Incident Management Policy &Procedure (Incidents, Accidents and Near Misses)

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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 Policies & Procedures Notwithstanding the legislative requirements of PCBUs (employers), congregations are encouraged to adapt and adopt this policy for their work environments. Policy Statement The Uniting Church SA ( UCSA ) is committed to providing a safe workplace for all personnel, contractors and visitors. UCSA is committed to establishing a formal process to report and investigate all workplace accidents/incidents and near miss occurrences. This process includes identifying contributing factors of the accident/incident or near miss and making the necessary recommendations to prevent a recurrence. Purpose To provide guidelines as far as reasonably practicable to establish the process for reporting, investigating and applying appropriate control measures when an accident, incident or near miss occurs. The aim is to provide safe systems of work along with a safe working environment for all UCSA worksites. Definitions - Please read the definitions outlined in Appendix 1 Responsibilities Person Conducting a Business or Undertaking (PCBU) PCBU must ensure so far as is reasonably practicable, that the health and safety of persons is not put at risk from work carried out as part of the conduct of the business or undertaking by: ensuring all accidents/incidents and near miss occurrences are reported to UCSA Synod within 24 hours; having investigations commence immediately upon receiving the report and, where a worker is injured, involve the worker in the investigation; implementing the most effective controls practicable that do not introduce other hazards. monitoring and reviewing controls; consulting with workers who carry out work for the business or undertaking who are, or are likely to be, directly affected by an incident; information/feedback is provided to the relevant Health & Safety Representative and/or WHS Committee (where applicable); Officers ensuring workers and, where applicable, contractors are provided with induction and training so that they understand their responsibilities and carry out their role in the management of any incident; Must exercise due diligence to ensure that the PCBU meets their responsibilities as above. Due diligence includes taking reasonable steps to: acquire and keep up-to-date knowledge of work health and safety matters including legislative requirement for reporting incidents; gain an understanding of the nature of the operations of the business or undertaking and generally of the hazards and risks associated with those operations; ensure that the PCBU has appropriate resources and processes to eliminate or minimise risks to health and safety from work carried out; ensure that the PCBU has appropriate resources for the management of incidents; ensure that the PCBU has appropriate processes for receiving and considering information regarding incidents,

hazards and risks and responding in a timely way to that information; to ensure that the PCBU has, and implements, processes for complying with duties/obligation under the Act. Workers Are responsible for: reporting accidents, incidents or near misses to their Officer as soon as practicable. take reasonable care for their own health and safety, and reasonable care that their acts or omissions do not adversely affect the health and safety of others; complying with reasonable instructions that are given by the PCBU in order for the PCBU to comply with the Act. Procedure Immediate Assess the situation and check for danger Notifiable Incident Accident/Incident/ Near Miss Reporting Remove person from danger if safe to do so Call Emergency Services (dial 000) if required Refer to First Aid Officer for appropriate application of First Aid treatment if required - relevant details to be recorded onto the First Aid Register/Injury Log (see form). Also refer to UCSA HR Intranet for Code of Practice: First Aid Do not alter scene (unless necessary to reduce risk of further harm or damage) Report the incident to UCSA Synod within 24hours (refer to Appendix 3) CHECK IF THE OCCURRENCE IS A NOTIFIABLE INCIDENT REFER APPENDIX 2 If Notifiable (or unsure) contact UCSA Synod immediately after becoming aware of the incident (refer to Appendix 3). Information required will be: - Name and address of the person giving notice - Date and time of the event - The place where the dangerous occurrence happened - The apparent cause - The nature and extent of the damage - The work that was being carried out at the time of the incident - Name and contact details of any injured/affected parties UCSA Synod will notify SafeWork SA and OTR (where applicable) The person with management or control of the workplace must ensure, so far as reasonably practicable, that the site where the incident occurred is not disturbed until either a SafeWork SA inspector or UCSA Synod informs you that the area is no longer required to be preserved. Note: If the incident IS Notifiable and are unsuccessful in contacting UCSA Synod (in the first instance) within the required time, contact SafeWork SA direct - refer Appendix 3 Immediately complete pages 1, 3 and 4 of an Incident Report Form (see form) - if multiple people injured, complete pages 3 and 4 for each person Investigation Immediately after Incident Report Form is submitted (within 24hours of the incident), assign investigator/s Debriefing for serious accidents/incidents and near misses which has had an impact on other Workers Notifiable Communicable Diseases Workers Compensation Claim All contributing factors to be identified and recommendations for control measures to be made using Hierarchy of Controls (WHS Consultative Group Member may assist with this) On completion of the investigation, complete page 2 of the Incident Report Forward copy of Incident Report (via email, fax or post) with any corresponding documentation such as witness statements, photos, etc.) Allow opportunity for worksite to facilitate informal debrief Ensure support and access to counselling be made available including: eg. Employees = Employer Assistance Program ( EAP ) refer Appendix 3 Specified Ministries = UCSA Pastoral Relations Volunteers = encourage to contact the person supervising them Where a serious incident has had an impact on other Workers, contact Employee Assistance Program (refer to Appendix 3) If Workers or others are diagnosed with a notifiable communicable disease, they are to report to their Officer immediately if unsure contact UCSA Synod Complete Workers Compensation Forms within three (3) working days and for Councils of Synod employees, forward to Manager Human Resources, UCSA Synod for Congregation employees, forward to Employees Mutual Ltd within 2 working days of receipt of the forms Attach to the Workers Compensation Form: - Medical Certificate

