Proj. N. Unit Document Code Serial N.

PETRO RABIGH CFP/SRU Project

PETRO RABIGH K259 000 RK 7507

SITE HSE PLAN Rev 0

Doc. N° S-EP-G200-1654-001 Page 1/1

INCIDENT REPORT

FILLED BY: Faraz Aslam (TAL HSE Supervisor) DATE: 25th October 2018 HOUR: 14:25 hrs

SUB-CONTRACTOR: AYTB UNIT/AREA: SRU sewer line north side Area

x NEAR MISS Number of people involved:01
FIRST AID Number of people involved:
MEDICAL TREATMENT Number of people involved:
RESTRICTED WORKDAY CASE Number of people involved
LOST TIME INCIDENT (LTI) Number of people involved:
FATALITY Number of people involved:
ENVIRONMENT INCIDENT Estimate euro:
PROPERTY DAMAGE INCIDENT Estimate euro:

(Note: This report must be completed and signed by sub-contractor within 24 hours to KT. In any case, a preliminary
incident report must be delivered to KT Construction Manager as soon as possible, immediately after the incident)

DESCRIPTION:

On 25th October 2018 at 14:30 got an information from Mr.Amanullah Ghazi (QC piping
inspector) of technimont Arabia about incident of RTR 2inch pipe burst on 14.8 bar pressure
near joint # 9 at north side of sru sewer line near structure F area during hydrotest activity
which was continues from 12:30 by hydrotest forman named Ramazan Kural without obtaining
work permit. No personnel injury reported.
IMMEDIATE ADOPTED MEASURES:

Immediately stop the activity.

INVESTIGATION RESULT:

CORRECTIVE ACTION:

Given warning letter to activity Forman regarding to start the work without obtaining work
permit.

ACTION ADDRESSEE:

1. Mr. Ramazan Kural (Hydrotest forman)

Verification KT
Expected Completion Date Actual Completion Date
(Date and Signature)

25.10.2018 25.10.2018
MOD - RK 7507/E – Rev.4

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