Attachment I5 - J

se
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Attachment no. 1.5
a
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Section I
On Site Well Analysis (Groundwater)
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46
~0.03
<IO
0.18
39
547
7.7
10 ug/l
20 ug/l
15 mg/l
24 mg/l
0.9 mgll
0.3 NTU
se
.
ug/l
ug/l
ug/l
mg/l
mg/l
ugll
mg/l
mg/l
uS/cm
<0.24
eo.01
ot
c0.02
0
0
se
@
Ecoli
Enterococci
Acrylamide
Antimony
copper
Nitrate Nitrogen NO3
Nitrite Nitrogen as NO2
Aluminium
Ammonia Nitrogen as NH4
Chloride
Conductivity
PH
Iron
Manganese
Sulphate SO4
Sodium
TOC
Turbidity
Unit
GWI
Co
n
20/10/2005
Well no
EPA Export 25-07-2013:21:08:48
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Attachment no. J
EPA Export 25-07-2013:21:08:48
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EPA Export 25-07-2013:21:08:48
Dairygold Co-operative Society Ltd
Section 4
Accident1 incident Investigation & Analysis
Ensure procedures nre in place in the evetit of aceidetits/incidenfs & Illtiesses such tliaf they are
investi'ated in delnil atid corrective actions are lakeit to eliirtlnalefuture recurrence. Accident/ incldenf
a~raIysistrendsform at1 ittiportatif part in targeting accinerrf areas.
Q
Key Elements:
1
Accidentl Incident & Iilness reoorting structure
0
he
ot
The ILCS accident form is used to record and report all accidents/ near misses.
0 The
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Accident ( Incident investigation Drocedure
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0 AI1 accidentslnear misses are reported to the Supervisor or Manager.
ILCS accident form is completed by the Supervisor or Manager with the injured person,
The Supervisor or Manager will complete the accident investigation using the Dairygold Accident
Investigation Form of all lost time accidents.
Co
ns
en
Statements are taken for the injured person & witnesses.
Photographs are taken of the accident area.
e
a A11 reportable accidents are reported to the H.S.A.on a regular basis.
0 All accident forms and investigation forms once completed are sent to the Claims Manager.
i
0
All notifiable accidents are reported to J Henchy
Accident Records.
0 Hard copies of all accidents forms/ accident investigation forms are kept for a minimum of 5 years.
Rev 1Sept 2005
EPA Export 25-07-2013:21:08:48
Description
Minor injury wiUi no niisscdtime
Investigation by
Deparlmcnt supervisor
Injury up to 3 duys lost titiie
Depurtnient supervisorltnunoger
Departmentsupervisor/ rnanugcr, health & surety coordinalor
Injury resulting in > 28 days lost time
Department supervisor1mimalager, henltli & surety coordinator.
Fatnlity
Depnrtrnent supervisor/ inonager, IienlUt r9r safety coordimlor, group safety manager
Department supervisor/ ntanoger, henlth & sufely coThis is ai incident where injury or
danuge could have occurred us a rcsvlt of ordinator.
UlC event.
lnjury
3 days
G
In Uie event of a serious accident or incident the I-Iealth & Safety Authority mid Gurdai may Wisli Lo
7
\mat to do in Uie event of an uccidcnt or iricidclrt being reported a number of days or wveeks after the
evriit occurring:
q out an invesligcitioii on site. The conunuriicotion will1 lhesc regulatory authorities und my otIier
body slrnll be nimlmgcd centrally througli the hedlli &. safety co-ordinator.
o
e
0
*
Obtain copy of Uie injured party’s clock curd for Uie ulleged dote ofoccurrence and keep in n safe
pluce if Uie employee WIS not in work on Ute dutc of Uie alleged incident or incident.
Cany out an investigation as set out in the procedure below.
hi Uic event of mi incident or accident and following Uiorough investigation the risk ossesstnent for the task
where Uie incident or accident occurredsliould he reviewed to ensure the udditional coiikols put in place us B
result of corrective action front the accidcnt investigation ure etrcctive.
Co
8
*
Enssure at nil accidents and incidents are repoked (even new misses).
If accident or iiicideiit is not reported look for reason wvliy.
Identify if‘ the injured party wvas working on Uic day o f Uie ullegcd accident or incident
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The planned inspection schedule lor tlus area or equipment should be revicwed to determine if udditional or
inore frequent cltecks nrc rcquircd during plnriiied inspections.
T h e risk nssessnient mid plmiiied inspectioil review will lx conducted by the depmmentul lemi \vho carried
out Uiis work ongiimlly.
Tlic corrective tiction tden as a result of‘niiy accident or incident w i l l be coimniuiicoted to all employees us
pnrt of Uie group conniiiuiicatioiisprocediire
9
All accidents and iiicideiils shall be reviewed by site iiianagernent on a weekly basis to ensure
corrective action has t;lken place. Revised risk assessments and planned inspection schedules
should be discussed to ensure a reoccurrence of such an incident or accident cannot happen, Tius
review forms p.ut of tlie site opentions tneeting arid is listed on llie liealtli &safety agenda for tlie
manageinerit meeting.
Issiie I August 2002.
EPA Export 25-07-2013:21:08:48
Dairygold Co-operative Society Ltd
page 1 of 4
Accident/ Incident Procedure
Definition OFiitt accident itnd ;til incident;
Accident
An accident is an unplanned, uncontrolledevent which causes major or rninor injury to a
person or causes property damage. as a result of an unsafe act and unsafe conditions.
Incident
An incident / near-miss is ai iulplaiuled. unco~ttrolledevent, wliicli does not result in damage
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or injury.
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Procedure
Accident I Incident typc
Accident rcport tiiitne
H.S.A. fonn of notice of accident (IRl)
Co
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Accidents \vliich resultin loss of life or prevent tile
person from perfonniiig Uieir tiomiat duties for inore
tliati 3 calendar days not including the dntc of the
uccidenl
T-I.S.A. fonn of iiotice of dangerous
Occurrellcc (IR3)
I
4
Wlierc a dangerous occurmice which is not reportable
~ i reason
y
ofdeath of injury, occurs l l ~employ&
l
in us^,
as soon as pnctiurble, seiid a witlen report on lR3 to
the H.S.A.
1
I
The follo\ving lypc of accidents and incidents should be investigated and reportd.
No
Dcscriptiuti
1
Minor accideiiki
2
Lost tiiiie accidents (days lost duc to wvork
3
Occupolioiial ilhicsses (deniio1ih/ nstlimn etc)
4
Fatnliiics
5
Fires mid Explosions
7
I
I
injury)
OUier accidents and hicidaits (xiear misses)
Issue I August 2002
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Ensure procedures are in place inn the event of accidents / incidents I Illnesses such that they are
investigated in detail and corrective actions are taken to eliminate future recurrence. Accident I
incident analysis trends form an important part in targeting accident areas.
Key elements
Accident / Incident St Illness reporting structure
81
AII accidenls are reported to the relevant supervisor.
Accident / Incident investigation procedure
The DLCS accident fonn is used to record and report all accidents.
e
The L C S accident fomi is conipleted by the safety co-ordinator with the injured person
& relevant supervisor.
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* The safety co-ordinator will conduct with the supervisor and where possible the injured
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person an accident investigation using the Dairygold Accident Investigation form of all
lost time accidents.
Statements are taken fiom the injured person & witnesses if available.
Photographs are taken of the accident area if applicable.
nt
o
All accident forms and investigation forms once completed are sent to the Claims
Manager
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All reportable accidents are reported to the HSA on a regular basis
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Accident anaivsis / trends
* The Group safety department reports notifiable accidents. days lost due to work injury in
the Food Division on a 2 -monthly basis.
0
The Group safety co-ordinator on a quarterly basis analyses all accidents in the Food
Division. Any common accident trends are identified and an action plan is agreed to
tackle the issue. A computer database Visual I-IR is used to assist in this exercise.
Accident Records
* The safety department at Head Office use a computer database to record all accidents /
incidents.
0)
Hard copies of all accidents forms / nccident investigation forms are kept for a minimum
o f 5 years.
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10
Step
1
_
I
2
Accident I incident investigation guiddcheclr list
Action
The supervisor/manager should C~ZTT)'out tiie iwestigation wvi
Iieallli & safety co-ordinator. employee s'afely representative a
accidents and incidcnls should be investigated and docurnenled to this procedure
withhi 23 hours of tlie event.
Complete
Yes I No
Go to the accident or incident scene.
Identify who knows wlial liappcried (first hand knowledge of accident or incident
if possible).
Talk to tlie injured p'arly if possible.
Get statements from all Uiose who witnessed tlie accident or incident including the
injured party if possible. Gel Uie witness IO sign the staleiiient wIicn complete.
Hold Uie original in the accident file arid give a copy to tlie wioiess if required.
