TCM IDENTIFICATION CODE

REALISATION EN EPC D’ UNE 4439-LH-PC-000000012

INSTALLATION DE PRODUCTION SHEET ISSUE
DE LINEAR-ALKYL-BENZENE – LAB 1 / 28 0
SKIKDA – ALGERIE

CT-EPC/017/SH/EPM/RPC-X/2023

REPORTING AND INVESTIGATION OF ACCIDENT AND INCIDENTS

PROCEDURE

Digitally signed
by agroval001
DN:
CN=agroval001
Reason: I am
agroval001 the author of
Digitally signed by
GILAREMM001
DN: Digitally signed by Villela Nara
this document GILAREMM001
CN=GILAREMM001 DN: CN=Villela Nara
Date: Date: 2024.10.25 Date: 2024.10.25
12:08:28+02'00' 14:54:37+02'00'
2024.10.23
19:29:50+02'00'

0 23/Oct/2024 IFR - Issued for Review V. Agro’ E. Gilardi N. Villela

Issue Date Reason for Issue – Revision Description Prepared Checked Approved
This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
2 / 28 0

CONTENTS

1 SCOPE AND PURPOSE ............................................................................................................ 3

2 REFERENCES ........................................................................................................................... 3
3 DEFINITIONS AND ABBREVIATIONS ...................................................................................... 3
3.1 DEFINITIONS ..................................................................................................................... 3
3.2 ABBREVIATIONS ............................................................................................................... 6
4 ROLES AND RESPONSIBILITIES ............................................................................................. 6
5 INSTRUCTIONS ......................................................................................................................... 7
5.1 GENERAL ........................................................................................................................... 7
5.2 INCIDENT CLASSIFICATION ............................................................................................. 7
5.3 REPORTABLE INJURIES AND OCCUPATIONAL ILLNESSES .......................................... 9
5.4 NOTIFICATION AND REPORTING ................................................................................... 11
5.5 APPOINTEMENT OF INVESTIGATION TEAM.................................................................. 14
5.6 INVESTIGATION BY LOCAL OR NATIONAL AUTHORITIES ............................................ 16
5.7 INVESTIGATION PROCESS............................................................................................. 16
5.8 INCIDENT FOLLOW UP .................................................................................................... 20
5.9 COMMUNICATION OF INVESTIGATION FINDINGS ........................................................ 20
5.10 IMPLEMENTATION OF RECOMMENDATIONS ............................................................... 20
5.11 MONITORING OF IMPLEMENTATION ............................................................................. 20
5.12 HSE STATISTICS REPORTING........................................................................................ 21
6 APPENDIXES ........................................................................................................................... 21
6.1 APPENDIX 1: PROJECT INCIDENT NOTIFICATION FORM; PART 1, PART 2, PART 3 ... 22
6.2 APPENDIX 2: CONSEQUENCE CATEGORY DEFINITIONS ............................................ 26

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
3 / 28 0

1 SCOPE AND PURPOSE

This procedure applies to CONTRACTOR’s personnel, to all SUBCONTRACTORS and their lower-
tier SUBCONTRACTORS, and their respective employees, or VISITORS entering the Project site. It
applies to all site activities and all Project areas, including lay-down areas and temporary
construction facilities.
This document covers the reporting requirements and the principles of accident investigation and
analysis that apply to the project during all the execution phases.
The purpose of this procedure is to control the basic elements required to maintain an
Accident/Incident and Near Miss investigation and reporting system and the implementation of the
relevant corrective action taken.

2 REFERENCES

OWNER Reference: RMP-OG-HSE-SPC-001-22 Exigences Generales HSE Applicables aux

Entrepreneurs

Project References:

Title CONTRACTOR Code

SITE HSE PLAN 4439-LH-PL-0000000001

3 DEFINITIONS AND ABBREVIATIONS

For the purposes of this Procedure, the following definitions/abbreviations shall apply:

3.1 DEFINITIONS

PROJECT Realisation en EPC d’ une installation de production de linear-alkyl-

benzene – LAB Skikda – Algerie
OWNER SONATRACH
CONTRACTOR Tecnimont
SUBCONTRACTOR Means a person or business which has a contract (as an "independent
contractor" and not an employee) with the CONTRACTOR to provide
some portion of the work or services on the Project which the
CONTRACTOR has agreed to perform.
Lower Means any person or company of any tier, including but not limited to,
Tier SUBCONTRACTOR suppliers or vendors of MATERIALS, suppliers or lessors of
SUBCONTRACTOR’s EQUIPMENT and erection contractors, having
a contract with SUBCONTRACTOR or a LOWER TIER
SUBCONTRACTOR for the performance of any part of the WORKS.
Employee Any person engaged in activities for the benefit of the Project or
CONTRACTOR (SUBCONTRACTOR) and who receives payment,
even on a temporary basis. This includes so called Day Laborers

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
4 / 28 0

employed by the Project or CONTRACTOR, SUBCONTRACTORs

and LOWER TIER SUBCONTRACTORS.
Fatality (FAT) Cases that involve one or more people who died as a result of a work-
related incident. ‘Delayed’ deaths that occur after the incident are to be
included if the deaths were a direct result of the incident.
First Aid Case (FAC) Cases which are not sufficiently serious to be reported as medical
treatment or more serious cases but nevertheless require minor first
aid treatment, e.g. dressing on a minor cut, removal of a splinter from
a finger. First aid cases are not recordable incidents.
Hazard Hazard is the potential to cause harm, including ill health and injury,
damage to property, products or the environment, production losses or
increased liabilities.
Injury or Illness An injury or illness is an abnormal condition or disorder. Injuries
include cases such as, but not limited to, a cut, fracture, sprain, or
amputation. Illnesses include both acute and chronic illnesses, such
as, but not limited to, a skin disease, respiratory disorder, or poisoning.
(Note: Injuries and illnesses are recordable only if they are new, work-
related cases that meet one or more of the recording criteria.)
Incident An unplanned or uncontrolled event, or chain of events, that has
resulted in at least one fatality, recordable injury, or damage [loss] to
people, assets, the environment or reputation
Lost Time Injury (LTI) Lost Time Injury is a Fatality or Lost Workday Case. The number of
LTI(s) is the sum of Fatalities and Lost Workday Cases.
Lost Time Injury Frequency Is calculated by multiplying the number of Lost Time Injuries (Fatalities
(LTIF) + Lost Workday Cases) by 200.000 work hours according to OSHA, or
per 1.000.000 work hours according to IOGP, and then dividing that
number by the number of labor hours at the company.
Number of Lost Workdays The sum total of calendar days (consecutive or otherwise) after the
(LWD) days on which the occupational injuries occurred, where the persons
involved were unfit for work and did not work.
Lost Work-Day Case Any work-related injury, other than a fatal injury, which results in a
(LWDC) person being unfit for work on any day after the day of occurrence of
the occupational injury. ‘Any day’ includes rest days, weekend days,
leave days, public holidays or days after ceasing employment.
Medical Treatment Case Cases that are not severe enough to be reported as Fatalities or Lost
(MTC) Workday Cases or Restricted Workday Cases but are more severe
than requiring simple First Aid treatment.
"Medical Treatment" means the management and care of a patient to
combat disease or disorder. Medical treatment does not include: Visits
to a physician or other licensed health care professional solely for
observation or counseling; The conduct of diagnostic procedures, such
as x-rays and blood tests, including the administration of prescription
medications used solely for diagnostic purposes (e.g., eye drops to
dilate pupils); or "First aid" as defined (OSHA Regulations - Standards
29 CFR 1904).

