DOGSB - SAFE - SWP05 - New

Dermaga Oil & Gas Sdn Bhd Doc.
No: DOGSB/SAFE/SWP05
SAFE WORK PROCEDURE (SWP) Rev: 0
Page 0 of 34
(Emergency Response Procedure)
EMERGENCY
RESPONSE
PROCEDURE
DERMAGA OIL & GAS SDN BHD
PREPARED BY REVIEWED BY ENDORSED BY
DESIGNATION HSE MANAGER PROJECT MANAGER MANAGING DIRECTOR
SIGNATURE
NAME
DATE
Dermaga Oil & Gas Sdn Bhd Doc. No: DOGSB/SAFE/SWP05
(Emergency Response Procedure) Page 1 of 34
REVISION HISTORY
Rev. Change Descriptions Effective Date Affected Page Prepared by
0 New Issue All
HISTORY LOG
Rev. Change Descriptions Effective Date Affected Page Prepared by
NOTE : Printed documents are UNCONTROLLED COPY, except when stamped “CONTROLLED COPY” on the front page of the document in
DERMAGA OIL & GAS SDN

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No. 1, Jalan Tiara Sentral 1, Kawasan Perindustrian Nilai Utama, 71800 Nilai, Negeri
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TABLE OF CONTENT
SECTION DESCRIPTION PAGE
1.0 PURPOSE 4
2.0 GENERAL 4
3.0 PROCEDURES 4
4.0 SCOPE 5
5.0 EMERGENCY RESPONSE PRIORITIES 5
6.0 DOGSB‟s EMERGENCY RESPONSE TEAM 6
7.0 RESPONSIBILITIES OF DOGSB‟S EMERGENCY RESPONSE TEAM 8
8.0 COMMUNICATION 8
9.0 DECLARATION OF EMERGENCY 9
10.0 AUTHORIZATION OF EMERGENCY MESSAGE 9
11.0 CONTENT OF EMERGENCY MESSAGE 9
12.0 EMERGENCY MESSAGE ROUTING 10
13.0 ASSESSMENT CRITERIA 10
14.0 FIRE EXTINGUISHERS 13
15.0 FIRE ALARM SYSTEM (IN THE BUILDING / COMPLEX PROVIDED WITH FIRE ALARM 13
SYSTEM)
16.0 FIRE ALARM SYSTEM REGULATIONS 13
17.0 REPORT 14
18.0 EMERGENCY PLAN PROCEDURE 14
19.0 FIRE / ACCIDENT / NEAR MISS REPORTING PROCEDURE 21

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TABLE OF CONTENT
SECTION DESCRIPTION PAGE
20.0 SERIOUS ILLNESS, INJURY AND DEATH PROCEDURE 25
21.0 DEPARTMENT OCCUPATIONAL SAFETY & HEALTH (DOSH) NOTIFICATION 26
22.0 SPECIAL REQUIREMENT 27
23.0 SERIOUS CRIMES 27
 h)2.04 INTERPRETATION 28
25.0 COMMON CAUSES OF ACCIDENT4 29
26.0 RECORD 35
27.0 ATTACHMENT 35

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1.0 PURPOSE
1.1 The objective of this procedure is to ensure effective swift execution of emergency operations by the Dermaga
Oil & Gas Sdn Bhd (DOGSB) emergency response to achieve the following:-
1.1.1 The safety and health of all personnel;
1.1.2 Preservation of environment, facilities and reputation of Client‟s / Owner‟s and Contractor;
1.1.3 Prevent losses and protection of investments;
1.1.4 To ensure effective coordination between DOGSB‟s and Client‟s / Owner‟s emergency response
teams
2.0 GENERAL
2.1 When an emergency situation arises, the DOGSB‟s (Project Management Team) shall manage and control
activities that are within their means;
2.2 The DOGSB‟s however shall work with BOMBA or outside emergency team (e.g. Client‟s / Owner‟s response
team) and obtain additional resources and facilities;
2.3 The DOGSB‟s site emergency team headed by Emergency Team Commander (ERT) shall activate the first or
initial response;
2.4 The ERT commander shall mobilize personnel under his charge comprising of leader, fire fighter, first aid BA
(Breathing Apparatus) handler (if required) and medical personnel to arrive at the scene as fast as possible;
2.5 Immediate action shall be taken to save lives and protect property. Upon arrival of the Client‟s / Owner‟s Duty
Manager or his representative, the ERT commander shall handover command and take all necessary
instructions from him;
2.6 Instructions can be activating evacuation from site, search and rescue (SAR) of missing persons or medical
evacuation of personnel.
3.0 PROCEDURES
3.1 An orderly evacuation depends on both an early warning and employee awareness of the proper procedures
to follow. The procedures below apply to all section (department):-
3.1.1 Each section/department shall establish procedures to be followed regarding the evacuation of
buildings in emergencies;
3.1.2 Where possible, key emergency instruction shall also be highlighted and posted at prominent places
of the workplace;
3.1.3 Every section/department has been installed with Break Glass or Alarm System (Office Building) to
alert employees to the need for evacuation;
3.1.4 Concise emergency instructions shall be posted at strategic locations throughout the premises,
including the floor plan drawn to indicate the emergency exits and evacuation instructions;
3.1.5 Evacuation drills shall be held at least once a year.

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3.1.6 Emergency exits and routes leading to them shall be clearly identified by sign. Current standards on
construction, dimensions, lighting, and number of exits required by Uniform Building by Law & Fire
Services Act of Malaysia shall apply.
3.1.7 As applicable, location procedures should include the following minimum personnel / employee
action after the alarm has sounded.
3.2 Employees:-
3.2.1 Most importantly don't panic;
3.2.2 Take whatever immediate steps that is necessary and feasible to minimize any hazard in leaving
the work area unattended. Quickly evacuate and don't go back in the building;
3.2.3 Assemble at a pre-determined safe location (Assembly Point) for attendance check;
3.2.4 Do not re-enter building until the "All Clear” signal sounds or similar verbal instructions are given by
responsible authority.
3.3 Supervisors:-
3.3.1 Direct the evacuation of your area and account for personnel;
3.3.2 Advise the responding authority (e g. Company‟s Emergency Response Squad, Bomba and etc.) of
the situation and warn of potentially hazardous conditions.
4.0 SCOPE
4.1 The scope of this procedure shall: -
4.1.1 Be applicable to all emergencies within DOGSB‟s operations;
4.1.2 Provide guidelines for DOGSB‟s personnel and emergency response team should any emergency
occurs;
4.1.3 Provide guidelines for notification, coordination between Client‟s / Owner‟s and DOGSB‟s emergency
response teams;
4.1.4 Provide guidelines on response activities and support for all emergency team members to response
in tandem during emergency situation.
5.0 EMERGENCY RESPONSE PRIORITIES

5.1 The DOGSB ERP observes the following response priorities:-
5.1.1 Protection of human life;
5.1.2 Protection of public health;
5.1.3 Protection of environmental/subsistence resources;
5.1.4 Protection of socioeconomic and cultural resources;
5.1.5 Protection of public and private property.

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6.0 DOGSB’s EMERGENCY RESPONSE TEAM

6.1 The DOGSB‟s Emergency Response Team comprises of the following:-
6.1.1 Emergency Response Team Commander (ERTC)
a) The Emergency Response Team Commander (ERTC) shall be based at site. The Project
Management Leader (Project Director / Manager or Safety Manager (in the absent of them) shall
assume the ERTC during any emergency situation.
6.2 The ERT Commander shall establish emergency response team as listed below and nominate two (2) liaison
officers to assist him during emergency situation:-
6.2.1 First Aid Team
6.2.2 Rescue Team DAMAGE

6.2.3 Firefighting Team CONTROL TEAM
6.2.4 Security Team
6.3 To ensure the smooth operation of Emergency Response Team the ERTC will be assist by the following
members for assistance:-
6.3.1 Site Manager
6.3.2 Project Engineer
Note: Please refer to below organization chart for details

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EMERGENCY RESPONSE TEAM ORGANIZATION
EMERGENCY RESPONSE TEAM COMMANDER (ERTC)

(Project Director/Manager)
FIRE & EMERGENCY OPERATION COORDINATOR

(Safety Section – Manager / Officer)
Fire Team
First Aid Team
Recorder (Log Keeper)
COMMUNICATION & WELFARE COORDINATOR

(Site Manager)
To Local Authorities
To BOMBA
To Victim Family
Send Victim To Hospital
Food & Drink of ERT
FACILITIES & LOGISTIC COORDINATOR
(Project Engineer)
Transportation
Fire Fighting Facilities and Equipment
Power / Water Supply
ASSEMBLY POINT COORDINATOR

