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HSE Incident Reporting Procedure Page 1 of 8

HSE Incident Reporting Procedure


Document Number: KOC.GE.007
Document Approver: Manager HSE Scope: Issue Date: Revision / Review Date: Next Review Date: All KOC Directorates January 21, 2004 February 17, 2007 February 17, 2008 Document Author: Document Coordinator: Issuing Dept: Control Tier: TL Safety TL Standards HSE Group Tier 3

1.0 Purpose/Scope
This procedure describes the process and responsibilities for internal reporting of HSE incidents, which occurs in KOC operational area or related to KOC activity. This controlled procedure applies to all KOC Directorates, contractors, visitors and service providers.

2.0 Definitions
Incident An undesired event that has caused or could have potentially caused personal injury, illness and / or damage (loss) to assets, production or harm to environment or third party. Incident Investigation Report The form required to initiate notification, documentation and investigation of an HSE incident. Incident investigation reports are used to collect critical data regarding an incident and provide a record or incident details. Information from incident investigation reports resides in the HSE incident database. Incident Owner The line Manager or other senior company official managing the activity in which an incident occurred, for whom an investigation is carried out. An Incident Owner may be a lower level Team Leader for incidents not categorized as Serious Incidents. Incident Owners are determined prior to the onset of an incident investigation Serious Incident - An event of greater magnitude, hazardous to human life or operations and calling for support from other offsite KOC personnel including trained firefighters. A few examples are : A fatality associated with KOC operations, Multiple serious injuries, Significant adverse reactions from authorities, media, non -governmental organizations (NGOs) or the general public, Accidental damage exceeding KD 250,000, Oil spill of 100 barrels or more (irrespective of oil recovered), or less if the spill occurs in a de signated sensitive area, Gas release that prompts either automatic or manual shutdown of a facility. An uncontrolled release of more than 10 tones of a regulated chemical.

Near Miss Nearmiss is an incident, which resulted in no injury or illness and / o r damage (loss) to people, asset, the environment or Company reputation.
Control Tier 3 Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

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Just the existence of an unsafe condition such as tripping hazard does not constitute a Nearmiss. Someone, for example, had to have tripped or almost tripped before it becomes a Nearmiss. Motor Vehicle Accident Any undesired occurrence involving a motor vehicle that results in property damage or injury to people . The actual damage severity can be reported as follows; Minor Damage Minor body scratches / dents which does not restrict or prohibit the continuous use of the vehicle. Severe Damage Large dents, doors including compartment & hood not operational and may result to vehicle can not be driven but can be repaired. Total Lost vehicle is totally wrecked and to be scrapped.

Industrial Disabling Injury (IDI) - is an on -job injury resulting in one or more full days away from work. It includes; Lost Workday Case (LWC) If an employee is unable to work on his next scheduled shift because of a work related injury or illness due to work environment. Fatal Case those work related injuries / illness that result in death of one or more employees. Only qualified physicians are authorized to certify death.

Industrial Non-Disabling Injury (INDI) - is any on-job injury which requires medical treatment only, without causing disablement. It includes; First Aid Case (FAC ) is one time treatment and subsequent observation of minor cuts, scratches, burns, splinters, and other similar injuries, which do not ordinarily require medical care. Medical Treatment Only Case (MTOC ) all medical treatment case which neither result in restricted workday nor lost workday is termed as Medical Treatment Only Cases (MTOC). Such cases will require one or more visit to a medical professional, but will not disable or restrict the employee from carrying out his normal duties. Restricted Workday Case (RWC ) is one which caused a person not able to carry on his routine duties and is provided with lesser duty tasks.

Integrity Management - the incident includes any loss of containment from hydrocarbon, water and chemical sources or results in an incident, or if it is believed there have been failings in application of the integrity management standards. Fire / Explosion Any undesired occurrence involving KOC property, equipment or operations that result in flames, excessive heat or combustion and resulting in a fire or explosion. This could include damage to 3 rd party property from KOC activities. Property Damage The loss or da mage to KOC or contractor property, equipment or material resulting from an incident which will require some form of repair, restoration or replacement. This could include damage to 3 rd party property from KOC activities.

