ACCIDENT/INCIDENT INVESTIGATION REPORT

Research, Analysis and Reporting RE

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INCIDENT/ACCIDENT 2:
YEAR: 2022

GENERAL DATA OF THE CASUALTY

NAME OF EMPLOYEE3: Not applicable
EMPLOYEE'S ADDRESS: Not applicable
WORKPLACE: Not applicable
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WORKING HOURS ON THE DAY OF THE ACCIDENT : 8:00 a 18:00 hours
COMPANY 4: TICSA/DENRO
SUSPENSION OF THE INJURED PERSON FROM
Not applicable
WORK6:
PRE-ACCIDENT REST DAY14: Not applicable
IF THE FIRST MEDICAL CARE WAS NOT PROVIDED BY
THE IMSS, NOTE WHERE IT WAS PROVIDED AND Not applicable
ATTACH MEDICAL CERTIFICATE.:
*Nota: Llenar a computadora.

ACCIDENT INFORMATION

EXACT LOCATION 7: Other location within the workplace

Specify the name of the place or area:

The exact area of the incident was in the excavation area of the lagoon inside the work centre.

TYPE OF INJURY/EVENT 1: Otro (Específique en descripció n)

Description: Sighting of Noxious Fauna.

WHO IS INFORMED OF THE EVENT 5: Erick Norberto Mariano Aguilar (TICSA) / Francisco Estrada (DIAGEO) / Elizabeth Tapia (DIAGEO)
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DESCRIBE HOW THE EVENT OCCURRED (As accurate as possible):

At approximately 09:35 hours, José Guadalupe Díaz of the contractor DENRO, receives a call from the excavator operator Mario Mata Ramos to
report the sighting of a snake apparently Lampropeltis triangulum of about 80 cm in length, then José Guadalupe Díaz notifies the Safety and
Hygiene Supervisor responsible, followed by TICSA Safety and Hygiene personnel who proceed to safeguard the reptile, it is worth mentioning that
the reptile was handled with absolute care and with adequate protection. The reptile is kept in the offices of DENRO staff, waiting for expert
personnel to provide support for its return to its habitat.

NAMES OF WITNESSES 16: Carolina Sanchez, José Guadalupe Díaz, Iván Hernández, Mario Mata, Anayeli Rodríguez.

DESCRIPTION OF THE WITNESS 17:

CONSEQUENCES OF THE ACCIDENT: Not applicable.

COMMENTS: No comments.

DATE OF ACCIDENT/EVENT 8: 10/may/2022 HOUR9: 09:30 hours approximately

PTAR/SITIO11: Proyecto WWTP “El Charcón” DEPARTMENT 12: Excavation area.

REPORT PREPARED BY 10: Erick Norberto Mariano Aguilar

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The reptile has a severe fracture in its tail area, due to the crushing of the debris pulled by the bulldozer, and requires analysis by specialised
personnel due to the injuries it suffered.
APPROXIMATE COST 18: No applicable.

DATE AND TIME AT WHICH THE WORKER STOPS WORK BECAUSE OF THE ACCIDENT: No applicable

EMERGENCY RESPONSE (activities from initial response to emergency control) 19: Notification of the sighting of harmful fauna is received, the exact
location of the reptile is determined, it is secured with the correct handling of this harmful fauna, and the reptile continues to be safeguarded until
the visit of the expert personnel.

WHAT WAS DONE WELL (highlights)20: Report to project managers on time.

WHAT DIDN'T GO WELL (highlights)21: No applicable.

DIRECT CAUSES (events that directly cause the incident):

Not applicable.
RISK BEHAVIOUR (UNSAFE ACTS)
None
INSECURE CONDITION
P.E.: For example

ROOT CAUSES (specific aspect of the administrative system that failed in the incident) 22:
Not applicable.

CORRECTIVE ACTIONS 23
(Aimed at correcting: I.-Root Cause, II.-Incident Causes and III.-Deviations to the Emergency Response).
RESPONSIBLE FOR
ACTION PLAN 24 COMMITMENT DATE 26
MONITORING 25
The issue of harmful fauna is reinforced in safety talks.

Photographic Report

Attach photos of the venue and if possible; post photos of the event.

THE REPTILE HAS A SEVERE FRACTURE IN THE

SECURING THE REPTILE. NOTIFICATION TO THE AUTHORITIES.
TAIL AREA.
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PENDING THE ARRIVAL OF SPECIALISED

CONTAINERISED REPTILE SHELTER. INSURED REPTILE.
PERSONNEL.