(Security / Site Supervisor)
Security Guard
Head Count
Traffic Management
Control Crowd

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7.0 RESPONSIBILITIES OF DOGSB’S EMERGENCY RESPONSE TEAM

7.1 The ERT Commander shall be responsible for the following:-
7.1.1 Response immediately to any emergency situations;
7.1.2 Establish communication with Client/Owner Response team (If Any);
7.1.3 Mobilize emergency response team;
7.1.4 Identify the extent of the emergency situation including details of casualties;
7.1.5 Notify Client/Owner Manager and request assistance if necessary;
7.1.6 Transmit results of muster to Client/Owner by phone, message, WhatsApp, e-mail or any other
fasters communication way;
7.1.7 Consider partial or total evacuation;
7.1.8 Log all events; preserve evidence that might cause the incident;
7.1.9 Ensure all members of Client/Owner emergency team available and contactable;
7.1.10 The Firefighting Team Leader are responsible for the following:
a) Muster all firefighting units and reports to the ERT Commander
b) Isolate electrical switch if necessary
c) Liaise with First Aid Team and Rescue Team
7.2 The Security Team Leader are responsible for the following:
7.2.1 Crowd control
7.2.2 Traffic Control
7.2.3 Rescue and carry out instructions issued by the ERT Commander
7.3 The Rescue Team Leader are responsible for the following:
7.3.1 Work along with First Aid and Firefighting teams
8.0 COMMUNICATION
8.1 Effective communications are essential during any emergency situation and the importance of maintaining the
uninterrupted communication with site involved with the emergency cannot be emphasized enough.
8.2 Without such communication, Emergency Response team will not be in the position to give full support to the
site emergency team. The following general rules shall be adhered during any emergency situation:-
8.2.1 ERT Commander shall carry mobile phone and radio (if available) at all times;
8.2.2 All communications except those directly associated with the emergency should cease;
8.2.3 Unauthorized use of portable radios is forbidden as this will create confusion;
8.2.4 Messages regarding the emergency shall whenever possible be by telephone or fax to ensure some
form of confidentiality. This is of particular importance with regard to the names of the casualties;
8.2.5 Emergency calls should be brief and accurate;

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8.2.6 Telephone messages regarding victims including casualties should always be followed up by fax
signed by responsible person or by e-mail if fax facility is not available;
8.2.7 Keep an accurate log of all calls made concerning all emergencies;
8.2.8 All external transmissions by telephone or fax must cease unless authorized by the person in charge;
8.2.9 Radio communications (if available) regarding any distress or emergency situation shall be on the
channel being set for emergency only.
9.0 DECLARATION OF EMERGENCY

9.1 The responsibility of declaring any emergency situation rests solely with the EMERGENCY RESPONSE TEAM
COMMANDER (ERTC)
10.0 AUTHORIZATION OF EMERGENCY MESSAGE

10.1 Only ERTC or person appointed by him shall authorize transmission of distress or emergency messages;
10.2 However, in a distress situation, non-availability of these personnel shall not prevent the appointed ERT Team /
Safety Personnel at his discretion from sending any appropriate message related to an emergency situation.
11.0 CONTENT OF EMERGENCY MESSAGE

11.1 Any emergency message shall contain the following information:
11.1.1 Name/position of person authorizing the message;
11.1.2 Name of facility and location;
11.1.3 Date, time and nature of emergency;
11.1.4 Number and condition of the casualties;
11.1.5 Extent of damage and number of injuries;
11.1.6 Action taken on the installation and intentions;
11.1.7 Any assistance required;
11.1.8 Weather conditions;
11.1.9 Any other relevant information such as spill data:-
a) Volume and rate of spill
b) Cause of spill
c) Size and dimension of spill
d) Spill movement
11.1.10 Whenever possible such messages should be sent by the quickest mean communications (e.g. fax
or e-mail). Names of casualties must never be communicated by any communication method.

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12.0 EMERGENCY MESSAGE ROUTING

12.1 All emergency messages from emergency sites shall be addressed to the Emergency Response Team
Commander (ERTC);
12.2 The ERTC is designated emergency contact point for receipt of notification of any emergency and request for
assistance and shall remain contactable at all times throughout the period he is on duty;
12.3 Upon receipt notification of an emergency:
12.3.1 ERTC will inform the DOGSB Managing Director, Owner / Client / DOGSB Director / Project Director
and call out the Emergency Response Team and assume control of the situation;
12.3.2 Since the notification and reporting of the emergency that occurs within the jurisdiction of ERTC will
be to various parties within DOGSB & Client/Owner organization and external parties (e.g. Local
Authorities etc), a consistent and defined definition of the emergency scale need to be standardized
in order to avoid misleading information being conveyed;
12.3.3 The scale of an emergency is categorized into 3 categories ie minor, major and crisis
13.0 ASSESSMENT CRITERIA

13.1 DOGSB Project Team shall use the following guidelines when assessing and classifying emergency incident.
13.1.1 Minor:-
a) 1 person injured (minor injury)
b) No missing person
c) Minimal environmental damage (natural dispersion)
d) No further risk to personnel, Environment or installation
e) Situation can be handled internally by Project Management Team, report to Client / Owner
Representative.
13.1.2 Major:-
a) 1 or more fatalities
b) 1 or more serious injured
c) Significant environmental damage
d) Significant damage to installation facilities
e) Ongoing risk to personnel, environmental and installation facilities
f) External assistance required
g) Inform DOGSB / Client / Owner / MD
13.1.3 Crisis:-
a) DOGSB / Client / Owner financial resources threatened
b) Significant impact on the community (eg; riot, group fighting, etc)
c) National or International interest

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d) Public image of companies involved at risk

e) Inform DOGSB / Client / Owner / MD

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13.2 NOTIFICATION FLOWCHART AND EMERGENCY NETWORK

13.2.1 The details of emergency notification as below flow notification chart: -
DOGSB‟s & CLIENT/OWNER

TOP MANAGEMENT INCIDENT / ACCIDENT
(CEO / MD / DIRECTOR)
PROJECT DIRECTOR / PROJECT CLIENT / OWNER

MANAGER / HSE MANAGER REPRESENTATIVE
CLIENT
FIRE / PROPERTY DAMAGE / ENVIRONMENT
EMERGENCY
IMPACT
TEAM (if available)
FIRE FIGHTING / REACUE EXTERNAL ASSISTANT

ON-SITE EMERGENCY
OPERATION
RESPONSE TEAM
INJURY
YES
POLICE STATION / BOMBA / LOCAL
NO
AUTHORITIES / HOSPITAL
(If Necessary)
MEDICAL ATTENTION BY
MEDIC
INCIDENT
REPORT
INCIDENT
REPORT
NEAREST
CLINIC
HOSPITAL DOSH / SOCSO
INCIDENT (If Necessary)
REPORT
IMMEDIATE NOTIFICATION VIA WALKIE

IF OUTSIDE ASSISTANT IS NOTIFICATION WITHIN 24 HOURS VIA PHONE / EMAIL
TALKIE OR HAND PHONE
NEEDED FOLLOWED BY PRELIMINARY REPORT
NOTIFICATION WITHIN 24 HOURS VIA PHONE, EMAIL / FAX & FOLLOWED BY ACCIDENT INSVESTIGATION REPORT FOR ACCIDENT
MORE THAN 4 DAYS MC AND DENGEROUS OCCURANCES

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14.0 FIRE EXTINGUISHERS

14.1 Fire extinguishers placed at strategic location within the company premises are classified on the basis of what
type of fire it is most effective in handling:-
14.1.1 Class A
a) Should be used for fire involving ordinary combustible materials such as papers, wood, textiles
and plastic.
14.1.2 Class B
a) Should be used for fires in flammable materials such as petrol, diesel, oils, lacquer, thinner,
paints and greases.
14.1.3 Class C
a) Should be used for fires in electrical equipment.
14.1.4 Class D
a) Should be used for fires involving metal.
14.2 Fire extinguishers are provided for use within specific areas and are considered "first aid" to control fire in the
early stages.
15.0 FIRE ALARM SYSTEM (IN THE BUILDING / COMPLEX PROVIDED WITH FIRE ALARM SYSTEM)
15.1 Fire Alarm System is used to warn employees of emergency conditions and to trigger an orderly evacuation of
the buildings. Such system also provides the means to activate fire control equipment and notify BOMBA and
other emergency services.
15.2 Fire Alarm System can be either manual or manual-automatic in operation. Manual-automatic systems detect
a pre-determined condition and activate the alarm system automatically, in addition to being manually
operated by an employee at the location.
16.0 FIRE ALARM SYSTEM REGULATIONS

16.1 Each location shall have a system to warn employees in the event of fire or emergency so as to give them
ample warning notice and enough time for escape in an orderly manner;
16.2 Safety and Fire Prevention personnel shall provide guidance to other employees on the installation of the fire
alarm system;
16.3 Alarm System Signals shall be selected in accordance with the ambient noise conditions which exist in
different locations and located at strategic places so as to be distinctively audible to all employees under
normal operating conditions;
16.4 Control panel for alarm system installations which indicate the location of detectors, circuits or otherwise
identify the area of the emergency, should be located in the most likely areas of approach by Emergency
Response Team or other emergency personnel and be readily accessible.