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Identify wlio was working in close prosiiiiity when Uie accident or incident
occurred and get writtee signed stateiiierits from Uiern stating wlietIier or not tliey
witnessed the incident. This will eiisure all people wiUi knowledge of Uie accident
/ incident liave given a stateluent and all the f:icts have been recorded iniinediately
afler Uie event wlule Uiey are fresli in peoples niiiid.
Identify wliat were tlie primary causes of tile accident or incident e.g. slip, trip,
fall. wet floor, unguarded iiiachine, no personal protective equipment worn, poor
tifling recliruques etc.
se
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o
Identify wliat would / could liavc prevented tlie incident or accident e,g. safe place
of work, safe system of work (Slandard Openling Procedures, SOP'S for Uie
tasks), isolation (cut off) switclics. personal protective equipmenl. mining in
iiianilal handling etc.
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Q
Identify if you (Ihe eoiployer) have done evctything possible to reduce tlie risk of
this type of accident or incidenl occurring. Provided PPE erlforced the \vexing of
PPE,having a good safe system or work. eiiiployees lmiiied in manual handling,
liave eriiployees trairicd 10 carry out tlie task using SOP'S.
Identify whetlier or not you Iiavc taken all necessary steps to prevent llus type of
occurrence. Do you I m e training records. details of PPE supplied to tlie injured
party'? Written del;uls supplied to all SIilK or m d e available to all staff with regard
to safe systems of work. wilten standard operating procedures for tlus type of
work. which complies wilh the risk assessment performed on Uie task involved.
Iden* if there was risk assessinelit done 011 h e task / operation. Ifyes tlien did
the actions of the employce and nianagemenl conform to tlie recommended
safeguards7
Uthe employec hiid not adliered to tlie safe sysleiii of work, can it be shown this
was a once o n unsde operation? Had thc employee been advised about unsafe
practices illid were written noles kept following Ilrese verbal warnings? These are
referred to as contemporancous iioles. One iiiust show that unsafe practices were
condemned. It is recoinrnended Uial all s nzisors carry \\,it11 UleIii ai all tilnes a
notebook or a diary arid record all occas
wlierc tliey llilve had to advise
eriiployees regarding tire use of unsafe working practices.
Issue 1 August 2002.
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Step
1 Action
1 Complete 1
Take photographs of the accident or incident scene.
If equipment was broken or damaged, then keep it in a safe place for further
inspection. If you have to improve sysiem / equipment / niaclunery rtZter Uie
occurrence then do so, on Uie basis of n continuous improvement policy in
accordance wilh your Iieallli & safety staleuzciiL Dociiinent tlie rcriiedial actio11
13
14
taken.
,
1s
Complete ILCS accident or incident report fontis in full.
16
Compile all signed statements. photographs. ILCS accident repon fonn and otlicr
relevanl details and send lliern to Llie claimsmuiager. keep copy yoirrself on Ale.
The accident report fonn will be sent lo Clainis Manager Mallow.
17
Iftlie accident is such tlial Uie Healtli 8r safcty AuUiority have IO be informed tlie
Department Manager will do this on tlie appropriate fonii 'as outliiied above.
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Review risk assessliieiit to ensure il is valid following tllis incident/accident.
I
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I
Issue 1 August 2002.
EPA Export 25-07-2013:21:08:48
i
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. . - . ... : _ .I.
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..
L - , '_:-
Jerry Iienchy, CEO
From:
rtc.
..
Safety Procedures
Oci ii-evicw of the ritimbcx of Notifiable accidents in Dairygold, T wish to einphnsisc. thc.
iinportance to you of rnJing R significant rcduction in thcse types of nccidcnts. These
;tcciclcnts can have a dekriiiieiitai eflccr 011 our employees weli,beiiig and rcsult in scrious
business disruptioti aid costs.
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Over ttic ric-:si.rmiber of weeks 1wish to inip.lement two key safety procedures across the
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' C h second procedure includes 8 proccss for jdcntifyiiig risks by the supcrvisors
tit cadi site arid foI setting dates to eliminate tliose risks, Lehg monitored by the
I:1ciiltIi & Safety Deyar-tnient. In ilie event that the risk is not climiyited hy thc
cxpsclc;d dntc, the risk wiIL cmscnrle mpwnrcts Ui the organistitioil, to'thc next lcvcl
maoagcr, by the supeIvisor/ninnager, who is unablc to correct tlic risk. 1lie WXI
lcvel manager will tlievl analyse llie risk and set a new claw for. the risk to bc
cliiniiiated. Again, this process lxiiig monitored by I-IeaflIiC;.. Sirfety
..
EPA Export 25-07-2013:21:08:48
..............
........
,
*
..........
.-..- .
Vi:Isioii I..% %:iIBIO3I W
......
.
..-..
............
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2.
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3.
I.
nt
o
S.
Regular I - ~ V ~ Cwill
W S be carried out (0 ddenninc the effect of dus SOP on
reducing accident levcls. “lie qumtity, severily ruld tylx cif ackidenk will
also be reviewed in relation to the individual supenlisodlcarn leaders.
7.
Tlic nornral wvril reti proccdurcs in rel,2tion to the reporhg of accidents auld
CoUow up will continuc as prcscribcd.
Co
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6.
I
--
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. . . . .
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-.........
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...
EPA Export 25-07-2013:21:08:48
ACCHDENT HWESTHGBTHON S
Name of Injured Person:
Occupation:
Date & Time of accident:
Department:
Location of Accident:
Reported By:
what Happened:
ot
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........................................... .......................................................................................
...................................................... ............................................................................
.................................................................................................................................
...............................................
................................................................................
.................................................................................................................................
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Statement of Injured Person:
.
.
..............................................................
...................................................................
......................................................
......................................................
..: ............................................................... ..\.................. ..:.......................................
..................................................................................................................................
.............................................................
.................................................................
Signed:
Witness Statements:
Date:
ns
en
..................................................................................................................................
.................................................................................................................................
Co
.................................................................................................................................
.................................................................................................................................
..................................................................................................................................
...........................
.................................................................................................
.................................................................................................................................
Primary Cause (s):
1
..................................................................................................................................
.................................................................................................................................
.......................................................................
.......................................................
Secondary Cause (S);
.................................................................................................................................
.................................................................................................................................
....................................................................................
What Could Have P*ented
Accident:
...........................................................................
..................................................
..................................................................................................................................
.................................................................................................................................
1
EPA Export 25-07-2013:21:08:48
Corrective Action to be Takeri:
.....................................................................................................
........................
..............................................
................................................................................
..............................................................
.......................................................
.......................................................
...............................................
... ........
..................................................................................................................................
................................................................................
............................................
. .
..................................................................................................................................
.................................................................................................................................
..i
..i
Was the safety issue that led to this
YeS
No
Was Risk Assessment done for this task?
Does it need to be reviewed?
Yea
NO
Is Disciplinaty action required 7
vwr
Ye8
Yes
Not Wearing PPE 7
YfB
Co
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en
Catrying out unsafe acts/ work practices 7
Having Accidents ?
he
ot
No
to
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Not bllowing safety rules/ sop's?
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accident raised previously?
Give Details:
No
No
No
Ye4
No
I
I
....................................................................................................................................
...............................................................................
................................................
.................................................................................................................................
..................................................... .............................................................................
.....................................................................
........................................................
...................................................................................................................................
.................................................................................................................................
..................................................................................................................................
i.
Was PhotographsTaken/ Date Taken 7
1 Yes
I No
1 Date:
ILCS Accident Form Completed 7
I Ycs
I No
I By Whom:
ucs
NO
By Whom:
IRl Form Sent to H.S.A.7
Signed: .............................................................
I
I
Date: .............................................
2
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.........................
_.._
Witness Statements:
. .
..................................................................................................................................
.................................................................................................................................
...
.................................................................................................................................
.
.
.................................................................................................................................
... ............................................................................................................................ ;..
...
................ .............. ...........................................................................
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.................................................................................................................................
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..................................... :..... ........................
.................................................
.....................................................................
................................................................................................
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.................................................................................................................................
..................................................................................................................................
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Witness Statements:
.......................................................................................
..................................................................................................................................
.................................................................................................................................
. .
.................................................................................................................................
.........................
...........................................................
.........................
......... .................................................
...................................................................................................
........................
.................................................................................................................................
..................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
i
Signed:__
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....................................
Date:
Witness Statements:
.................................................................................................................................
..................................................................................................................................
.................................................................................................................................
..................................................................................................................................
.................................................................................................................................
......................................................................................................
.................................................................................................................................
.................................................................................................................................
....................................................................................................................................
.................................................................................................................................
..................................................................................................................................
.................................................................................................................................
Signed:
Date:
3
EPA Export 25-07-2013:21:08:49
I1
'----i
I
@
.--
_.-
"
OF 1\1oTrFv,nr
,E ACCIDENTS TO THE
CEO
- --- . -.____
___
.
TWE PURPOSE o f t h e SOP for Notification
.