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
5 / 28 0

Near Miss (NM) An unplanned on uncontrolled event or chain of events that has not
resulted in recordable injury or physical damage or environmental
damage but had the potential to do so in other circumstances.
Occupational Illness Any abnormal condition or disorder, or any Fatality other than one
resulting from an occupational injury, caused by exposure to
environmental factors associated with employment. Occupational
illness may be caused by inhalation, absorption, ingestion of, or direct
contact with the hazard, as well as exposure to physical and
psychological hazards. It will generally result from prolonged or
repeated exposure.
Occupational Injury Any injury such as a cut, fracture, sprain, amputation, etc., or any
Fatality, which results from a work-related activity or from an exposure
involving a single incident in the work environment, such as deafness
from explosion, one-time chemical exposure, back disorder from a
slip/trip, insect, or snake bite.
Physician A Physician or Other Licensed Health Care Professional is an
individual whose legally permitted scope of practice (i.e., license,
registration, or certification) allows him or her to independently
perform, or be delegated the responsibility to perform, the activities
described by this regulation.
Recordable A type of event, incident, injury, release, or other outcome which has
been determined to meet or exceed definitions, criteria or thresholds
for inclusion and classification in reported data.
Regular Job A Regular Job is one, which has not been established to
accommodate an injured employee. It should be an existing job or task
within the OWNER or CONTRACTOR’s organization, which the
injured person is deemed competent to perform.
Reputation The estimation in which persons or organizations are held; character;
good name.
Restricted Work Day Case Any work-related injury other than a Fatality or LWDC which results in
(RWDC) a person being unfit for full performance of the regular job on any day
after the occupational injury. Work performed might be:
• an assignment to a temporary job
• part-time work at the regular job
• working full-time in the regular job but not performing all the usual
duties of the job.
Where no meaningful restricted work is being performed, the incident
should be recorded as a Lost Workday Case (LWDC).
Risk Risk represents the probability that an undesirable event will occur,
combined with consideration given to the severity of the RISK
CLASSIFICATION - Risk classification is a rating system used to
represent the relative risk associated with a particular hazard. For the
Project, the risk rating system shall be as described in the procedure.
Third Party A person or organization with no business relation with the OWNER or
CONTRACTOR.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
6 / 28 0

Total Recordable Incidents The sum of Fatalities, Lost Workday Cases, Restricted Workday
(TRI) Cases and Medical Treatment Cases.
Total Recordable Incidents Is calculated by multiplying the number of TRI by 200.000 work hours
Rate (TRIR) according to OSHA, or per 1.000.000 work hours according to IOGP,
and then dividing that number by the number of labor hours at the
company.
Work-Related An injury must be considered work-related if an event or exposure in
the work environment caused or contributed to the resulting condition
or significantly aggravated a pre-existing injury. Work-relatedness is
presumed for injuries resulting from events or exposures occurring in
the work environment unless one of the following exceptions applies in
its entirety:
• Occurs when an employee or contractor is present in the work
environment as a member of the public. In case of a fatality, it will be
included in the third party statistics.
• Results solely from voluntary participation in a wellness program or in
a medical, fitness, or recreational activity, such as blood donation,
physical examination, flu vaccination, exercise class, racquetball, or
baseball etc. Where the activity is company-sponsored the
participation must be perceived by the employee as voluntary for this
exception to apply.
• Involves signs or symptoms that surface at work but result solely from
a non-work-related event or exposure.
• Is solely the result of eating, drinking, or preparing food or drink for
personal consumption (whether bought on the employer’s premises or
brought in): for example, if the employee is injured by choking on a
sandwich while in the employer’s establishment, the case would not be
considered work-related. Note: If the employee is made ill by ingesting
food contaminated by workplace contaminants (such as lead), or gets
food poisoning from food supplied by the employer, the case would be
considered work-related
• Is solely the result of doing personal tasks in the work environment
outside of the employee’s assigned working hours.
• Is solely the result of personal grooming, self-medication for a non-
work-related condition or is intentionally self-inflicted.
• Is the common cold or flu (Note: contagious diseases such as
tuberculosis, brucellosis, hepatitis A, or plague are considered work-
related if the employee is infected at work), and
• Occurs during a commute from the home to the normal place of work
or first stop unless the commute uses company-mandated transport.

3.2 ABBREVIATIONS

4 ROLES AND RESPONSIBILITIES

CONTRACTOR/SUBCONTRACTOR Site Manager

It shall be the responsibility of the CONTRACTOR and SUBCONTRACTOR Site Managers to ensure

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
7 / 28 0

that the requirements of this Procedure are adhered to.

CONTRACTOR/SUBCONTRACTOR Supervisor
It shall be the responsibility of all CONTRACTOR’s and SUBCONTRACTOR’s Supervisors to ensure
that all employees adhere to the requirements of this Procedure.

CONTRACTOR/SUBCONTRACTOR Site HSE Staff

It shall be the responsibility of the CONTRACTOR Site HSE Department to monitor the
implementation and adherence to this Procedure and report violations and/or noncompliance issues
to Project Management for immediate corrective actions.
SUBCONTRACTOR Site HSE Staff shall support CONTRACTOR HSE Department in the daily
monitoring of the worksite and implementation of this Procedure. SUBCONTRACTOR Site HSE Staff
shall report violations and/or noncompliance issues for immediate corrective actions.

