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QHSE Alert No.3
QHSE Alert No.3
Electric Burn Incident Due to Electrical Flashover ﺣﺎدﺛﺔ ﺣﺮوق ﻛﻬﺮﺑﺎﺋﻴﺔ ﻧﺎﺟﻤﺔ ﻋﻦ وﻣﻴﺾ ﻛﻬﺮﺑﺎﺋﻲ
On April 28, 2021, an unfortunate electric burn Incident took place in Adam ﻓﻲ 28إﺑﺮﻳﻞ ,2021وﻗﻊ ﺣﺎدث ﺣﺮوق ﻛﻬﺮﺑﺎﺋﻴﺔ ﻣﺆﺳﻒ ﻓﻲ وﻻﻳﺔ أدم )ﻣﺤﻮل ﺗﻮزﻳﻊ أرﺿﻲ ﻓﻲ ﻣﻨﻄﻘﺔ
(distribution Sub-station in Al-Raki Industrial Area) involving a worker who was اﻟﺮاﻛﻲ اﻟﺼﻨﺎﻋﻴﺔ( ﻷﺣﺪ ﻋﻤﺎل اﻟﻤﻘﺎوﻟﻴﻦ ﻋﻨﺪﻣﺎ ﻛﺎن ﻳﻘﻮم ﺑﻌﻤﻠﻴﺔ ﺗﺄرﻳﺾ ﺧﺎﻃﺌﺔ ,ﺣﻴﺚ ﻗﺎم ﺑﺘﺄرﻳﺾ
performing wrong operation by earthing live part of main incomer cable from اﻟﺠﺰء اﻟﺤﻲ ﻣﻦ اﻟﻤﻐﺬي اﻟﺨﺎرج ﻣﻦ اﻟﻤﺤﻮل إﻟﻰ ﺻﻨﺪوق اﻟﺘﻮزﻳﻊ اﻟﺮﺋﻴﺴﻲ )أﺳﻔﻞ اﻟﻘﺎﻃﻊ اﻟﺮﺋﻴﺴﻲ
transformer to feeder pillar - using un-qualified earthing wire. The incident leaded ﺑﺎﺳﺘﺨﺪام ﻣﻮﺻﻞ ﻏﻴﺮ ﻣﻌﺘﻤﺪ ﻟﻠﺘﺄرﻳﺾ .اﻟﺤﺎدﺛﺔ أدت إﻟﻰ ﻧﺸﻮء وﻣﻴﺾ ﻣﺼﺤﻮﺑﺎ ﺑﺸﺮار ( MCCB
to a flashover resulted on painful burns over his hand and fingers. ﻛﻬﺮﺑﺎﺋﻲ ﻣﺘﺴﺒﺒﺎ ﻓﻲ إﺻﺎﺑﺔ اﻟﻌﺎﻣﻞ ﺑﺤﺮوق ﻣﺆﻟﻤﺔ ﻓﻲ اﻟﻴﺪ واﻷﺻﺎﺑﻊ .
As per MZEC policy, Investigation has been conducted to investigate the main
ﺑﻨﺎءﹰ ﻋﻠﻰ ﺳﻴﺎﺳﺔ اﻟﺸﺮﻛﺔ ,ﻓﻘﺪ ﺗﻢ إﺟﺮاء ﺗﺤﻘﻴﻖ ﻓﻲ اﻟﺤﺎدﺛﺔ ﻟﻠﻮﻗﻮف ﻋﻠﻰ اﻷﺳﺒﺎب اﻟﺮﺋﻴﺴﻴﺔ
causes & root causes.
واﻷﺳﺒﺎب اﻟﻔﺮﻋﻴﺔ ﻟﻠﺤﺎدﺛﺔ.
)1- Lack of competency to perform the task (No electrical authorization (1ﻋﺪم وﺟﻮد اﻟﻜﻔﺎءة اﻟﻤﻬﻨﻴﺔ ﻟﻠﻘﻴﺎم ﺑﻬﺬه اﻟﺠﺰﺋﻴﺔ ﻣﻦ اﻟﻌﻤﻞ ) اﻟﺸﺨﺺ ﻏﻴﺮ ﻣﺨﻮل(
)2- Illegal access to sub-station (due to CEP absence
(2اﻟﺪﺧﻮل ﻏﻴﺮ اﻟﻘﺎﻧﻮﻧﻲ إﻟﻰ اﻟﻤﺤﻄﺔ )ﻓﻲ ﻇﻞ ﻏﻴﺎب اﻟﺸﺨﺺ اﻟﻤﺨﻮل ﻟﺪﺧﻮل اﻟﻤﺤﻄﺔ(
)3- Failure to use adequate PPE (including gloves and face shield
(3ﻋﺪم اﺳﺘﺨﺪام أدوات اﻟﻮﻗﺎﻳﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻤﻨﺎﺳﺒﺔ )ﺑﻤﺎ ﻓﻴﻬﺎ واﻗﻲ اﻟﻮﺟﻪ و اﻟﻘﻔﺎزات(
4- Failure to carry out live test (zero voltage) and failure use adequate earth kit.
