INCIDENTS Incident Feedback Report Enter Incident # to Fetch Data: FETCH Incident # Date Time Unit Admin Air Cond System Amm Storage Sys Amm Syn And Ref Ammonia Unit ARIM Bagging & Shipping Unit Clinic Club CO2 Remo & Methan Cont-Out Ser Sec Cooling Tower Coolng Water Sys Desulphur & Refor DSP Gas Compression Electrical Engineering Department Envir Protection Equipment Maint. Fab. Shop Finance Fire Fightng FAC Fix Aset& St Acc Gas Compression Gas Sup Station GCF Unit Gen Management Horticulture Human Resource Inert Gas Gen Info Tech Unit Inspection Unit Inst & Plant Air Instrument Laboratory Liner Plant LLA FFC MM Machine Shop Machinery Mat Acc Unit Material Unit MIS Sup & Mnt Un Motor Pool Offsite FAC Planning & Scheduling Plant Management Power Generation Process Unit Production Project Unit Protocol Section Public Relat Dep Quality Asur Off Resident Manager Safety Unit Schools Security Section Special Projects (Maint) Staff Canteen Staff Club Steam Gen System Technical Services Civil Works Transport TTC Urea Unit Utilities Unit Vehicle Shop Vendor Servicmen Waste Water Disp Water Treatment HSEQ MARKETING Category On the Job Off the Job Responsible Permanent Contractor Location Incident Incident Type Asset damage Environment Equipment Failure FAC Fatality Near Miss Generic Near Miss Injury illness Industrial Hygiene LTI MTC Non-Process Fire Operation Upset Process Fire Process Safety Near Miss Product Contamination PSE Tier-1 PSE Tier-2 PSE Tier-3 PSE Tier-4 (procedure violation) RWC Traffic Incident Violation of Procedures Others Potential Narrative Findings Basic Cause Recommendation 1 Action BY 1 Admin Ammonia Unit ARIM B&S Unit Civil Works Clinic Club DSP E&I Electrical Engineering Envir.Protection Equipment Fab Shop Finance GCF Unit Gen Management Horticulture Hospital HSEQ Human Resource ICT Inspection Instrument Laboratory LLA Machine Shops Machinery Maintenance Marketing Materials P&D Plant Management Process Production Project Protocol Public Relation Quality Asur Reliability Resident Manager Schools Security Special Projects Staff Canteen Staff Club Technical Services Transport TTC Urea Unit Utilities Unit Vehicle Shop All Concerned For Info. Target Date 1 Recommendation 2 Action BY 2 Admin Ammonia Unit ARIM B&S Unit Civil Works Clinic Club DSP E&I Electrical Engineering Envir.Protection Equipment Fab Shop Finance GCF Unit Gen Management Horticulture Hospital HSEQ Human Resource ICT Inspection Instrument Laboratory LLA Machine Shops Machinery Maintenance Marketing Materials P&D Plant Management Process Production Project Protocol Public Relation Quality Asur Reliability Resident Manager Schools Security Special Projects Staff Canteen Staff Club Technical Services Transport TTC Urea Unit Utilities Unit Vehicle Shop All Concerned For Info. Target Date 2 Recommendation 3 Action BY 3 Admin Ammonia Unit ARIM B&S Unit Civil Works Clinic Club DSP E&I Electrical Engineering Envir.Protection Equipment Fab Shop Finance GCF Unit Gen Management Horticulture Hospital HSEQ Human Resource ICT Inspection Instrument Laboratory LLA Machine Shops Machinery Maintenance Marketing Materials P&D Plant Management Process Production Project Protocol Public Relation Quality Asur Reliability Resident Manager Schools Security Special Projects Staff Canteen Staff Club Technical Services Transport TTC Urea Unit Utilities Unit Vehicle Shop All Concerned For Info. Target Date 3 Feedback by P. No. Feedback by Name Email ID Upload Picture 1 Upload Picture 2 Issuance Report Issued Report Not Required SUBMIT DOWNLOAD PDF