.- --....
I
-_I
__
ccidents is to highlight to all levels of management
that safety of employees, and particularly the occurrence of accidents, are a serious consideration for
management. This should in turn highlight that all levels have a part to play in reducing the nurnbcr
of accidents thus increasing the health and safety of employees, reducing absenteeism and reducing
potential claims agains; the company.
I
I
1.
Any notifiable work related accidents i.e. any accident resulting in three or more days absence.
be reported to Mr.Jerry Henctiy, CEO.
-.
3
'The relevant Supervisor/Team Leader of the person who had the accident, must inforni the CEO
within 24 hours of the occurrence of the accident. This task is NOT to be delegated to any other
staff or management member.
#. .
t
l'hc telephone number for the reporting of accidents is 025 44005
'l'he lollowing details are to be provided to the CEO wlicn making contact:
i. Brief outline
>
he
LocatiordDepartment.
of accident.
The extent of the injuries sustained.
ot
+
Name ofInjured Person.
to
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4.
11mt
2 What went wrong that led to the accident?'
How could the accident have been prevented?
>
What will be put in place to avoid its re-occurrence? In this regard, please also confirm:
R Who wiIl take tlis action?
o By what date is it anticipated this action will be taken.
o The cost of fixing the problem
Co
ns
en
r
5
If- Jerry Henchy, CEO, is unavailable for taking the telephone call, the Supervisors/Team Leaders
should leave a voice message with tlie relevant details of the accident. as outlined in paragraph 4.
@ :.
Jerry Henchy, CEO or his authorised nominee will review all details provided and the CEO. if
required, will take follow up action tllrough the appropriate chain. The details of all such calls will
also be advised to the Division Head and the Group Safety Manager.
7.
The contact number provided is not to be used for any other purpose save for the reporting of
accidents as outlined above.
8.
The ILCS Accident Report Form and the Accident Investigation sheet (Guide to carrying out an
investigation) should be completed and returned through the normai safety channels.
9.
This procedure is effective horn Friday, tlie 18"' July, 03.
EPA Export 25-07-2013:21:08:49
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yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
rse of their employment, which prevents any employed or self- employed person from
of lheir w o k for more than three calendar days, not including the date of the accident.
Calendar days include Saturdays and Sundays. (For example, if an employee, who is injured on Wednesday, and
does not normally work on Saturdays, Sundays and bank holidays, returns to work the following Monday, the
accident is reportable).
(c) a death, or an injury that requires treatment by a registered medical practitioner, which does not occur while a
person is at work, but is related to either a work activity or a place of work. Deaths or injuries caused by normal
ent (e. g. surgery or medication) do not need to be reported.
accident that meets the criteria (a) and (b) above, excluding an accident that occurs while a person
either to or from work.
cident that meets the criteria (c) above as a result of construction work on or adjacent to a public
road.
Co
ns
en
THE FOLLOWING PERSONS ARE RESPONSIBLE FOR REPORTING ACCIDENTS:
...
EPA Export 25-07-2013:21:08:49
Base,address of the injured person (if differon1 from head Office) If !he injured person is a non-worker see section A.3 on page 4:
I_._c.___.
....
..--.... . . . . . . j - _.*".,. ..
. . . . . . . . . . . . . . . .
'
!
I
i'rrriiisrs:
!
I,
.'1.I
--.-....----.. . . . . . .
. . . . . .
.
.
~
.
. . . . .
,
. . . . .
. . _ .
.
I
_-__
.
......
c]0 (Self-employed) a 10 - 49 0250 - 499
0 1 - 9
050 - 249 0500 or more
Number employed
at base address:
0 (Self-employed)
1-9
0 i o - 39
25c 0 50 - 249 0500 or r g r f
Co
ns
en
Total No. employed by
organisation:
to
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ht ct
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ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
I)irl rict :
Age:
Is the injured person:
0 employee 0self- employed 0trainee
0lamily worker 0non-worker
Actual/ anticipated calendar days unable Lo carry out normal duties (See section 8.3 on page 4):
00 - 3 days (non-reportable) 07 - 13 days a 21 days - less than one month
014 - 20 days 0one monlh - less than lhree months
-
-
three months less than six months
six months or more
Place X in box
Name(ln BLOCK CAPITALS):
Job title
(in BLOCK CAPITALS):
Signature:
EPA Export 25-07-2013:21:08:49
Type of accident:
0become unconscious?
Did the injured
person:
0non fatal injury
-
a require an anibulanco'
9
c]fatal
0none oi Iiie ; 1 i ~ e 7
suffer long-term loss of i unction?
-__
Accident description (Sec section C.2 on page 4):
-
--
.
--~--
Did the work activity involve construction, structure maintenance or roadworks?
YES
What was the item associated with the accident?
(e.Q.ladder, forklift, chemical substance)
i
m - - 7
_I_LI-.
I
a ._N0.0
.~~
"
*."_
._ ..
Place X in one box only. From the range of workplace environments listed below, choose the one that best describes wherc the iiijured persori
was located at the time of the accldent:
0Healthcare establishrncnl
0Factory,industrial site or warehouse
Construction site, opencast quarry or mine
Farm, fish [arm, forest or park
Transport-related area, road or path
Privale home or related area
Office,school,shap,reslaurant,hotel,theatre
etc.
Sports area
_.
^
_
-_
l_
ll
g i n g or carrying
0Onlover wrller (excluding
0Oi
.
GI 1
Overfloiv lcah,ic?i cv er~~w~cn ot-
c]SOM
iniiieri~ilI C L: si-]i1C?s)
ru
se
.
0Liquid
0Other lransporlor handling
0Gas
equipment (excluding commuting)
0Object that the person was
0Srnokeldusl
working on
0Hand tool
Oilier
(e g radiation. biological agent
Animal
0Person (Ihc injured or o t h ~ renlered
)
inappio~iiate
he
ot
0Explosion
0
Co
n
Hit
or slationary
Injured bv Derson
Violent
by a falling,moving or flying object
c]In the workplace
3 Conlact with something sharp,
pointed or rough
Trapped or crushed by an object or machinery
0 Drowning or burial
-
'Iace
in One
Contact with chemical or biolooical substances
0Psychological shock or lrauma
0Injured by animal
0Contact with electricity
0Frostbite
on a public road
(excluding commuting time)
T
I
0
scalds (Excluding lhose
caused by chemicals)
0Suffocation
0Contacl with welding arc or spark
Sudden hearing loss
0Non-inle~tional
niured bv a vehicle or transnoti
B'E:~
BiJfnS.
against something fixed
se
2 Physical stress or strain to body
3 Slips, trips or falls on the same level
2 Fall from a height, of
metres
nt
o
Which of these best describes how the person was injured?
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ht ct
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ne pu
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eq os
ui es
re o
d nl
fo y.
ra
ny
Fall, collapse or breakage of material
-
0Skin or eyes
f7 intialation
0Ingestion
EHecls of radialion
nother:
--__
-
idicate most severe type of injury:
3 Sprain. strain
2 Bruising. grazes, biles
3 Closed fracture
3 Open fraclure(i.e. bone exposed)
3 Internal in]uries(excluding the head)
3 Internal head injuries
3 Other:
cnnslruckioir SIIC)
c] Electrical iaritste
c]SIIOC~ trigfir V I C I C ~ CuiC v w m n t v i i
Road traffic lranspori
(excluding commutingj
nietres
.
R
.-
0Machine
0Twisting or turning of body
0Slips, trips or falls on the same level
.
OHtgh-pressure air or wwter envimnineiitlrrr.l~,dlncjn cons1iuc:tori
boss of coniio1of
shing or pulling
Fall from a height,of
~nthe air or at a Iiigh elevation (eYcIi~cting
a constriiciiari
I Place x in one box only {
What triggered the accident?
*uck
0Underground(excluding construciion)
---------XI_
___I
l____-~.-l
.
I
Indicate part of body most seriously injured:
0 Open wounds
0Head
0Eye(s)
Infection
0 Poisoning
0 Dislocation
Amputation
17)Ear(s)
',
'
Face
*
0 Setous multiple injuries
Teeth
* .
0 Neck
Other:
0Shoulder 0Chest
Ankle
D Arm
0Pelvic andlor abdominal area
Wrist
Hip
0Toe@)
[7 Hand
Finger(s)
0Back
Leg
0Fool
Serious multiple injuries
-
EPA Export 25-07-2013:21:08:49
A. 3: BASE ADDRESS OF THE INJURED PERSON (if different
Address where injured person is based e. g. depot, sub- office or
...
.
.
.
. . .
.
A 4: NATURE OF BUSINESS:
e v e a brief description of the nature of the business carried out at the base address of the injured person. If several
different types of business are carried out, chose the one that involves the biggest number of employees.
ru
se
.
(E) DETAILS OF INJURED PERSON :
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
B. 1: OCCUPATION:
Occupation or job title !ha1 best describes the injured person’s normal work.
