Approval: Amendments: Health, Safety and Security HS2 Director of Human Resources November 2015, Administration Every 3 years or
More informationINCIDENT MANAGEMENT PROGRAM
INCIDENT MANAGEMENT PROGRAM Last updated: December 2017 1.0 PURPOSE An effective incident management program ensures that occupational incidents, including near misses, are reported and investigated in
More informationSCHOOLS INCIDENT REPORTING, RECORDING and INVESTIGATION
SCHOOLS INCIDENT REPORTING, RECORDING and INVESTIGATION Page 1 of 14 Amendment Register Revision Number Date Details Amended By Approved By Page 2 of 14 Contents Page Number 1. Introduction 4 2. Scope
More informationGoals for this Training
Accident Investigation Training How to Conduct a Workplace Accident Investigation Emma Corell, Accident Prevention Manager EH&S, Research and Occupational Safety Goals for this Training Learn simple tools
More informationIncident Investigations Handbook
Incident Investigations Handbook The following agencies may respond to an incident (insert phone numbers of your location) Police Fire/rescue Ambulance Coroner WorkSafeBC BC Safety Authority ICBC BC Hydro
More informationAccident and Incident Investigation
Standard Operating Procedures Accident and Incident Investigation Last Modified: JAN 2013 1 of 8 Accident and Incident Investigation I Purpose To prevent the recurrence of Accidents and Incidents by ensuring
More information1.0 Standard. Title: Date of Issue: Feb Incident Investigation Policy & Procedure. Approved By: Review/ Revision Date. 1-Nov-10.
Title: Incident Investigation Policy & Procedure Date of Issue: Feb 2001 Approved By: Mark Runciman Review/ Revision Date 1-Nov-10 Location: All Locations Ref. No: HS-002 1.0 Standard 1.1 Purpose To ensure
More informationApproved by: SCOPE This procedure applies to everyone in the Conestoga community including employees, contractors, visitors and students.
1.0 2.0 PROCEDURE STATEMENT The purpose of this procedure is to clarify and formalize the guidelines to be followed for reporting incidents, conducting investigations, identifying causation factor(s) and
More informationINCIDENT INVESTIGATION PROGRAM
INCIDENT INVESTIGATION PROGRAM 1.0 PURPOSE The purpose of this program is to prevent the recurrence of an incident and to eliminate or minimize the risks associated with the incident. 2.0 SCOPE This procedure
More informationTitle: Incident Reporting Effective Date: 4/7/2015 Control Number: THG_0028 Revision Number: 2 Date: 4/05/2016 Annual Review Completed: 5/13/2015
Title: Incident Reporting Effective Date: 4/7/2015 Control Number: THG_0028 Revision Number: 2 Date: 4/05/2016 Annual Review Completed: 5/13/2015 Incident Reporting CONTENTS I. INTRODUCTION II. PURPOSE
More informationSAFETY PROCEDURE ACCIDENT/INCIDENT INVESTIGATION
SAFETY PROCEDURE ACCIDENT/INCIDENT INVESTIGATION EFFECTIVE DATE: March 1, 2007 UPDATED: July 2012 1. PURPOSE The purpose of this procedure is to identify the duties, roles and responsibilities of workplace
More informationAppendix. Supervisors will complete the MU Employee Injury and Illness Report form. reported via a Near Miss Form within twenty-fours hours.