Control Tier 3

Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

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Environmental Event Any situation where a person observes or becomes aware of an event, which adversely effects the environmental, such as: leaks or spills, uncontrolled emissions, non-compliance and non -conformances. Chemical Spill A release from primary containment of any chemical, chemical mixture or compound for which an MSDS is required. Spill or Release The unplanned or accidental loss of primary containment from any operation owned or operated by KOC or managed by a contractor on behalf of KOC, irrespective of any secondary containment or recovery. Oil, Condensate or Produced Water Leak or Spill A release from primary containment of any form of oil, condensate or, produced water. Oil is defined as crude oil, lubricating oils, hydraulic oil, gasoline and diesel fuels, aviation fuel, kerosene, and any other product refined from crude oil. Other Substance Spill A release from primary containment of any substance except oil, condensate pr produced water or chemicals. Other substance spills include, but are not limited to: drilling mud and cuttings; drilling fluids; pipeline sludge; tank sludge; contaminated storm water or process wastewater, etc. Regulatory Non -Compliance A failure to meet an applicable law, regulation or commitment identified as a result of an internal audit or an external notification or enforcement action.

3.0 General Requirements


KOC HSE Management System Guidelines Element 8, Incident Analysis & Prevention

4.0 Key Roles & Responsibilities


The following are defined roles and responsibilities for the implementation and maintenance of the KOC HSE Incident Reporting Procedure. Observer Responsible for immediately reporting the incident to Burgan Fire Station or respective Area Fire Station and to immediate supervisor.

All Supervisors Responsible for verifying that the incident has been reported to Burgan Fire Station or respective Area Fire Station. Responsible for taking immediate remedial action to minimize and control loss associated with an HSE incident. Responsible for timely internal reporting of HSE incidents through the use of the Incident Investigation Report Form.

Control Tier 3

Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

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Fire Station Control Room Operator - Area Fire Station (NK, WK, Burgan) The respective Fire Station is responsible for providing rescue as well as damage control support. The Fire Station Control Room Operator is responsible for recording the incident details in the incident logbook and notifying all incidents to concern Teams / Groups. The Fire Station Control Room Operator is also responsible for notifying according to Incident Call Out list as per General Emergency Procedures in case of serious incidents.

Asset / Directorate HSE Team Leaders Responsible for reviewing and approving HSE Incident Investigation Reports prior to its release ensuring accuracy, quality and nece ssary investigation. Responsible for data entry of completed Incident Investigation Report forms into the HSE Incident Database. Tracks the status and confirm closure of corrective as well as preventive actions and supports functions in the respective asset / directorate. Ensures corrective actions resulting from incident investigations are completed in a timely manner. In case of incident involving contractors (controlled by TS Directorate) or during drilling / workover / wireline operations; the above mentioned responsibilities will be dealt by respective directorate HSE Team such as HSE (TS) or HSE (OS). Similarly in case of incident involving contractors (controlled by Project Management Team) such responsibilities will be dealt by respective asset HSE Team where the incident has occurred.

Group Managers Ensures this procedure is fully implemented and understood within their asset Approves and implements corrective and preventive actions associated with operations under his/her jurisdiction.

Manager HSE Commissions review of Serious Incidents, as needed, and requests supplemental incident investigation to include detailed root cause analysis to accompany the on -site investigation. Communicates Serious Incident details to appropriate Team Leade rs and staff, as needed.

Team Leader HSE Systems Responsible for compilation of Incident Reports (through incident investigation form or Fire Teams Daily Incident Summary Report) received from asset / directorate HSE Teams or area Fire Station. Responsible for internal reporting to KOC Management as well as external reporting to KPC and applicable regulatory agencies.
Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

Control Tier 3

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Team Leader Safety Analyze the HSE incident statistics (related to safety issues) and prepare quarterly report for senior management. Periodically audits the incident reporting and investigation & corrective action program for incidents related to Safety issues.

Team Leader Health & Environment Analyze the HSE incident statistics (related to H & E issues) and prepare quarterly report for senior management. Periodically audits the incident reporting and investigation & corrective action program for incidents related to H & E issues.

5.0 Procedure
The observer (KOC or Contractor Employees) of an incident should take reasonable measures to contain the incident preventing further damage or harm, and contact the local area fire station (NK, WK or Burgan) immediately and subsequently, are responsible for immediate reporting of HSE incidents to their immediate supervisor to begin the incident investigation process. The HSE Incident Investigation Report Form is utilized to record the incident details. The incident investigation reporting form can be downloaded from the HSE website and can be completed electronically or on a hard copy. Once complete, the Incident Investigation Report is transmitted either by email or by fax to the Asset / Directorate HSE Team Leader for review, quality assurance and assessment. 5.1 Incident Types All HSE and Integrity Management incidents as well as near misses shall be reported and recorded in the HSE Incident Database. Incidents may include, but are not limited to the following:

Injury of any kind Asset or property damage Motor vehicle accidents Damage to the environment Hydrocarbon releases (oil, condensate, or produced water leak or spill) Fires/explosions Events leading to loss of production Events leading to damage to reputation

5.2

Incident Reporting Incident information shall be collected, communicated, and reported in accordance with Figure 1 below. If an incident is classified as a Serious Incident, verbal notification of the incident shall be provided to C&MD by the respective DMD .

