An effective safety program must contain a comprehensive accident/incident reporting and investigation program. At IPS★ITCS, each accident, incident, or near miss, shall be reported immediately to management and an investigation initiated immediately. The investigation serves to document the facts in the particular accident or incident and can, through sharing “lessons learned,” prevent recurrence of similar accidents.
A. Accident Reporting
Employees are required to report all accidents, near misses and injuries to their supervisor as soon as possible. The injured employee’s supervisor is responsible for ensuring that a First Report of Injury Form (HSE.FOR.Injury Report Form.2022) is completed on all job-related injuries and submitted to the Corporate Office.
B. Investigation Requirements
Any accident resulting in an injury requiring medical attention other than first aid shall be followed up by a documented investigation using IPS★ITCS Accident Investigation Form (Attachment HSE.FOR.Accident Investigation Form.2022). The supervisor of the work underway at the time of the accident is responsible for completion of the report
1. The investigation shall begin immediately after the injured person is cared for and shall be in a Record of Investigation format. The investigation will identify the following:
a. The name of person involved,
b. Time and place of the accident/injury,
c. Method of handling the injured person,
d. An explanation of the circumstances leading up to the accident,
e. Statements of witnesses and injured employee
f. Identification of any unsafe practices that contributed to the accident, and
g. Recommendations concerning how to avoid a recurrence of a similar accident.
2. As part of IPS★ITCS’ Drug, Alcohol and Contraband Policy, a urine drug screen and alcohol screen are required as part of accident investigations relating to serious near miss incidents, accidents, injury claims, or alleged claims.
3. The initial written investigation report shall be forwarded to the Corporate Office as soon as possible, but not later than 24-hours after the accident. At that time, if additional investigation is appropriate, the supervisor will contact the Operations Manager and the Director Human Resources to determine a mutually agreed due date for the additional information.
C. Near Miss Reporting
Any accident or incident involving IPS★ITCS employees or employees of subcontractors/consultants to IPS★ITCS, that does not cause injury or illness but has the potential to cause serious injury or death will be reported and investigated, utilizing the Near Miss Report Form, (See Attachment HSE.FOR.Near Miss Form.2022).
1. This report should be completed by the supervisor, or the individual involved in the incident.
2. If a subcontractor or consultant employee is involved in a Near Miss, the report will be prepared by the IPS★ITCS employee who is overseeing the work of the contractor.
3. This form shall be forwarded to the Corporate Office for review and dissemination of lessons learned, as appropriate. The publication of these safety lessons learned will be prepared and distributed by the Safety Director as recommended.
D. External Reports
Safety reports required to be made to government agencies are the responsibility of the Director of Human Resources. These reports include:
1. Form OSHA-300 –submitted to record injury/illness within 24 hours of a death, illness or injury involving loss of consciousness, restriction of work or motion, transfer to another job or medical treatment other than first aid.
2. Form IDOL-WC-1007 – required within 10-days of injury resulting in
death or in lost time in excess of one week due to injury.
3. Form IDOL-WC-1003 – required within 14 days after final payment of compensation is made.
E. Vehicular And Equipment Accidents
Superintendents shall insure that all vehicles and equipment operating on public roadways have in the vehicle/equipment:
1. Current Insurance Certificate
2. Driver Report of Auto Accident Form
3. Emergency equipment as required
a. Superintendents shall insure that employees operating IPS★ITCS vehicles or equipment on public roadways have a valid state driver’s license in their possession. A copy of the driver’s license shall be retained in the employee’s personnel file.
b. All employees operating IPS★ITCS vehicle/equipment shall be thoroughly instructed in the proper procedures for reporting an accident, a near-miss incident, an alleged accident, or bodily injury claim before they are allowed to operate IPS★ITCS vehicles/equipment on the public roadways.
c. In the event of an accident, property damage, or alleged accident, the following procedures shall be utilized:
d. Notify medical personnel, emergency crews, ambulance, fire personnel, etc., as needed for bodily injury claims. Establish warnings and protect roadways, vehicles/equipment, on-coming traffic, and people from further damage and/or injury.
e. When appropriate, notify the local law enforcement authority. Law enforcement authorities must be notified in the event of death, bodily injury, alleged bodily injury, the other vehicle involved in the accident contained passengers, or if significant vehicular or property damage occurs.
f. Immediately notify IPS★ITCS Management.
g. Notify the Site Supervisor.
h. Immediately record all pertinent information. All information is to be forwarded to the office of the IPS★ITCS Director of Human Resources within twenty-four (24) hours.
i. ALL accidents, property damage, alleged accidents, bodily injury cases, and near miss incidents are to be documented and reported.
j. In the event of any accident, near-miss incident, bodily injury claim, or alleged accident/bodily injury claim, IPS★ITCS office personnel will assist the operator of the vehicle/equipment with diagramming the scene, taking photographs of the damage and the scene, and in documenting statements.
k. The driver/operator of the IPS★ITCS vehicle/equipment remains the responsible party for ensuring that all information and facts are documented and that the appropriate IPS★ITCS personnel are informed as soon as possible.
F. Fire And Spill Incidents
1. Any fire/spill of any magnitude must be reported to the clients designated contact as soon as practical.
2. Should a fire/spill develop as a result of IPS★ITCS activities, those involved must follow the client’s procedures which should include the following:
a. Client’s alarm activation procedure
b. Client’s fire suppression policy
c. Client’s fire reporting procedure
d. Client’s spill reporting procedure (re: incident reporting)
e. Client’s incident reporting procedure
f. Client’s evacuation procedure
3. IPS★ITCS’ Accident/Incident Report Form, See Attachment HSE.FOR.Accident Investigation Form.2022, must be completed as soon as practical following conclusion of the incident.
4. Copies of all incident reports must be maintained in the appropriate project file.
G. Medical Emergency
Should an incident occur that involves injury to a project employee, the supervisor must ensure that the employee receives prompt medical/first aid attention. All medical first aid incidents must be recorded on the first aid log at the time of treatment. This log must be maintained at the job site for the duration of the project. See Attachment HSE.FOR.First Aid Log.2022. Each project must designate a trained and certified first aid person and identify medical facilities in the area to support the treatment, if needed. See Attachment HSE.FOR.Medical Treatment Form.2022. In addition, each project must maintain appropriate first aid treatment supplies. A recommended supply is listed on Attachment HSE.FOR.First Aid Inventory Checklist.2022.
Revision History
| Rev | Rev Date | Rev By | Approved By | Description |
|---|---|---|---|---|
| 1.0 | 1.3.2022 | Shayne Torrans | Shayne Torrans | Initial Procedure Document |
| 1.1 | 12.20.2022 | Shayne Torrans | Shayne Torrans | Format Revision |

