ACCIDENT/INCIDENT REPORT

SS-EHS-001 || Rev. 0 || 09/25/2023

I. OCCUPATIONAL DATA OF PERSON INJURED/INVOLVED IN THE ACCIDENT/INCIDENT SSRMCC-SCRP-IR-06-2025

Name: N/A
Age: N/A Gender: N/A
Department/Division: Operation ___ 1 shift
st
___ 2nd shift ___ N/A

II. ACCIDENT/ INCIDENT DETAILS

Project Name & Area Location of Incident South Commuter Railway Project Package no. 05/PCY Area
Date and Time of Accident/ Incident: April 18, 2025/0745 hrs.
Nature of Accident/ Incident: Fire Incident
Type of Accident/ Incident: ___ Personal injury ___ Property Damage ___ Near Miss ___ Others
Detailed Account of Accident / Incident:

On April 18, 2025 around 0744 hrs., a fire incident occurred at SSRMCC Electrical Room. Where the capacitor bank installed
caught into fire, causing property damage on the capacitor bank system and affecting the insulator of the electrical room.

Around 0744hrs roving Security Guard of HDJV S/G Junrex Dimpaso observed SSRMCC electrical room emitting black smoke
which he immediately raises the alarm. SSRMCC personnel (watchman) immediately responded in conducting firefighting. HDJV
Safety Officers and Mr. Muyong Lee HDJV Safety Manager also responded in firefighting. Fire extinguishers were available at vicinity
which help in extinguished the fire. The fire out was declared around 0755 hrs. fortunately no personnel injured and only the
capacitor bank was damaged due to the incident.

As per investigation, the fire started at capacitor bank system which caused by overheating, damaging the whole capacitor
bank system and roofing insulator. Last April 13, 2025 (Sunday) the capacitor bank was installed in the SSRMCC electrical room as
compliance to the suggestion by HDJV to provide/installed Capacitor Bank to improve power factor, which reduces energy losses,
and to provide voltage support, also to maintains stable voltage levels. The requirements were for the overall improvement and
efficiency of the power system and reduce electrical cost. The supplier installed the capacitor bank already noticed heat
accumulation at electrical room, which could affect the performance of the system. Instructions were given for additional air
conditioning unit to accommodate the proper temperature in the electrical room.

Upon the instructions or recommendations by supplier SSRMCC already requested for the purchase of air conditioning unit to
improve the room temperature. For the meantime electrical room remain open to had ventilation and avoid accumulating heat on
the room. Also, instructions came from Mr. Sam Boholst SSRMCC Maintenance Supervisor last April 15, 2025, advise for the
shutdown of the capacitor bank due to high temp. Unfortunately, the instructions were not executed, and provision of another air-
conditioning unit was not immediately provided causing the fire incident. Investigation conducted with capacitor bank supplier that
the system had no provision of breaker for shutting down the equipment it was design only for the electrical load tripping or
malfunction. Breaker for the heat detection was auxiliary for the equipment.

After the incident on the following day April 19, 2025 TENEBRAS CORPORATION conduct a 3rd party inspection for the Turn Ratio
Test, Winding Resistance Test, Insulation Resistance test and Supervision until energization of the transformer witnessed by Sir
Melvin of HDJV Electrical Supervisor. The 3rd party required for provision of spare transformer, proper room for capacitor bank
system, alarm system for heat accumulation and air-conditioning unit to ensure room ventilated. The batching plant operation
resume using the previous settings of electrical system after the 3rd party inspection.

(See attached photos and reports)

III. EXTENT AND NATURE OF IMPACT

___ First aid case ___ Hospitalization ___ Temporary disability
Extent of Disability:
___ Permanent Disability ___Fatal/Death ___ N/A
Nature of Impact: N/A
Parts of Body Affected: N/A

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Duration of Disability: N/A

Cost of Damaged Properties: P1,500, 000.00
Number of Days/Hours Lost: 32 hours non-operation

IV. INVESTIGATION
Please Describe:
1. Substandard actions.
a. Installation of capacitor bank was not included on the electrical design for the
batching plant.
b. Inattention to known hazards of over heating of the capacitor bank system.
c. Instructions not followed to shutdown the capacitor bank as per advice by the
supplier.
d. Equipment was used without proper training and observation from 3rd party.