Employees
Employees must practice safe work habits and comply with the requirements of this procedure.
Furthermore they shall:
• Report to their Supervisors of any equipment defects or malfunctioning that may affect the
safe operation of the equipment.
• Advise their immediate Supervisor whenever unsure of the instructions received or where
concerned about the safety status of any task.
• Report straight to their immediate Supervisor all unsafe acts or conditions, near miss and
incidents occurred or seen.

5 INSTRUCTIONS

5.1 GENERAL
The commitment to careful reporting and investigation of accidents / incidents involving injury,
property damage, and production interruption is a major factor in accident prevention.
The incident investigation process provides the accurate, timely information needed to prevent
recurrences.
An “Incident Investigation Team” shall be formed to investigate.
The incident reporting policy of CONTRACTOR and that applies to the Project requires that:
• Every Incident is reported (see definition of an Incident)
• Incidents are reported promptly
• Key data are provided (injuries, persons involved, circumstances, outcomes, consequences,
HSE Management System failures)
• Incidents are investigated appropriately
• Lessons learned from the incidents are disseminated within the organization and the Project
• Recommendations resulting from investigations are under action.
In the event of serious incidents the “Emergency Response Team” (ERT) will be mobilized to assist
in rescue activities, firefighting etc.

5.2 INCIDENT CLASSIFICATION

An incident may result in serious injuries, illness, damage, and environmental effects or alternatively
have only minor consequences. Lessons to avoid re-occurrence can be gained from all incidents.
This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
8 / 28 0

For incidents with minor consequences the potential severity can still be very high.
Investigation of those cases may reveal as much about the deficiencies in HSE Management as
cases in which major injury resulted.
Isolated events, incidents with minor consequences and minor potential severity may provide little
learning, but the collection and analysis of data from many such incidents show trends, which may be
used to identify measures for improvement in the overall HSE performances.
When assessing the potential Severity of an incident use will be made of the IPM technique, in which
two parameters are combined:
• Potential injury or health effect / asset damage / environmental effect / reputation impact
(Consequences).
• Level of exposure / frequency of occurrence (Likelihood).
The investigation effort in terms of team composition and depth of investigation will be based on
actual and potential Severity.
All incidents will be classified according to the IPM Classification Table reported below for an easy
reference.

Picture 1: IPM Classification Table or Risk Assessment Matrix [RAM]

The potential consequences of incident will be assessed in respect to “People” (Injury), “Assets”
(Damage), “Environmental” (Effect) and “Reputation” (Impact).
The classification will be represented with the association of letters and numbers; for a complete
definition of the Consequences terms please refer to the “Appendix 2” of this procedure.
(e.g.: classification A1 for People means: Consequences = Slight health effect / injury; Likelihood =
Never heard of in industries)
The classification will be reported in the relevant section of the “Part 1” of the “Incident Notification
Form” “Appendix 1” of this procedure.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
9 / 28 0

5.3 REPORTABLE INJURIES AND OCCUPATIONAL ILLNESSES

The following diagrams (Pictures 2 and 3) describe the criteria to determine the work relationship of
an injury or illness and the reporting requirements, according to OSHA, for safety statistic scope only.
Picture 2: Guidelines for establishing work relationship

Event or exposure
resulting in injury or
illness
(See note 1)

On Employer’s and / Off CONTRACTOR

or client premises and / or OWNER
premises

Employee engaged in Employee present Employee in travel Employee engaged in

work – related activity at the location as a status engaged in activity for own
condition of work activities “in the personal use or
employment interest of the enjoyment
employer”
(see note 2)

Presumed work- Not work-related

related

Note 1: Contagious diseases such as tuberculosis, brucellosis, hepatitis A, or plague are considered
work related if the employee is infected at work.
Note 2: Travel statuses are work-related if the employee is engaged in work activities “in the interest
of the employer”. Travels between the employee’s residence or temporary residence and the job
location are considered NOT work-related.
Injuries or illnesses caused by a motor vehicle accident and occurs on an OWNER parking lot or
OWNER access road, while the employees is commuting to or from work, are considered NOT work-
related.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
10 / 28 0

Picture 3: Guidelines for reportable cases (according to OSHA)

NOTE: A case must involve a death, or an illness,

or an injury to an employee.

If a case ….

Results from a work accident

or from an exposure in the Does not result from a work
work environment accident or from an exposure
and is in the work environment

A death An illness
An injury which involves

Medical Loss of Restriction of

treatment consciousness work or motion Transfer to None of these
(Other than and / or loss of another job
First Aid) workdays

The case has The case

to be has not to
classified as be classified
“Reportable” as
“Reportable”

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
11 / 28 0

5.4 NOTIFICATION AND REPORTING

The following incidents shall be notified:
• Personal Injuries occurring to the CONTRACTOR and SUBCONTRACTOR personnel, during
the course of employment, and any injuries sustained by members of the public or visitors
(3rd parties) as a result of activities carried out on the Project
• Damage to Assets owned by OWNER, and its CONTRACTORS, SUBCONTRACTORS or 3rd
parties as a result of activities carried out on the Project
• Environmental incidents of any form as a result of activities carried out on the Project
• Social or Reputation Impact Incidents as a result of activities carried out on, the Project
• Near Hit/Miss Incidents (or Unsafe Actions or Conditions in the context of this procedure) that
did not result in injury or damage/loss of property or which did not have an adverse
environmental impact
• Other Incidents which occur as a result of activities carried out on, the Project.
All incidents, including Near Misses (regardless of Severity) that occur within the Project site and
temporary facilities areas, or that involve CONTRACTOR and SUBCONTRACTOR vehicles on public
and private roads, shall be notified to CONTRACTOR SM by the assigned Supervisor/Foreman,
using the appropriate Forms (see Appendix 1).
This will allow to:
• Identify the immediate and basic causes of each event;
• Implement measures to prevent recurrence of similar unwanted events;
• Establish the facts surrounding each occurrence for use in potential insurance claims or
litigation;
• Meet both statutory and OWNER requirements for incident reporting.

