Incident Investigation Report

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Incident Investigation Report

1. Details of the Project

General Contractor LEIGHTON

Name of the Project PHOENIX AQUILA

Job No XXXXX

Business Unit ELECTRICAL

Name of the Site Engineer /
Mr. ABHILASH T
Section In charge with P.S.No
Name of the EHSO Mr. RAISODDIN

Name of the Project Manager Mr. THIRUMURUGAN

Name of the CPM / CPLM Mr. Balaji B R

Name of Subcontractor M/S. Blue Star Limited.

2. Category of Incident

6 5 4 3 2 1
Lost Time
Major Reportable Lost
Dangerous Injury (Non-
Environm Reportable Time Injury (Non-fatal > Fatality
Occurrence fatal 24 - 48
ent Sick Case 48 hours)
hours)
3. Details of the Accident (Write N.A if not applicable)

Name of the person Age Sex Designation Working Since

NA

Date & Time of Incident: APRIL, 06.05.2022 4:00 PM

3.2) Exact Location where the Incident occurred:

East Elevation,Terrace Floor

3.3) Nature of Injury:

Near Miss

3.4) Name / Equipment: SRP (Essence)

3.5) Name & Designation of eye witness: Sabir & Irshad. Electrical technician.
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3.5) Describe briefly how the incident occurred (Add sketches and additional sheets to support the
description):

Blue star has taken handover of the SRP from the client (PHOENIX) on 19th of April 22 and started
using it for light installation work in the periphery of the building as per requirement.

The blue star team coordinating with the SRP Manufacturer team whenever required to relocate and
reinstall the SRP. The manufacturer team regularly comes to the site and relocates/installs the cradle as
per requirement.

on 05.05.22 Blue star site engineer given instructions to their workers to start the installation of the SRP
without calling the manufacturer team.

After installation, the blue star site engineer intimated and requested the Leighton plant team to
support and check the SRP. The Leighton plant team inspected and given comments to recertify and
proceed for further inspection and TPI.

After completion of the TPI process and inspection findings are not closed as suggested by the Leighton
Plant team and inspection checklist not filled.

Due to being Friday on 06.05.2022 workers went for prayer and when they came to the site after lunch.
The concerned supervisor engage them immediately to start the activity at 4:00 PM and as per
instruction two workers start operating the cradle and when they reached 15th Floor where they want
to work, Suddenly they observed one side of the cradle working platform is going down slowly and they
saw one side of cradle front beam is tilted. They find the suspicious went inside the nearest floor
Balcony by taking the help of a fall arrester rope, safety harness and the floor JLL security team.

They informed to front-line supervisor about this incident.

After information, the site team immediately reached to the incident location and found that the cradle
one side counterweight is lifted up minimum of 300mm from slab and the cradle front beam rested in
the RCC wall.

No injury was reported in this incident.

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Counterweight is lifted up minimum of

Front beam of cradle is tilted.
300mm from slab

4. Causes of the Incident

4.1) Direct Causes:

The cradle was not installed as per manufacturer recommendations and untrained team engaged for
installation of cradle where no enough of space to install the cradle.
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4.2) Root Causes:

 Blue star site engineer engaged untrained workers to install the SRP without calling manufacturer
team.
 Blue star Engineer/supervisor and workers are don’t have knowledge about the safe installation
method of SRP as per manufacturer instructions/ recommendation, but they supervised and
installed the SRP.
 Site engineer did not understand the importance of close out the inspection findings as he
allowed the workers to use the cradle without rectifying the inspection findings.

5. Precautionary Measures

5.1) What are the precautions taken / being taken to prevent similar occurrence?

SI No Recommended action Target date Responsibility Remark

1 SRP should be installed/relocated as per Immediately Thirumurugan

manufacturer instructions/ recommendation
by competent team.

2 Robustly implement the daily inspection of 09/05/2022 Raisoddin/

SRP by competent team and all findings Thirumurugan
should be closed and verified by line manager
prior to use of SRP.

3 Safe installation of cradle (DO’s & DON’T’s) 12/05/2022 Raisoddin

picture with details (English & Hindi) should
be displayed in SRP installation location.

4 Incident details and lessons learned should 11/05/2022 Thirumurugan

be communicated with workforce and staff. /Raisoddin

5 CMS,CRA and JHA should be reviewed and 12/05/2022 Thirumurugan

communicated with concerned workers and /Raisoddin
supervisors.

6 Onsite training should be conducted by 10/05/2022 Raisoddin

competent person with supervisor and
workers.

Precautions proposed Responsibility Target completion date Actual Completion date

6. Review of the risk assessment

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Review of work method statement, Risk assessment and Job Hazard Analysis and all lessons learned
should be captured in CMS,CRA & JHA.

7. Any other information

Names & Designation of the Investigation Team:

Sl No Name Designation Signature

1 Mr.Niranjan ESH Manger (leighton)

2 Mr.Rajnish Leighton

3 Mr.Imran Leighton
4 Mr.Srikanth.g ESH Manager (BSL)

5 Mr.Thirumurugan Project Manager (BSL)

5 Mr.Raisoddin ESHO (BSL)

6 Mr.Abhilash Sr.Project Engineer (BSL)

7 Mr. Sabir Technician (BSL)

8 Mr. Irshad alam Technician (BSL)

Note: In case of dangerous occurrence involving personal injury, the details of the accident shall be
incorporated in this report. Tick appropriate boxes in the category of the incident.
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Witness statement

Name of the witness:

Mr. Sabir
Mr. Irshad alam

Date & Time: 06.05.2022

Designation. Electrical technician.

If the witness able to write (any language), take a statement in his/her own writing, if not, write the
statement, read out the content in his/ her native language and get his signature / thumb
impression.