Appendix Responsibilities With Regard to the PFD Incident Reporting Procedure: All PFD personnel have a responsibility (and are subject to disciplinary action for failing to do so) to report all occupational
More informationInjury and Work-Related Illness Prevention Program
Associated Students, California State University, Northridge, Inc. Injury and Work-Related Illness Prevention Program 1. PURPOSE STATEMENT It is the intention of the Associated Students, California State
More informationOSHA 29CFR 1960 Basic Program Elements for Federal Employee Occupational Safety and Health Programs and Related Matters
OSHA 29CFR 1960 Basic Program Elements for Federal Employee Occupational Safety and Health Programs and Related Matters Content Subpart A General 1960.1 Purpose and Scope 1960.2 Definitions Subpart B Administration
More informationIncident & Hazard Reporting and Investigation Guidelines
Incident & Hazard Reporting and Investigation Guidelines Contents 1. Introduction/Background... 2 2. Scope/Purpose... 2 3. Roles and Responsibilities... 2 4. Flowchart... 3 5. Incidents... 4 5.1. Immediate
More informationWHS-56 Incident Reporting and Investigation
WHS-56 Incident Reporting and Investigation Table of Contents Table of Contents... 1 1 Purpose... 3 2 Scope... 3 3 Roles and Responsibilities... 3 4 Definitions... 4 5 References... 6 6 Records... 6 7
More informationOCCUPATIONAL INJURY REPORTING
OCCUPATIONAL INJURY REPORTING Table of Contents Scope... 3 Procedures... 3 Incident Response & Medical Treatment... 3 Responsibilities... 4 Incident Investigation... 5 Supervisor Responsibility... 5 Correction
More informationINJURY AND ILLNESS PREVENTION PLAN (IIPP) October 2015
INJURY AND ILLNESS PREVENTION PLAN (IIPP) October 2015 Policies and Procedures Office of Environmental Health & Safety TABLE OF CONTENTS IIPP Information iii Building Contact iv Designated Emergency Medical
More informationPOLICY AND PROCEDURE MANUAL. 3.3 Incident Reporting and Investigation Procedure. 1.0 Purpose
POLICY AND PROCEDURE MANUAL Policy Title: Policy Section: Effective Date: Supersedes: INCIDENT REPORTING AND INVESTIGATION PROCEDURE EMERGENCY RESPONSE AND HEALTH AND SAFETY 2016 03 24 2012 07 24 Area
More informationFIRST AID POLICY POLICY ISSUES AND UPDATES
First Aid Policy 2018/2019 FIRST AID POLICY POLICY ISSUES AND UPDATES Pages Issue No. Date Whole Document new format and template used. 1 January 2016 Cover page - logo 2 February 2016 Whole document checked
More informationIncident Reporting and Investigation Guideline
Incident Reporting and Investigation Guideline Guideline Owner: Director Human Resources Services Centre Keywords: 1) Accident 2) Investigation 3) Reporting 4) Incident 5) Guideline Intent Organisational
More informationIncident Information
Contractor/Employer Name: Incident Information Property Damage First Aid Medical Aid Lost Time Near Miss Medical Treatment Restricted Work Fatality Worker s Name: Occupation: Age: Years experience in this
More informationINJURY & ILLNESS PREVENTION PROGRAM REQUIREMENTS
INJURY & ILLNESS PREVENTION PROGRAM REQUIREMENTS The following represents an overview of the Cal/OSHA requirements for an Injury & Illness Prevention Program as presented in this Manual IN COMPLIANCE WITH
More informationIncident Investigation and Reporting Procedures - Code of Practice 3.11
- Code of Practice 3.11 Distribution: To be brought to the attention of all Heads of Service, managers, supervisors, employees, trade union representatives and Head Teachers Introduction This code of practice
More informationThis document describes the University s processes for reporting and investigating health and safety Incidents and Near Misses.
Health and Safety Guidelines: HSG 7.1 Incident Notification and Investigation 1. Purpose This document describes the University s processes for reporting and investigating health and safety Incidents and
More informationIncident Reporting, Notification, and Review Procedure
Incident Reporting, Notification, and Review Procedure 1. Purpose and Scope 1.1. The purpose of this procedure is to require incident reporting and notification and to aid the University of Notre Dame
More informationSupervisor s Position No New Quality Improvement Lead Director Professional Standards
1. IDENTIFICATION Position Job Title Supervisor s Position No. 10 - New Quality Improvement Lead Director Professional Standards Department Division/Region Community Location Health Iqaluit Iqaluit Iqaluit
