QCS 2014 Section 11: Health and Safety Page 1

Part 2.3.16: Learning Event Reporting

2 SAFETY AND ACCIDENT PREVENTION MANAGEMENT /

ADMINISTRATION SYSTEM (SAMAS) ..................................................... 1

2.3 SAFETY, HEALTH AND ENVIRONMENT PROCEDURES ............................. 1

2.3.16 LEARNING EVENT REPORTING ..................................................................... 1

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2.3.16.1 Responsibilities ............................................................................................ 4

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2.3.16.2 Definitions ..................................................................................................... 4

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2.3.16.3 Actions required to implement this procedure.............................................. 5

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2.3.16.4 Reference Documents.................................................................................. 5

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2.3.16.5 Author ........................................................................................................... 6

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2.3.16.6 Approvals...................................................................................................... 6
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QCS 2014 Section 11: Health and Safety Page 2
Part 2.3.16: Learning Event Reporting

PROCESS MAP

Project/Site COMPANY Subcontractor

SHE Team
Manager Employees Employees

Include information
regarding the
reporting of
Learning in the Site
I d ti
1.3, 3.2

Ensure Learning
Event cards are

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available on site

N
3.1
Where observed, record and report any

U
Learning Event to the Line Manager/
Company Manager using the learning
Event cards

O
3.2

R
Where possible and safe to do so, take
action to put right the unsafe

G
situation/condition
3.2

ER Ensure details are

recorded
*Complete the
D
learning Event Form
and identify the
potential severity 3.3
N

3.3
U
E

For high potential For high potential

events complete a events complete a
First Alert form and First Alert form
N

distribute as and distribute

appropriate as appropriate
LI

3.3
N
EE

Feedback details of Circulate significant

outcome to the learning to all of
original person Company
submitting the report to prevent
reoccurrence in
R

other areas
3.3
G

Review all Learning

Event reports at the
Project SHE meeting

3.3

*Or nominated person

Activity
Key Guidance
QCS 2014 Section 11: Health and Safety Page 3
Part 2.3.16: Learning Event Reporting

PURPOSE

1 To ensure that all learning events (near misses) are recorded and the lessons
communicated. A learning event is an event or condition that occurs that has the
potential of causing damage or injury to people, property or the environment (not to
include actual accidents).

SCOPE

1 This procedure covers all COMPANY Projects and locations under the control of
COMPANY. A COMPANY is defined as the organization with responsibility for management
of safety at a construction site.

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QCS 2014 Section 11: Health and Safety Page 4
Part 2.3.16: Learning Event Reporting

2.3.16.1 Responsibilities

SHE DIRECTOR

1 Authorises this procedure.

CONTRACTS DIRECTOR/MANAGER

2 Provides support in the application of this procedure

PROJECT/SITE/OFFICE MANAGER

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3 Ensures that any reporting and investigation of Learning Events is carried out in accordance
with this procedure (and any associated client procedures).

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EMPLOYEE / CONTRACTOR EMPLOYEE

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4 To actively report Learning Events to the appropriate person.

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SHE MANAGER/ADVISER

5
ER
Provides advice and support in the application of this procedure.
D
N

2.3.16.2 Definitions
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LEARNING EVENT (NEAR MISS)

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N

1 A learning event is an event or condition that occurs that has the potential of causing
damage or injury to people, property or the environment (not to include actual accidents).
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QCS 2014 Section 11: Health and Safety Page 5
Part 2.3.16: Learning Event Reporting

2.3.16.3 Actions required to implement this procedure

LEARNING EVENT CARDS (HOTLINE)

1 Learning Event Cards and poster displaying the COMPANY hotline number will be made
available onsite and will be included in the site induction. Consideration should be given to
placing Learning Event returns boxes onsite.

COMPLETING LEARNING CARDS

2 All employees and contractors employees on site will be encouraged to report all learning

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events observed onsite, either verbally to the appropriate person or by completing a learning
event card or through the COMPANY Hotline number , which is displayed on

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posters around site. Where possible and safe to do so, take immediate action to rectify any
unsafe situation or condition.

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REPORTING AND INVESTIGATION OF A LEARNING EVENT

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3 Complete the Learning Event Form to assess potential outcome and severity, investigate

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immediate and root causes, consider lessons learned and take actions to prevent
recurrence.

4 Inform the SHE Team of the event.

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5 If potential severity has been identified on the learning event form as high or above the
Project / Site Manager / SHE Adviser / Manager will complete First Alert report and circulate
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as appropriate.
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6 The Project/Site Manager or nominated person should communicate the learning throughout
the project and give feedback on the actions to the person who reported the learning event.
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7 Ensure that Learning Events are reviewed on a regular basis at the appropriate project/site
N

meetings.
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8 Details of all learning events should be passed to the appropriate person for entering on to
the COMPANY record system.
N
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2.3.16.4 Reference Documents

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FORMS

1 Learning Event (SHE-FRM-16-01)

2 Learning Event Card (SHE-FRM-16-02)

REFERENCE DOCUMENTS

3 Qatar Regulatory Document (Construction) RD1.6

QCS 2014 Section 11: Health and Safety Page 6
Part 2.3.16: Learning Event Reporting

2.3.16.5 Author

POSITION IN
SECTION NAME CONTACT DETAILS
COMPANY

SHE Manager

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2.3.16.6 Approvals

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POSITION IN

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NAME SIGNATURE & DATE
COMPANY

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Approved by: SHEQ Director
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QCS 2014 Section 11: Health and Safety Page 7
Part 2.3.16: Learning Event Reporting

Date Print
name
Time Contact
No.
Project Location
On Site
Classification
Health Safety Environment

COMPANY COMPANY Sub-Contractor Other Sub-Contractor

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N
Details of the Learning Event (include all relevant information) :

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O
R
G
ER
Potential Outcome (please tick) Potential Severity (please tick)
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Personal Injury Negligible
N

Property Damage Slight

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Environmental Issue Moderate

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Equipment Damage First Alert to be issued if High or

above
N

Other (please detail in comments box) High

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Very High
N
EE

Lessons Learned (consider immediate and root causes) (please tick)

Work environment
R

Defective workplace Design/layout

G

Housekeeping Lack of room

Lighting Noise/distraction
Weather Access/egress
Management
System of work Supervision
Training Communication
Management of change
Plant/equipment
Construction/design Installation
QCS 2014 Section 11: Health and Safety Page 8
Part 2.3.16: Learning Event Reporting
Safety device Operation/use
Mechanical Failure Maintenance

Human Factors
Failure to follow rules Instructions misunderstood
Error of judgement Lack of experience
Unsafe attitude Undue haste
Horseplay Lapse of concentration

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Fatigue Working without authorisation

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PPE

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Design Wrong type used

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Maintenance Not provided/unavailable

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Not Used

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Other
Third Party
Other (please state)
ER Under investigation
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FOLLOW UP
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Actions Required Responsible Completed

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Signed: Date:
QCS 2014 Section 11: Health and Safety Page 9
Part 2.3.16: Learning Event Reporting

LEARNING EVENT CARD

Date: Time:

Location on site:

Brief details of observation:

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Action taken:

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Optional Information:
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Reported by: Company:

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