Incidents’ Notification at site

All SUBCONTRACTOR employees and their Lower Tier SUBCONTRACTOR operating on site shall
report immediately to CONTRACTOR any accident and incident they are witnesses, or involved in, to
the direct supervisor/foreman and activate the emergency response according to the emergency
procedure in place.
SUBCONTRACTOR Supervisors in order to allow a prompt investigation of the event, the
segregation of the accident area if necessary and the collection of the witnesses shall immediately
notify any incident to all the following CONTRACTOR representatives:
• Discipline Superintendent
• Site Manager
• Site HSE Manager

Note that not only the events clearly “work related” according to CONTRACTOR criteria shall be
reported to CONTRACTOR/OWNER, but also any other relevant event occurred for instance during
transportation from and to the site, during recreation activities outside the working hours, etc.
The Doctor/Nurse responsible for the emergency and first aid unit shall also inform immediately the
CONTRACTOR Site HSE Department in case of any emergency call received. To do so an adequate
fast and continuous communication channel shall be established (Phone, Mobile Phone) in between
the infirmary-first aid unit and the CONTRACTOR Site Organization.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
12 / 28 0

Process flow of communication and formal notification:

The following steps should be taken:

• SUBCONTRACTOR shall communicate all Incidents and Near Misses to CONTRACTOR
HSM and/or SM within one (1) hour of occurrence (spoken in person or by phone/mobile).
• Serious incidents must be immediately reported verbally to CONTRACTOR HSM and/or SM
(spoken in person or by phone/mobile). When informed, the HSM shall report to the SM on
the incident and to the OWNER HSE Representative.
• SUBCONTRACTOR must formally notify CONTRACTOR SM and HSM of all incidents in
writing, by e-mail, within 12 hours of occurrence (HSM send a copy to CONTRACTOR Head
Office HSE Department). The e-mail notification shall contain only known facts, time, date and
brief description. No causation should be included.
• In case of incident, SUBCONTRACTOR shall submit to CONTRACTOR a documented
“Investigation Report” within 24 hours of notification. All Investigation Reports and supporting
documentation will be submitted by CONTRACTOR to the OWNER HSE Representative.
• An e-mail notification with annex “Investigation Report” shall be sent by HSM to
CONTRACTOR HSE Head of Department and forwarded in copies to the relevant functions in
the Head Office.

Notification and Emergency “Call Tree”

In order to facilitate the site internal notification and a correct information process an emergency Call
Tree shall be established on site since the beginning of the activities, an Emergency Call Tree Card
(a document with the dimension of a credit card, printed in one or both side and plastic sheeted) will
be prepared by CONTRACTOR, the card shall summaries the essential data of the call tree and in
particular the name and numbers of the key persons of the project that must be immediately informed
in case of serious accident and/or incidents with significant property damages.
The “Call-Tree Card” will be distributed to all Foremen and Supervisors of CONTRACTOR and
SUBCONTRACTORS, with the instruction to be carried with them all time.
The Call-Tree Card will facilitate the event notification in particular during activities performed outside
the normal working hours when the site is supervised by a very limited management team and also
for the reporting of incidents occurred outside the site areas, like road accidents occurred during
material transportation, during the personnel commuting from home to site and vice versa, accidents
occurred inside the camp area during recreation activities, and also the notification of any possible
threat coming from the external environment, natural disaster, security accidents, riots, terrorism, etc.

Incidents Notification to CONTRACTOR’s Headquarters

The CONTRACTOR managing staff present on site will provide “Incident Notification” to the
appropriate office/persons at CONTRACTOR Headquarters in case of incidents falling under the
following categories of events:

• For accidents resulting in a fatality or the hospitalization of one or more employees injured in
the same incident, for major Injuries or health effects to personnel (CONTRACTOR, OWNER,
SUBCONTRACTORS, others) participating the Project, including third parties if affected by
activities managed by CONTRACTOR (Major Injuries/health effects means that the injury can
potentially lead to an LTI or to a fatality or to a permanent disability, practically only First aid
cases and Medical Treatment cases are not included);
• Extensive or Major assets damage (even if the event does not produce injuries);

• Environmental Incidents that generate severe environmental damage and that could lead to a

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
13 / 28 0

serious impact on OWNER and/or CONTRACTOR reputation.

Note that not only the events clearly “work related” according to OSHA Record keeping Regulations
(29 CFR 1904) shall be reported but any other relevant event occurred for instance during
transportation from and to the site, at the camp, during recreation activities outside the working
hours, etc. CONTRACTOR Site Manager (or his deputy / or other person designated within the
CONTRACTOR site organization) is required to notify the event (by phone, mobile or SMS) within
two hours to the following head office functions:

• CONST (Construction Operations)

• COHSE (Construction HSE Head of Department)
• PD / PM (Project Director/Project Manager)
• QHSE (HSE & Project Quality)
• HR (Human Resources – optional, only in case of CONTRACTOR’s personnel involved)
• AMDEL (CONTRACTOR Managing Director – optional)
• Insurance and Legal Dpt

If the person(s) injured is directly hired by CONTRACTOR, the PD/PM and/or CONST functions shall
notify immediately HR.

In addition, in case of accidents resulting in a fatality or the hospitalization of one or more employees
injured in the same incident with a suspended prognosis, the PD/PM or CONST shall notify the
CONTRACTOR Managing Director immediately.

The following information must be provided at a minimum:

• Employee's name and organization (CONTRACTOR / SUBCONTRACTOR);
• Employee's date of birth;
• A brief description of what happened;
• A report of the employee's status.

Injuries requiring a Doctor's care, recordable injuries (other than LTI and Fatalities) and restricted
work day(s) shall be reported to the Construction HSE Head of Department (COHSE) and CONST
(by phone or mobile phone, SMS) within four (4) hours of occurrence and a Preliminary
Incident/Near-Miss
Notification Form must be sent within 24 hours.
Other incidents involving property damage, incidents involving the public, fires and/or near-misses
will be reported to Home Office Construction HSE - Head of Department (COHSE) and CONST
within 24 hours of occurrence using a Preliminary Incident/Near-Miss Notification Form.

Incidents’ Notification to OWNER and relevant Local Authorities

In case of incident CONTRACTOR will notify OWNER of all incidents (fatality, Injuries, illnesses,
recordable cases, first aid cases, near misses, property damage, fire, environmental incident, motor
vehicle accident, security incident, high potential consequence incident) prior to the end of work day
first aid and near miss.
CONTRACTOR will notify OWNER immediately for all occupational injuries and illnesses for which
transport offsite is being considered (Notification is not required prior to transportation for potentially

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
14 / 28 0

life-threatening injuries or illnesses) and will submit a short, written report by end of the current work
shift.
If the incident involves a fire or fatality, CONTRACTOR will notify OWNER and Local Police to
determine which entity will investigate and control the scene. No person shall disrupt the fire scene
without police permission.