5- No Toolbox Talk prior executing the work from contractor side. (4ﻋﺪم ﻓﺤﺺ وﺟﻮد ﺗﻴﺎر ﻛﻬﺮﺑﺎﺋﻲ و ﻋﺪم اﺳﺘﺨﺪام أدوات اﻟﺘﺄرﻳﺾ اﻟﻤﻌﺘﻤﺪة.
(5ﻋﺪم ﻋﻤﻞ اﻻﺟﺘﻤﺎع اﻟﺘﻮﻋﻮي اﻟﻘﺼﻴﺮ ﻗﺒﻞ ﺗﻨﻔﻴﺬ اﻟﻌﻤﻞ ﺑﻤﻮﻗﻊ اﻟﻌﻤﻞ ﻣﻦ ﺟﻬﺔ اﻟﻤﻘﺎول.
Underlying Causes:
1- No enough orientation to worker on scope from contractor side.
اﻷﺳﺒﺎب اﻟﻔﺮﻋﻴﺔ:
& 2- Lack of security & safety restriction guidance for asset master key distribution
use. (1ﻋﺪم وﺟﻮد ﺗﻌﺮﻳﻒ ﻛﺎف ﻟﻠﻌﺎﻣﻞ ﺑﻤﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ ﻓﻲ اﻟﻌﻤﻞ ﻣﻦ ﻗﺒﻞ اﻟﻤﻘﺎول.
3- Starting work with absence of CEP1. (2ﻋﺪم وﺟﻮد ﺗﻌﻠﻴﻤﺎت ﻣﻠﺰﻣﺔ ﺑﻤﺘﻄﻠﺒﺎت اﻷﻣﺎن واﻟﺴﻼﻣﺔ اﻟﻤﻨﺎﺳﺒﺔ ﻋﻨﺪ ﺗﻮزﻳﻊ واﺳﺘﺨﺪام ﻣﻔﺎﺗﻴﺢ
أﺻﻮل اﻟﺸﺮﻛﺔ
2- Adequate worker HSE orientation, shall be considered prior attending work (1ﻳﺠﺐ ﻓﺮض اﻟﻘﻴﻮد واﻻﺷﺘﺮاﻃﺎت اﻟﻤﻨﺎﺳﺒﺔ ﻓﻲ ﻣﺠﺎل اﻷﻣﺎن واﻟﺴﻼﻣﺔ ﻋﻨﺪ ﺗﻮزﻳﻊ ﻣﻔﺎﺗﻴﺢ اﻷﺻﻮل
site. (2ﻳﺠﺐ اﻟﺘﺄﻛﺪ ﻣﻦ ﺗﻘﺪﻳﻢ ﺗﻌﺮﻳﻒ ﻛﺎف ﻟﻠﻌﻤﺎل ﺑﺎﻟﻤﺨﺎﻃﺮ اﻟﻤﺤﺘﻤﻠﺔ ﻓﻲ ﻣﻮﻗﻊ اﻟﻌﻤﻞ ﻗﺒﻞ ﻣﺒﺎﺷﺮة
3- Adequate work supervision, shall be considered by contractor along working اﻟﻌﻤﻞ.
time
(3ﻳﺠﺐ ﻋﻠﻰ اﻟﻤﻘﺎوﻟﻴﻦ اﻟﺘﺄﻛﺪ ﻣﻦ وﺟﻮد اﻹﺷﺮاف اﻟﻔﻌﹼﺎل ﻃﻮال ﺳﺎﻋﺎت اﻟﻌﻤﻞ
With Compliments,
ﻣﻊ ﺗﺤﻴﺎت،
QHSE Department
داﺋﺮة اﻟﺠﻮدة واﻟﺼﺤﺔ واﻟﺴﻼﻣﺔ واﻟﺒﻴﺌﺔ