B. 2: AGE:
Enter the persons age if known. If not known, enter best estimate.
(C) ACCIDENT INFORMATION:
Co
n
se
nt
o
B. 3: ACTUAU ANTICIPATED CALENDAR DAYS UNABLE TO CARRY OUT NORMAL DUTIES:
This should not include the day of the accident. Saturdays, Sundays and bank holidays are counted.( For example, an
employee who is injured on Wednesday, and does not normally work on Saturdays, Sundays and bank holidays returns
to work the following Monday, the absence is deemed to be four calendar days.)
C. 1 : TYPE OF ACCIDENT:
C.2: ACCIDENT DESCRIPTION:
C. 3: WHAT TRIGGERED THE ACCIDENT?:
Choose the most appropriate description. if none of the options liste
describe it.
C. 4: WHICH OF THESE BEST DESCRIBES HOW THE PERS
Choose the most appropriate description. If none of the options
describe it.
C. 5: INDICATE MOST SEVERE TYPE OF INJURY:
Choose the most appropriate description. If the person
multiple injuries”. If none of the options listed are consi
EPA Export 25-07-2013:21:08:49
Type of accident:
a
fatal
Accident description (See section c.2 on page 4):
-
-
*-
__l
Did the work activity involve construction, structure maintenance or roadworks7 YES
0
NO
0
What was the item associated with the accident?
(e.g. ladder, forklift, chemical substance)
Place X in one box only. From the range of workplace environments listed below. choose the one that best describes where the injnred person
was located at the time of the accident:
0Factory, industrial site or warehouse
0Healthcare establishmenl
0Construction sile. OpenGisl quarry or mine
Farm,fish farm. (orest or park
0 Transporl-related area, road or path
0Private home or related area
0Oliice,scliool,shop,restaurant,hotet,tlieatre etc.0Sports area
.-
What triggered the accident?
0Lifting or carrying
___
In the air 01at a high elwallon (e>cltrdirigR consilocllon w~~
OHigh-pressure air or waler eiivirnnrneni(exc1utftnga LorIsiic:io(I 511.
%
0
I Place X in one box only 1
-Overilfiw lcahacc er CIIIIPS~O~ Q,I-
se
.
2 Physical stress or strain to body
nt
o
0Hi1against somelhing fixed
or slationary
Co
n
se
2Slips, trips or falts on the same level
lniured bv Person
metres
Violent
ck by a falling, moving or flying object
0on a public road
(excluding commuting time)
[7 In the workplace
pointed or rough
3 Trapped or crushed by an object or machinery
'lace
in One
bo on1
Conlacl with chemical or bioloaical subslances
0Skin or eyes
Injured by animal
0Inhalation
c]Frostbite
0 Drowning or burial
idicate most severe type of injury:
Ingestion
0Effects of radialion
0Other: I
2 Other:
ir_i
0Burns, scalds (Excluding those
caused by chemicais)
0SuHocalion
0Contact wrlh welding arc or spark
Psychological shock or trauma
[7 Contact with electricity
z]Contact with something sharp,
CJ
Sudden hearing loss
0Non-inteqlional
v a vehicle or transporl:
3 Internal injun'es(excludingthe head)
Ltquid
ru
Which of these best describes how the person was Injured7
1Open fracture(i.e. bone exposed)
nlaeflbl /(? 9 Z?Jile5)
ot
0Fall, collapse or breakage of material
0Explosion
1Internal head injuries
a Solid
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ht ct
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ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
(e.g. walking, silting)
2 Closed fracture
\icl.?nce oi ~noveiit.qt
he
c]Olher movement by injured person
1Bruising,grazes, bites
friylil
0Other transporl or handling
equipment (excluding cornmuling)
a Gas
0Object lhal the person was
0Smokeldust
working on
Other
0Hand tool
(e radiauoii.biological agen: j
D Animal
0Person (the inlcired or other)entered inappropriate i r c a
metres
J Sprain, strain
Elcclrtcnl fniiirrr:
0 Slinch
Road IraHic lransport
(excluding comniulingj
Slips. trips or falls on the same level
2Fall from a height,of
a
0Machine
isting or turning of body
0Ort.5.
Onlover water (exclucitng R coiistiuctioii sire)
-." .
Loss of control of
ushing or pulling
0Fall from a height,of
"
Underground (cxcludirqconstrttctiorr)
_I__r
-.--__- -. . --------..
""
" I
indicate part of body most seriously injured:
Open wounds
0Infection
Poisoning
0 Dislocation
0 Amputation '
0 Serious multlple injuries
1
*'*'
,
'
0Head
0Eye@)
0Ear@)
0Teeth
0Face
0Neck
0Other:
0Shoulder
0Arm
0Wrist
0Hand
0Finger(s)
Back
0Chesl
Ankle
Pelvic andlor abdominal area
0Hip
0Toe@)
0Leg
c]Foot
Sercous multiple injuries
EPA Export 25-07-2013:21:08:49
'A.'2: COMPANIES REGISTRATI
.
:..
.
.
I
.
A. 4: NATURE OF BUSINESS:
Give a brief description of the nature of the business carried out at the base address of the injured person. If several
different types of business are carried out, chose the one that involves the biggest number of employees.
4B
(B)DETAILS OF INJURED PERSON :
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
B. 2: AGE:
Enter the persons age if known. If not known, enter best estimate.
ot
he
ru
se
.
B. 1: OCCUPATION:
Occupation or job title that best describes the injured person's normal work.
E. 3: ACTUAU ANTICIPATED CALENDAR DAYS UNABLE TO CARRY OUT NORMAL DUTIES:
This should not include the day of the accident. Saturdays, Sundays and bank holidays are counted.( For example, an
employee who is injured on Wednesday, and does not normally work on Saturdays, Sundays and bank holidays returns
to work the following Monday, the absence is deemed to be four calendar days.)
ns
en
(C) ACCIDENT INFORMATION:
Co
C. 1: TYPE OF ACCIDENT
Use "fatal" if the accident caused a death. Use "non fatal injury" if no life was lost but the
out normal duties for more than three calendar days, not including the day of the acciden
.2: ACCIDENT DESCRIPTION:
ive the known circumstances of the accident indludin; what the iniured
Derson was doin
. ..
.
. '
,
accident, what happened and how the person was injured.
. .
Y
I . . :
.
. , '.... .
C. 3: WHAT TRIGGERED THE ACCIDENT?:
Choose the most appropriate description. If none of the options listed a
EPA Export 25-07-2013:21:08:49
- A P P R O V E D UNDER T H E S A F E T Y , H E A L T H AND WELFARE A T \RTORK ( G E M E R A L APPLICATIOM) R E G U L A T I O H S , 1993
(Sefore completing this form, please see INSTRUCTIONS overleaf)
S.I. No. 44 of 1993
EMPLOYERISELF-EMPLOYED lMFORiWATlOW
Name of business or company name:
Phone No:
(+ STD Code)
Address of Head Office:
Date of Incident:
'
Address of establishment where incident took place if
different from above:
i
7
Approximate total
no. employed by
business:
F,' WORK BEING UNDERTAKEM AMD LOCATION OF DANGEROUS OCCURRENCE
I
to
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op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
What activity was being undertaken
at the time of the incident (e.g.
construction, road transport,
chemical processing)
Where did the incident take place
(e.g. inside buildings, underground, field,
public road, shop etc.)
I
CIRCUMSTANCES OF THE INCIOEMT
Co
Description and cause:
ns
en
@
Approximate no.
employed at
establishment:
Wotifier:
Cl EmployerlSelf Employed
U Person In control of workplace
Cl Person Providing Training
0 Other
Address and telephone number for acl(nowledgement/clarification if different from
above:
Date:
Signature:
Return io Healfh & Safety Authority, 10 Hogan Place, Dublin 2.
I
Form No. IR3
EPA Export 25-07-2013:21:08:49
*
INSTRUCTIOHS
Where a dangerous occurrence of the kind named below, which is not' reportable by reason of death of injury, occurs an emplOyef/Self employed person
must. as soon as practicable, send a written report in the form overleaf to the Health and Safety Authority.
1. The collapse, overturning. or failure of any load-bearing part of:(a) any lift. hois!. crane. derrick or mobile powered access platform;
(b) any excavator; or
(c) any pile-driving frame or rig having an overall height, when operating, of more than seven metres.
2. The explosion,collapse or bursting of any closed vessel, including a boiler or boiler tube, in which the internal pressure was above or below atmospheric
pressure.
3, Electrical short circuit or overload attended by fire or explosion which results in the stoppage of the plant involved lor more than 24 hours.
4. An explosion or fire occurring in any plant or place which resulted in the stoppage of lhat plant or suspension of normal work in that place fort
more than 24 hours, where such explosion or fire was due to the ignition of process materials,their by-products' (including waste) or finished products.
