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Incident Report: Proj. N. Unit Document Code Serial N

1. An incident report was filed by the HSE supervisor for a near miss that occurred during hydrotesting activities. 2. A 2-inch pipe burst at 14.8 bar pressure near a joint during hydrotesting, with no reported injuries. 3. Immediate actions taken were to stop the activity. The investigation found that hydrotesting began without obtaining a work permit. 4. A warning letter was given to the hydrotesting foreman for starting work without a permit.

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Syed Ali Hassan
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0% found this document useful (0 votes)
201 views1 page

Incident Report: Proj. N. Unit Document Code Serial N

1. An incident report was filed by the HSE supervisor for a near miss that occurred during hydrotesting activities. 2. A 2-inch pipe burst at 14.8 bar pressure near a joint during hydrotesting, with no reported injuries. 3. Immediate actions taken were to stop the activity. The investigation found that hydrotesting began without obtaining a work permit. 4. A warning letter was given to the hydrotesting foreman for starting work without a permit.

Uploaded by

Syed Ali Hassan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Proj. N. Unit Document Code Serial N.

PETRO RABIGH CFP/SRU Project


PETRO RABIGH K259 000 RK 7507

SITE HSE PLAN Rev 0

Doc. N° S-EP-G200-1654-001 Page 1/1

INCIDENT REPORT

FILLED BY: Faraz Aslam (TAL HSE Supervisor) DATE: 25th October 2018 HOUR: 14:25 hrs

SUB-CONTRACTOR: AYTB UNIT/AREA: SRU sewer line north side Area


x NEAR MISS Number of people involved:01
FIRST AID Number of people involved:
MEDICAL TREATMENT Number of people involved:
RESTRICTED WORKDAY CASE Number of people involved
LOST TIME INCIDENT (LTI) Number of people involved:
FATALITY Number of people involved:
ENVIRONMENT INCIDENT Estimate euro:
PROPERTY DAMAGE INCIDENT Estimate euro:

(Note: This report must be completed and signed by sub-contractor within 24 hours to KT. In any case, a preliminary
incident report must be delivered to KT Construction Manager as soon as possible, immediately after the incident)

DESCRIPTION:

On 25th October 2018 at 14:30 got an information from Mr.Amanullah Ghazi (QC piping
inspector) of technimont Arabia about incident of RTR 2inch pipe burst on 14.8 bar pressure
near joint # 9 at north side of sru sewer line near structure F area during hydrotest activity
which was continues from 12:30 by hydrotest forman named Ramazan Kural without obtaining
work permit. No personnel injury reported.
IMMEDIATE ADOPTED MEASURES:

Immediately stop the activity.


INVESTIGATION RESULT:

CORRECTIVE ACTION:

Given warning letter to activity Forman regarding to start the work without obtaining work
permit.

ACTION ADDRESSEE:

1. Mr. Ramazan Kural (Hydrotest forman)

Verification KT
Expected Completion Date Actual Completion Date
(Date and Signature)

25.10.2018 25.10.2018
MOD - RK 7507/E – Rev.4

Property of KT S.p.A. to be returned upon request and used only in reference to contract or proposal of this company.
Reproduction of this print or unauthorized use of patented or patentable features disclosed hereon is prohibited.

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