497-Incident Reporting, Investigation and Management / 748
Incident
R
e
p
ortin
g,
In
v
esti
g
ation
and Mana
g
e
m
ent
BOS-PRD-0302.900801
Version 04. Original date: 05/06/2012. Version date: 31/12/2014. Valid version only on QMS site.Uncontrolled document when printed.
Procedure prepared by: BOS QHSE Coordinators. Approved by: BOS QHSES Manager. Validated by: BOS Quality Representative
13 / 21
4
.
3
.
4
I
mm
ediate s
h
arin
g
o
f
in
f
or
m
ation
O
p
erations Mana
g
er
/
De
pu
ty DPA
(
or
S
enior DPA or DPA
b
ack to
b
ack as a
pp
lica
b
le
)
shall
ensure
notification is dispatched to ALL Company vessels, shore bases and other locations informing them of facts
and nature of the incident. BOURBON Corporate HSE Management
shall
be copied.
Fleet notification
shall
be as detailed as possible describing the incident and direct causes leading to the
incident. It
shall
NOT be delayed by obtaining a more detailed investigation report outlining the contributing
causes and root causes.
When deemed necessary, an
OSM Alert
will be issued for group wide sharing by BOURBON Corporate HSE
Department.
4
.
4
Post Incident D
&
A test re
qu
ire
m
ents
Post D&A testing
shall
be performed on the directly involved persons, including the injured person, at earliest
opportunity and as applicable after a HIGH potential impact
-
incident has occurred.
4
.
5
Incident in
v
esti
g
ation
All HIGH Impact incidents, MODERATE impact incidents, HIGH Near Miss incidents and other Near Miss
incidents (as applicable)
shall
be investigated to determine direct, contributing and root cause factors
according to the requirements of this procedure.
Incidents
shall
be investigated at the soonest opportunity by competent personnel. The
O
p
erations
Mana
g
er/De
pu
ty DPA
is the leader of the investigation. He is assisted by
Q
H
S
E
S C
oordinator
and may be
helped by local Representative (e.g.HSE).
Personnel leading the investigation
shall
not be connected with the incident.
Incident investigations
shall
generate plans that define corrective and preventive measures to avoid
reoccurrence.
Such plans
shall
include documented corrective actions stating:
x
Responsibility, authority and accountability;
x
Timelines;
x
Status and date of closure per item.
Responsibility, authority and accountability, in addition to timelines in such plans
shall
be jointly defined in
any situation when a Company vessel is operating with any Contracting Company.
C
orrecti
v
e and
p
re
v
enti
v
e actions identi
f
ied t
h
ro
ug
h
incident in
v
esti
g
ations
shall
b
e
v
eri
f
ied as
e
ff
ecti
v
ely i
mp
le
m
ented.
BOURBON accepts the “TapRoot
®
” incident investigation tool for incident investigation. This system
shall
be
used accordingly.
497