More informationREPORTING & INVESTIGATION OF EMPLOYEE INCIDENTS, ACCIDENTS AND SAFETY CONCERNS
Administrative Procedure 3140 REPORTING & INVESTIGATION OF EMPLOYEE INCIDENTS, ACCIDENTS AND SAFETY CONCERNS Responsibility: Legal References: Related References: Superintendent, Human Resource Services
More informationAccident, Incident and Near Miss Reporting
Accident, Incident and Near Miss Reporting Information and Guidance Adopted by the Safeguarding, Health & Safety Committee at The Kibworth School on behalf of the Governing Body Subject to report and review
More informationAccident/Incident Investigation Plan
South Central College North Mankato/Mankato Campus 1920 Lee Boulevard N. Mankato, MN 56002-1920 Faribault Campus 1225 Third Street SW Faribault, MN 55021-5782 Adoption Date: 07-08-15 Revision Date: 12-29-16
More informationAccident/Incident Investigation Policy
1.0 INTRODUCTION The purpose of this policy is to identify the duties, roles, and responsibilities of workplace parties so that an effective and immediate Accident/Incident Investigation program is in
More informationIncident/Injury Reporting & Investigation Program
Incident/Injury Reporting & Investigation Program SCOPE AND APPLICATION The objective of the Incident/Injury Reporting & Investigation Program is to properly and thoroughly investigate incidents, which
More informationProcedure: Incident & Near Miss Reporting Procedure
: Incident & Near Miss Reporting 1. Purpose Ensure effective reporting and investigation of OHS incidents, near misses and hazards. 2. Actions Required Ensure incidents, near misses and hazards are reported
More informationIncident Reporting Code of Practice
Incident Reporting Code of Practice Reviews and Revisions Action Date Reason Reviewer Revision 16/05/2016 To reflect new operating requirements Lesley Salkeld Contents Introduction Page 2 Definitions Page
More informationOCCUPATIONAL HEALTH AND SAFETY POLICY
OCCUPATIONAL HEALTH AND SAFETY POLICY Mandatory Quality Area 3 PURPOSE This policy will provide guidelines and procedures to ensure that: all people who attend the premises of, including employees, children,
More informationFaculty of Science Local Area Safety and Health (LASH) Committee Rules of Procedure
` Faculty of Science Local Area Safety and Health (LASH) Committee Rules of Procedure Definition of SAFETY & HEALTH ISSUES As defined under the Workplace Safety & Health Act W210 (the Act), "health" means
More informationGeneral Health and Safety Information for Victoria University. An outline of any further Health and Safety Training you may require.
Directed by: Health and Safety Officer Physical Plant Updated: March 2017 General Health and Safety Information for Victoria University. General Health and Safety Information for the task and work you
More informationIncident Response and Investigation Procedure
Incident Response and Investigation Procedure Related Policies Work Health and Safety Policy Executive Director, Human Resources Approved by Executive Director, Human Resources Approved and commenced October,
More informationBusiness Safety Leadership. Part 2: Incident and Root Cause Analysis
Business Safety Leadership Part 2: Incident and Root Cause Analysis 1 Outline Importance of investigation process Incident reporting best practices 7 key steps of incident investigation Effective root
More informationS2 Accident, Incident & Near Hit Reporting - 1 / 7
S2 Opening Statement Accident, Incident & Near Hit Reporting This is a written procedure which provides an overview of managing accidents, incidents and near hits in the workplace. It is not a replacement
More informationOCCUPATIONAL HEALTH AND SAFETY POLICY
ROTARY AUSTRALIA WORLD COMMUNITY SERVICE OCCUPATIONAL HEALTH AND SAFETY POLICY 1 INTRODUCTION 1. Australia will operate with National WH&S (harmonisation 2012-13) laws that define the obligations of workplaces
More informationC H A P T E R HAZARD ANALYSIS
C H A P T E R 8 HAZARD ANALYSIS 8.1. Safety Inspections All areas and operations of each workplace, including office areas, must be inspected at least once a year. More frequent inspections shall be conducted
More informationWORKPLACE HEALTH AND SAFETY & FIRST AID POLICY
WORKPLACE HEALTH AND SAFETY & FIRST AID POLICY Introduction The ACT Jewish Community (ACTJC) is committed to providing a safe and healthy environment for employees; volunteers; contractors, and visitors.