Control Tier 3

Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

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Serious Incidents may trigger emergency response , and further investigation & reporting by independent investigation committee , but still requiring the completion of an Incident Investigation Report Form by the immediate Supervisor to record basic incident information. The classification of an incident as serious does not exclude the use of the Incident Investigation Report form and entry of data into HSE Incident Database. Non-serious incidents (level 1) incident investigation report form shall be completed and submitted to respective Asset / Directorate HSE Team within 24 hours of incident occurrence. Serious (leve l 3) and Non-serious (level 2) incidents incident investigation report form shall be completed and submitted to respective Asset / Directorate HSE Team by the end of the working shift in which the incident came under control. The respective Asset / Directorate HSE Team shall enter reviewed Incident Investigation Reports into the HSE Database . Figure 1 HSE Incident Reporting Flow Diagram
Incident

Reported immediately to Burgan / Area Fire Station by Observer or Immediate Supervisor

No (Level 1)

Is it a Serious Incident?

Yes (Level 3)

Incident is investigated locally

No (Level 2)

Fire Station calls concern Teams / Groups

Incident Inv. Report raised by Immediate Supervisor

Independent Investigation Committee to investigate incident

Incident Inv. Report submitted to Asset / Directorate HSE Team

Detail Investigation Report to be submitted to the management

Asset / Directorate HSE Team reviews incident inv. report and records in HSE database

Control Tier 3

Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

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5.3

HSE Incident Database Data submitted through Incident Investigation Report forms, either electronically or hard copy will be recorded in a central HSE Incident Database maintained by HSE System. Access to the database will be controlled and serve as the official archive for incident data. External Agency & Company Reporting Summary of incident investigation reporting and other required notifications to external agencies and interested parties outside of KOC (such as KPC and / or the public) shall be coordinated through HSE Systems Team. Initial Incident Investigation & Root Cause Analysis The immediate Supervisor initiating the Incident Investigation Report and the Asset / Directorate HSE Team Leader or his representative shall investigate non-serious incidents (level 1) locally. Immediate & root causes as well as corrective actions are recorded in the Incident Investigation Report form. Serious (level 3) and non-serious (level 2) incidents require the establishment of an independent investigation team to examine the details of the incident, determine the immediate and roots causes using the Comprehensive List of Causes model, and establish a list of corrective actions to prevent recurrence. The formation of investigating teams will be at the discretion of the Incident Owner and will include, at a minimum, the following individuals:

5.4

5.5

Asset Owner (Where the incident has occurred) Asset / Directorate HSE Team representative Technical experts based on the incident type

Additional details regarding serious incident investigation and corrective action can be referred in the Incident Investigation & Corrective Action Procedure (Doc. No.
GE.KOC.008)

5.6

Communicating Lessons Learned Once incidents or near misses have been reported and investigated (locally for Incidents; or through an independent investigation team for serious incidents) , as well as initial corrective and preventive action developed; then significant lessons learned from the incident shall be communicated both within KOC and other KPC organizations as deemed appropriate by HSE Group Team Leaders and / or Asset / Directorate HSE Team Leaders. The following are potential avenues for communicating lessons learned: HSE Bulletins and Communication Notices Email notification for KOC Management Presentation at HSE meetings Notifications in KOC newsletters

6.0 Key Documents / Tools / References


HSE Incident Investigation Report form HSE Incident Investigation & Corrective Action Procedure HSE Comprehensive List of Causes
Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07

Control Tier 3

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KOC General Emergency Procedure

Revision Log Revision Date


December 13, 2003 January 21, 2004 December 25, 2005

Document Approver
Manager HSE Manager HSE Manager HSE

Document Author
TL Safety TL Safety TL Safety

Revision Details
Draft issued for HSEMS Implementation Committee review Issued after review by Implementation Committee. HSEMS

November 25 , 2006

Manager HSE

TL Safety

February 11, 2007

Manager HSE

TL Safety

Update after review by HSEMS Implementation Committee. To align the Procedure on the updated & approved Incident Investigation Form by HSEMS Implementation Committee. Re-aligned the Procedure on the revised Incident Investigation Report Form adding Integrity Management Incidents . Also, added Observers responsibility.

Control Tier 3

Revision Date: February 17, 2007 Uncontrolled Copy. Valid Only at the Time of Printing: 19-Feb-07