Incident Investigation Report-Sample

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INCIDENCE REPORT

TITLE: SHATTERRED WINDSCREEN OF TOYOTA TUNDRA APP XXX FE


DATE:SATURDAY 29 SEPTEMBER, 2018
INVESTIGATION TEAM: HSE OFFICER AND ADMIN OFFICER

Point of impact from


the flying object

PHOTO 1: INTERIOR VIEW OF THE SHATTERED WINDSCREEN

PHOTO 2: EXTERIOR VIEW OF THE SHATTERRED WINDSCREEN


DESCRIPTION OF INCIDENT
At about 7.30am on Tuesday 2nd of October, 2018, the Driver Mr ---------- while inspecting
and cleaning up Toyota Tundra APP --- FE parked by the Expatriate lodge discovered that the
windscreen of the left door of the vehicle has been shattered. He immediately reported the
incident to the Deputy Project Manager, Mr xxxxxxx for further action.
LIST OF FINDINGS
1. The vehicle was used last on Friday 28 th of September, 2018 when the Admin Officer,
Mr xxxxxxxxx went to recharge Airtel Modem at Ikot Ekpene Road, Uyo and was
returned and packed safely by the driver
2. The vehicle doesn’t have tarpaulin as such it was not covered to protect the
windscreen.
3. The premises is well fenced and secured with security guards which provide control
of access into the premises to prevent theft and damage to properties by
mischievous persons.
4. There was an environmental clean-up and grass cutting operation between the hour
of 8am and 10am within the premises on Saturday 29 th September, 2018 (during
state wide sanitation) using grass cutting machine by --------- of Obot Akpan and Co.
This suggests likelihood of flying stone from the grass cutting operation on the
windscreen.
5. The Estate Manager, ObotAkpan & Co is responsible for the environmental cleaning
and grass cutting in the premises. There used to be a communication between the
personnel on grass cutting and the company for the company’s vehicles to be
repacked each time they want to cut grasses in the premises except on this day.
6. No staff reported to work at the time of the clean-up due to the state wide
sanitation and restriction of movement in the state.

IMMEDIATE CAUSE OF THE INCIDENT


Flying stone from the grass cutting operation is much likely to be responsible for the
shattered windscreen of the vehicle.
UNDERSLYING CAUSE
1. Absence of communication from the estate management to the company about the
grass cutting operation so that all company’s vehicles could be parked where they
won’t be exposed to flying particles
RECOMMENDATIONS

S/ RECOMMENDATION ACTION PARTY TIME LINE


N
1 No grass cutting operation should be Estate Agent Frequent
done around the company’s office or
lodge without prior notification to the
company
The management should provide Management Frequent
tarpaulin for all vehicles and the Driver
vehicles should be covered overnight
or weekends when vehicles are not in
used.

ATTACHEMENT:
Witness Statements

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