- Copy of completed Incident Report Form (see form) - Employee Report Form The Manager Human Resources (or delegated Manager) will complete an Employer Report Form The completed Workers Compensation documents will then be forwarded to EML within two (2) business days of receipt. The UCSA Synod Human Resources department can assist with all matters pertaining to WorkCover. Email: humanresources@sa.uca.org.au Phone: B/H 8236 4234 or A/H 0402 325 333 Fitness for Work Where Workers are exposed to a hazard (eg. loud noise, hazardous substances, electric shock, etc.) that could potentially affect their health, must seek professional medical advice to determine their fitness for work. Implementation of Controls Any hazards identified are entered onto the Hazard Register (see form) refer to Hazard Management Policy & Procedure Implement corrective action/controls Review controls and update SOPs as required Enter information onto an Incident Report Database/Spreadsheet Consultation Consult and provide feedback with all involved in the incident Provide information/feedback to other Workers through meetings Monitor & Review Ensure control measures that are implemented are appropriate/adequate Review all worksite incidents WHS Consultative Site Group/WHS designated person to review First Aid Register/Injury Log each quarter to identify any trends that may exist Documentation Control Incident Report Forms to be kept for a minimum 5 year period First Aid Register/Injury Log to be kept for a minimum 5 year period Electronic documents to be kept indefinitely Information, Instruction and Training All Workers will be informed of the incident reporting and investigation requirements during induction and whenever the procedure is amended. Those responsible for investigating any accident/incident or near miss as part of their role will be trained in the requirements. Monitor and Review This procedure will be monitored for compliance and effectiveness in accordance with Uniting Church SA policy, or at any time pursuant to legislative change. Review will be in consultation with Uniting Church Presbytery & Synod of SA at least every 3 years. Appendices Appendix 1 Appendix 2 Appendix 3 Definitions Work Health and Safety Act 2012 Part 3 Incident Notification Contact Details (telephone numbers) References Work Health and Safety Act 2012 Work Health and Safety Regulations 2012 Workers Rehabilitation and Compensation Act 1986 AS.NZS 4804:2001 Occupational Health & Safety Management Systems general guidelines on Principles, Systems... Australian Standard 1885.1 1990 Workplace Injury and Disease Recording Standard Public and Environmental Health Act 1987, Schedule 1 Notifiable Diseases Related Policies (but not limited to) Hazard Management Policy & Procedure First Aid Policy & Procedure (under development) Workers Compensation and Rehabilitation Policies Employee Assistance Program Policy