5.4.1 Reporting
All Incident Reports shall be notified in writing using the “Incident Notification Form” (refer to
Appendix 1 of this procedure) with supplementary information attached as necessary.
The Incident Notification Form - Part 1 (refer to Appendix 1) is sufficient for reporting minor or Near
Miss incidents, or accidents which have an agreed IPM classification in the categories A1, B1, C1,
D1 and E1 (refer to Picture 1: IPM Classification Table or Risk Assessment Matrix – RAM); for such
incidents a further full Incident Report will not be required (Part 2 and 3 are not required).
Uncompleted Action Points which result from immediate (that day) investigation, those may be
recorded in the narrative section of Part 1 for follow-up.
The Supervisor writing the Report, or the investigation team leader, must agree with the investigation
team on the initial IPM Classification.
Reports should be completed in the most convenient language (English or local language) for the
organization writing it and doing the immediate review; reports will be translated as necessary by the
on-going investigation process.
All Incidents Reports shall be reviewed with the HSM prior to issuance.
The HSM or his designee will return the “Incident Notification Form - Part 1” to the sender with the
Incident Report serial number added and confirmation of, or comment on, the IPM ranking and any
further report requirement. The HSM will request a work injury status report if appropriate.
Following final completion and release of the Form, where appropriate, the HSM will request a more
detailed investigation of the event be carried out. Part 2 and 3 of the Incident Notification Form might
be required.
Full details of events and the conclusions of the Investigation Team shall be included in the Incident
Notification Form with attachments as necessary.
Reporting will be in line with OWNER and CONTRACTOR corporate requirements.
5.4.2 Incidents requiring further Investigation
The Incident Notification Form - Part 2 and 3 (refer to Appendix 1) are required for reporting High
Potential Near Miss, Incidents or Accidents which have an agreed IPM classification falling in other
categories different than those cited in previous subsection.
For such events a complete Incident Report will be required (Part 1, Part 2 and 3) with all required
supplementary information or documentation attached.

5.5 APPOINTEMENT OF INVESTIGATION TEAM

The Project Site Management, with the guidance of HSM for all HSE matters, shall subject the
following events to formal, impartial investigation:
• Occupational health effect / injury or illness.
• Property Damage.
• Environmental effects.
• Any incident requested by CONTRACTOR.
• Any incident requested by the OWNER insurers.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
15 / 28 0

• Any incident deemed by the CONTRACTOR Site Manager to merit investigation.

An Investigation Team will be convened to investigate the circumstances surrounding all incidents.
The CONTRACTOR SM with the support of the HSM shall decide the composition of the
Investigation Team. The HSM will be always part of the team.
The size and composition of an Investigation Team will depend on one or all the following factors:
• Extent of injury or damage.
• Potential for injury or damage (IPM Classification of the incident)
• Departments involved.
• Requirements for specialist knowledge.
• Legal requirements.
The Investigation Team will normally consist of 3 members with representation from the appropriate
functions of CONTRACTOR's personnel and involved SUBCONTRACTOR's personnel (e.g. Civil,
Mechanical, Electrical etc.) as follows:
• CONTRACTOR HSM or designee
• CONTRACTOR Construction Manager or Discipline Superintendent
• CONTRACTOR's Discipline Supervisor
• SUBCONTRACTOR HSE Manager / Leader
• SUBCONTRACTOR Site Manager or Construction Manager
• SUBCONTRACTOR's Discipline Supervisor
The chairperson shall be not responsible for the person(s) involved in the incident but is familiar with
the investigation process. Other members of the team shall include persons who are familiar with the
work area and relevant activities.
For some incidents the investigative skill and effort required might be within the capability of one
person, who, for minor incidents, could be the line supervisor.
5.5.1 Line Responsibility for Investigation
The line function should take the lead in incident investigation. A rapid response from the appropriate
level of line management assists in obtaining an accurate investigation and demonstrates
management commitment.
The assigned Supervisors bring their technical skills and familiarity to the task, the process and the
operation, together with their knowledge of the individuals involved. In some investigations however,
the immediate Supervisor may have more value as a witness than as a member of the investigating
team. Senior line Supervisors and line managers provide their experience and view events from a
perspective based on an overview of a broad area of activity. They are in a better position to detect
weaknesses in management systems and can assist in expediting the investigation process.
HSE personnel can also make a valuable contribution to an investigation. Beside their contribution of
HSE know-how, they can provide comparison with similar situations in other departments and
companies. In addition, their independent viewpoint can be useful when examining established work
practices. It may also be valuable to include other technical specialists and HSE representatives on
the team.
CONTRACTOR SM will determine the need for a legal representative in the investigation. The criteria
for determination shall be based on an assessment on whether the incident could have potential
liability on CONTRACTOR.
Depending on the situation, for less severe incidents, personnel from other functions may be
appointed to assist the line function involved to carry out the investigation. For such investigations the
team may consist of one or two members only.
The investigation team should review their assignment as carrying the highest order of priority as it is
important that the investigation begins while events are fresh in the witnesses' minds and before any

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
16 / 28 0

evidence is lost or destroyed by repair operations.

Due to the possibility of delays in establishing the investigation team it is the responsibility of the line
function concerned to secure the incident scene to preserve any evidence. The Investigation Team
should endeavor to be thorough, but should not unduly delay clean up or repairs. In addition to
obtaining evidence from the incident scene the team should interview all witnesses and anyone else
who may have information about conditions at the time of the incident.

5.6 INVESTIGATION BY LOCAL OR NATIONAL AUTHORITIES

If local authorities take over responsibility for the investigation, the CONTRACTOR, in agreement
with OWNER, will nominate a focal point to liaise with the authorities and to assist them in
assembling the information they require.
Notwithstanding the involvement of the authorities and other bodies, CONTRACTOR and
SUBCONTRACTOR will carry out their own investigation into the incident.
To have a clear understanding of the incident, the OWNER should endeavor to obtain relevant
evidence from the authorities.
It is most likely that (local) authorities investigating the incident will require to be provided with a copy
of the report of the investigation carried out by CONTRACTOR and /or SUBCONTRACTOR.
However, it must be kept in mind that investigation reports will in most cases not be classified as
privileged or otherwise confidential documents, and may serve as a basis for, or even as evidence in,
civil or criminal proceedings possibly brought against CONTRACTOR, its representative, or
employees in respect of the incident.

