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lncident details
Basic information
lncident number
lncldent occurred to
Inj t iator ofreport
Site
Reported to
Riskscore Number: 0.00001to 500,000
Pick from list ofconpany efrployees
Pick from lisl ofcotrpany ehployes
Pick from lisr of .ompany site5
Agent involved
Pickjrom list ofcompany ehp oyees
Deslsn Q ves O"o
Environment O Yes (0 ^o
Human O *' (0 *o
Procedure O Yes (a*o; Dateof incidentE
b Time of incident {oot lB '
:
S lmmediate observation and actionstaken
what was the immediate problem?
what act ions were taken to deal with the immediate Droblem?
Who tookthe act ion?
Attachments
Pick from list otcompanyempLoyes
Box that can attach documenit photos etcthat help ln the
undeatanding ofthe prcblem
Site coordinator
Note:List is set up as:5itevCoordinato. forthe site
Action:;ri!!etei;1.4i'!r!rr+i'd-!e]!a',rr!,!.pq&. .:rTh
Sviteni.gen-erit6'lnjeFalllo thesiter:);..,r: :.i:coo.dinitor
sendiirc ih. '
.'.|s an..ttachme'rt. _ l
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Investigation
Q ves
/
Q veaiumQ row
ots.=
ls an investigation necessary?
lf ihe information i5 OK
Action:coordinator rceives the email, opensthe recordand an5we15
the folLowine
Severity
Who will investigate? Picktrom list ofcompany emp oyees
Investigation to be completed by:
Investigaior opens the record
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Investigation
Action 1 Fretext bor. Statesthe action rquircd
Pickfrom ist ofcompany mployeesWho wi l ldo the act ion?
Adjon to be completed by:
Status:
Comments
Q complete O Incomplete
Ten box, expandable. Able to accept
Action 2
Investigation review and approval
Once Action lisfiLed in, fields open to allowlorAction 2,then
Action 3, tc wlth the same fe ds asAction l above
E
;
I
The coordinator reviews the investEation and th recomnended
actions,
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I nvestigation and actions
;
t
E:,g
rhave reviewd the.econmended actions andapprovethe implementa t
ion @ Approved O Incomp ete
AclIOn:rf the desicnated actioner is not ab e to do theac.ion
(forwharever reasoi), the system Sives himthe opportunlty to.eturn
the record tothecoordinator by emailand provldes a text fie daskinB
the coordinatorto select another pe60n tocarry outthe action. The
coordinator G ab eroopen the rcord and change the actioner
dtectly.Workflow rturnsro step4, After maklngaiychanges; the
coordinator'sendsthe record to thenext person, The systemsends an
emai tothe newac(ioner informiig him of!he a.uoi to be caiiled
Each p t ron asked tocar ryoutan ac t ion competes the ac t lon
, open5the recod and chanses thes ta tus f rom
Action:The system checksthe status, Once a lthe acuonshave been
marked 'complete', the systen closes
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NotesReminders
l fa record has been ini t iated andthecoordinatordoes notsend i
t on within a week, the systemsends an emal l reminding him to
dealwith the record- l t copies the emal l to the EHs Manager
andthe cEo????
Once a record has been sent to the investigator, the system
monitors progress based on the duedate forthe invest igai ion.l f
the invest igator has not sent the record onwards bythe due date,
the system sends a reminder.The system cont inues to monitor the
recordll f the record ls not sent on, then fof:
" High severity, the system sends a reminder at one week
interuals for as long as the record hasnot ben sent on bythe
investigator,
. Medium severity, the reminder interual is two weeks
. Lowseveri ty, the remindef interval is three weeksEach
reminder is sent to' The invest lgator. The coordinator. The EHS
lManager. The CEO ????
Once a record has been sent to the actioners, the system
monitors progress based on the due datefor each actlon.l f th act
ionef has not sent completed the act ion bythe due date, the system
sends a remlnder.The system cont inues to monitor each act
ion:lfany adion is not marked as complete, then fori. High
severity, the system sends a reminder at one week intervals for as
long as the record has
notbeen sent on by the act ioner.. Medium sevefity, the reminder
interval is two weeks. Low severity, the reminder interval is three
weeksEach reminder is sent to. The investigator
. The EHS Managef
. The CEO ????
Company employees
To al lowthe system to work, al lemployees that may be required
byihe system should be in anemployeetable,withemai
laddresses,Maybethetablecanbeautomatical lygeneratedandupdated from
the company's emai l f i le? The (drop-down)l ist ofcompany
employees referred to i fthe workf low (above)is a l ist ofemployee
emai laddresses.
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Nln+ncI \ I J L E J
Who can fill-in or modifyfields?
The pfevent unauthorised al terat ions ofthe records/ restr ict
ions afe placed on the peopte that canf i l l in or modifyf
ields.
Any person can initiaie a fecord. The person that does so places
his/her name in the filed calledlnltiator of report.Once the repoft
goes beyond step 1 in the workflow, universal access to fields is
renoved and rneonly persons allowed to alter anyfield in the record
arel. The site coordinator. The EHs Manager
Step 2The only person al iowed to f i l l in the f ie lds are.
The si te coordinator. The EHS Manager (e.9. when the coofdinator
is not avai lable)
Step 3The onlyperson al lowed tof i l l in the f ie lds are' fhe
designated investigator. The site coordinatof' The EHS Manager
(e.9. when the coordinatof is not avai lable)
Step 4The only person al iowed to f i l l in the f ie lds are'
The site coordinator' The EHS Manager (e.9. when the coordinator is
not available)
Step 5The only person al lowed to f i l l in the f ie lds afe.
The designated act ioner for the act ion that bears his name
(notsomeone else's act ions). The site coordinator. The EHS Manager
(e.9. when the coordinator is not available)
Step 6The record has been closed bythe systemThe onlyperson al
lowedto change anyf ield in the record is the EHS Manager.
Who can view the rcord
Any com pa ny em ployee with access to a company compuler
terrninal