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Eleme Petrochemical Company Limited

Learning from Incident

Accidents & Near miss incidents detail from 01/06/2012 to 28/06/2012Sr. No Location of Incident Type of

Incident

Date & Time Brief Description of the Incident Learning from the incident

1 PPOU (Chemical

loading area-unit 22)

Near miss 14/06/12 Hit against a safety board and

received a knock but no injury while

on a normal routine job of chemical

loading

Safety board was wrongly positioned in

work area. Mechanical has been

informed to reposition board

2 MMD- Chemical

warehouse zone 3A

Near miss 13/06/12 During BSC audit inspection Mr. AKS

right leg slipped into drain through

the open spaces between gratings.

There was no injury.

Scheduled inspection of all gratings to

be included in housekeeping inspection

checklist

3 PPOU (Chemical

loading unit 22)

Near miss 13/06/12 Nearly stepped on a brown snake Abandoned pota-cabin harboring

reptiles including snakes. Plans have

been concluded to evacuate pota cabin

and clear the area.

4 MMD warehouse Near miss 05/06/12 A tyre pressure cylinder machine

almost fell of the forks of forklift

during lifting operation.

It was due to wrong lifting practice.

Forks were wrongly positioned on

machine. Refresher material handling to

be handled again during Tool Box Talk

5 Olefins Plant Dox

unit (Hot section)

Near miss 05/06/12 Permit was issued to connect hose

from BFW line to 1-CA-103 for back

washing. On attempting to carry out

back flush, it was discovered that

the hose was connected to a DS

drain line.

Non supervision of mechanical

maintenance personnel by process area

operator. Area operator must always be

notified before carrying out jobs in their

unit.

6 Olefins-Hot section Near miss 05/06/12 The metallic scrap carrying truck

entered ISBL area without vehicle

entering permit and went very near

to K-1

Safety Ambassador was not immediately

available to sign vehicle entering permit.

Security at the entrance gate has been

caution to prevent unauthorized

entering of vehicles

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7 BaggingForklift

charging area

Near miss 30/05/12

(Reported in

June)

High electrical spark at the forklift

charging area while unplugging a

charger of the forklift battery. There

was no fire incident

Battery was covered during charging and

charging cable was found defective.

Strict compliance of procedure for

charging battery was emphasized to

operators. Note: Only competent

electrician should be allowed to charge

battery

8 Olefins 1-E-51A Near miss 10/05/12

(Reported in

June)

Work was started on 1-E-51A

process I/L flange opening when an

explosive noise was heard. It was

discovered that while work was

going on, Nitrogen was fully lined

up.

Permit was issued without confirming

the site preparation. Permit issuer must

confirm equipment ready for

maintenance before issuing permit for

jobs

9 PPUONitrogen

plant-ASU II

Compressor filter

Near miss 18/06/12 In an attempt to climb the fixed

ladder attached to ASU II

compressor suction fitter, my head

hit the ladder cage. I was wearing

helmet. No injury

Standard requirement were not

followed in installing the ladder. It will

be reviewed in line with OSHA standard

for installation of fixed ladders

10 PPUONitrogen

plant-ASU II

Compressor filter

Near miss 20/06/12 In an attempt to climb the fixed

ladder attached to ASU II

compressor suction fitter, my waist

hit the edge of the ladder cage. Near

miss incident had earlier been

reported on same ladder

Standard requirement were not

followed in installing the ladder. It will

be reviewed in line with OSHA standard

for installation of fixed ladders

11 Old Admin-New flats

Reported by MarbleHead contractor

Near miss 11/06/12 During block laying in block A & B, a

worker in an attempt to rest foundhimself in an opening (duct). He was

held back when his coverall got

entangled to a nail. He quickly

struggled out.

Scheduled inspection and close out of

observations should be strictly followed.All opening that cannot be immediately

covered should be barricaded and

warning signs placed.

12 Old Admin-New flats

Reported by Marble

Head contractor

Near miss 6/6/12 A worker carrying a concrete on a

concrete pan to the slab. He fell off

when he attempted to hold on to

the ladder rail. Unknown to him that

Supervisor & HSE officer to ensure

regular work place inspection

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Format No: EPCL-HSEF/S-4.342, Rev: 00, Date: 03/05/2012

the ladder rail leading to the slab

has pulled off.

13 PPCB staircase-Power

Plant

Near miss 19/06/12 The staircase lighting fixture cover

was observed not well secured after

maintenance job and hung loosely

with the potential to fall and hit

somebody

Close supervision of all maintenance

jobs should ensure by all Supervisors

and Engineers

14 Canteen Injury

Incident

20/06/2012 Pressure cooker got bust and lid hit

oil pan, hot oil fell on the leg of the

cooking helper causing burn injury.

Review to avoid use of pressure cooker