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    Fire of Paint Can PDF

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    Syahrul M
    1. A structure fitter was cutting plates when sparks flew and landed on a nearby paint can, catching the can's cover on fire. The paint can was approximately 3.5 meters from the cutting activity. 2. A welder immediately extinguished the fire with a fire extinguisher. The incident is under investigation. 3. Immediate actions taken included stopping work, replacing the used fire extinguisher, barricading the area, taking photos, and conducting an investigation.

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    Fire of Paint Can PDF

    Uploaded by

    Syahrul M
    80 views2 pages
    1. A structure fitter was cutting plates when sparks flew and landed on a nearby paint can, catching the can's cover on fire. The paint can was approximately 3.5 meters from the cutting activity. 2. A welder immediately extinguished the fire with a fire extinguisher. The incident is under investigation. 3. Immediate actions taken included stopping work, replacing the used fire extinguisher, barricading the area, taking photos, and conducting an investigation.

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    17. Fire of Paint Can.pdf

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    1. A structure fitter was cutting plates when sparks flew and landed on a nearby paint can, catching the can's cover on fire. The paint can was approximately 3.5 meters from the cutting activity. 2. A welder immediately extinguished the fire with a fire extinguisher. The incident is under investigation. 3. Immediate actions taken included stopping work, replacing the used fire extinguisher, barricading the area, taking photos, and conducting an investigation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    80 views2 pages

    Fire of Paint Can PDF

    Uploaded by

    Syahrul M
    1. A structure fitter was cutting plates when sparks flew and landed on a nearby paint can, catching the can's cover on fire. The paint can was approximately 3.5 meters from the cutting activity. 2. A welder immediately extinguished the fire with a fire extinguisher. The incident is under investigation. 3. Immediate actions taken included stopping work, replacing the used fire extinguisher, barricading the area, taking photos, and conducting an investigation.

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    You are on page 1of 2

    PRELIMINARY INCIDENT INFORMATION

    Entity PT. McDermott Indonesia - Batam Facility


    Incident No. APF-12-019-R2190D-ED-BTM Incident Name Fire of Paint Can
    Type of Incident Fire
    Date 25-Feb-12 Time 08.05am
    Location Batam Fabrication
    Department/ Project R-2190D Vetco Gray
    Specific Activity 04-Structural Work Actual Activity Gas Cutting
    Narrative (Description of Incident)
    Around 08.05am a structure fitter was cutting plates at Coping Shop. During the process sparks flied and landed
    onto paint Can (primer paint) placed nearby causing fire to the paint Can cover. The distance between paint Can
    and the cutting activity is around 3.5 meters. A welder immediately put off the fire by using a fire extinguisher. The
    incident is under investigation.

    Immediate Actions Taken


    1. Stopped the activity;
    2. Reported the using of fire extinguisher to Yard FE Coordinator and requested for its replacement;
    3. Barricaded incident area and took pictures;
    4. Conducted incident investigation;

    Remarks

    Photos (if available)

    The distance between the cutting activity


    and paint Can is around 3.5m.

    Note that this is issued for the purpose of early sharing of information. It is not a formal report.

    Rev 19, December 2011 MDR-GLOBAL-L2-MGT-003 Page 1 of 2


    Incident No./Name Near Miss
    PT. McDermott Indonesia - Batam Facility Equipment Damage /
    APF-12-019-R2190D-ED-BTM
    Production Loss

    Fire of Paint Can INCIDENT NOTIFICATION REPORT Employee injury/illness

    Security

    (assigned by HSES Department) (To be completed by person making initial report) Environmental Spill

    LOGISTICS OF INCIDENT
    Incident Date 25-Feb-12 Location Batam Fabrication Weather Conditions Meet/Assist notified? N/A
    Incident Time 08.05am Project/Contract R-2190D Vetco Gray Wind 6. N/A to Claim How Injured transported? N/A
    Shift Day Specific Activity 04-Structural Work Seas 6. N/A to Claim Location/time to meet? N/A
    Destination? N/A

    RELEVANT PERSONNEL
    Superintendent Robert Damanik Captain N/A Chief Eng N/A
    Foreman Tumpal Purba Chief Mate N/A Chief Elect N/A
    Leaderman Ruseno # 13390 Steward N/A 1st Assistant N/A
    Medic N/A Watch Sup./Other N/A Witness Yosnedi (welder0
    Muhammad Taufiq (welder)

    List below all persons involved in incident: TO BE COMPLETED BY SAFETY REPRESENTATIVE ONLY FOR INJURED PERSONNEL
    Name Company Title/Position Employee Consecutive Days Length Type of Accident Body Part Side of Primary Diagnosis Injury/Illness
    ID/SSN Worked service Body (company doctor) Severity

    Ramses Purba PTMI Structural Fitter 1640D 13 6. 2 – 4 Yrs

    DESCRIPTION OF INCIDENT (continue on another sheet if necessary)


    Around 08.05am a structure fitter was cutting plates at Coping Shop. During the process sparks flied and landed onto paint Can (primer paint) placed nearby causing fire to the paint Can cover. The distance between paint Can and the cutting activity is
    around 3.5 meters. A welder immediately put off the fire by using a fire extinguisher. The incident is under investigation.

    INITIAL ACTIONS TAKEN TO MITIGATE RISKS, PREVENT ESCALATION OR REOCCURRENCE


    1. Stopped the activity;
    2. Reported the using of fire extinguisher to Yard FE Coordinator and requested for its replacement;
    3. Barricaded incident area and took pictures;
    4. Conducted incident investigation;

    NOTIFICATION MADE (customers, agencies, management Mcdermott Group HSES Dept., etc.) PERSON COMPLETING INITIAL REPORT
    ENTITY NAME PERSON TIME DATE REPORTING METHOD Print Name
    Project HSES Manager Hervan Ralas 08.25am 25-Feb-12 Phone Radion Iskandar 25-Feb-12
    Construction Manager Pujiono Wandiyo 08.30am 25-Feb-12 Phone Signature (only on original for file)
    Client Rep. Jimi Azmi 08.35am 25-Feb-12 Phone

    Status Change/Corrections Date of Change

    Rev 19, December 2011 MDR-GLOBAL-L2-MGT-003 Page 2 of 2

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