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Safety incident Injury, Near Miss or

Injury
occurs Property Damage

Near Miss or First Aid Provider(s):

Property Damage Assess injured person (IP) to determine extent of injury (first aid, professional
First Aid injury
medical treatment, or emergency medical services (EMS) required)
On site Security: Support First Aid Provider and IP as required
-

EMS dispatched

Medical Escalation Procedure

First Aid Provider(s):
Make scene safe and provide first aid to IP (as
needed)
IP or reporting person (or team member):
Within 1 hour, report injury to injured person’s
manager and health and safety POC.
First Aid Provider(s): Male scene safe and provide first aid until EMS
arrives to IP.
On-site Security:
- Within 15 minutes, notify Security Control Room of an injury
requiring EMS and share basic facts;
- Notify Colo operator of an injury requiring EMS; share basic facts (if
applicable);
- Perform normally assigned duties (e.g., support first aid provider(s),
coordinate EMS access, manage door alarms, etc.); and
- Restrict access to area where injury occurred, and equipment / tools
involved in the incident.
SOC: Within 15 minutes, notify IP’s Manager, DCHS and Cluster
Manager and share basic facts surrounding the incident

HS POC and IP’s manager:

- Within 1 business day, visit site where
incident occurred; HS and IP’s Manager
- Collect necessary evidence, and conduct - Within 12 hours, visit incident location and:
initial incident assessment; - Secure security camera footage;
- Ensure Safety Incident Reporting Form is - Collect necessary evidence and conduct initial incident assessment;
completed; - Ensure Safety Incident Reporting Form is completed; and
- Contact IP or reporting person. - Contact injured person.

HS: Initiate initial communication with

UGV required representative(s)

- Fatalities, amputations, eye

loss and in patient Initial Communication
hospitalization may trigger a - Determine Severity Tier: 1,2, or 3; RIA Tracking
- Determine Requires Interim Action (RIA); HS:
UGV. Draft initial communications as needed;
- Contact HS Legal via the Determine investigation level; - Open Primary Ticket
Draft senior leadership notification if Tier 1; - Cluster open sub ticket
SHERPA tool and begin Serious injuries may trigger AGV or UGV, see
preparation sub routine - Track RIA to closure

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Safety Incident Investigation
Responsible Manager: Further action Safety incident
- Lead safety investigation; Review Improvements
required? resolved
- Determine the root cause of the incident;
- Determine the corrective actions (CA); and
- Draft final safety incident investigation report with CA
plan and tracker.
HS:
- Support manager with above requirements;
- Deliver safety incident communication; and
Open primary ticket and track CA to closure.
Determine gap and
develop closure plan