691/ Incident Reporting, Investigation and Management / 992
Incident
R
e
p
ortin
g,
In
v
esti
g
ation
and Mana
g
e
m
ent
BOS-
P
RD-0
3
02.900
8
01
MT
C
Med
ic
a
l T
reatment
C
ase
:
A
n
y
i
n
j
u
r
y
or
o
cc
u
pat
i
ona
l ill
ness
t
h
at
i
nvo
l
ves
treatment
b
y
a p
hy
s
ici
an
or
ot
h
er
reg
i
stered pro
f
ess
i
ona
l
med
ic
a
l
personne
l,
b
u
t does
not
i
n
cl
u
de
f
i
rst a
i
d
treatment
. (R
e
f
. OCI
M
F)
Work
R
elated Illness
(
W
R
I
)
T
rop
ic
a
l
d
i
seases
,
w
ater
c
ontam
i
nat
i
on
,
f
ood
po
i
son
i
ng
…
N
ear Miss
A
n
event
or
se
q
u
en
c
e
o
f
events
t
h
at
d
i
d
not res
u
l
t
i
n
an
a
cci
dent
b
u
t
wh
ic
h
,
u
nder
s
li
g
h
t
l
y
d
i
ff
erent
c
ond
i
t
i
ons
, c
o
u
l
d
h
ave done
so
.
PTW
Perm
i
t
T
o
W
or
k.
Pre
v
enti
v
e action
A
c
t
i
on to e
li
m
i
nate t
h
e
c
a
u
se o
f
a potent
i
a
l
non
-c
on
f
orm
i
t
y
or ot
h
er
u
ndes
i
rab
l
e potent
i
a
l
s
i
t
u
at
i
on
.
R
ecorda
b
le Incident
LTI,
M
TC
or
RWC. (
re
f
OCI
M
F).
R
oot ca
u
se
S
o
u
r
c
e o
f
a dev
i
at
i
on or non
-c
on
f
orm
i
t
y
. T
o e
li
m
i
nate a dev
i
at
i
on or a non
-c
on
f
orm
i
t
y
, c
orre
c
t
i
ve or
prevent
i
ve a
c
t
i
ons need to
i
dent
i
fy
and e
li
m
i
nate a root
c
a
u
se
. O
n
c
e t
h
e root
c
a
u
se
i
s e
li
m
i
nated
,
t
h
e
dev
i
at
i
on or non
-c
on
f
orm
i
t
y
c
eases
.
R
W
C
R
estr
ic
ted
W
or
k C
ase
.
A
n
y
c
ase
wh
ere
t
h
e Med
ic
a
l T
reatment
d
i
agnos
i
s
prov
i
des
f
or
R
estr
ic
ted
W
or
k (R
e
f
.
OCI
M
F).
S
i
g
ni
f
icant
N
ear Miss
A
n event or
c
ond
i
t
i
on
w
i
t
h
t
h
e potent
i
a
l
to
res
u
l
t
i
n a
HIGH I
mpa
c
t
I
n
ci
dent
.
TAP
ROO
T
®
T
h
e
root
c
a
u
se
f
i
nd
i
ng
too
l
u
sed b
y
BOURBON.
W
R
I
W
or
k R
e
l
ated
Ill
ness
.
1 Barrel
= 1
58
.9 li
tres
.
Vers
i
on
0
6
. O
r
i
g
i
na
l
date
:
0
5
/0
6
/2012.
Vers
i
on
date
:
3
1/12/201
5
.
Va
li
d
vers
i
on
on
l
y
on
Q
M
S
s
i
te
.U
n
c
ontro
ll
ed do
c
u
ment
wh
en
pr
i
nted
.
Pro
c
ed
u
re prepared b
y:
BOS IS
M
C
oord
i
nator
.
A
pproved
b
y:
BOS
Q
HSE
Manager
.
Va
li
dated
b
y:
BOS
Qu
a
li
t
y
R
epresentat
i
ve
.
Page
2
5 o
f
2
6
691