1. PURPOSE To ensure that all incidents, regardless of consequence, is properly investigated, analyze and reported.

. To provide a mechanism for record, investigate, and analyze incidents to: i) Determine underlying occupational health and safety (OH&S), environmental, and operational deficiencies and other factors that might be causing or contributing to the occurrence of incidents ii) Identify the need for corrective action and opportunities for preventive action iii) Identify opportunities for continual improvement iv) Communication the results of such investigations The primary purpose of an incident investigation is to gather information about and develop a solution to be problem so that it does not happen again. A secondary reason may be to gather formal documentation in case of litigation. The purpose of an incident investigation in not to blame. Professional incident investigation is fact-finding, not fault finding. There may be multiple causes. Assigning blame defeats the purpose of incident investigation, eventually point at someone and results in disciplinary or punitive action, they will be concerned with covering up and defending, not in providing objective information. Its only when those involved do not fear retribution that they are willing to give the factual, objective information needed to accurately determine the cause and develop and implement as appropriate solution. Fact-finding is the heart of incident investigation, and it must carried out thoroughly. the objective is to find out the Who, What, When, Where, How and Why the incident happned.

2. SCOPE This procedure covers all incidents occurring in Panay Energy Development Corporation.

3. DEFINITION OF TERMS/ACRONYMS 3.1 DEFINITION OF TERMS 3.1.1 Incident Work-related event(s) in which an injury, ill health (regardless of severity), fatality, spills, pollution, generation loss, equipment failure, or property damage occurred or could have occurred. An incident where no injury, ill health, fatality, pollution, or property damage occurs may also be referred to as a near-miss, near-hit, close call, or dangerous occurrence.

3.1.2 Near-Miss - These are incidents which could have resulted to accident, environmental exceedance, fire emergency, and HAZMAT emergency, among others. 3.1.3 Accident an incident that has given rise to injury, ill health or fatality and/or adverse effect to the environment. 3.1.4 Occupational health illness identifiable, adverse physical arising from and/or made worse by a work activity and/or work-related situation. 3.1.5 Unsafe act a bad, unacceptable behavior that may result to an injury or physical harm. These include movements, motions and acts at workplaces. 3.1.6 Unsafe condition refer to hazardous physical or mechanical condition that may result to an incident, accident, injury or harm. These are the unacceptable or substandard conditions of workplaces, facilities, tools and equipments. 3.1.7 Workplace any physical location in which work-related activities are performed under the control of the organization. 3.2 ACRONYMS 3.2.1 ESH Environment Safety and Health 3.2.2 RCA Root Cause Analysis 3.2.3 TBM Tool Box Meeting 3.2.4 ExeCom - Executive Committee 4. RESPONSIBILITY 4.1 All Employees - Immediately inform his/her Supervisor of any incident, which has the potential (near-miss) to cause or has resulted to injury, ill health (regardless of severity), fatality, spill, pollution, generation loss, or property damage no matter how insignificant it may seem. 4.2 Supervisor - Immediately prepare a draft Incident Report using PFO-SAF-009 Form 1: Incident Report. 4.3 Doctor/Nurse Provide medical/damage assessment and information. 4.4 Safety Officer - Review and analyze the Incident/Accident at Work Report, Communicate results of RCA to employees through TBM and Track and keep all incident reports and records 4.5 Environmental Officer Conduct RCA or investigation for environmentrelated incidents. 4.6 HR Manager Reviewed and Analyzed 4.7 Station manager - Submit the Incident Report to the ExeCom. 4.8 Investigating Team Member of ESH committee and shall participate as member of the investigating / RCA team as required by the safety officer to conduct investigation in all ESH related incident.

5. PROCEDURE ACTIVITY RESPONSIBLE PERSONS DETAILS

Start

Report incidents All Employees 1. Inform supervisor of the incident

Accomplish incident report form

Supervisor

1. Supervisor must accomplish incident report form not later than 24 hours. 2. Fill-up all incident information. 3. Noted by department Head

medical/damage assessment

Doctor/Nurse

1. Conduct medical/damage assessment and cleared by means of signed by the person who provided the medical/damage information.

