501-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
17 / 21
the Near Miss is also determined during this process.
A ‘
HIGH Near Miss
’
, said HiPo for High Potential,
requires Level 2 or higher investigation. The investigation, corrective and preventive action
shall
be carried
out as required by this procedure for the appropriate level.
A Near Miss incident is de
f
ined as Hi
g
h Potential
(
or
S
i
g
ni
f
icant
)
i
f
its se
v
erity
w
o
u
ld ha
v
e
b
een le
v
el
4 or hi
g
her accordin
g
to the se
v
erity
m
atri
x
in the section 3.5.1.
In all cases o
f
re
p
ortin
g
a near
m
iss
,
the e
mp
loyee
should
b
e thanked
f
or his/her
p
ositi
v
e actions.
4.5.5
T
he in
v
esti
g
ation re
p
ort
In the case of Level 1 incidents, the report form
shall
act as the investigation report with additional pages as
required.
Level 2 (and above) incident preliminary draft investigation reports
shall
be issued within 3 days of the
investigation being completed.
The final investigation report
shall
be issued within 10 days of the investigation being completed. If additional
time is required, this
shall
be justified and agreed by the
Mana
g
in
g
Director
.
The report
shall
contain the following:
x
Names and titles of the Investigation team;
x
A general summary of the incident;
x
Detailed description of the activity leading up to the incident;
x
Relevant information regarding the incident (personal information, experience, qualifications and
training of involved personnel, weather conditions, locations);
x
Compliance or failure of compliance analysis, detailing conformance and non-conformance with
regulations, policy, procedures, accepted safe working and best practices, availability and suitability
of equipment, technical systems;
x
Cause analysis including root and direct causal factors;
x
Recommended corrective action (immediate and long term as applicable);
Appendix (witness statements, log extracts, photographs, sketches etc.).
4.
6
C
orrecti
v
e and Pre
v
enti
v
e actions
4.
6
.1 Mana
g
e
m
ent actions
x
Company Management
shall
take responsibility to ensure that all corrective and preventive actions
are effectively identified and managed;
x
Shall
ensure that
‘Action Plans’ are prepared and approved
with responsibilities and close out dates
assigned;
x
Shall
ensure the effectiveness of actions are closed out and verified accordingly.
4.
6
.
2
L
ocation actions
x
Masters
and
Onshore Mana
g
ers
shall
take responsibility to ensure that all corrective and
preventive actions are effectively identified and managed at their location;
x
Implement and monitor corrective and preventive action for effectiveness with assistance of
management as required or requested;
x
Report the progress or closed out status of assigned actions at the location to management in a
clear and timely manner;
Ensure corrective and preventive actions are fully discussed at location safety meetings.
501