688/ Incident Reporting, Investigation and Management / 992
I
nc
i
den
t
Rep
orti
ng,
I
nves
ti
ga
tio
n
and Managemen
t
BOS-PRD-0302.900801
Regardless of the severity of an incident, an
Incident Investigation Report/Near Miss Investigation Report
using TapRooT
®
or
5
Whys root cause analysis tools
shall
be requested by Corporate Organization if
necessary.
I
nves
ti
ga
tio
n
r
ep
ort
Investigation Report shall
be issued
w
it
h
i
n 10 days
and d is tr i bu t ed by t he
I
nves
ti
ga
tio
n
T
eam
L
eade
r
to :
o
Dist_BOS_Reporting ;
o
Dist_BO_Reporting_Corporate_HSE;
o
Dist_BO_Reporting_SUBSEA (if applicable);
o
Dist_BDO_DUBAI (if applicable);
o
Investigation team members not included in lists above;
o
The vessel concerned by the incident.
If this cannot be completed within the time frame, the
I
nves
ti
ga
tio
n
T
eam
L
eade
r
shall
inform the
Corporate
H
SE Manage
r
of the reasons for extension.
The
C
o
n
tr
ac
t
s Manage
r
shall
share the
Investigation Report/Near Miss Investigation Report
with the Client
of the vessel at the time of the incident as soon as i t has been reviewed by the Corporate
H
SE Manage
r
.
The
C
o
n
tr
ac
t
s Manage
r
shall
share the investigation report with other Clients afterwards if appropriate.
Corporate Organization may also share the reports with Clients or other interested parties as appropriate.
The
I
nves
ti
ga
tio
n
T
eam
L
eade
r
shall
ensure that the
Incident Investigation Report/Near Miss Investigation
Report
is always uploaded to the HSE Portal Incident Database.
A
c
tio
n p
l
ans
Incident investigations
shall
generate action plans that define corrective and preventive measures to avoid
reoccurrence in the fleet. The plans
shall
include:
x
Timelines;
x
Closure dates;
x
Status of mitigation measures;
x
Responsibilities, authorities and accountabilities;
x
Long term actions such as Safety
M
anagement System (S
M
S) revision.
The investigation team leader
shall
review on a regular basis the progress of the investigation and the status
of identified corrective and preventive actions with support of
QH
SE C
oor
d
i
na
tor
. Corrective and preventive
actions identified through incident investigations
shall
be verified as effectively implemented.
HSE database
shall
be upated accordingly by
QH
SE C
oor
d
i
na
tor
.
IN
C
I
DE
NT
R
oot
cause
C
o
n
tri
bu
ti
ng
cause
C
o
n
tri
bu
ti
ng
cause
D
ir
ec
t
cause
Version 06. Original date: 0
5
/06/2012. Version date: 31/12/201
5
. Valid version only on Q
M
S site.Uncontrolled document when printed.
Procedure prepared by: BOS QHSE
M
anager. Approved by: BOS QHSE
M
anager. Validated by: BOS Quality Representative.
Page 22 of 26
688