Review and analyze the Incident Report

Safety Officer/investigating team/supervisor

2. Determine the scope of the investigation 3. Inspect incident site 4. Conduct investigation 5. Analyze data gathered 6. Conduct post investigation briefing 7. Prepare and submit investigation report 8. Consolidate summary and Recommendations 9. Prepare and submit report to concerned agencies

Review Incident Report

Station Manager/HR Manager

1. Submit report to ExeCom. 2. Report during Monthly Management meeting.

End

6. PROCEDURE DETAILS 1. Affected Supervisor accomplishes the Incident Report form (PFO-SAF-009). 1.1. Fill up PFO-SAF-009 with all the necessary information. Use a separate sheet of paper if needed. 1.2. Request Clinic or Maintenance for the medical/damage assessment and have it signed by the person who provided the medical/damage information. 1.3. Have it signed by the concerned Section Manager. 1.4. Submit the report to the Safety Office. 2. Safety Office review and analyze the Incident/Accident at Work Report 2.1. If the Safety Office found the report incomplete and/or the recommended corrective/preventive measures inappropriate, Safety Office will conduct another investigation. 2.2. If Safety Office found the report complete and the recommended corrective/preventive measures appropriate, 2.2.1. Write comments and Safety Head signs the report. 2.2.2. Forward the report to the HR and have it reviewed and signed 2.2.3. Submit the report to the Station Manager. 3. Review Accident/Incident at Work Report 3.1. Inform Corporate Office 3.2. Issue a memorandum 4. Safety office prepares the summary of findings and recommendations of the investigation, posts it on bulletin boards and provides all supervisors and managers a copy. 5. If required, Safety Office prepares a report to concerned agencies using their prescribed form 5.1. Station Manager reviews and approve the report 5.2. Safety Office submit the report These procedures apply both to the individual investigator (Supervisor/Safety Officer) and the Investigation Team. Investigation should be conducted and report submitted not later than seven (7) working days after being notified and/or receipt of a copy of the Initial Incident Report. All incidents shall undergo RCA or investigation, depending on the nature of the incident. The assigned Investigator shall conduct RCA or investigate the incident. Depending on the complexity of the incident, the RCA or investigation may require the formation of an Investigation Committee. The Investigator shall use the results of RCA or investigation to update the Incident Report.

1. Investigating Team determines the scope of the investigation upon receipt of immediate incident report. 2. Investigating Team selects the investigators. Assign specific tasks to each (preferably in writing). 3. Investigating Team Head conducts preliminary briefing to the investigating team, Including: 3.1 Description of the accident, with estimates of damage. 3.2 Normal operating procedures. 3.3 Maps (local and general). 3.4 Location of the accident site. List of witnesses. 3.5 Events that preceded the accident.

4. Visit and inspect the accident site to get updated information. 4.1 Preserve the incident area. Do not disturb the scene unless a hazard exists. 4.2 Prepare the necessary sketches and/ or photographs. Label each carefully and keep accurate records. 5. Interview each victim and witness. Also interview those who were present before the accident and those who arrived at the site shortly after the accident. Keep accurate records of each interview. Use a tape recorder if desired and if approved. Determine: 5.1 What was not normal before the accident. 5.2 Where the abnormality occurred 5.3 When it was first noted. 5.4 How it occurred. 6. Analyze the data obtained in step 5. Repeat any of the prior steps, if necessary. Determine: 6.1. Why the accident occurred. 6.2. The likely sequence of events and probable causes (direct, indirect, basic). 6.3. The alternative sequences. 6.4. Check each sequence against the data from step 7. 6.5. Determine the most likely sequence of events and the most probable causes. 7. Conduct a post-investigation briefing. Note: Investigator conducting the investigation

Note: Investigator conducting the investigation alone (e.g Supervisor, Department Manager, ESH Head) disregard step 2 and review 3.1-3.5 of step 3, then proceed to step 4.

alone (e.g Supervisor, Department Manager, ESH Head) disregard step 7 and then proceed to step 8.

8. Prepare and submit the investigation report (PFO-SAF-009, including the recommended corrective/preventive actions, following the proper routing sequence stated in the form.

Note: If the space in the form (PFO-SAF-009) is insufficient, the investigator or investigating team can use a separate sheet of paper to write the details, specially the findings and recommendations.

9. Prepare the Summary of the Investigation Findings and Recommendations, provide all Section Managers/Unit Heads with a copy and post in the bulletin boards.