5. The sudden uncontrolled release of one tonne or more of highly flammable liquid, liquified flammable gas, flammable gas or flammable liquid
above its boiling point from any system, plant or pipe-line.
6. The collapse or partial collapse of any scaffold more than five metres high which results in a substantial part of the scaffold falling or overturning,
including, where the scaffold is slung or suspended, a collapse or part collapse of the suspension arrangements (including an outrigger) which
1 causes a working platform or cradle to fall more than five metres.
7. Any unintended collapse or partial collapse of:-
ot
he
ru
se
.
(a) any building or structure under construction, reconstruction alteration or demolition, or of any false-work, involving a fall of more than five
tonnes of matenal; or
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
(b) any floor or wall of any building being used as a place of work, not being a building under consiruction, reconstruction,alteration or demolitio
8. The uncontrolled or accidental release or the escape of any substance or pathogen from any apparatus, equipment, pipework, pipe-line, proc
plant, storage vessel, tank, in-works conveyance tanker. land-fill site, or exploratory land-drilling site, which, having regard to the nature of
substance or pathogen and the extent and location of the release or escape, might have been liable to cause serious injury to any person.
9. Any unintentional ignition or explosion of explosives.
nt
o
10. The failure of any container or of any lo?d-bearing part thereof while it is being raised, lowered or suspended.
Co
n
se
11. Either of the folluwing incidents in relation to a pipe-line:-
(a) the bursting, explosion or collapse of a pile-line or any part thereof:
I
(b) the unintentional ignition of anything in a pipe-line, or of anything which immediately before it was ignited was in a pipeline.
12. (1) Any incident in which a container, tank, tank vehicle, tank semi-trailer, tank trailer or tank-container being used for conveying a dangerou
substance by road:(i) overturns; or
(ii) suffers damage to the package or lank in which the dangerous substance is being conveyed.
(2) Any incident involving a vehicle carrying a dangerous substance by road, where there is:(a) an uncontrolled release or escape from any package or container of the dangerous substance or dangerous preparation being conveyed: o
(b) a fire which involves the dangerous substance or dangerous preparation being conveyed,
13. Any incident where breathing apparatus while being used to enable the wearer to breathe independentiy of the surrounding environment malfunction
in such a way as to be likely either to deprive the wearer of oxygen or, in the case of use in a contaminated atrnoshpere, to expose the weare
to the contaminant to the extent in either case of posing a danger to his health, but excluding such apparatus while it 'is being used in a min
or is being maintained or tested.
14. Any incident in which plant or equipment either comes into contact with an overhead electric line in which the voltage exceeds 200 volts, or causes
an electrical discharge from such electric line by coming into close proximity to it, unless in either case the incident was intentional.
15. Any accidental collision between a locomotive or a train and any other vehicle ai a factory or at dock premses.
16. The bursting
of a revolving vessel, wheel, grindstone, or grinding wheel moved by mechanical power.
UJWIRES GDNCERNltG THlS FORM CAN BE W
E TO THE HEALTH
AND SAFETY AUTHOR/N(TEL. (01) 614 7000) FROM WHCH M A I L E D GUlDELlNES ARE AVNWE.
EPA Export 25-07-2013:21:08:49
is the duty and responsibility of each Department Front Line Supervisor to report and
take part in investigations of all accidents and incidents that occur in their respective
departments.
It
ot
he
ru
se
.
The accident should be reported as soon as possible to the Safety COCoordinator, who
with the assistance of the Supervisor and where possible the injured person, should
complete the relevant forms along with the Accident lnvestigation Forni.
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
During the completion of the Accident Investigation Form,the Supervisor, injured person
and witnesses if available should be asked what measures would prevent a reoccurrence
of a similar accident / incident.
Corrective action should be agreed if the incident is minor .e. no time lost or loss of time
up to three days.
Co
n
se
nt
o
If the accident is classified as moderate i.e. injury resulting in absence from the work
place for up to 7 days, the assistance o f other nepartment functions may be required to
decide appropriate and feasible corrective action. In such cases the viewpoint of the
injured person should be taken and the issue and corrective action should be discussed
further at the monthly management meeting..
If the incident could be described as " Major" - i.e. injury resulting in longterm absence
from work or severe injury or fatality, the Group Safety Manager should be requested to
visit the seen of the accident I incident and approve or authorize the agreed corrective
action.
Corrective Action
Corrective action should be based on a three-tier approach - i.e. Short Tenn, Medium
Tenn and Long Term. Details of the Corrective Action should be recorded as part of the
investigation and circulated to the relevant departments / personnel involved in carrying
out the corrective action.
EPA Export 25-07-2013:21:08:49
It is the responsibility of the Department Supervisor to ensure that the recommended
corrective action is carried out. The Safety COOrdinator should also review progress on
corrective action.
Co
n
se
nt
o
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
The following is a list of the respective Department Supervisors responsible for accident /
incident reporting.
EPA Export 25-07-2013:21:08:49
.- . ..
.. . . .. ....
...-. ..-.
.- - .
3
The following is the recommended way of managing accident investigations involving
Company & Plaintiff Engineer.
se
.
1 Prior to dual engineering investigation (Company & Plaintiff Engineer) meet with
ComDanv Enaineer and supply the relevant information in relation to the accident:
0
0
0
0
0
0
0
ru
he
ot
Co
n
0
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
Q
ILCS Accident Form
Accident InvestigationForm
Feed back from HSA investigation if relevant
Photographs
Witness Statements
Employee background- Accident history/ Disdplinary action.
Any physical evidence obtained as part of investigation
Medical treatment etc
Absenteeism data due to accident
Employee training records- relevant
Copy of relevant Risk Assessment or Safety Operating Procedure
nt
o
U
se
CI
2 Company Engineer should speak with relevant Supervisor/ Manager/ Maintenance
Q
-
personnel prior to the investigation if required.
3 Discuss relevant backgroundto the accident, accident Investigation,Corrective
action taken to prevent recurrence, if relevant
4
Do not allow acceSs to the Plaintiff engineer to areas other then accident site.
5
Do not supply the Plaintiff Engineer with any accident information data (photo's
forms/ physical evidence W).
6
Do not allow access to the Plaintlff Engineer to relevant Dairygold personnel.
7
Ensure that the Plaintiff Engineer and the Plaintiff (Injured employee) wear thenecessary PPE during the inspection.
Issue 1Sept 2005
EPA Export 25-07-2013:21:08:50
Do not supply relevant Company information to the Plaintiff or the Ptaintiff
Engineer that maybe relevant to the Company defence of the claim.
9
On completion of the dual investigation hold a meeting with the Company
Engineer to discuss any relevant information that the plaintiff raised as part of
the investigation that might be relevant to me Companies defence of the claim.
Co
ns
en
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
8
h u e 1Sept 2005
i
EPA Export 25-07-2013:21:08:50
EPA Export 25-07-2013:21:08:50
se
Co
n
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
nt
o
se
.
ru
he
ot
EPA Export 25-07-2013:21:08:50
se
Co
n
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
nt
o
se
.
ru
he
ot
r--
accident
John Donnelly
22/02/03
Mario Fennifick
Name
Days ]Lost<
’ Chemical Handling
Eye burn
0
14/03/03
Using a knife
James Fogarty
18/03/03
Hand Laceration
Leg Laceration (infected
tendon)
Kenneth Walsli
28/03/03
John McCarthy
07/04/03
DonCummins
08/04/03
Barry Irwin
05/05/03
John McMahon
15/05/03
Using a knife
Daithi Cooney
19/05/03
Chemical splash
John McMahon
23/05/04
Slip
Co
John O’Drioscoll
John O’Drioscoll
20/6/03
David Martin
30/7/03
D Coonev
1
28//05/04
Finbarr Bvme
1 -
SeanMcCarthy
J Fop&
Pauline O’Shea
Chemical Splash
Acid leak caused
bum to shoulder
Using a hot water
16
l 5
l 4
Long term
Bum
0
.
01/05/03
9
se
Billy Geary
I
Chest injury
1
ru
17/04/03
Infected finger
he
Richard Beausang
Pulled muscle in back
ot
I
Slipped on platform
at presses
During washing ~ u l l e dmuscle
Working practice in
whev plant
Entrapment in
emptying unit
Using a hot water
hose
Chemical splash
wIiiIe maintenance
working in plant
Injured groin when
doing manual wash,
~
I
Working
ltnjuiy
to
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ra
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@
Type of accident 1
incident
ns
en
1
I
Date of
’
Eye Bum
I
0
7
Groin injury
Cut finger
I
o
Chemical Burn
lnjured knee
Chemical Bum
0
1
l
-
3
0
Chemical burn
0
-
hose
-
Burn
1
-
Iiiiured neck while
Freeing jammed
moulds
Damaged neck muscles
-0
20/02/04
Caught finFer in belt
Iniured finger
5/4/04
Injured right leg
while lifting
While walking past
rennet make up got
splash of a hose
While in the process
3f wash up got a bum
to her right foot
Pulled ligament in right leg
3
-
Burns to lower left leg
Long term
Bum to right foot
0
29/9/03
15/05/04
30/08/04
EPA Export 25-07-2013:21:08:50
se
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n
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EPA Export 25-07-2013:21:08:50
Dairygold Co-operative S~ciretyktd
Section 5
Emergency Preparedness
The prepnmtion, dissemir~olionand inrplenientatioitof emergeticy plans is essmriulfor tlie manngenteiit
D u i ~ ~ osifes.
ld
UJ all possible ettiergeticysiruufioiisof all
Key Elements:
Emereencv Plans
ru
se
.
