483-Incident Investigation and Analysis / 748
SMS Section
8
- Incident In
v
esti
g
ation and
A
nal
y
sis
BOS-MNL-03.900800
Version 04. Original date: 24/05/2012. Version date: 31/12/2014. Valid version only on QMS site. Uncontrolled document when printed.
Manual prepared by: BOS QHSES Manager. Approved by: BOS QHSES Manager. Validated by: BOS Quality Representative.
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1
Introduction
1
.
1
Main
Ob
jecti
v
e
Establish the use of effective reporting, investigation and management follow-up methods to learn from all
incidents (High potential Near miss, Near Miss, Breach of conduct, Damage to the environments, Damage to
assets, Collision, Illness and Personal Injury (Bourbon or Non Bourbon employees) , and thus prevent
reoccurrence.
One of the fundamental principles of safety management is that all incidents and accidents are preventable.
Therefore, it is important to ensure that if there is an incident, the causes are thoroughly investigated and
measures are taken to prevent a reoccurrence.
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2
Incident
A
nal
y
sis
The Company
shall
establish and maintain procedures for consistently reporting, investigating, analysing and
documenting operational, safety and environmental incidents, significant near misses and breaches of
regulations.
1
.
3
E
sta
b
lis
h
in
g P
rocedures
The procedures
shall
:
x
Provide for the timely investigation of an incident;
x
Identify the people responsible for reporting an incident, authorising and conducting the investigation,
and initiating subsequent corrective actions;
x
Include guidance on the classification of all incidents in line with recognised industry guidelines, such
as those issued by IMCA, OCIMF and OSHA;
x
Provide incident investigation training to staff with this assigned responsibility;
x
Ensure that the direct, contributing and root causes contributing to an incident are identified, and that
steps are taken to reduce the risk of a reoccurrence;
x
Include provision for determining the actions needed to reduce the risk of related incidents;
x
Ensure that incident investigation findings are retained and periodically analysed to determine where
improvements to management systems, guidelines, procedures or practices are required;
x
Specify methods for determining whether liaison is needed with industry groups (such as
classification societies or equipment manufacturers) to avoid similar incidents on other vessels;
x
Ensure that lessons learnt from an incident and investigation are shared among the fleet and used to
facilitate improvements in operational safety management performance.
483