2. Substandard conditions.
a. Substandard act by another person for not following instructions from
competent person.
b. Work area congestions for setting of capacitor bank at the back of transformer.
c. Equipment location was unsuitable for it requires separate room.
d. Abnormal operating conditions causing overheating of unit.
e. Procedure/work instructions inadequate.
f. Provision of safety system for automatic shutdown during heat accumulation.
Results of Investigation with the
worker involved in the
3. Personal Factor.
accident/incident
a. Lack of communication for setting or installing of the equipment.
b. Lack of knowledge and skill in monitoring of capacitor bank set up.
c. Communication within the personnel involve in complying the instructions.

4. Job Factors
a. Leadership/supervisory deficiency
b. Maintenance deficiency.
c. Inspection deficiency.
d. Abuse of the equipment.

5. Organizational Factors
a. Personnel trainings for installed and operating equipment.
b. Responsibilities, accountability undefined to perform the instructions given.
c. Engineering controls for accumulating overheat and congestion at electrical
room.
d. Purchasing requirements for the unit or equipment to be used and set on the
area.
Please Describe:
Are there preventive measures Yes.
established to prevent the 1. All electrical design was approved based on the submitted drawings and load calculations.
accident/incident? 2. Known hazard already communicated, and instructions given to not used the equipment.

Please Describe:
Are these measures applied/ used No.
during the accident/ incident? If 1. Installation of capacitor bank was not included on the original design drawing for electrical
not, why? works. Installation of capacitor bank was recommended by HDJV for the power factor
efficiency due high cost of electricity from MERLACO.

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2. Instructions were not followed by the assigned personnel instead. As per Mr. Sam Boholst,
instructions came from HDJV to continue the capacitor bank to observe its functions, which
later he didn’t shutdown the unit.

1. Immediate firefighting of the fire incident by HDJV Security, SSRMCC Watchman and HDJV
Safety Officers and Manger.
2. Conduct housekeeping on electrical room due to fire incident.
3. Replenish of fire extinguisher used during firefighting.
4. Request for additional CO2 fire extinguisher for electrical room and equipment.
5. Re-design of electrical room to separate the transformers, panel boards and capacitor bank
Recommended Actions:
to avoid congestion, acquire proper ventilation and mobility on the electrical room.
6. Replacement of fire-retardant materials for electrical room, especially on the roofings and
provision of inlet for air ventilation.
7. Provision of alarm and breaker system for heat detection.
8. Training of personnel from supplier or contractor in monitoring and operating the system.
9. Disciplinary actions for the personnel found negligence on duty.
Time Frame of Actions: ASAP
Reference CARE No.: N/A

Prepared by
(EHS Committee Member) : Glenn M. Aguillion Date: 04/21/2025

Noted by
(Asst. Plant Manager) : Jesus C. Santos Jr. Date: 04/21/2025

: Rene Canale Date 04/21/2025

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Fire incident last Friday April 18, 2025 where

the capacitor bank caught in fire.

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SSRMCC HDJV Safety Officers and HDJV Security personnel

conduct firefighting

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Fire out declared at 7:55 am

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Aftermath of fire incident.

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3rd party inspection by TENEBRAS

CORPORATION

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Unoffical report from TENEBRAS

CORPORATION during 3rd party inspection

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Investigation conducted with SSRMCC key

personnel for the incident occurrences.

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Investigation conducted with Capacitor Bank Supplier

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GCR , HDJV and SSRMCC site inspection during HRS

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Heat coming from transformer sucked in the capacitor

bank causing heat accumulation.

Heat temperature from transformer which sucked in by

capacitor bank panel.

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Information given by Electrical Maintenance Supervisor

for the shutdown of capacitor bank.

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