Mogeely has an emergency plan based on a assessment of the potential emergencies which include:
Emergencv wardend Personnel.
0
D
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
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eq os
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re o
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ra
ny
ot
he
0 Ammonia gas leak.
0 Natural gas leak.
D Waste spillage (Effluent)
Site Emergency controllers are appointed
Fire wardens ate in place in each department.
Emergency plan communicated.
All personnel with a role in the Emergency Plan are trained.
0
Emergency plans will be available in all departments and at key locations i.e.:
Co
ns
en
D
Site Managers ofice
Admin Office- Cheese factory
Production Supervisor Office
Maintenance Foremans O S c e
Cl
Emergency plan (Fire & Explosion) will be displayed around the factory.
Emerrrencv ~ l a ntraininv drills
R
Emergency drills will take place at 6 monthly intervals. These drills will be co-ordinated by the fire
warden.
ResuIts o f each drill will be recorded in the Fire Register.
Rev I Sept2005
EPA Export 25-07-2013:21:08:50
The preparation, dissemination and implementation of emergency plans is essential for the
management of all possible emergency situations at Dairygold Mogeely.
Key elements:
Emergencv Plans
Dairygold Foods, Mogeely has an emergency plan based on an assessment of potential
emergencies that include:
Fire or Explosion
0
Chemical Spillage
e
Ammonia gas leak
0
Natural Gas leak
se
.
e
Emergencv Wardens / Personnel
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
Waste spillage (Effluent)
e
Fire Officer is appointed - the safety co-ordinator.
Q
Site emergency controllers are appointed - Site Manager & Production Supervisor.
0
Fire wardens across various departinents through the site.
ns
en
Emergencv Plan co mniun i cated
Co
'I
e
0
All personnel with a role in the emergency plan will be trained by Sept. 2003.
Emergency plans will be available in all departments and the following locations:
Site Managers' ofice
Technical Manager office
Safety co-ordinator / Ass. Production Manager
Production Supervisors office
Maintenance Foreman office
Q
Main Reception
Cheese Plant - Gadan Panel Room
Cheese Plant - Whey Panel Room
Cheese Plant - Mal10 Block Panel Room
Effluent Treatment Plant - Control Room
Emergency plan / evacuation procedures are displayed around the kctory
Emereencv Dlan training drills
0
0
Emergency drills will take place at 6 monthly intervals. These drills will be co-ordinated
by the fire officer and production supervisor.
Results of each drill will be recorded in the FireRegister.
EPA Export 25-07-2013:21:08:50
Pat Gumbleton
he
ru
May 2003
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
2'ld
se
.
Production Supervisor
Dairygold Food Products
Mogeely
Co. Cork
Re Position of Emergency Controller
Co
ns
en
As part of the RMS which is currently being developed for the Mogeely Site, I wish
to confrin your appointment as Emergency Controller. Training on emergency
procedures will be arranged shortly. In the intervening time, all site specific
procedures and contact numbers are located in the Emergency Plan.
Q
Signed:
Christy 0 Sullivan
C . C . Win.
Hogan
Arine 0 Neil1
Percy Pedder
Eddie Twotney
EPA Export 25-07-2013:21:08:50
EPA Export 25-07-2013:21:08:50
se
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n
f c Fo
op r i
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ig pe
ht ct
ow ion
ne pu
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eq os
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fo y.
ra
ny
nt
o
se
.
ru
he
ot
... .. .... ..
- -- -
Prior to drawing up the Site Emergency Plan, a risk assessment of the site was carried out
to establish all types of probable emergencies.
The following personnel carried out this assessment:
The safety CO Ordinator, Site Manger, Technical Manager, Maintenance Foreman and
Electrical Foreman.
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
The assessment was carried out bearing in mind current regulatory requirements - le
Cork County Council Effluent Discharge License, Department o f Agriculture Regulations
for Food Processors and EU legislation and potential off site emergencies - eg.
Emergencies at outside storage or supplier premises. The template attached should be
used when completing the risk assessment.
Based on the findings, reviews and the basement a risk basement document was drawn up
for the site. This was used as the basis for the emergency plan.
Co
ns
en
The emergency risk assessment should be reviewed and updated as required on an
Annual basis along with the site emergency plan.
EPA Export 25-07-2013:21:08:50
Transport Procedure for Deating with Milk Spillage.
1
Driver reports accident to relevant transport co-ordinator.
I1
After receiving report and extent of spillage fi-om driver. Transport office
contacts relevant local authority: North / South Tipperary, Clare, Limerick,
Linierick Corporation, Cork Corporation, Cork, Waterford, Kerry.
III
Contact E.P.A.
tel. no. 053-60600 and fax: no. 053 - 60699
nr
Contact Gardai / Firebrigade.
V
Contact local fishery board.
VI
Relevant transport person to attend at scene.
VZI
If accident is near a waterway or river,’roadside run-offsto be blocked
f c Fo
op r i
yr ns
ig pe
ht ct
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ne pu
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eq os
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fo y.
ra
ny
ot
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se
.
I
immediately.
Have spare truck /tanker available to assist if portion of load left on tanker.
IX
Have list of contractors with JCB for different regions.
X
This procedures forms part of drivers’ handbook.
Co
n
se
nt
o
m
\\DAIlIYENG\FULES\FL1LES1EPA\IPC404\Tmsporl Procedure Dealing rvitti Milk Spillage W R
7May03.doc
i
EPA Export 25-07-2013:21:08:50
ssess
Food Products (MO
t
The following personnel carried out an emergency risk assessment based on activities at Dairygold Food Products Mogeely in Feb 2003:
Willie Hogan - Technical Manager
Christy O’Sullivan - Site Manager
Anne 0 Neil1 - Safety co-ordinator
Eddie Twomey - Electrical foreman
Percy Peddar - Maintenance Manager
Likelihood
[!-5)
1
Severity
(1-5)
5
1
5
2
3
Consequence Cause 1s
(Lx S)
5
Smoker Cells
Battery Charging
Hot Work
Smoking
Arson
Faulty Electrics
Engineering Controls
5
Gas salm/shut valve at
main gas incomer.
PPM programme in
place for refrigeration
system
Fire detection / alarm
system
Natural Gas leak
Arnmonia Gas
leak in confined
area
Chlorine leak
ns
en
Gas Explosion /
Bomb threats &
Sabotage
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
Emergency
Co
I
Spillage
(Environmental
damage)
6
Transporting of
Bunds in place for
IBC’s/ Containers storage of oils.
Chemical stored in
Leaking Bunds
designated areas
Administration
Controls
Smoker room cleaning
programme
Hot work permit
No smoking programme
Emergency plan in place
Emergency drills (61x1)
Emergency team
Hot Work permit
No smoking program
Emergency plan
Emergency team
Visitor Control
Contractor rules
Metal detectors
Inspection of finished
product.
Inspection procedure for
receipt of delivered
chemicals
Trained forklift drivers
EPA Export 25-07-2013:21:08:50
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I
EPA Export 25-07-2013:21:08:50
t ..
Daisygold ood Products (Mogeely) Emer
The following personnel carried out an emergency risk assessment based on activities at Dairygold Food Products Mogeely in Feb 2003:
Anne 0 Neil1 - Safety co-ordinator
Christy O’Suliivan - Site Manager
Willie Hogan - Technical Manager
Percy Peddar - Maintenance Manager
Eddie Twotney - Electrical foreman
Cause f s
Severity
Scenarios
Administration
Controls
-
1
Off-site activities
2
ru
Major injury or
Health effect
4
4
he
1
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
Radiation
se
.
(1-5)
Engineering Controls
Co
n
se
nt
o
5
5
10
Struck by forklift
or vehicle.
Entrapment in
plant or confined
space.
Electrocution /
Shock.
Chemical
handling /
Spillage
Tanker crashing
Problem with
contract store
space.
Problem with
suppliers
Signage
Preventative
Maintenance.
Fire alarm & detection
system.
Regular servicing of
tankers.
Assessment of radiation
foe all areas.
SOP for microwave
operation.
Correct disposal of
printer cartridge Admin.
Training
Regular inspections
Permit systems.
Risk assessments carcinogens,
MSDS available.
First aid.
Three suppliers for all
products and services
where possible.