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17.0 REPORT
17.1 All fire incidents in the plant shall be investigated and reported. The purpose of this report is to find out what
caused the fire and what corrective action will be taken to prevent from re-occurrence;
17.2 In addition, all firefighting equipment used to put out the fire shall be reported using the Report on Used
Firefighting Equipment.
18.0 EMERGENCY PLAN PROCEDURE

18.1 General: -
18.1.1 Remain calm and do not panic. Assess the general situation and that of the casualty or casualties.
Attend to the most serious first. Summon professional help.
18.2 Introduction: -
18.2.1 Emergency Planning is significant part of DOGSB Safety Program and shall be solicited from people
from various groups that will provide the type of services needed to cope with emergency situations.
Knowing what to do and doing it promptly is of greatest essence during emergency.
18.2.2 Emergency Categories:-
a) Uncontrolled Fire
b) Explosion
c) Oil Spill
d) Flood
e) Danger Occurrence (collapse of structure, crane topples, etc)
f) Natural Disaster
18.3 Emergency Guidelines: -
18.3.1 Office
a) All employee and staff shall be evacuated from office / site office, building in orderly manner to
designated Assembly Point
b) Department / Floor PIC (Person in Charge) shall ensure all personnel are totally evacuated and
check the area under his/her responsibilities
c) All electrical equipment shall be shut off and all doors are properly closed
d) Time frame to assembly point is expected to be 5 minutes and time frame to register missing
personnel in 7 minutes
e) Head of Department (HOD) shall muster all his/her staff to line up in a single file and make head
count
f) Each department shall maintain an attendance register of respective employees and contractors
on weekly basis.
18.3.2 Workshop / Project Site
a) If practical, workers shall shut off all utilities supply including gas cylinders and electrical
equipment/switches

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b) Respective head of sub-contractors with the help of concerned supervisor shall ensure their
workers are totally evacuated and check the area under his responsibilities.
18.4 Immediate Action In Emergency Situations: -
18.4.1 If danger is present, look after yourself first. If you become a casualty, the situation worsens;
18.4.2 Preferably remove danger from casualties. If impossible, remove the casualties from danger;
18.4.3 Electrical contact - break the contact, if possible by switching off the current first;
18.4.4 Poisonous fumes or escaping gas - try to cut off the source but if impossible, remove the casualty;
18.4.5 Fire and falling rock - remove the casualty. However, for casualties with spinal injuries, they should
not be moved if at all possible;
18.4.6 Road traffic accident - arrange for someone to divert the traffic, do not remove the casualty;
18.4.7 Send for help at once, especially if there is more than one casualty. Remember any telephone will
do - Dial emergency services.
18.4.8 Make use of other people by getting them to:-
a) Control traffic;
b) Summon professional help, giving clear instructions about nature of emergency, precise location
and number or casualties;
c) Disperse casual onlookers.
18.5 Advice On Calling For Assistance: -
18.5.1 If possible, call for assistance yourself. If it means leaving a casualty who needs your attention, get
someone else to do it.
18.5.2 If a second person sends for help, make sure they give the right message. Make them repeat it or, if
possible, write it down.
18.5.3 Dial 999 for emergency assistance.
18.5.4 Refer to the internal Telephone Speed Dial Directory to contact the respective Function Head in
case of after office hour emergency.
18.5.5 Ask for necessary emergency service - Ambulance, Bomba or Police.
18.5.6 When you get through, give the telephone number so they can ring back if you get cut off. Having
given the telephone number, state: -
a) Location of accident – state where it happened;
b) Details of injuries - as much as possible;
c) If it is a medical condition, for example - heart attack, stroke, childbirth - say so. You need only
telephone one service - they will notify the others, if necessary.
18.6 Procedures For Specific Situations: -
18.6.1 Fire And Explosion:-
a) Except where fires result from large scale explosions, small fires must be checked as soon as
they start as the first five minutes are considered vital.

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b) Only through good housekeeping, prompt action by employee, proper firefighting equipment
storage and common sense precaution will prevent a small fire from becoming a disaster.
18.6.2 Flood:-
a) In the event of extremely heavy rain resulting to "flash" floods, bursting of storage tank (e.g.
Bomba Water Tank, Sprinkler or Hydrant Water Tank, water piping for cooling of machinery and
etc.) The Following procedures should be followed:-
i. Turn off water at source if possible.
ii. Isolate building premises by closing doors.
iii. Isolate all electrical supply on machinery and equipment.
iv. Raise up all electrical appliance above ground and salvage as much as possible all raw
materials and components.
v. If available, restrict the flow of water from entering the building / room using sandbags,
cotton rags and etc.
vi. Contact Mechanical & Electrical Department for assistance.
vii. Consider evacuation:
 Partial evacuation of building employees by word of mouth.
 Building evacuation - depress Break Glass Alarm.
18.6.3 Power Failure: -
a) Contact Project Manager / Project Engineer to determine cause of failure and notify to Safety
Personnel.
b) Consider evacuation of building by word of mouth. Switch off all electrical power before leaving
working place.
18.6.4 Hazardous Materials And Chemical Spills: -
a) Should a disaster occurs, fence the spilled area with barricade tape and block with sand, earth
or any absorbent to prevent liquid from entering sewers drain or low areas.
b) Eliminate sources of ignition; prevent additional discharge or material, if possible to do so
without hazard. Wear Personal Protective Equipment (PPE) when handling spillage e.g. safety
glasses, rubber glove or apron.
18.6.5 Poisonous Gas Or Smoke: -
a) The use of a lifeline is a valuable safety precaution and must be used.
b) In the case of gas:-
i. Before entering the area breathe in and out several times.
ii. Then take a deep breath and hold it.
iii. Go in and remove the casualty to safety.
iv. If it is not possible to immediately rescue the casualty, endeavor to cut off the source of
danger by turning off the gas or switching off the engine and obtain a full supply of fresh air
by opening doors and windows (except in the case of fire).

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18.6.6 In the case of smoke:-

a) Protect yourself from loose carbon particles by tying a towel or coarse cloth, preferably wet, over
your mouth and nose.
b) Keep low and remove the casualty as quickly as possible.
c) If the casualty's breathing is failing or has stopped, start artificial resuscitation immediately.
d) If breathing apparatus is available it should NOT be used unless the First Aider is trained in its
use.
18.7 The Emergency Response Team (ERT): -
18.7.1 The Emergency Response Team shall comprise 5 (Five) teams with a commander and liaison officer
to assist him. The five teams are as follows: -
a) Damage Control Team (Firefighting)
b) Search & Rescue Team
c) First Aid Team
d) Security & Traffic Team
e) Logistic Team
18.7.2 Emergency Response Team Commander (ERT) shall assume control of the scene and set up control
center located at nearby of the scene of incident / accident.
18.7.3 Emergency Response Team Commander (ERTC) responsible for the following with assistance of
Emergency Response Coordinator (ERC):-
a. Shall take control of the scene and collect from each of the operation / Department Head the
head count and register any missing personnel.
b. The ERTC shall also take necessary action to avoid any potential secondary accidents and also
evaluate the seriousness of the situation.
c. Shall instruct the rescue team to search the missing personnel.
d. To give instruction to activate firefighting team to control fire or to call help from BOMBA.
e. To give instruction to the security leader to control crowd and traffic or any other action deemed
necessary.
f. Shall notify immediately to the client / owner representative and DOGSB top management.
g. Shall also instruct the first aider and medical assistant if required, to treat minor injuries. For
serious injuries the casualties shall be transported to the nearest hospital by means of a
designated standby emergency vehicle.
h. Shall call upon the investigation team to make report immediately.
i. To collect and preserve evidences suspected to trigger the incident and take photograph.
j. The ERTC shall give instruction through at the Assembly Point to indicate the end of evacuation
and all employees and workers are return their workplace in an orderly manner.