More informationADMINISTRATION OF FIRST AID POLICY
ADMINISTRATION OF FIRST AID POLICY PURPOSE This policy will provide guidelines for the administration of first aid at Melbourne Montessori School. Melbourne Montessori School is committed to: providing
More informationAdministration OCCUPATIONAL HEALTH AND SAFETY
ACCREDITATION STANDA RDS OCCUPATIONAL HEALTH AND SAFETY The accreditation standards relating to occupational health and safety include those most critical to staff safety in the non-hospital setting; however,
More informationCHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL
CHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL 411-020-0000 Purpose and Scope of Program (Amended 11/15/1994) (1) The Seniors and People with Disabilities Division (SDSD) has responsibility
More informationFirst Aid Policy September 2017
First Aid Policy September 2017 Responsibility for updating this policy: Health and Safety Officer Introduction This policy outlines the responsibility of the School to provide adequate and appropriate
More informationPost-incident actions
Post-incident actions Caring, timely, and efficient follow-up to any incident is crucial in assisting the injured employee, as well as in preventing another occurrence. This guide can help you when a workplace
More informationIntroduction to Investigating Workplace Incidents January 25 th, 2017 Presented by: Jack Slessor SAFE Work Manitoba Prevention Consultant
Introduction to Investigating Workplace Incidents January 25 th, 2017 Presented by: Jack Slessor SAFE Work Manitoba Prevention Consultant Today s presentation is an overview of the Investigating Workplace
More informationOccupational Health and Safety Policy
Kindergarten Cluster Page 1 of 8 Occupational Health and Safety Policy 1. Authorisation This policy was adopted by bestchance management and supported by the bestchance Kindergarten Cluster Reference Group
More informationLSU Health Sciences Center New Orleans Workplace Violence Prevention Plan
LSU Health Sciences Center New Orleans Workplace Violence Prevention Plan Effective January 1, 1998 Governor Mike J. Foster, Jr., of the State of Louisiana issued Executive Order MJF 97-15 effective March
More informationHow to Complete the Incident Report Form
How to Complete the Incident Report Form The University of Saskatchewan Incident Report form must be completed by any person involved in an incident or near miss incident while engaged in activities at,
More informationIncident Management Policy &Procedure (Incidents, Accidents and Near Misses)
Reviewed: Draft Oct 2013 First issued July 2012 Incident Management Policy &Procedure (Incidents, Accidents and Near Misses) Scope of policy Councils of Synod: Personnel as defined in A Foreword - Workplace
More informationSafety Responsibilities Unit Production Manager
Safety Responsibilities Unit Production Manager Safety Program Information for Unit Production Manager (UPM) The following information is for your specific position and is provided to help you understand
More informationProcedure for the Reporting of Accidents, Incidents and Near Miss Events March 2016
The Glasgow School of Art Procedure for the Reporting of Accidents, Incidents and ear Miss Events March 2016 Policy Control Title Procedure for Reporting Accidents, Incidents and ear Miss Events Date Approved
More informationPersonal Protective Equipment
Policies & Procedures Personal Protective Equipment Internal Procedure: PPE Effective Date: 1-15-18 Last Modified: 1-15-18 Approved By: Todd Barnette Contents Purpose... 2 Applicability... 2 Definitions...
More informationHealth & Safety Policy & Procedures
Health & Safety Policy & Procedures [CS 1.0] Table of Contents Table of Contents... 2 1. Policy Statement... 4 2. Health and Safety Procedures Overview... 6 Part A Our Health and Safety Procedures... 7
More information1 OCCUPATIONAL HEALTH AND SAFETY PROGRAM
CAPE BRETON UNIVERSITY OCCUPATIONAL HEALTH & SAFETY MANUAL 1 OCCUPATIONAL HEALTH AND SAFETY PROGRAM 1.1 Cape Breton University Health and Safety Policy Cape Breton University ( University ) is committed
More informationACCIDENT AND ILLNESS PREVENTION PROGRAM (AIPP)
ACCIDENT AND ILLNESS PREVENTION PROGRAM (AIPP) Effective October 3, 2016 TABLE OF CONTENTS Section Page Introduction.. 3 I. Accident and Illness Prevention Policy... 4 II. Accident and Illness Prevention
More informationOccupational Health Unit. Skin Surveillance Procedure
Effective from: Name Description Signature Prepared by Approved by Review Dates: Year 1 Year 2 Year 3 Signature 1 Contents Title Pages Purpose, Scope & Standard 3 Requirements of OHNA and OHP 4 Procedure
More informationClinical Compliance Program
Clinical Compliance Program The University at Buffalo School of Dental Medicine, Daniel Squire Diagnostic and Treatment Center (UBSDM) has always been and remains committed to conducting its business in