EPA Export 25-07-2013:21:08:50
1
Due to the Seasonal nature o f our supply (March-. October) it is very
important that an aqequate restoration plan is in operation were we to lose
pait of our critical equipment list that would cause Lis to postpone production
o f our produce on site.
he
ru
se
.
For our Mallo line produce this would be accommodated by our sister plant
on the Cloninel Rd. Site or by associated cheese making facilities in the
segion.
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
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eq os
ui es
re o
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fo y.
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ot
For our Regato line produce, production o f our produce would be
accommodated by associated cheese making facilities in the region and
abroad.
In this way we hope that the effect o f ceased production in our site, to our
Co
Clu-isty 0' Sullivan
ns
en
valued customers would be ininiinal
Site Manager
EPA Export 25-07-2013:21:08:50
se
.
ru
he
ot
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
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re o
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fo y.
ra
ny
se
nt
o
This role involves assisting in the development and
adiniiiistration of the emergency preparedness
procedures.
Co
n
e
In accordance with FBD risk Management System,
Safety Legislation - 1989 Health & Safety At Work Act,
it is a requirement to have an Emergency Controller / CO
Ordiiiator. Please note your Emergency Controller is:
EPA Export 25-07-2013:21:08:50
At Dairygold Food Products Mogeely
Possible emermncv scenarios
Fire / explosion leading to partial or complete loss of factory and whey plant,
Major loss of MV on site
Loss of critical LV/MCC distribution network on site.
Loss of critical refrigeration plant / equipment on site.
Partial loss of ef€luent waste treatment plant on site.
Major flooding.
n
uruup rersonnei
- - I
Y I I l L
I n+hn* Relevant Personnel
VLI.\..
1
. n.
--
Senator engineering
Brian A Flynn
Feliily & Timoney
Bord Gais
2"-
P-*m,*C.4-c.+-,
.
.
se
086.8121178
I
087.9292977
. __.
086 8040151
Mn*aopt
Group Engineering Managc:r
UI U U E~
I I V I I L , . , , ~ ~ . ~x.Am,,ager
~~
0868073878
086.6098637
087.7536007
--- -
0872595568
Co
Franco Crisculo
Y 0 . Y
I
tI
Comments
Responsibilities
I
--i
II
I
I
Division Manager
ns
en
~
t
I
to
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op r i
yr ns
ig pe
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ra
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n
Site Manager
Production Manager
Quality Manager
Production Supervisor
Maintenance Foreman
Electrical Foreman
ru
Christy 0'SulIivan
Willie SIattery
Beatrice Walsh
Pat Gumbleton
Percy Peddar
Eddie Twomey
Contact 'lei. N 0.
0868040183
he
Job title
ot
Key rersonnei
063 20190
069 962044
0214964133
021 4312800/
I
Mecnanicai contractor
Refrigeration Contractor
Environmental consultant
a s Supplier
__
(I
I
nrrnnror
EPA Export 25-07-2013:21:08:51
Extension No.
Department / Area
Block Line
Cheese Vats
Cheese Vats
3416
3415
3415
34 14
Pasteuiiser
f c Fo
op r i
yr ns
ig pe
ht ct
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ne pu
r r rp
eq os
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re o
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fo y.
ra
ny
ot
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ru
se
.
Name
Denis McGratti
James Fogarty
Paddy Mc Mahon
Declan Bmusmg
se
nt
o
h MAHN RECEPTION
Co
n
P FITTER’S WOWIKSBOP
e
h CANTEEN
Please inform the Safety Committee Members o r the undersigned i f
stocks a r e low or if you have specific requirements.
Clu-isty O’SuIlivan, I0/06/05
t
I
EPA Export 25-07-2013:21:08:51
I
I.
Extension No.
Department / Area
Block Line
Name
Denis McGrzlth
3416
Cheese Vats
Cheese Vnts
Pasteuriser
James Fogarty
Paddy Me Mahon
Declan Beausang
3415
3415
3414
he
ru
se
.
k LABORATORY
>
to
f c Fo
op r i
yr ns
ig pe
ht ct
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ne pu
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eq os
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re o
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fo y.
ra
ny
ot
P PRODUCTION SUPERVISOR’S OPFIICE
BLOCK PACWNGROOM
ns
en
P REGATO BACKING ROOM
Co
,
I
List of First Aid Personunell
P CANTEEN
Please inform Nie Safety Committee Members or the undersigned if
stocks are low o r if you have specific requirements.
Clxisty O’Sullivan, 10/06/05
EPA Export 25-07-2013:21:08:51
FOOD PRODUCTS
Customer: - Dairygold Food Products Mogeely
Contact: -Anne 4)’ Neill
Current Sales Executive : Paul Rickey
A. Service of First Aid Kits
To visit the Mogeely site on a monthly basis and report to Anne 0’ Neill
2.
Following reporting, inspect the following First Aid Kits and refill contents as required:(a) Production Supervisors Office
(b) Regato Packing Room
(c) Block Packing Room
(d) Fitters Workshop
(e) Laboratory
(f) Canteen
(g) Main Reception
3.
Supply the contents required by each First Aid Kit in separate lots / boxes. Each lot / box,
should have a Packing list which should outline the location of the First Aid Kit ( as per
the above list ) and it should also detail the products supplied.
4.
Each lot should be invoiced separately.
5.
Contact should be made with Anne 0’ Neill who will issue a separate order number for
each kit filled.
B.
Other Medical / Safety Supplies.
Q
Co
n
se
nt
o
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
I.
As required, other medical / safety items may be required. Such items will be communicated
directly with the Area Sales Executive. The price and details of such goods should be faxed to
number will then be issued.
Date: 2110/02
EPA Export 25-07-2013:21:08:51
12 only
Blue detectable plaster 7.5 x 5cm
12 only
Blue detectable plasters 7.5 x 2.5cni
I2 ody
Blue detectable strapping
2 rolls
Savlon Cream 60g
1 tube
Sterile 20ml eyewash
6 only
he
ru
se
.
Antiseptic Wound Cleaner
ot
iI
2pairs
Eye Pad
Conforming bandages 7.5cm
Cotton Wool 25g
Burn Shield 118ml bottle
Q
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
' e
Surgical Gloves
1only
2 only
I only
1only
3 only
Wound dressing No. 9
1 only
Co
ns
en
Burn Shield dressing I OOnim x IOOmin
Wound dressing No. 8
1 only
Adhesive surgical dressing 9 x 1 O m
(In d iv id ual1y wrapped)
2 only
Adhesive surgical dressing 6 x 7 cm
(Individually wrapped)
2 only
Triangular bandage
1only
Scissors
1 only
Tweezers
1 only
Safety pins
6 only
EPA Export 25-07-2013:21:08:51
Co
ns
en
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
.
Circulation List: First Aid Boxes - lab, supervisors office, block packing room, Regato
packing room, main reception, fitters worksliop, butter makers office and canteen.
i
EPA Export 25-07-2013:21:08:51
se
.
ALL FIRST AiD INSTRUCTORS AND EXAMINERS APPROVED BY THE
NATIONAL AMBULANCE TRAINING SCHO0.L
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
This is to Certify that Patrick MicMahcrfi has attended a three day course in
Occupational First Aid and has passed the prescribed examination to t h e satisfaction of the
examiner.
J
This course was carried out for Dairygold, Mogeeiey, Co. Cork.
r
16111October 200 1
Co
-r
ns
en
Dote of'Emmiimiioti
Certificate Rqfii-eixe iVi[r~iber
E.~piq.Date of Cei-t[/?co[c
1
October 2004
r~rV"eCDlCbk?!C1!/417
EPA Export 25-07-2013:21:08:51
EPA Export 25-07-2013:21:08:51
se
Co
n
f c Fo
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yr ns
ig pe
ht ct
ow ion
ne pu
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eq os
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ra
ny
nt
o
se
.
ru
he
ot
se
.
ALL FlRST AID INSTRUCTORS AND EXAMINERS APPROVED BY THE
NATIONAL AMBULANCE TRAINING SCHOOL
ot
he
ru
This is to Certify that James fogarty has attended a three day course in Occupational
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
First Aid and has passed the prescribed examination to the satisfaction of the examiner.
This course was carried out for Dairygold, Mogeeley, Co. Cork.
Cwti$catc
October 200 1
ns
en
1
Co
Date ofE-sarriiimiion
Refei-efice A5 inr bey
Expiry Dnie of Certrjkaie
16&October 2004
v: wi cHBIOCIO 1/42 B
EPA Export 25-07-2013:21:08:51
t!
BY THE
.
ALL FIRST AID INSTRUCTORS AND EXAMINERS APPROVED
NATIONAL AMBULANCE TRAINING SCH0O.L
to
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
This is to Certify that k’er;! Terry has attended a three day course in Occupational First
Aid and has passed the prescribed examination to the satisfaction of the examiner.
a
Dale of E.wniimtion
1G(h October 200 1
ns
en
This course was carried out for Oairygold, Mogeeley, Co. Cork.
