Environment Investigation Report

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In your opinion, which of the following elements contributed to the incident Considerations may include: Project planning Task planning Communication Supervision Training Please note if the equipment was sourced externally or from the Plant Yard Status: Issued for use Revision: May 2011 Environmental Investigation Report Incident causes (cont’) Project Environmental Controls Verify the following actions or procedures have been implemented on the project: Environmental information included in Work Plans and JSEA’s and discussed with the work teams Toolbox talks include site environmental topics relevant to the tasks performed Project induction includes a section on project environmental procedures and controls There is adequate training for operators in environmental controls Subcontractors are adequately briefed prior to work starts (as relevant) Regular site environmental inspections take place, are recorded and corrective actions closed out JobSafe entry complete Status: Issued for use Revision: May 2011 Environmental Investigation Report Prevention (what action has or will be taken to prevent recurrence – use additional paper if required) TICK ACTIONS ALREADY TAKEN Have the environmental hazards been controlled (avoided, remedied or mitigated) and updated on the environmental hazards register and the JSEA BY WHOM Yes WHEN No COMPANY In your opinion, should the company consider further actions to prevent or reduce the likelihood of this incident occurring on other project sites Status: Issued for use Revision: May 2011 Environmental Investigation Report Additional information (use additional paper if required) Investigation completed by: ...........................................................................................

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