More informationACCIDENT PREVENTION POLICY August 2018
ACCIDENT PREVENTION POLICY August 2018 Dalton State College (DSC) is committed to establishing and maintaining a safe and healthful work environment. The commitment involves the development, implementation
More informationADMINISTRATIVE PRACTICE LETTER TABLE OF CONTENTS
Page(s) 1 of 12 TABLE OF CONTENTS I. General II. Responsibilities a. Chancellor b. University Presidents c. Vice Presidents, Provosts, Deans d. Chairs and Directors e. Faculty and Instructors f. Supervisors
More informationCertified Healthcare Safety Environmental Services (CHS-EVS) Examination Blueprint/Outline
Certified Healthcare Safety Environmental Services (CHS-EVS) Examination Blueprint/Outline Exam Domains 100-130 1. Safety Management 38-50 (38%) 2. Hazard Control 38-50 (38%) 3. Compliance & Voluntary
More informationGATEWAY COMPANIES ACCIDENT/INCIDENT INVESTIGATION REPORT
GATEWAY COMPANIES ACCIDENT/INCIDENT INVESTIGATION REPORT INCIDENT CLASSIFICATION Occupational Injury Vehicle Accident Property Damage Other Occupational Illness Catastrophic Product/Material Environmental
More informationAlberta Occupational Health and Safety Act Highlights of changes effective June 1, 2018
Alberta Occupational Health and Safety Act Highlights of changes effective June 1, 2018 The Alberta Occupational Health and Safety (OHS) Act establishes minimum standards for healthy and safe practices
More informationReview of F323 Related to Falls. Marilyn Hirsch Region V December 16, 2015
Review of F323 Related to Falls Marilyn Hirsch Region V December 16, 2015 Objectives Describe Region V F323 Project Review F323 Regulation Review and discuss citations History At our meeting two years
More informationMAD Incident Reporting and Investigation
MAD Incident Reporting and Investigation 1. Purpose The purpose of this procedure is to define a method for the reporting, investigation and implementation of corrective actions following an incident.
More informationApproval Authority: Responsible Party: Responsible Office: Revisions:
Policy Name: Incident Reporting Policy Policy No: 5.2 Volume 5. Office of Human Resources Chapter 2. Incident Reporting Policy Originally issued: March 2016 Approval Authority: Responsible Party: Responsible
More informationAdministration of First Aid Policy
Administration of First Aid Policy Mandatory Quality Area 2 PURPOSE This policy will provide guidelines for the administration of first aid at Albert Park Preschool. POLICY STATEMENT 1. VALUES Albert Park
More informationFaculty of Science Risk Assessment Procedure
Faculty of Science Risk Assessment Procedure Version 1.0 TRIM file number 11/ Faculty of Science Doc No Short description Relevant to Authority Responsible officer Responsible office Procedure outlining
More informationQualification Specification Highfield Level 3 Award in Health and Safety in the Workplace (RQF)
Qualification Specification Highfield Level 3 Award in Health and Safety in the Workplace (RQF) Qualification Number: 600/0645/6 Version 1.1 December 2017 Copyright 2017. HABC Ltd. All rights reserved
More informationOccupational Health and Safety Policy
PURPOSE Occupational Health and Safety Policy This policy will provide guidelines and procedures to ensure that: all people who attend the premises of Sunnyside Kindergarten Association, Inc., including
More informationRespiratory Protection Plan
Respiratory Protection Plan Contents: Sample Respiratory Protection Plan Introduction... ii Plan Cover Sheet... 1 Policy... 2 Responsibility... 2 Plan Elements... 3 Organizational Responsibility Chart...
More informationFaculty of Health Staff Meeting: Health and Safety Refresher. March 23, 2012
Faculty of Health Staff Meeting: Health and Safety Refresher March 23, 2012 Agenda 9:10 9:20 Welcome 9:20 10:00 Emergency Preparedness Plan (Randy Diceman) 10:00 10:10 Occupational Health and Safety Policy
More informationStaff member: an individual in an employment relationship with CYM or a contractor who is paid for services to CYM.
14. 1 POLICY TO ADDRESS WORKPLACE VIOLENCE 14.1 Policy Statement This policy is applicable to all persons in the CYM organization; those employed by the organization, those contracted for services to the
More informationUniversity Facilities Personal Protective Equipment Procedure
Personal Protective Equipment Procedure Internal Procedure: SP1.2 Effective date: 5/13/02 Last Modified: 9/5/2012 Approved by: Personal Protective Equipment PURPOSE To establish requirements for a Personal
More informationRIDDOR & ACCIDENT REPORTING POLICY
RIDDOR & ACCIDENT REPORTING POLICY Latest Revision July 2016 Next Revision July 2017 Reviewer: H&S MGR Compliance Associated Policies Management of Health & Safety at Work Reporting of Injury, Disease
More informationREVISION: This revised Management Directive (MD) updates TSA MD , dated January 29, 2004.