Co
Certificate Referwve Rmbel-
Expit?. Dole of Certificate
I
iGL”October 2004
33*:MC D/Oc/o1/420
EPA Export 25-07-2013:21:08:51
.
ALL FIRST AID INSTRUCTORS AND EXAMINERS APPROVED BY THE
NATIONAL AMBULANCE TRAINING SCHOOL
f c Fo
op r i
yr ns
ig pe
ht ct
ow ion
ne pu
r r rp
eq os
ui es
re o
d nl
fo y.
ra
ny
ot
he
ru
se
This is to Certify that Decfan Beairsang has attended a three day course in
Occupational First Aid a n d has passed t h e prescribed examination to the satisfaction of the
exami ner.
se
nt
o
Date ofExmihciiio~? I 6t11
Octohsr 300 1
Co
n
Certificate Refei-euce A'iriiibci.
I
E.spiq3Date of Cei-iifjcnie
-?
I 6IhOctohsr 2004
13iib.!cD/Q C/Of /4 19
.
EPA Export 25-07-2013:21:08:51
se
se
.
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Dairygold CO-operative Society Etd
Section 6
Rules & Work Permits
Dairygold recognises fhar hnviiig appropriate nrles, procediires nnd work perinits is viral lo ensure Illat
safe system of work are miintained asf i r as is reasonab3,practicable.
Key Elements:
Factorv Health & Safehr Rules
12 Rules are displayed around the factory on safety notice boards.
0
Rules will be included in
0
Rules will be reviewed on an annual basis by the safety co-ordinator.
loyee safety handbook.
ru
se
.
a All employees will be briefed on the safety rules.
to
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Hot Work Permits
0
Hot work permit system is in operation through out the factory for all welding/ cutting/ burning
work carried out by Dairygold employees or contractors.
0
Hot work permits are controlled via the maintenance department and department managers.
Q
The hot work permit will be audited by the safety co-ordinator on a regular basis.
Confined SDace Entw Permits
Co
ns
en
a Confine space entry permits will be issued for the folfowing type of work at Galtee:
1. Access in to Silos & Vats
2. Access in to the Boilers.
3. Access in to the Sewers.
Working at Height Permit
Pennit procedure issued for work above 2m where there is no edge protection.
Rev I Sept 2005
t
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Electrical Workine Procedures
0 Medium Voltage permit procedure is managed and controlled through Electricnl Supervisor.
D
l0kv Network Guidelines are used to assist the maintenance dept for all maintenance/ isolation and
switching work.
0
All electrical personnel are trained on
D
Iso-lock system in operation for work on L V distribution system.
M V system and procedure.
Crane Workine Permit
P
Implemented by engineering/ maintenance for all crane work on site.
Workine Over Water Permit
Implemented by
.
Excavation Permit
Implemented by engineering1 maintenance for all excavation work on site.
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.
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ReFrieeration Procedure
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0 Ammonia Gas Permit
Guidelines for working on refrigeration system based on best practise.
Co
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Rev 1 Sept 2005
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,
Rules &
Dairygoid recogiiizes titat having appropriate rules, procedures and work permits is vital to ensure
that safe system of work is maintained as far as reasonably practicable.
Key elements:
Factorv Health & Safety Rules
Rules are displayed around the factory on safety notice boards.
Rules are included in employee safety pack when commencing employment.
All employees are briefed on the safety rules at induction and on an annual basis at back
to work programmes.
Rules are reviewed on an annual basis by the safety co-ordinator or more frequently if
necessary. Any additional items requested by employees or safety committee members
will be included at the time of review.
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The following permits are in operation at &e hrlogeely site:
e
Confined Space,
Wot Work,
0
Excavation,
0
Work with Electricity / energy sources,
a
Work at height,
Work over water.
.
Permits
Co
ns
en
The issuing authority for permiis are: the safety co-ordinator and the maintenance foreman,
except for electrical work. The electrical foreman issues electrical work permits.
AI1 personnel are trained.
Employees at risk are trained at the back to work training programme where permits is a module
on the safety video.
Copies of issued permits are kept in the safety co-ordinators' office.
In the event an employee being transferred from another Dairygold site, the induction training
for
such employees a full briefing on the Mogeely site safety rules.
Hot Work Permits
0
Hot work permit system is in operation throughout the fixtory for all welding/ cutting/
burning work.
* Hot work permits are controlled via the safety co-ordinator and the maintenance
department.
* Hot work pennits will be audited by the safety co-ordinator on a regular basis.
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Confmed Space Entry Permits
e
Confined space entry pennits are issued for the for the following type of work at
Mogeely :
-
-
4
Access lo Silos. Vats, Starter lanks & CP tanks
Access to Brine tank
Entering Gadan Plant tunnels
Entering Mallo line belts 1 - 4
Confined space permits are issued by the Safety COOrdinator in conjunction with the
Electrical Foreman and Mainterlance Forman .
to
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Working at Height Permits
ot
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se
.
Confined space permits will be audited by the safety co-ordinator on a regular basis.
Permit procedure issued for work above 2 metres (M)where there is no safety handrails OJ otlier
protection.
Electrical W orlcing Procedure
e
0
ns
en
Medium Voltage pennit procedure is inanaged and controlled by the Electrical foreman
who is trained on MV systems & procedures.
I O KV Network Guidelines are used to assist the maintenance dept. for all maintenance/
isolation and switching work on the Mogeely network.
Tlie electrical foreinan is trained on MV system and procedure.
Iso-lock system in operation for work on LV distribution system. Electrical safety
statement to be issued and training to be carried out in May 2003.
Co
e
Crane Working Permits
8
linplemented by engineering/ maintenance for all crane work on site. This usually
involves winter maintenance work eg. aerial cleaning or capital project which involves
installation / relocation of plant.
Excavation Permit
e
Iinpleinented by engineering/ maintenance for all excavation work on site usually
associated with capital projects.
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Worlung over Water Permits'
The permit procedure involves requesting a method statement from the person carrying out the
work, as working over water is not part of routine operator duties or routine maintenance work
This type of pennit / control would pertain mainly to areas outside typical activity in the brine
room or effluent pl
Refrigeration Procedure
e
Guidelines for working on refrigeration system based on best practice.
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Disciplining Procedures
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Procedural agreement between Dairygold Food Products (Mogeeiy) and Craft workers
union.
Disciplinary procedure is on file.
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1. Advise Operator and if necessary production supervisor of requirement to work
on C P system / lines.
2. Refer to current CIP schematic drawings, available in Maintenance dept. if
required.
3. Request supervisor / operator to flush down CIT system.
4. Close relevant valves in line to areavwhere the work is to be carried out.
5. Isolate and Lock off both “Flow” & “Return” pipes.
6 . Carry out necessary maintenance / repair work.
7. On completion of work energise both flow & return pumps.
8. Infonil supervisor or operator that work is now complete and the CIP system is
now available for use.
Please Note:
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Do s t depend on the CYP system being made “Safe” by the computer
programme.
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PP‘E required:
0
Chemical goggles or face visor
Co
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Rubber Gloves
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6
External Permit, Licence or
Statutory Requirements
Boilers
Statutory
Inspection
Frequency
Yes/ 14m
Yes/ 26m
Yes/ 26m
Safety
Harnessed
Lanyards/
Fall
Arrest
Systems
Bulk Gns Tanks
Yes/ 6m
Yes/ 5 y c m
Vehicle Dock
Loading
Dock Levellers
Levellcrs
Person & Goods Lifts
Yes/ 12m
Yes /I2m
Yedl
2m
Hoists
Yes/ 12m
Di.gpo.gal
Route
Waste
Categoq
Contnct
Environmental
Dept.
Contnct
Safety
Dept
Comments
SPatutory Insurance Inspection
I
Statutory Insurance Inspection
Statutorv
Insurnnce
Inspect before
use. Inspection
Statutonr Insurance Inspection
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-_____
- . -
Statutory Insurance Inspection
Statutory Insurance
Insurance Inspection
Inspection
Statutory
Stntutor&urance
Inspection
Ti&/
Daily/ Weekly
Weeklv
,-cepsn~nspections
I
ns
en
-
Inspect
use Inspection
Statutontbefore
Insurance
p
i
Statutoq hsurance ~nspection
Co
. Excavations
Scaffolding
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.
Air Receivers
Pressure
Vessels (hoists/
Lifting Equipment
chains/ slings)
Licence
Requirement
8
..
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To encourage a culture of compliance with site rules and standards a system of positive
feedback and reward can also be used to promote a safety conscious organization.
No.
Key safety indicators by department:
No of days without accidents
Number o f substandard conditions reported and resolved - Safety
Committee.
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Bulletins on notice boards
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1
Method
Suggestion scheme
4
Safety articles in Goldlink newsletter
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