5.7 INVESTIGATION PROCESS

5.7.1 Scope and Aims
The scope of the investigation should be such as to achieve the following primary aims:
• To identify the root causes of the incident such that actions can be taken to prevent
recurrence of future incidents.
• To review the application of management practices and their impact on HSE.
• To establish the facts surrounding the incident for use in relation to potential insurance claims
or litigation.
• To meet relevant statutory and corporate requirements on incident reporting.
This may necessitate review of aspects remote from the location and time of the Incident.
5.7.2 Timing
The investigation shall be carried out as soon as possible after the incident. The quality of evidence
can deteriorate rapidly with time, and delayed investigations are usually not as conclusive as those
performed promptly.
5.7.3 Background Information
Appropriate background information shall be obtained before visiting the incident location. Such
information could include:
• Procedures for the type of operation involved.
• Records of instructions/briefings given on the particular job being investigated.
• Location plans.
• Command structure and persons involved.
• Messages, directions, etc., given from SUBCONTRACTOR’s office concerning the work.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
17 / 28 0

5.7.4 The Investigation Method

The method of conducting the investigation consists of the following activities:
• Fact-finding.
• Inspecting the location.
• Gathering or recording physical evidence.
• Interviewing witnesses.
• Reviewing documents, procedures and records.
• Conducting specialist studies (as required).
• Resolving conflicts in evidence.
• Identifying missing information.
• Recording additional factors and possible underlying causes including human factors.
During the initial stages of every investigation, investigators should aim to gather and record all the
facts that may be of interest in determining causes.
Investigators should be aware of the danger of reaching conclusions too early, thereby failing to keep
an open mind and considering the full range of possibilities.
Checklists can be very useful in the early stages to keep the full range of inquiry in mind, but they
cannot cover all possible aspects of an investigation, neither can they follow all individual leads back
to basic causal factors. When checklists are used, their limitations should be clearly understood.
5.7.5 Fact Finding
The objective of this stage of the investigation is to collect as many facts as possible, which may help
understanding of the incident and the events surrounding it.
The scope of an investigation can be divided into five areas:
• People.
• Environment.
• Equipment.
• Procedures.
• Organization.
Conditions, actions or omissions for each of these may be identified, which could be factors
contributing to the incident or to subsequent injury, damage or loss.
A factor to consider during an investigation is recent change. In many cases it has been found that
some change occurred prior to an incident which, combining with other causal factors already
present, served to initiate the incident. Changes in personnel, organization, procedures, processes,
and equipment should be investigated, particularly the hand-over of control and instructions, and the
communication of information about the change to those who needed to know.
The effect of work cycles and work-related stress could have an impact on individuals’ performance
prior to an incident.
The impact of social and domestic pressures related to individuals’ behavior should not be
overlooked.
The initial stages of an investigation normally focus on conditions and activities close to the incident
and only immediate causes are usually identified at this stage. However, the conditions underlying
these causes may also need investigating.
Information should be verified wherever possible. Statements made by different witnesses may
conflict and supporting evidence may be needed.
To ensure that all the facts are uncovered, the broad questions of “who? what? when? where? why?
and how?” should be asked.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
18 / 28 0

After fact finding and analysis it should be possible to:

• Give a precise description of the incident, its background, timing, and the events leading to it.
• Describe the weather conditions.
• Identify the equipment in use, its capabilities and any failures.
• Describe the locations of key personnel and their actions immediately before the incident.
• Describe all pertinent instructions.
• Identify energy flows that were not controlled.
• Identify construction work deviations, other defects or inappropriate use of resources and
equipment.
• Identify changes of staff, procedures, equipment or processes that could have contributed to
the accident.
• Evaluate relevant personnel skill levels and their application.
• Identify whether alcohol or drugs were contributory.
• Identify what systems were in place to prevent the incident and why they were not adequate
to prevent it.
• Review the relevance and input that was or should have been made by safety programs.
• Identify underlying causes.
• Comment on response to an accident (first aid, rescue, shutdown, fire fighting, etc.).
• Identify damage control and medical treatment actions taken to prevent worsening of the
situation and the condition of injured parties, particularly if disabling injuries or death ensued.
• Make an inventory of all the consequences of the incident (injury, damage and loss).
5.7.6 Inspecting the Location
Important evidence can be gained from observations made at the scene of the incident, particularly if
equipment remains as it was at the time of the incident. Similarly, witnesses’ statements can usually
be better understood and verified if discussed at site. Witnesses should be readily available to the
investigation team. It is not possible to set rules on “immobilizing” equipment at a location, but as far
as possible the site should be kept “as is” until at least a preliminary investigation has taken place.
However, rescue operations or the presence of residual hazards and/or congestion may justify
moving some of the equipment.
Local legislation may prescribe that classes of incidents, e.g. fatality or motor vehicle accident,
nothing may be moved without prior permission from the relevant authorities.
Photographs and/or video film will assist the investigation. However, local authorities may restrict site
access or impound equipment and in such circumstances it may not always be possible to obtain
photographic records. In these situations sketches should be made.
The investigators should be looking for any conditions in the immediate environment which could
have contributed to the incident. Items to check include:
• Position of all equipment in relation to other equipment/facilities
• The position of materials, hoisting equipment, barricades-barriers, construction equipment
• The condition of the load-bearing surface
• Accessibility/evidence of congestion
• Illumination/visibility and audibility at the location/site
• State of housekeeping
• The condition of all equipment/facilities
• Effects of weather