OFFICE OF OCCUPATIONAL SAFETY, HEALTH, AND ENVIRONMENT TSA MANAGEMENT DIRECTIVE No. 2400.3 REVISION: This revised Management Directive (MD) updates TSA MD 2400.3, dated January 29, 2004. SUMMARY OF CHANGES:
More informationIncident Investigation
Incident Investigation Richard Kohlhausen, Capital Risk Management Ronald Sawchak, ARM CNA Insurance Companies Slide 1 Welcome Incident investigation is a core safety program element Program overview Focus
More informationA. Occupational Safety and Health Act of 1970 (OSH Act of 1970), Section 19, Federal Agency Safety Programs and Responsibilities.
OFFICE OF OCCUPATIONAL SAFETY, HEALTH, TSA MANAGEMENT DIRECTIVE No. 2400.2 OCCUPATIONAL SAFETY, HEALTH AND AND ENVIRONMENT ENVIRONMENT TSA MANAGEMENT DIRECTIVE No. 2400.2 OCCUPATIONAL SAFETY AND HEALTH
More informationAdministration of First Aid
SAMPLE POLICY Administration Policy Statement The First Aid Policy, strategies and practices are designed to support educators to: Ensure that ill or injured persons are stabilised and comforted until
More informationViolence at Work. Guidance Note 32. Jan 14
Violence at Work Guidance Note 32 Jan 14 1 Violence at Work Introduction This Guidance Note gives practical information about managing violence at work. A sample risk assessment template has been included
More informationOccupational Health and Safety Policy
Occupational Health and Safety Policy Ratified by the School Board: 15/09/2011 Version: 2.0 (Sept. 2011) Table of Contents 1. Policy... 3 1.1 Background... 3 1.2 Definitions... 3 1.2.1 Employees of Sophia
More informationPolicy 5.18 TRAFFIC CRASHES AND OTHER ROAD HAZARDS
Cobb County Police Department Policy 5.18 TRAFFIC CRASHES AND OTHER ROAD HAZARDS Effective Date: November 1, 2017 Issued By: Chief M.J. Register Rescinds: Policy 5.20 (January 12, 2013) Page 1 of 5 The
More informationSafety Best Practices Manual
CHAPTER 23 OSHA Compliance Inspection Policy POLICY It is the policy of the Flight Department to comply with all applicable government regulations concerning the safety and health of employees. It is also
More informationPROJECT 4 ALL-SEASON ROAD ENVIRONMENTAL IMPACT STATEMENT. Appendix 5-6 ESRA s Safe Work Plan
PROJECT 4 ALL-SEASON ROAD ENVIRONMENTAL IMPACT STATEMENT Appendix 5-6 ESRA s Safe Work Plan Contract For: Enter COMPANY name Contract Number: Location: Enter location of Work Enter Contract Number, an
More informationState of Maine Department of Transportation
State of Maine Department of Transportation Administrative Policy Memorandum 410 Supercedes APM dated effective April 4, 2001 Revised Date: January 23, 2002 TO: All employees SUBJECT: Protective Clothing,
More informationADMINISTRATION OF FIRST AID POLICY
ADMINISTRATION OF FIRST AID POLICY Mandatory Quality Area 2 PURPOSE This policy will provide guidelines for the administration of first aid at DNMK. POLICY STATEMENT 1. VALUES DNMK is committed to: providing
More informationAlberta Occupational Health and Safety Act Highlights of changes effective June 1, 2018
Alberta Occupational Health and Safety Act Highlights of changes effective June 1, 2018 The Alberta Occupational Health and Safety (OHS) Act establishes minimum standards for healthy and safe practices
More informationUtah County Law Enforcement Officer Involved Incident Protocol
Utah County Law Enforcement Officer Involved Incident Protocol TABLE OF CONTENTS TOPIC... PAGE I. DEFINITIONS...4 A. OFFICER INVOLVED INCIDENT...4 B. EMPLOYEE...4 C. ACTOR...5 D. INJURED...5 E. PROTOCOL
More information