APPENDIX 1 Definitions Accident Breakdown Agency Corrective Action Councils of Synod Fatality Hazard Incident Investigation Lost Time Injuries/Diseases Minor Injury Near Miss An unforeseen event that caused damage to property, injury or death The action, medium, or means by which something broke down; caused interruption or injury/disease; failed to operate Is an action taken after an incident to correct the problem and to reduce the risk of a similar incident occurring UCSA Synod Office; UAICC; UCLT; Uniting Venues SA An injury that results in loss of life A situation that has the potential to harm a person, environment or damage to property An occurrence that caused (or could have caused, in the case of a Near Miss ) damage to property, injury/illness or death A systematic examination of an event and its cause/contributing factors to persons, plant, material or the environment Those occurrences that resulted in a fatality, permanent disability or time lost from work of one day/shift or more An injury that requires no medical attention or only First Aid Any incident that occurred at the workplace (or elsewhere during a UC organised activity/event) which, although not resulting in any injury/illness or damage, had the potential to do so. Note: This can include an attempted break-in (as an example) where people could have been at risk of harm had they been on site. Notifiable Communicable Diseases (a) (b) a communicable disease included in Schedule 1 (Public and Environmental Health Act 1987); or a communicable disease prescribed by regulation to be a Notifiable disease Notifiable Incident Office of the Technical Regulator ( OTR ) Officer PCBU PPE SOP WHS Consultative Site Group (WHSCSG) WHS Consultative Site Group Member ( WCSGM ) Worker Refer to Appendix 2 and 1 st page of Incident Report Form for an abbreviated and clarified definition Electrical and Gas authorities for South Australia (Section 9 Corporations Act 2001 (Cth) A person who makes or participates in making decisions that affect the whole or a substantial part of the business of the entity; or who has the capacity to affect significantly the entity s financial standing. For example Church Council members, Minister of the Word (MOW). A person conducting a business or undertaking, for example a Uniting Church Congregation Church Council Personal Protective Equipment Standard Operating Procedure A group of nominated people (including employees who are required as part of their role and other employees who have offered their time to be members of this group). The primary purpose of these groups is to consult with workers on matters which directly affect work health and safety. A person nominated to be member of the WHSCSG to assist personnel to have health and safety issues raised. WHSCGMs have rights and functions to assist them to carry out their role effectively A person carrying out work for the PCBU such as employee (including some people in Specified Ministries); contractor or subcontractor; volunteer,

apprentice, trainee or student gaining work experience;

APPENDIX 2 This page is an extract from the Work Health and Safety Act 2012 Part 3 Incident Notification 35 What is a notifiable incident? In this Act, notifiable incident means: a) the death of a person; or b) a serious injury or illness of a person; or c) a dangerous incident 36 What is a serious injury or illness In this Part, serious injury or illness of a person means an injury or illness requiring the person to have: a) immediate treatment as an in-patient in a hospital; or b) immediate treatment for: i) the amputation of any part of his or her body; or ii) iii) iv) a serious head injury; or a serious eye injury; or a serious burn; or v) the separation of his or her skin from an underlying tissue (such as degloving or scalping); or vi) the loss of a bodily function; or vii) serious lacerations; or c) medical treatment within 48 hours of exposure to a substance, and includes any other injury or illness prescribed by the regulations but does not include an illness or injury of a prescribed kind. 37 What is a dangerous incident In this Part, a dangerous incident means an incident in relation to a workplace that exposes a worker or any other person to a serious risk to a person s health or safety emanating from an immediate or imminent exposure to: a) an uncontrolled escape, spillage or leakage of a substance; or b) an uncontrolled implosion, explosion or fire; c) an uncontrolled escape of gas or steam; or d) an uncontrolled escape of a pressurised substance; or e) electric shock; or f) the fall or release from a height of any plant, substance or thing; or g) the collapse, overturning, failure or malfunction of, or damage to, any plant that is required to be authorised for use in accordance with the regulations; or h) the collapse or partial collapse of a structure; or i) the collapse or failure of an excavation or of any shoring supporting an excavation; or j) the inrush of water, mud or gas in workings, in an underground excavation or tunnel; or k) the interruption of the main system of ventilation in an underground excavation or tunnel; or l) any other event prescribed by the regulations, but does not include an incident of a prescribed kind.

APPENDIX 3 CONTACT TELEPHONE COMMENTS Police / Fire / Ambulance 000 Uniting Church SA Synod Office 8236 4200 1300 766 956 Office Hours Country Callers Emergency Incident Contacts: after hours 8236 4214 0466 333 144 WHS Coordinator Wayne Booth if WHS Coordinator unavailable: after hours 8236 4278 0402 325 333 Manager, Human Resources Karen Granger after hours 8236 4226 0409 672 604 Manager, Insurance Services Tony Philips EAP Employee Assistance Program (provider = PPC Worldwide) 1300 361 008 24hrs / 7 days Return to Work SA (formerly WorkCover) 13 18 55 or Facsimile = 8233 2990 Communicable Disease Control Branch (CDCB) 8226 7177 or Facsimile = 8226 7187 Environment Protection Authority (Pollution Hotline) 1800 623 445 8204 2004 Office of the Technical Regulator 1800 558 811 for all electrical and gas incidents SafeWork SA 1300 365 255 1800 777 209 8.30am to 5.30pm Emergency After Hours (Facsimile = 8204 9200)