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
19 / 28 0

• Presence of witnesses
• Evidence of spills or release
• Odorous, discoloration
• Presence of unauthorized people
• Evidence of excessive forces
• Presence/absence of warning signs/notices
• Results of inspections
5.7.7 Preserving Physical Evidence
In many incidents components or equipment may be damaged, or have failed. In these cases, it is
best to lodge this equipment in a secure place pending more detailed analysis.
5.7.8 Conducting Interviews
People should be interviewed individually and be asked to go step-by-step through the events
surrounding the incident, describing both their own actions and the actions of others.
The value of a witness’ statement can be greatly influenced by the style of the interviewer, whose
main task is to listen to the witness’s story and not to influence him/her by making comments or
asking leading questions. This requires patience and understanding. If the investigation is a team
effort, great care should be taken not to make a witness feel intimidated by too many interviewers.
Experience has shown that a pair of interviewers can effectively conduct interviews and if
appropriate, the witness could be accompanied by an independent “friend”.
It should be remembered that an investigation team is often seen in a prosecuting role, and there
may be a reluctance to talk freely if people think they may incriminate themselves or their colleagues.
An investigator is not in a position to give immunity in return for evidence, but must try to convince
interviewees of the purpose of the investigation and the need for frankness.
At the end of an interview the discussion should be summarized - to make sure that no
misunderstandings exist. A written record should be made of the interview and this should be
discussed with the witness to clarify any anomalies. Any anomalies in the statement or conflicts with
other evidence should be clarified.
5.7.9 Records and Procedures
Documentation such as “as-built” drawings, inspection records, printouts, log-sheets or log-books,
maintenance records, work permits and time sheets may provide information relevant to the
investigation.
Written instructions and procedures provide evidence of pre-planning and individual responsibilities.
The investigation should try to establish the extent to which these procedures and instructions were
understood and acted upon, as these can indicate the effectiveness of training and supervision. The
relevance and extent of application of procedures should be assessed during the investigation.
5.7.10 Conducting Special Studies
Incidents of an involved or complex nature often require the analysis of specialists to determine
causes of failure. Crane failures and explosions are examples of such incidents, where specialist
advice may be required. This should be rapidly identified and the specialists are involved early in the
site assessment.
5.7.11 Conflicting Evidence
It is not unusual for different witnesses to give different accounts of an incident. Human memory can
be unreliable and, even if not motivated by self-protection or other subjective arguments, one
person’s recollection of an incident can differ from another’s in quite important details. Investigators
should note any significant differences in accounts of an event. Faced with conflicting witnesses’

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
20 / 28 0

statements, investigators should look for the similarities between the statements and commonality
with other evidence. The objective is to use the evidence to understand the incident and not to prove
the accuracy of individual statements, nor to apportion blame.
5.7.12 Identifying Missing Information
As the investigation progresses, the investigator(s) should begin to identify the sequence of events
and concentrate efforts on increasing their knowledge of areas of uncertainty.
5.7.13 Underlying Causes and Human Factors
As the extent of physical factors involved in an incident becomes clear, the investigator(s) should
shift the emphasis of their investigation and questioning to the underlying causes and to the reasons
for peoples’ actions. This will allow for ease of assessment when analyzing the incident.

5.8 INCIDENT FOLLOW UP

Where recommendations and corrective actions are made, personnel responsible for their completion
and target dates must be assigned. The status of close-out will be tracked by HSM or designee.

5.9 COMMUNICATION OF INVESTIGATION FINDINGS

To maximize the lessons learned, relevant findings and conclusions of incident investigations shall be
given as wide a distribution as practicable.
Discussions at, and feedback from, HSE meetings and team briefings will be used to maximize the
benefits from the learning points of the incident investigation to achieve the objective of preventing of
similar incidents.
Learning points, which may have a wider industry value, may be exchanged with industry contacts,
safety institutes, etc.

5.10 IMPLEMENTATION OF RECOMMENDATIONS

Recommendations shall be discussed on a formal basis with action parties for agreement on the
action required and the time-schedule for implementation.

5.11 MONITORING OF IMPLEMENTATION

Much of the value of incident investigation will be lost if the implementation of agreed
recommendations is not achieved.
Where recommendations cannot be fully implemented immediately, a formal follow-up monitoring
system is required to ensure that agreed actions are implemented and/or non-conformances are
known to management and formally endorsed.
Hardware related items are normally easy to identify as having been completed, e.g. when the
modification has been effected or when the new equipment has been received or installed. This is not
always the case with items such as training, changes to procedures or supervision and particularly
when action is described as “ongoing”. A precise description of the action item is essential if it is to be
effective.
Therefore a procedural action point will be considered to have been completed when:
• Written instructions have been issued and circulated to all staff concerned.
• Changes in procedures have been monitored and found effective.
A deadline will be set to ensure implementation of recommendations. The schedule for
implementation shall consider both the above points.
Items involving training or changes in supervision shall be handled in a way similar to procedures.
The changes must be planned, circulated as necessary, and monitored until they are seen to have

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
21 / 28 0

taken effect.
The quality of incident investigation and the effectiveness of the solutions implemented shall be
verified on a routine basis.

5.12 HSE STATISTICS REPORTING

HSM will include details of incidents in Weekly and Monthly Statistical Reports and will monitor
regularly the HSE performances through the Project's dedicated Key Performance Indicators (KPI).
The HSM shall deliver to OWNER the “Monthly Statistical HSE Report Form” by the close of
business of the 5th day of the following month / incoming month.
CONTRACTOR will record and report the following KPI data according to OSHA general recording
criteria (OSHA Recordkeeping Regulation 29 CFR 1904):
• Near Misses
• First Aid Cases (FAC)
• Medical Treatment Cases (MTC)
• Restricted Workday Cases (RWDC)
• Total Recordable Incidents (TRI)
• Lost Workday Cases (LWDC)
• Fatalities (FAT)
• Lost Time Injury Cases (LTI)
• Total Recordable Incidents Rate (TRIR)
• Lost Time Injury Frequency (LTIF)

6 APPENDIXES

Appendix 1: Incident Notification Form - Part 1, Part 2, Part 3

Appendix 2: Consequence Category Definitions

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
22 / 28 0

6.1 APPENDIX 1: PROJECT INCIDENT NOTIFICATION FORM; PART 1, PART 2, PART 3

INCIDENT POTENTIAL CLASSIFICATION

HSE INCIDENT N.: ___________ (Assigned by HSE in Reading)

PART 1
Complete for ALL incidents. Fax or E-mail to _____________ within 12 hrs.