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18.7.4 Responsibilities of Fire & Emergency Operation Coordinator (FEOC) - Safety Section
a) The FEOC Coordinator shall ensure that all Action Plan activities are conducted is a safe manner
as possible under the circumstances.
b) Obtain necessary safety equipment and facilities supply from logistics
c) Maintained all requires records and documentation to support the history of the emergency or
disaster. Document the following info:-
i. Message received
ii. Action Taken
iii. Decision justification and documentation
iv. Requests filled
v. Monitor drills, exercise and emergency response.
vi. Identify and mitigate safety hazards and situations.
vii. Stop or rectify all unsafe operations
viii. Keep the ERTC advised of your status and activity and on any problem areas that now
need or will require solutions.
18.7.5 Responsibilities of Damage Control Team
a) First Aid Team:-
i. Provision of emergency medical response, first aid and counseling.
ii. Muster all first aid team and report to FEOC during emergency
iii. Ensure all medical equipment and facilities (e.g. stretcher, first aid box etc) are available and
sufficient enough for operation.
iv. Take instruction from FEOC or obtain information through walkie-talkie (if available)
v. Call ambulance or transport seriously injured personal to the hospital by designated transport.
vi. Only trained First Aider is authorized to move injured personnel.
vii. Setup First Aid Area (Staging Point) for equipment and supplies in safe place with access to
emergency vehicles.
viii. During emergency case, medical assistant (First Aid Team Leader) shall stay at safe area
while search and rescue team doing the rescue operation and over to First Aider at the safe
area for further consideration or treatment.
b) Firefighting & Rescue Team: -
i. Mustering at Emergency Command Center and reported to FEOC and ensure firefighting
gears are available.
ii. Ensure all equipment for firefighting & rescue are available (.e.g; fire hose, fire extinguisher,
etc)
iii. Report to FEOC:-
 Exact location and scale of the emergency

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 Any casualties or trapped personnel.

 Request assistant of Emergency Response Team if required.
iv. Dispatch experience members for any firefighting or search and rescue operation to know
hazards or situations.
v. Fight the fire & rescue the injured persons if possible.
vi. Call FEOC to seek external help if the fire cannot be controlled
vii. Evacuate the area if fire cannot be controlled
viii. Liaise with First Aid Team in case of casualties or injuries.
ix. To be fire observer on the scene of fire accident after operation being declare „‟cool off‟‟ by
Emergency Response Team Commander (ERTC) to ensure the fire is totally extinguished.
c) Security / Traffic Team: -
i. Ensure all personal are not moving or hanging around the main traffic route or command
center (Staging area).
ii. Control the movement of vehicles in and out of the facility. Clear off obstructions (if any)
iii. Take instruction as given by the FEOC.
iv. Post black-yellow caution tape / red-white warning tape around damage or hazardous areas.
v. Route fire, rescue, police, local authorities as appropriate.
d) Facilities & Logistic Team: -
i. To assist FEOC to provide facilities (water & power supply etc), services, equipment and
materials in supporting of fire & rescue operations.
ii. Being distribution of supplies and equipment as needed.
iii. Maintained all firefighting and rescue equipment (e.g. water pump etc) and facilities is
sufficient and in good working order for operations.
iv. To provide building / facilities plan to FEOC for reference.
e) Responsible of Communication & Welfare Team: -
i. Close liaison with FEOC for any updating record and information.
ii. To provide all necessary welfare benefit to emergency & rescue team during the operations
(drinking water, food etc)
iii. To ensure any injured persons are immediately send to hospital for proper treatment.
iv. To call outside professional emergency team (e.g BOMBA, Civil Defense, St John etc) for
help if required.
v. To control the communication with third party after approval from DOGSB management (e.g.
reporter, local authorities etc).
vi. To get the details of injured person and communicate wisely with their family.

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f) All Other Personnel:

i. Stop all work
ii. Leave all equipment in a safe state
iii. Isolate all source of ignition
iv. No smoking is allowed anywhere on the installation during any emergency
v. Go to your assembly point and form a queue for the headcount
18.8 Emergency Drill & Training: -
18.8.1 Emergency Drill and training shall be conducted every half yearly with the intent to achieve the
following: -
a) To train and familiarize personnel with the emergency evacuation plan and procedure.
b) To test effectiveness of the plan & procedure.
c) To attain maximum efficiency in executing evacuation procedure.
18.8.2 All workers are brief and trained on how to use the firefighting equipment (e.g fire extinguisher)
18.9 Fire Extinguishers: -
18.9.1 Fire extinguishers placed at strategic location within the company premises are classified on the
basis of what type of fire it is most effective in handling (Please refer to Section 14.1 for detail)
18.10 Fire Alarm System: -
18.10.1 Fire Alarm System is used to warn employees of emergency conditions and to trigger an orderly
evacuation of the buildings
18.10.2 Such system also provides the means to activate fire control equipment and notify BOMBA and
other emergency services
18.10.3 Fire Alarm System can be either manual or manual-automatic in operation
18.10.4 Manual-automatic systems detect a pre-determined condition and activate the alarm system
automatically, in addition to being manually operated by an employee at the location.
18.11 Fire Alarm System Regulations: -
18.11.1 Each location shall have a system to warn employees in the event of fire or emergency so as to give
them ample warning notice and enough time for escape in an orderly manner
18.11.2 Safety and Fire Prevention personnel shall provide guidance to other employees on the installation
of the fire alarm system
18.11.3 Alarm System Signals shall be selected in accordance with the ambient noise conditions which exist
in different locations and located at strategic places so as to be distinctively audible to all employees
under normal operating conditions
18.11.4 Control panel for alarm system installations which indicate the location of detectors, circuits or
otherwise identify the area of the emergency, should be located in the most likely areas of approach
by Emergency Response Team or other emergency personnel and be readily accessible.

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18.12 Emergency Control Center: -

18.12.1 Project Management Team of DOGSB‟s (ERTC) shall made available emergency control center/
Staging Area at site with communication facilities.
18.13 Emergency Contact Telephone Numbers: -
18.13.1 Updated emergency contact numbers shall be displayed prominently at the Emergency Control
Center and other strategic locations such as Admin Building, workshop etc
18.13.2 Safety Officer shall ensure all positions stated in the Client‟s / Owner‟s Emergency Response Team
available and contactable at all times.
19.0 FIRE / ACCIDENT / NEAR MISS REPORTING PROCEDURE

19.1 Policy: -
19.1.1 It is the policy of the DOGSB‟s that all accidents, near misses and fires (however manner) must
be reported and investigated to determine the root causes of the accident. Failure to report is an
offence. All accident must be reported to Safety Department immediately or within 24 hours.
19.2 Objective: -
19.2.1 To study the main factors contributing to accident, near misses and fire.
19.2.2 To determine the same cause and to take corrective measures and prevent recurrence of a similar
accident.
19.2.3 To have written report on accident, near misses and fire for company record and submission to
government authorities department such as Department Occupational Safety & Health (DOSH),
SOCSO and others if necessary.
19.3 Actions: -
19.3.1 Any person discovering the fire must:
a) Immediately raise the fire alarm by activating the nearest manual fire alarm station;
b) Inform the Project Management Team / Safety Section (or by advising a second person to do so)
giving details of the locations and nature of emergency, knowledge of any casualties, persons
trapped, etc and their own name and status by the nearest fire telephone or radio;
c) Attempt to control the fire using the nearest suitable fire extinguishing appliances until relieved of
responsibilities by the ERT. The fire should only be tackled if it is safe to do so. Remember to
ensure availability of escape route;
d) When relieved, keep clear of the personnel who are taking action to control the fire and proceed
to the designated assembly point.
19.3.2 Persons at the scene of the emergency:-
a) Any person seeing an accident involving injury must:-
i. Call Project Director / Manager or Safety Personnel and give details of:
 Type of accident and number of casualties

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 Nature and location of injuries / symptoms

ii. Immediately return to the casualties and give preliminary first aid until ambulance arrives.
19.3.3 Important notes: -
a) If it appears that Asphyxiation has taken place due to Toxic gases or oxygen deficiency, do not
attempt to rescue the victims unless assistance and breathing apparatus are available.
b) If victim has suffered an electric shock and is still touching an electrical conductor, do not touch
him. Disconnect the current source immediately. Push him or the conductor clear using insulating
material such as wood or rubber.
c) Unless it is necessary to protect the victim from further injuries, he should not be moved. He
should be kept still and if possible lying down until the arrival of the ambulance.
19.3.4 Any person hearing somebody shouting for assistance must:-
a) Go to him and offer assistance
b) Follow his instructions. He may ask you to stop an item of machinery, raise a fire alarm etc.
19.4 Definitions: -
19.4.1 Accident : -
a) Undesired event, in sequence of event, that occurs through a combination of course, it results
in physical harm (injury or disease to and individual, damage to property, a near miss, a loss or
any combination of these effects).
19.4.2 Lost Time Injury (LTI) : -
a) A work injury, which result inability to work for at least one full day or shift, any time after the
day, or any shift on which the injury occurred.
19.4.3 Non Lost Time Injury (NLTI) : -
a) Any work injury which permits workers to resume his/her duty after undergoing treatment and is
categorized to 3 group: -
i. Medical Treatment: -
 Treatment by medical practitioner and which is beyond the scope of normal first aid
including initial treatment given for more serious injury.
ii. Restricted Work Case: -
 A work injury which require treatment for medical practitioner and which resume duty
but restricted to light duty.
iii. First Aid: -
 Injury which cost any one time treatment and any follow up visit for observation, of
minor scratches, cut, burn, splinters and the like which do not normally required medical
care.
19.4.4 Near Miss:-

