685/ 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
Onc
e
all th
e
c
o
rr
e
ctiv
e
and
p
r
e
v
e
ntiv
e
acti
o
ns f
o
ll
o
wing th
e
incid
e
nt ar
e
cl
o
s
e
d, th
e
Affiliat
e
H
SE Manage
r
o
r
th
e
Ope
r
a
tio
ns Manage
r
shall
r
e
qu
e
st th
e
cl
o
sur
e o
f th
e e
v
e
nt
o
n th
e H
SE P
o
rtal Incid
e
nt Data
b
as
e
. A
n
o
tificati
o
n
e
-
m
ail is aut
om
atically s
e
nt t
o
th
e
C
o
r
po
rat
e H
SE d
ep
art
me
nt. Onc
e
r
e
vi
e
w
e
d
b
y th
e
C
o
r
po
rat
e H
SE d
ep
art
me
nt, and if th
e
c
o
rr
e
ctiv
e
and
p
r
e
v
e
ntiv
e
acti
o
ns ar
e
cl
o
s
e
d, th
e
status
o
f th
e
e
v
e
nt will
be
chang
e
d int
o
“Cas
e
Cl
o
s
e
d”.
4.
8 Even
t
f
ollo
w-up
Th
e
f
o
ll
o
w-u
p
includ
e
s th
e H
SE
e
v
e
nt
m
anag
eme
nt until its cl
o
sur
e
. It
shall
ta
ke
int
o
c
o
nsid
e
rati
o
n:
x
In cas
e o
f injury: th
e m
anag
eme
nt
o
f th
e
Injur
e
d P
e
rs
o
n and
o
f th
e
e
v
e
nt classificati
o
n.
x
Th
e
inv
e
stigati
o
n
m
anag
eme
nt and inf
o
r
m
ati
o
n sharing with th
e o
th
e
r sta
ke
h
o
ld
e
rs.
(R
e
f
e
r t
o
BOS Incident reporting and investigation flowchart
)
4.
9
I
nc
i
den
t i
nves
ti
ga
tio
n
Th
e
f
o
ll
o
wing incid
e
nts
shall
be
inv
e
stigat
e
d :
C
o
nsequences
Seve
rit
y
P
e
o
p
l
e
E
nv
iro
nmen
t
A
sse
t
s
R
epu
t
a
tio
n
S
chedu
l
e
O
t
he
r
Rea
l
P
ot
en
ti
a
l
Rea
l
P
ot
en
ti
a
l
Rea
l
P
ot
en
ti
a
l
Rea
l
P
ot
en
ti
a
l
Rea
l
P
ot
en
ti
a
l
Rea
l
P
ot
en
ti
a
l
1
2
3
4
5
N
o
inv
e
stigati
o
n r
e
quir
e
d
Inv
e
stigati
o
n r
e
quir
e
d
NOTE: R
e
gardl
e
ss
o
f th
e
r
e
al
o
r
po
t
e
ntial s
e
v
e
rity
o
f th
e e
v
e
nt, C
o
r
po
rat
e
Organi
z
ati
o
n
shall
r
e
qu
e
st an
Investigation Report
if
n
e
c
e
ssary.
4.
9
.
1
I
nves
ti
ga
tio
n
t
eam
Tr
a
i
n
i
ng
r
equ
ir
emen
t
s
An inv
e
stigati
o
n r
e
quir
e
s diff
e
r
e
nt l
e
v
e
ls
o
f c
omm
it
me
nt f
o
r which s
pe
cific c
ompe
t
e
nc
e
s and
e
x
pe
ri
e
nc
e
ar
e
e
x
pe
ct
e
d as d
e
tail
e
d in
Incident investigation Guideline, Chapter 4.2.1.
A r
e
c
o
rd
o
f inv
e
stigati
o
n t
e
a
m
pe
rs
o
nn
e
l is d
o
n
e
using th
e
f
o
r
m
Incident Investigator Pool.
V
e
rsi
o
n 06. Original dat
e
: 05/06/2012. V
e
rsi
o
n dat
e
: 31/12/2015. Valid v
e
rsi
o
n
o
nly
o
n Q
M
S sit
e
.Unc
o
ntr
o
ll
e
d d
o
cu
me
nt wh
e
n
p
rint
e
d.
Pr
o
c
e
dur
e p
r
ep
ar
e
d
b
y: BOS Q
H
SE
M
anag
e
r. A
pp
r
o
v
e
d
b
y: BOS Q
H
SE
M
anag
e
r. Validat
e
d
b
y: BOS Quality R
ep
r
e
s
e
ntativ
e
.
Pag
e
19
o
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685