Operating Location: Crew/Department:

Time (24hr clock): Day/month/year Where it occurred:

Type of Incident/Accident: Select only one category

  Asset    Near
 Security  Other
Injury* damage Environment Social/Reputation Miss

Personal Injury classification: (* Requires a Work Injury Report)

 First aid  Medical treatment  Restricted work  Lost Time Incident

What and how incident/accident occurred: (Give any relevant personnel, injury and treatment details)

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
23 / 28 0

Assessment of Incident Potential Matrix Classification: See table below

Measure of Exposure A-E Potential Consequences 1-5
People
Assets
Environment
Reputation
Highest - A1 Least/E5 Most

Reporter Supervisor
Date Date
Name (Print) Name (Print)
Signed Signed

Incident Potential Matrix Classification

Make a P, A, E and R assessment of the potential of the incident from the table below:
Measure of Exposure
Potential Consequences of the Incident
A B C D E
People Assets Environment Reputation Never in ….. Heard of Happens Happens
P A E R heard of Industries in our several several
(Injury) (Damage) (Impact) (Impact) in …. Company times per times
Company year in per year
our in a
Company location

Slight Slight
Slight Slight
1 Injury Damage< 1S 1S 1S 1S 1S
Leak Impact
(First Aid) $500
Minor Minor
Injury Damage Minor Limited
2 2S 2S 2S 2D 2D
(MTC or $500- Leak/Spill Impact
RWC) $5,000
Major Localized
Injury Damage Localized Considerable
3 2S 2S 2D 2D 2M
(LTI) $5,000 - Leak/Spill Impact
$50,000
Disabled Major
Major
(PPD or Damage Major
4 National 2WS 2WD 2WD 2WM 2WM
PTD) $50,000 - Leak/Spill
Impact
$1m
Extensive Major
Fatality(s) Massive
5 Damage International 2WD 2WD 2WM 2WM 2WM
Leak/Spill
>$1m Impact
Use the highest assessment (nearest to the lower right-hand corner of the matrix) and report and investigate to the levels as
follows:
1 Only Part 1 report needed
2 Part 2 (& maybe Part 3) needed
W Probably needs additional Incident details beyond report form
S Investigation by Section Head
D Investigation by Department Head
M Investigation by Manager

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
24 / 28 0

HSE INCIDENT N.: ___________ (Assigned by HSE in Reading)

Part 2 - For incidents/accidents requiring further investigation

Complete within 7 days and send to: ________________________

Company Name

Injured Party Details: ( state if 3rd Party)

Family Name: Given Name:

Age: Job Classification:

Length of Employment: Years of Experience in this Skill:

Investigation
Insert team leader in position 1.

1 2 3
Investigation Team
4 5 6

Incident/Accident Analysis

Immediate Cause

Suggestion Root Cause = Basis for further Investigation

Immediate Preventive Action to Prevent Recurrence Action Party

1.

2.

3.

4.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
25 / 28 0

HSE INCIDENT N.: ___________ (Assigned by HSE in Reading)

Part 3 - Root Cause Further Investigation

Further Preventive Action to Cure Root Cause Action Target

Party Date

1.
2.
3.

Team Leader:

Name:

Position:

Signed:

Date:

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
26 / 28 0

6.2 APPENDIX 2: CONSEQUENCE CATEGORY DEFINITIONS

This appendix provides detailed definitions of the Consequence Categories.

Harm to People

No. Description

0 No injury or damage to health.

Slight injury or health effects (including first aid case and medical treatment case
1
and Occupational Illness) - Not affecting work performance or causing disability

Minor injury or health effects (Lost Time Injury) - Affecting work performance, such
as restriction to activities (Restricted Work Case or Occupational Illness) or a need to
2
take a few days to fully recover (Lost Workday Case). Minor health effects, which are
reversible, e.g. skin irritation, food poisoning.

Major injury or health effects (including Permanent Partial Disability and

Occupational Illness) - Affecting work performance in the longer term, such as a
3 prolonged absence from work. Irreversible health damage without loss of life, e.g.
noise induced hearing loss, chronic back injuries, sensitization, hand/arm vibration
syndrome, and repetitive strain injury.

Permanent Total Disability or one to three fatalities - From an accident or

4 occupational illness. Irreversible health damage with serious disability or death, e.g.
corrosive burns, heat stroke, cancer(small exposed population)

Multiple fatalities - From an accident or occupational illness e.g. chemical

5
asphyxiation or cancer (large exposed population)

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
27 / 28 0

Asset Damage and other Consequential Business Losses

No. Description (100% costs, USD)

0 Zero damage

1 Slight damage - No disruption to operation (costs less than 10,000)

2 Minor damage - Brief disruption (costs less than 100,000)

3 Local damage - Partial shutdown (can be restarted but costs up to 1,000,000)

4 Major damage - Partial operation loss (2 weeks shutdown costs up to 10,000,000)

5 Extensive damage - Substantial or total loss of operation (costs in excess of

10,000,000)

The figures in the tables above should not be combined for deriving the value of a human life!!
K

Environmental Effect
No. Description

0 Zero effect - No environmental damage. No financial consequences.

1 Slight effect - Slight environmental damage, within the fence and within systems.
Negligible financial consequences.

2 Minor effect - Sufficiently large contamination or discharge to damage the

environment, but no lasting effect. Single breach of statutory or prescribed limit, or
single complaint.

3 Localized effect - Limited discharges affecting the neighborhood and damaging the
environment. Repeated breaches of statutory or prescribed limit, or many complaints.

4 Major effect - Severe environmental damage. The Company is required to take

extensive measures to restore the damaged environment. Extended breaches of
statutory or prescribed limits, or widespread nuisance.

5 Massive effect - Persistent severe environmental damage or severe nuisance

extending over a large area. Loss of commercial, recreational use or nature
conservancy resulting in major financial consequences for the Company. Ongoing
breaches well above statutory or prescribed limits.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent
 TCM IDENTIFICATION CODE
REPORTING AND INVESTIGATION OF REALISATION EN EPC D’ UNE
INSTALLATION DE PRODUCTION
ACCIDENT AND INCIDENTS DE LINEAR-ALKYL-BENZENE – 4439-LH-PC-000000012
PROCEDURE LAB SHEET ISSUE
SKIKDA – ALGERIE
28 / 28 0

Impact on Reputation

No. Description

0 No impact - No public awareness

1 Slight impact - Public awareness may exist, but there is no public concern.

2 Minor impact - Some local public concern. Some local media and/or local political
attention with potentially adverse aspects for company operations.

3 Considerable impact - Regional public concern. Extensive adverse attention in local

media. Slight national media and / or local / regional political attention. Adverse stance
of local government and/or action groups.

4 National impact - National public concern. Extensive adverse attention in the national
media. Effect on Regional / national policies with potentially restrictive measures
and/or impact on grant of licenses. Mobilization of action groups.

5 International impact - International public attention. Extensive adverse attention in

international media. National / international policies with potentially severe impact on
access to new areas, grants of licenses and/or tax legislation.

This document is Tecnimont’s S.p.A. property, and cannot be used by others for any purpose, without prior written consent