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a) Any event or condition which whilst not resulting in injury or illness to a persons or loss of, or
damage to equipment, plant or property is recognized as having potential to cause of property
damage.
19.4.5 Man-day Lost:-

a) Number of days the injured away from work due to an accident exclusive of the day the injury
was received, rest day and public holiday.
19.4.6 Total Man-hours Work:-
a) Total normal hours worked exclusive of Sunday and Public holiday plus overtime hours worked
during Sunday, Public Holiday and after office hours.
19.4.7 Frequency Rating:-
NUMBER OF LOSS TIME INJURY

X 1, 000,000
TOTAL MAN-HOURS WORK
A number that indicate the frequency of loss the time accident that occurred
during specified time period. Higher number indicates frequency of accident
occurrence is high and vice versa.
19.4.8 Severity Rating:-
NUMBER OF MAN-DAYS LOST

X 1, 000,000
TOTAL MAN-HOURS WORK
A number that indicate the severity of loss the time accident that occurred
during the specified time period base on man-days away from work. Higher
number indicates severity of accident is high and vice versa.
19.4.9 Fire / Explosion:-

a) A fire or explosion occurring in the working place due to ignition of process materials, by product
(including waste) or finish product.
19.5 Reporting Procedure : -
19.5.1 All employees shall report all forms of accidents, incident and fire including near misses
immediately to their immediate supervisor or superior. Failure to report and delay in reporting is
and offence.
19.5.2 All incident / accident must be recorded by using (DOGSB/SAFE/SWP05/F01 – Incident/Accident
Notification Form, DOGSB/SAFE/SWP05/F02 – Incident/Accident Report Form and
DOG/SAFE/SWP05/F03 - Accident Report (Statement Form).

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19.5.3 Reference record number refer to below:
Record No. Code Definition
DOGSB = Dermaga Oil & Gas Sdn Bhd

PROJECT TITLE = Name of project
DOGSB / PROJECT TITLE / IAN -
IAN = Incident / Accident Notification Form
XXX/YEAR
XXX = 3 digit of Serial No (start 001)
YEAR = Number of the year ( Eg: 2015)

DOGSB / PROJECT TITLE / IAR -
IAR = Incident / Accident Report Form
XXX/YEAR
XXX = 3 digit of Serial No (start 001)

DOGSB / PROJECT TITLE / AR -
AR = Accident Report (Statement Form)
XXX/YEAR
XXX = 3 digit of Serial No ( start 001,….)
19.5.4 Any accident which result in the loss of life or severe bodily injury to any persons and prevent him
from working for more than 4 (four) days or serious damage to any machinery, the company
(Project Director/Manager/Safety Manager) shall report to Department Occupational Safety &
Health (DOSH) by the quickest available means.
19.5.5 All occupational disease or injury or illness also shall report to Department Occupational Safety &
Health (DOSH) by the quickest available means.
19.5.6 Any accident which resulting in the loss of life(s) shall be reporting to the nearest Police Station.
19.5.7 All accident and fires (including near misses) must be investigates by the “Accident Investigation
Team” team comprising of: -
a) Project Director/manager
b) Department Head or Manager Concern

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c) Client Representative
d) Construction Manager
e) Sub-Contractors Head / Manager
f) Safety & Health Officer
g) Supervisor Concern
19.5.8 Department Head or Manager shall review the accidents or fire report and must adopt precautions
to prevent recurrence of similar accident, near misses or fire.
19.5.9 In event of serious body injury, fatality or dangerous occurrence, “Board Of Inquiry” will be setup
comprising of: -
a) General Manager
b) All Department Head and Manger
c) Department Concern
d) Safety & Health Manger
19.5.10 The immediate supervisor or superior shall complete the “Accident / Near Misses / Fire Notification
Report Form and submit it to Safety Department (Safety & Health Manager) immediately.
19.5.11 Upon receive the report Safety & Health Officer together with supervisor concern will conduct
investigation to identify the finding or cases related to the accident, near misses or fire including
corrective action to be taken.
19.5.12 After the investigation, Safety & Health Officer will write the accident, near misses or fire report.
The copy of report will be submitted to:-
a) General Manager
b) All Department Head and Manager
c) Department Concern
d) Safety & Health Officer
19.5.13 Safety Section shall process all necessary documents for Department Occupational Safety &
Health (DOSH), SOCSO as required for submission.
20.0 SERIOUS ILLNESS, INJURY AND DEATH PROCEDURE

20.1 In case of serious illness or death from natural causes or injuries or death, occurring as result of an accident,
the ambulance service shall be called to treat the casualty and provide transport for hospital treatment.
20.2 As there are no qualified medical personnel onsite, personnel are required to notify of any serious injuries and
request mobilization of professional medical assistance from the ambulance service.
20.3 However, personnel may be required to remove casualties to a safe area and provide basic first aid and CPR
treatment to any casualties until the arrival of the ambulance service personnel.
20.4 The following should be established immediately when dealing with such emergency: -

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20.4.1 Symptoms of illness / condition of casualty as appropriate; and

20.4.2 If death is the result of an accident, consider whether condition causing the death could still be a
threat and further losses of life or injury and if so, rectify immediately.
20.5 All the facts and background information relating to the incident: -
20.5.1 If loss of life is the result of an accident occurring during operations on an installation such operations
shall be suspended immediately.
20.5.2 The site of the accident shall be left undisturbed and sealed until the relevant authorities give
approval to resume operations.
20.5.3 If leaving the site undisturbed creates a hazard to personnel or property, steps should be taken to
ensure the site is made safe. However, prior to disturbing the site, a series of photos should be taken
for evidence.
20.6 When fatality or death occurs in the worksite/working place, the body shall be not removed and the area
declared “Out Of Bonds”. The body shall cover with pieces of cloth or other means.
20.7 The security guard will control and stand by at the scene of accident to control the situations.
20.8 Safety Section (Safety & Health Manager / Officer) will make report on the incident to nearest Police
Department after knowledge of management.
20.9 Security guard on duty has to ensure that no outsider, visitors, vehicle or reporter are allowed to enter
incident area/premises except for Police, Government Officer (who have jurisdiction in investigation) and
Medical Team.
20.10 Only Project Director or company-authorized representative is allowed to make press release on the incident
(after approval from management).
20.11 The Safety Section (Safety & Health Manager / Officer) will assist the Police Department, Department
Occupational Safety & Health (DOSH) or other authorities‟ government department who have jurisdiction in
their investigation.
20.12 Admin Department (admin Officer) will be identified and contact the victim‟s parents (families).
20.13 All matters pertaining to the coroner inquiry will handle by the Personnel & Admin and Safety Section
(Manager).
21.0 DEPARTMENT OCCUPATIONAL SAFETY & HEALTH (DOSH) NOTIFICATION

21.1 The company shall follow the notification of accident, dangerous occurrence and dangerous disease as
required by OSHA 1994 - Regulation 10 (Notification of Accident, Dangerous Occurrence, Occupational
Poisoning and Occupational Disease) 2004 (NADOPOD)
21.2 The company shall report to Department Occupational Safety & Health all accidents at the factory premises
immediately by telephone or fax in the form “JKKP 6 or JKKP 7” as follows category: -
21.2.2 Causes loss of life to any persons
21.2.3 Cause bodily injury to any person is prevented from following his/her normal occupation for more
than 4 (four) days or
21.2.4 Cause serious damage to machinery or other property

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21.3 DOGSB‟s Project Management Team (Project Director / Manager) shall endorse the form “JKKP 6 or JKKP
7” before sending to Department Occupational Safety & Health (DOSH) for their action and investigation.
21.4 The supervisor shall furnish all details on the accident.
21.5 The Company shall undertake to carry out all remedial measures and procedures recommended by
Department Occupational Safety & Health (DOSH) as soon as possible.
22.0 SPECIAL REQUIREMENT

