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Quick response, Accident & Near miss Reporting Procedures

Definitions:
NEAR MISS: Is an undesirable event, which under different circumstances, could have resulted in
harm/injury to people, damage to property, loss of process or damage to environment.
ACCIDENT: Is an undesirable event, which results in harm/injury to people, damage to property, loss of
process or damage to environment.

o
o

A - Description (By the Observer)

The observer or person involved in the near-miss/accident completes section (A) and gives
the form to the Master/Diving supervisor.
Where necessary the Master/Diving Supervisor will assist in completing section (A).

B Corrective action taken at site and/or further Recommendations

The Master/Diving Supervisor reviews section (A) and discusses with the concerned people to
initiate immediate corrective action and/or proposes recommendations in section (B).
The report is to be forwarded to the Head Office within 24Hrs of the event for review, comments
and analysis.

C Analysis by QHSE Dept

The QHSE department will complete section (C) to categorize the event as an accident, near-miss,
substandard condition, sub standard practice, categorize the Near-miss potential depending on
probability & severity, and provide causation analysis within 24hrs of receiving report.
The QHSE Dept then forwards the report to the concerned Departmental Head for his review and
comments.

D Management Review

On receipt from the QHSE Department, the concerned Department Head approves the
recommendations and categorization of the event, allocates the responsibilities for corrective action
with target dates and states long term action as appropriate.
The Dept head shall ensure initiation of actions and follow up until all outstanding actions are
complete.
For accidents and high potential near misses, the General Manager will state his comments; decide
the need for further investigation or analysis.

The report is then sent to the QHSE Department for registering in a database and for carrying out trend
analysis.
After Management review a copy of the report will be sent to the respective vessel for information and
any further action.

DCN/FRM/PRO9.1 Rev B

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Serial No.:

DCN GLOBAL LLC


Quick response, Accident & Near-miss report
(Where applicable a detailed report must follow)

(By QHSE dept.)

C Analysis by QHSE Dept


ACC

NM

SC

SP

A - Description (By the observer)


Vessel:
Zirkuh

Hi Po

Location: SARAB 1
CH.380

Date and Time of Incident: 07 AUG 2013, 0430 AM


What Happened: Diver Kyle was working on slope for geotextile inspection and
repair at depth 46 on Ch.380 We took permisson from SARAB Marine Control at
0126 hrs to start diving operation between Ch 400-350 through Naseem .At about
0428 hrs Multi Cat DELTA came very close to the working area of diver about 15
metres for recovery the mooring buoy of NASEEM.Tender Diver Gareth.R on
watch informed the Diving Supervisor immedialtely about the Delta coming
towards the norvizian buoy with reflector for diver.Diving supervisor asked the
diver to stop working and leave bottom to come back to surface. Div supervisor
called Delta on CH 12 to stay clear from diving area.We have a diver
underwater.Later Barge Master Naseem Suptd called diving supervisor and
accepted the mistake for Delta movement.DIVING OPERATION stopped at 0437
hrs.On completion of Nasem movement again risk assesment was carried out and
resumed diving operation at 0627 hrs Div coordinator,Site suprintendent,Safety
officer sarab 1,Sarab Marine control and Naseem reported about the near miss.

Reported by: (Optional) Sumer Singh Chauhan

B - Corrective Action taken at site


and/or further recommendations.
Action / Recommendation

By Whom

Date

Demarkation of diving area by Buoy

Div
Supervisor

All Vessel ack before and after start of diving


operation

Sarab Marine
control

Setting up of Navigation Light on Diving Container

DCN

07 Aug
13
07 Aug
13
07 Aug
13

Master/Diving Supervisor:
(Name & Signature)
SUMER SINGH CHAUHAN

Date: 07 Aug 2013

D - Management Review
Dept Head Comments/ Long Term Action

Substandard Acts/Practices

Operating equipment without authority


Failure to warn/secure
Operating at improper speed
Safety devices inhibited/removed/
Inoperable
Using defective equipment
Failing to use PPE properly
Improper loading/lifting
Improper position for task
Servicing equipment in operation
Horseplay
Using equipment improperly
Drinking/Drugs
Others
Substandard Conditions

Inadequate warning /Notice


Inadequate guards/barriers/warning system
Inadequate or improper protective equipment
Defective / Inadequate tools, equipment or
materials
Congestion or restricted area
Fire and explosion hazards
Poor Housekeeping/disorder
Radiation/noise exposure
Temperature extremes
Inadequate illumination/ventilation
Hazardous dusts/fumes
Others
Personal Factors

Name & Signature

Title:
Date:

General Manager Comments

Signature:

DCN/FRM/PRO9.1 Rev B

Date:

Inadequate capability physical/mental


Lack of knowledge
Lack of skill
Stress (physical/mental)
Improper motivation
Job/System Factors

Inadequate leadership
Inadequate engineering
Inadequate tools, equipment materials
Inadequate maintenance
Abuse or misuse
Inadequate supervision
Inadequate purchasing
Wear and tear
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