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INC-2026-0096

MEDIUMClosed

Reported by Robert Kim — Electrician

22 December 2025 at 04:30 amProcessing Plant — Level 1Hazard ReportElectrical (Isolation/LOTO)Day Shift

Incident Description

Isolation lock found to have incorrect tag — lock belonged to different work crew than those currently working on the equipment. Cross-referencing with permit showed mismatch.

Immediate Actions Taken

  • 1All work stopped on equipment
  • 2Lock ownership verified and corrected
  • 3Isolation audit across site initiated

Likelihood x Consequence Matrix

InsignificantMinorModerateMajorCatastrophic
Almost Certain
Likely
Possible
Unlikely
Rare

Likelihood

3 / 5 — Possible

Consequence

3 / 5 — Moderate

Risk Score

9/25

Failed / Breached Controls

Procedural Compliance

Standard procedure not fully followed

MEDIUM
Effectiveness
30%

Controls That Held

PPE Usage

All personnel wearing correct PPE

Effectiveness
100%

Supervision

Supervisor was present in the area

Effectiveness
75%

Priority Questions

  • What were the direct and contributing causes of this incident?
  • Were all relevant procedures followed by personnel involved?
  • Was there adequate supervision at the time of the incident?

Follow-Up Questions

  • Were there any similar incidents in the past that could have predicted this?
  • Were all personnel adequately trained for the task being performed?
  • Were environmental conditions a contributing factor?

Systemic Questions

  • Does this incident indicate a gap in the current risk management framework?
  • Are there systemic issues with procedure adherence in this area?
  • Would additional engineering controls reduce the likelihood of recurrence?
04:15 am

Pre-start meeting completed

04:30 am

Incident occurred

04:35 am

Incident reported to supervisor

04:40 am

Area secured and barricaded

04:50 am

HSE team notified and on-scene

05:15 am

Initial investigation commenced

05:30 am

Report filed in SafetyScribe AI

Incident Details

Date & Time

22 December 2025 at 04:30 am

Location

Processing Plant — Level 1

Type & Category

Hazard Report

Electrical (Isolation/LOTO)

Severity
Medium
Status
Closed
Shift

Day Shift

Reported By

Robert Kim — Electrician

  • Electrician — Robert Kim
  • Maintenance Supervisor — Phil Santos
Day shiftIndoor
Pump MotorIsolation Lock

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