22.1 Press Release: -
22.1.1 Press release shall only be made by DOGSB‟s Managing Director or persons authorize by him (in
his absent)
21.6 Next Of Kind Notification: -
22.2.1 Notification to next of kin shall be made by the DOGSB Human Resources Manager or Project
Director.
22.3 Safety Precautions: -
22.3.1 To lessen the risk of injuries, all personnel should observe the appropriate safety precautions before
undertaking any operation or maintenance task.
22.3.2 All personnel on site must wear appropriate personal protective clothing and equipment including
safety helmets, boots or shoes and safety goggles.
22.3.3 Personnel are responsible for wearing additional PPE suitable for the job or as directed by the
„Permit to Work‟.
22.4 First Aid: -
22.4.1 Emergency equipment including tools, stretchers, first aid kits and firefighting equipment are provided
at the firefighting and emergency equipment stations which are located at key positions throughout
the site.
22.4.2 The equipment must be inspected frequently and recorded by using DOGSB/SAFE/SWP05/F04 -
FIRST AIDERS & FIRST AID BOX CHECKLIST with particular attention being paid to first aid kits
which must be kept fully supplied and ready for use.
22.4.3 All personnel must be familiar with the location of these equipment. Any person on the working place
may be required to give preliminary first aid while waiting for the ambulance to arrive.
22.4.4 All emergency personnel therefore must receive basic first aid training. Regular training in the use of
first aid equipment must be given at fire drills and safety meetings.
23.0 SERIOUS CRIMES

23.1 These guidelines for handling serious crimes on an DOGSB‟s operations. These could include the following
situations: -
23.1.1 Murder;
23.1.2 Unauthorized drug use;
23.1.3 Theft;

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23.1.4 Serious Assault;

23.1.5 Sabotage; and
23.1.6 Fire rising.
23.2 The above examples do not form a complete list of all serious crimes, the criterion being any incident warranting
immediate notification to the police.
23.3 If the crime resulted in injury to personnel or damage to equipment, the appropriate additional contingency plan
with its alarms and notifications shall be implemented.
23.4 The following action shall be taken by the persons details as below: -
23.4.1 Witness
a) On becoming aware of a crime, note the time and any evidence ;
b) Report to person-in-charge as soon as possible; and
c) Await further instructions
23.4.2 Person In Charge / Project Manager / Safety Manager / Safety Personnel:-
a) Gather as much evidence as possibly can to make certain that there is a crime
b) Obtain names of suspects and witnesses
c) If possible, leave the scene of the crime untouched and prevent anyone from interfering with it
d) Inform the Project Director who will then inform the Managing Director, the police and other
departments if required.
e) Carry out any instructions given by the Project Director
f) Only take person into custody to protect the safety of others and themselves.
g) If a suspect is taken into custody or confined, delegate suitable persons to guard the suspect.
h) Fully brief the police on their arrival at the site/camp
24 INTERPRETATION
24.1 Serious Body Injury: -
24.1.1 Emasculation.
24.1.2 Permanent privation of the hearing or either ear.
24.1.3 Privation of any members of body or joint.
24.1.4 Destruction or permanent impairing of the powers of any members or joint.
24.1.5 Destruction or permanent impairing of the powers of any members or joint.
24.1.6 Permanent disfiguration of the heads or face.
24.1.7 Permanent privation of the sight of either eye.
24.1.8 Fracture or dislocation of a bone.

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24.1.9 Any hurt which may endanger life, or which causes the sufferer to be during the space of the
twenty days (20), in severed bodily pains, or unable to follow his/her ordinary pursuits.
24.1.10 38% of body burning by fire or chemical
24.2 Fire (Type Of Fire): -
24.2.1 Class “A”
a) Fire involving solid materials (normally of an organic nature) in which combustion occurs with
the formation of glowing members (e.g. wood, paper, nature fiber etc.)
24.2.2 Class “B”
a) Fire involved liquids or liquefiable solids either soluble or insoluble in water (e.g. petrol, diesel,
methanol, thinner etc.)
24.2.3 Class “C”
a) Fire involving gases, liquefied gases in the form of liquid gas spillage or gas leak (e.g.
methane, propane, butane, acetylene etc.)
24.2.4 Class “D”: -
a) Fire involving metal such as magnesium, aluminum etc.
24.3 Dangerous Occurrences: -
24.3.1 Collapse or failure of crane, derrick, winch, hoist or other appliance used raising or lowering
persons or goods or overturning of crane;
24.3.2 Bursting or revolving vessel, grinding stone, grinding wheel move by mechanical power;
24.3.3 Explosion or failure of structure effecting the safety or strength of an unfired pressure vessel;
24.3.4 Any unintended collapse or partial collapse of any building or structure under construction,
alteration or demolition involving a fall of more than 5 tons of materials or any floor or wall of any
building being used as a place of work;
24.3.5 The uncontrolled accident release of the escape of any substance from any apparatus, equipment,
pipe line, process plant, storage tank, which may cause death, or major injuries other than
damage to health of nay person and environment.
25 COMMON CAUSES OF ACCIDENT

25.1 There is always a cause for accident. Identifying and knowing the cause will help reduce the number of
accident: -
25.1.1 Equipment And Machinery That Out Of Order: -
a) Event the new machines may go out of order. Therefore it is imperative to take good care of all
equipment and machineries being used.
25.1.2 Faulty Items: -
a) Always check thoroughly all items that require as these items my faulty and thus become
dangerous.
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25.1.3 Sharp Pointing Object, Equipment Or Machinery: -

a) All incomplete of sharp object, frames or boxes can cause injury. These objects are easily
found if a through inspection is carried out.
25.1.4 Dangerous Storage: -
a) All materials or equipment must be stored, place and arrange in proper manner at all times.
25.1.5 Housekeeping: -
a) Poor housekeeping is a most cause of accident. Good housekeeping must be practiced at all
times by all employees at their work place.
25.1.6 Improper Machine Operations: -
a) Exceeding the speed limit of curtain machine and vehicle may cause loss of control and
damage. Failure to observe the right procedure or limit may cause accidents.
25.1.7 Lack Of Control Due To Poor Planning: -
a) Proper planning and using proper tools may increase quality and productivity and at the same
time reduce accident.
25.1.8 Breaking Of Rules And Regulations: -
a) Rules and regulations are necessary to ensure the success of task carried out. Always abide
and observed all the rules and regulations.
25.1.9 Supervision: -
a) A discipline workers is a persons with good working attitude and able to carry out his/her task with
minimum supervision.
25.1.10 Lack Of Attention: -
a) Full attention shall be given when carrying out work at all times. Never distract peoples operating
machine and or horseplay.
25.1.11 Machinery And Equipment Safe Guard or Protection Equipment: -
a) All machineries come complete with protective equipment or safe guard as to protect the operator
from the hazardous of machines or equipment. To tamper or removing these items without
necessary approval are strictly not allowed.
25.1.12 Personal Protective Equipment (P.P.E): -
a) All Personal Protective Equipment (P.P.E) shall be used (when required) so as to protect workers
from injury and reduce the seriousness of the injury when get into accident.
25.1.13 Dress: -
a) Loosen dressing or unwanted jewelers may be caught up in moving or rotating part of machines.
25.1.14 Failure To Use The Right Tools Or Equipment: -
a) Know your tools function well to apply the right tool to the right equipment or job.
25.1.15 Negative Attitude: -
a) Think your colleagues and your safety. Your negligence may hurt other and cause destruction to
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25.1.16 Lack Of Experience And Incompetence: -

a) Majority of the injuries sustained by workers are due to them self – try to carry out tasks, which
they not been trained for.

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FILL UP & SUBMIT ACCIDENT OCCURRED

INCIDENT/ACCIDENT (Witness / Supervisor In charge To
NOTIFICATION Inform)
FORM
PROJECT PROJECT DIRECTOR

MANAGER SAFETY
MANAGER
ACCIDENT CLASSIFICATION DOGSB
MANAGEMENT / UTILITIES
CLIENT
MINOR MAJOR FATALITY or FIRE AFFECTED
(First Aid)  Lost Time Injury SERIOUS
 Dangerous BODILY INJURY TNB
Occurrenc
e
TMB
Send Send Victim Send Body / BOMBA
Victim To to Hospital Victim To Hospital WATER
Clinic / For Post Mortem Send Victim SUPPLY
Hospital to Clinic or
Hospital
(if any)
SET UP INVESTIGATION TEAM COMPRISING OF

 Project Director
 Safety Manager / Officer MAJOR
 Construction Manager
 HSE Committee Members
To Review & Investigate The Accident and Identify The Cause(s) MINOR
Of The Accident & Corrective Action(s) To Be Taken
REPORT WILL BE DISTRIBUTED TO

a. Managing Director
b. Consultant
c. Related Government Bodies
d. Project Director / Manager
e. Head Of Department/Sub Contractor Concerned
EMERGENCY RESPONSE PROCESS FLOW

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INCIDENT / ACCIDENT Notify Superior / Manager
Immediate Supervisor
or Manager of the
Immediate Supervisor
Victim Send Victim or Injured to First
or Manager of the
Victim Aid Room or Clinic
Notify Safety Manager /
Officer of DOGSB
First Aider
Work
After First Aid Send The

Injured to Home
(Where Applicable)
Doctor / Clinic
Supervisor / Manager of (Further Treatment)
persons Involved in The
Incident Hospital
/ Accident (Serious Injury /
Fatality))
Conduct Initial Investigation At

The Scene and Complete The
report Sent the incident / Accident Report
with initial investigation report to
Safety Manager / Officer within 24
hours of
Safety Manager / Conduct detail incident / accident investigation with

Officer (DOGSB) HSE Committee Members & department manager to
identify the root cause of the incident / accident.
Establish and implement corrective measures to
prevent reoccurrence
INCIDENT / ACCIDENT ACTION PLAN

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FIRE EMERGENCY
PERSON DISCOVERY FIRES
MAJOR MINOR
ACTIVATE FIRE ALARM OR USE FIRE

CALL BOMBA EXTINGUISHER TO
Specify PUT OUT FIRE
 Name
 Type Of Emergency
 Exact Location CONDUCT
INVESTIGATION &
POST MORTEM
EVACUATION EMERGENCY TEAM
 All Employee / ASSEMBLE AT
Staff / Visitor / DESIGNATED ASSEMBLY
Contractors POINT AND REPORTED
 Roll Call By Head TO FIRE EMERGENCY
Of Department To OPERATION FIRE FIGHTING AND
Identified Missing / COORDINATOR (FEOC) RESCUE OPERATION BY
Trapped Person EMERGENCY
RESPONSE TEAM AND
BOMBA (IF REQUIRED)
ALL CLEAR / OPERATION END

CONDUCT INVESTIGATION
 Back to Building / Site (if
& POST MORTEM
no major effect.)
FIRE EMERGENCY ACTION PLAN

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26 RECORD
ITEM FORM NUMBER FORM NAME
1 DOGSB/SAFE/SWP05/F01 INCIDENT / ACCIDENT NOTIFICATION FORM
2 DOGSB /SAFE/SWP05/F02 INCIDENT / ACCIDENT REPORT FORM
3 DOGSB /SAFE/SWP05/F03 ACCIDENT REPORT (STATEMENT FORM)
4 DOGSB /SAFE/SWP05/F04 FIRST AIDERS & FIRST AID BOX CHECKLIST
27 ATTACHMENT
Nil

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Dermaga Oil & Gas Sdn Bhd DOC NO : DOGSB/SAFE/SWP05/F01
Rev : 0
INCIDENT / ACCIDENT NOTIFICATION FORM Page 1 of 2
TOWARDS SAFE WORK CULTURE AT CONSTRUCTION SITE
INCIDENT / ACCIDENT REPORT NO

FOR OFFICE (SAFETY
DEPARTMENT USE ONLY)
AMECSB / PROJECT TITLE / IAN - XXX/YEAR
TYPE OF INCIDENT
Fatality Dangerous Occurrence Serious Bodily Injury
Near Miss Medical Treatment First Aid
Light Duty Property Damage Lost Time Injury

Other (specify)
GENERAL INFORMATION
Date Of Time Of
Occurrence Occurrence
Place Of
Weather
Occurrence
WITNESS TO THE INCIDENT / ACCIDENT
DESCRIPTION WITNESS 1 WITNESS 2

Name
NRIC / Passport
Designation
Company
Contact Number
REPORTED BY (Immediate Person Incharge)

Name Signature
NRIC / Passport
Designation
Company
Contact Number
REPORTED RECEIVED BY
Name Signature
NRIC / Passport
Designation
Company
Contact Number
Note
a. This report shall be immediately submit to HSE Department / Project Manager after any incident / accident happen
b. Immediate Supervisor / Person In-charge of Injured Persons (IP) shall be prepare this form
c. This report shall be supported with the following document (if available)
 IP Document (NRIC, Passport, Work Permit, CIDB Green Card etc)
 IP Contact Number
 Witness Document

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INCIDENT / ACCIDENT NOTIFICATION FORM Page 2 of 2
REPORT ON INCIDENT / ACCIDENT (attach sketches and photograph)

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Rev : 0
INCIDENT / ACCIDENT REPORT FORM Page 1 of 6
INCIDENT / ACCIDENT REPORT NO

FOR OFFICE (SAFETY
DEPARTMENT USE ONLY)
AMECSB/PROJECT TITLE / IAR - XXX/YEAR
DATE & TIME
GENERAL LOCATION
EXACT LOCATION
PART 1 INCIDENT / ACCIDENT CATEGORY
y rous Occurrence s Bodily Injury

Fatalit Dange Seriou
Miss l Treatment id
Near Medica First A
uty ty Damage me Injury
Light D Proper Lost Ti
specify)
Other (
PART 2 DETAILS OF INJURED

Name
NRIC / Passport
Address
Company (Name / Address)
Dept / Section / Trade
Date Of Birth & Age Sex e

Male Femal
Employment (tick) ontractor Clien Visito
Main C Consultant Cont t Publi r
ractor c
Name
NRIC / Passport
Address
Company (Name / Address)
Date Of Birth & Age Sex e

Male Femal
ontractor Clien Visito
Employment (tick)
Main C t r
Consultant Cont Publi
ractor c

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No. 1, Jalan Tiara Sentral 1,KawasanPerindustrianNilaiUtama,71800 Nilai, Negeri
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PART 3 DETAILS OF WITNESS

Name
NRIC / Passport
Company (Name & Address)
Name
NRIC / Passport
Company (Name & Address)
PART 4 DETAILS OF ACCIDENT
DESCRIPTION OF INCIDENT / ACCIDENT (Attach Photographs / Sketches Where Necessary)

ACTIVITIES INVOLVED DURING ACCIDENT OCCURED

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PART 4 DETAILS OF ACCIDENT (Continue)
Type of Property Damage
Medical Leave (Day)
Part of Body Injured
Cost Of Damage / Losses
Hospitalization (Day)
First Aid Treatment
Machinery Involved
Machinery Fitness Certificate (PMA/PMT)
Operator Competency Certificate

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Operator Name
NRIC / Passport No.
Company
PART 5 IMMEDIATE (ROOT) CAUSES OF INCIDENT / ACCIDENT

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PART 6 CONTRIBUTORY CAUSES OF INCIDENT / ACCIDENT

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PART 7 PREVENTIVE MEASURES TO PREVENT REOCCURRENCE
RECOMMENDATION ACTION PARTY

Sketch / Machinery Rev : 0
P INCIDENT / ACCIDENT REPORT FORM Page 5 of 6
Sketch / Operator
D TOWARDS SAFE WORK CULTURE AT CONSTRUCTION SITE
Police Rep Medical /
NRIC / Other
Pa

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PART 8 REPORT VALIDATION AND EVALUATION
PREPARED BY (Immediate Supervisor / Person Incharge)
Name Signature
Company
Designation
Date & Time
REVIEWED BY (Head Of Department Concern)
Name Signature
Company
Designation
Date & Time
VERIFIED BY (HSE Department)
Name Signature
Company
Designation
Date & Time
ENDORSED BY (Project Manager / Director)
Name Signature
Company
Designation
Date & Time
PART 9 ATTACHMENT LIST
hotograph of Accident Fitness Certificate
esign / Construction Drawing Competency Certificate
ort Doctor Report
ssport Of Witness / Person Involved

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ACCIDENT REPORT (STATEMENT FORM) Page 1 of 2
DATED TIME
PLACE OF INTERVIEW
INCIDENT / ACCIDENT
REPORT NO
AMECSB/ PROJECT TITLE / AR -XXX/YEAR
WITNESS / INJURED PERSON / INTERVIEWEE RECORDED BY
Name
Designation
Nric / Passport
Company
Contact No
Address
BRIEF JOB DESCRIPTION / RESPONSIBILITY OF WITNESS / IN JURED PERSON / INTERVIEWEE
DECLARATION OF WITNESS / IN JURED PERSON / INTERVIEWEE
I UNDERSTAND THAT THE PRIMARY PURPOSE OF THIS STATEMENT IS IN THE INTEREST OF ACCIDENT PREVENTION; HOWEVER THE INFORMATION GIVE

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ACCIDENT REPORT (STATEMENT FORM) Page 2 of 2
RECORD OF STATEMENT
WITNESS / INJURED PERSON / INTERVIEWER SIGNATURE OF RECORDER

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FIRST AIDERS & FIRST AID BOX CHECKLIST Page 1 of 3
FIRST AID BOX DETAIL

TYPE OF FIRST AID BOX Type A Type B Type C Please refer to below List For First Aid Box Type
COMPANY
DEPARTMENT
LOCATION OF FIRST AID BOX
DATE OF INSPECTION : TIME OF INSPECTION :
INSPECTION DETAILS
INSPECTED BY SIGNATURE
DESIGNATION
COMPANY
TYPE OF INSPECTION WEEKLY MONTHLY UNSCHEDULED / INITIAL
DATE OF INSPECTION : DATE OF LAST INSPECTION :
ENDORSED BY (HEAD OF SECTION)
NAME SIGNATURE
DESIGNATION
COMPANY
DATE
FIRST AIDERS REQUIREMENTS - General Guide
STATUS OF COMPLIANCES
DESCRIPTION NUMBERS OF WORKERS NO. OF FIRST AIDERS ACTUAL NUMBER COMPLIANCE
LESS THAN 20 ONE (1)

WORKPLACE
WITH LOW RISK 21 to 150 TWO (2)
HAZARDS
(e.g office)
MORE THAN 150 2 FOR EVERY 150 WORKERS OR PART THEREOF
WORKPLACE
WITH HIGH RISK LESS THAN 20 ONE (1)
HAZARDS
(e.g chemical
plant, shipyards, 20 OR MORE 1 FOR EVERY 20 WORKERS OR PART THEREOF
construction site)
2 FOR EVERY 150 WORKERS OR PART THEREOF AND IN

WORKPLACE
ADDITIONAL A STATE REGISTERED NURSE OR A
WITH MORE THAN MORE THAN 400
MEDICAL ASSISTANT MUST BE EMPLOYED ON
400 WORKERS
SITE/PLANT

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FIRST AID BOX REQUIREMENTS - General Guide
BOX A (For Workplaces with up BOX B (For Workplaces with 11 BOX C (For Workplaces with more
to 10 persons employed at a time) TO 50 persons employed at a than 50 persons employed at a
time) time)
COMPLIANCE COMPLIANCE COMPLIANCE
STANDARD
STANDARD
CONTENTS OF FIRST AID BOX
STANDARD
ACTUAL COMP ACTUAL COMP ACTUAL COMP
QUANTITY (Yes / No) QUANTITY (Yes / No) QUANTITY (Yes / No)
SMALL INDIVIDUAL MEDICATED OR UN- MEDICATED

6 12 24
STERILIZED DRESSING FOR FINGGER
MEDIUM INDIVIDUAL MEDICATED OR UN-
MEDICATED STERILIZED DRESSING FOR HANDS 3 6 12
AND FEET
LARGE INDIVIDUAL MEDICATED OR UN-
MEDICATED STERILIZED DRESSING FOR OTHER 3 6 12
INJURED OARTS
ASSORTED ADHESIVE WOUND DRESSINGS
5 10 15
PRESSURE BANDAGE NO. 15
TRIANGULAR BANDAGES 90 X 90 X 130 cm 5 10 15
ROLLER BANDAGES (1 inch) 6 9 12
ROLLER BANDAGES (2 inch) 6 9 12

ABSORBENT STERILIZED COTTON WOOL, IN 1/2 OZ
PACKETS OR COTTON WOOL STRIP CONTAINED IN 6 6 6
COTTON WOOL DISPENSER
INDIVIDUAL STERILIZED EYE PADS IN SEPARATE
2 4 8
SEALED PACKED
RUBBER OR PRESSURE BANDAGE 1 1 1

A 2% ALCOHOLIC SOLUTION OF IODINE OR 1%
AQUEROUS SOLUTION OF GENTIAN VIOLET IN A 1 1 1
STOPPERED 2 OZ BOTTLE
A BOTTLE OF SMELLING SALT WITH THE DOSE
AND MODE OF ADMINISTRATION INDICATED ON 1 1 1
THE LABLE
BLUNT NOSED SUGICAL SCISSORS 1 1 1
SAFETY PIN 12 24 36
CREPE BANDAGES 5cm 6 6 6
CREPE BANDAGES 7.5cm 6 6 6
SURGICAL TAPE 3M (Hypoallergenic) - 5cm 2 2 3
GLOVES - DISPOSABLE FREE SIZE 6 12 24
CPR MASK
AS SUFFICIENT
AS SUFFICIENT
AS SUFFICIENT
SUITABLE SPLINTS AND WOOL OR OTHER

MATERIAL FOR PADDING
SUPPLY
SUPPLY
SUPPLY
ADHESIVE PLASTER

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APPROVED EYEWASH (Eye ointment or eye drops)

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DOGSB - SAFE - SWP05 - New

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DESIGNATION HSE MANAGER PROJECT MANAGER MANAGING DIRECTOR

Rev. Change Descriptions Effective Date Affected Page Prepared by

0 New Issue All

Rev. Change Descriptions Effective Date Affected Page Prepared by

DERMAGA OIL & GAS SDN

SECTION DESCRIPTION PAGE

5.0 EMERGENCY RESPONSE PRIORITIES 5

6.0 DOGSB‟s EMERGENCY RESPONSE TEAM 6

7.0 RESPONSIBILITIES OF DOGSB‟S EMERGENCY RESPONSE TEAM 8

9.0 DECLARATION OF EMERGENCY 9

10.0 AUTHORIZATION OF EMERGENCY MESSAGE 9

11.0 CONTENT OF EMERGENCY MESSAGE 9

12.0 EMERGENCY MESSAGE ROUTING 10

13.0 ASSESSMENT CRITERIA 10

14.0 FIRE EXTINGUISHERS 13

16.0 FIRE ALARM SYSTEM REGULATIONS 13

18.0 EMERGENCY PLAN PROCEDURE 14

19.0 FIRE / ACCIDENT / NEAR MISS REPORTING PROCEDURE 21

DERMAGA OIL & GAS SDN

SECTION DESCRIPTION PAGE

20.0 SERIOUS ILLNESS, INJURY AND DEATH PROCEDURE 25

21.0 DEPARTMENT OCCUPATIONAL SAFETY & HEALTH (DOSH) NOTIFICATION 26

22.0 SPECIAL REQUIREMENT 27

23.0 SERIOUS CRIMES 27

25.0 COMMON CAUSES OF ACCIDENT4 29

DERMAGA OIL & GAS SDN

DERMAGA OIL & GAS SDN

5.0 EMERGENCY RESPONSE PRIORITIES

DERMAGA OIL & GAS SDN

6.0 DOGSB’s EMERGENCY RESPONSE TEAM

6.2.2 Rescue Team DAMAGE

DERMAGA OIL & GAS SDN

EMERGENCY RESPONSE TEAM ORGANIZATION

EMERGENCY RESPONSE TEAM COMMANDER (ERTC)

FIRE & EMERGENCY OPERATION COORDINATOR

COMMUNICATION & WELFARE COORDINATOR

ASSEMBLY POINT COORDINATOR

DERMAGA OIL & GAS SDN

7.0 RESPONSIBILITIES OF DOGSB’S EMERGENCY RESPONSE TEAM

DERMAGA OIL & GAS SDN

9.0 DECLARATION OF EMERGENCY

10.0 AUTHORIZATION OF EMERGENCY MESSAGE

11.0 CONTENT OF EMERGENCY MESSAGE

DERMAGA OIL & GAS SDN

12.0 EMERGENCY MESSAGE ROUTING

13.0 ASSESSMENT CRITERIA

DERMAGA OIL & GAS SDN

d) Public image of companies involved at risk

DERMAGA OIL & GAS SDN

13.2 NOTIFICATION FLOWCHART AND EMERGENCY NETWORK

DOGSB‟s & CLIENT/OWNER

PROJECT DIRECTOR / PROJECT CLIENT / OWNER

FIRE FIGHTING / REACUE EXTERNAL ASSISTANT

IMMEDIATE NOTIFICATION VIA WALKIE

DERMAGA OIL & GAS SDN

14.0 FIRE EXTINGUISHERS

16.0 FIRE ALARM SYSTEM REGULATIONS

DERMAGA OIL & GAS SDN

18.0 EMERGENCY PLAN PROCEDURE

DERMAGA OIL & GAS SDN

DERMAGA OIL & GAS SDN