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    Title:

    Injury Response and Review

    Publication date:

    12/11/2017

    Effective date:

    9/30/2010

    BRIEF

    Policy Summary

    The Berkeley Lab Injury Response and Review policy for reporting and reviewing work-related injury or illness defines the actions that assure the Lab meets regulatory requirements and exercises sound business practice. Key Berkeley Lab expectations under this policy include:

    • Reporting all work-related injuries and illness to proper Berkeley Lab authorities.
    • Reporting all work-related injuries and illnesses to Health Services.
    • Ensuring appropriate health care is provided to all employees reporting a work-related injury or illness.
    • Reviewing the event to:
      • Determine cause.
      • Initiate control measures that prevent or reduce the likelihood of recurrence.

    Who Should Read This Policy

    All employees and non-employees at Berkeley Lab.

    To Read the ES&H Program Details, Go To:

    http://www2.lbl.gov/ehs/pub3000/CH05.html

    Contact Information

    Incident Reporting/Analysis Subject Matter Expert
    EHS Division

    Title:

    Injury Response and Review

    Publication date:

    12/11/2017

    Effective date:

    9/30/2010

    POLICY

    A. Purpose

    The Lawrence Berkeley National Laboratory (Berkeley Lab) Injury Response and Review policy for reporting and reviewing work-related injury or illness defines the actions that assure the Laboratory meets regulatory requirements and exercises sound business practices. Key Berkeley Lab expectations under this policy include:

    • Reporting all work-related injuries and illness to proper Berkeley Lab authorities.
    • Reporting all work-related injuries and illnesses to Health Services.
    • Ensuring appropriate health care is provided to all employees reporting a work-related injury or illness.
    • Reviewing the event to:
      • Determine cause
      • Initiate control measures that prevent or reduce the likelihood of recurrence

    B. Persons Affected

    All employees and non-employees at Berkeley Lab.

    C. Exceptions

    None.

    D. Policy Statement

    1. Reporting Injuries
      1. Berkeley Lab reviews all work-related injuries and illnesses to understand what caused them, and to develop controls to prevent them from recurring.
      2. All work-related injuries and illnesses must be reported to Health Services.
      3. Various radiological incidents, chemical exposures, and environmental releases also require reporting and analysis. Consult with your Division Safety Coordinator, Environment/Health/Safety (EHS) Division Liaison, or Health and Safety Representative for appropriate procedures in specific cases.
    2. Investigation and Determination of Causes
      1. The Injury Review Program collaborates with Division Safety Coordinators to tailor the most effective investigative approach for each case and oversees the investigation and analysis process.
      2. The Incident Investigator ensures that appropriate causal analysis is conducted to determine direct, contributing, and root causes of the incident in accordance with the Causal Analysis Program Manual (PUB-5519[2]).
    3. Corrective Actions. Once causes have been determined and controls to prevent recurrence identified and recommended, division line management follows the process described in the Issues Management Program Manual (PUB-5519[1]).
    4. Reports and Documentation. The assigned Injury Review team prepares the injury investigation report. The report will:
      1. Satisfy the content requirements of U.S. Department of Energy (DOE) Form 5484.3 (Individual Accident/Incident Report).
      2. Describe the activity and events leading up to the incident.
      3. Describe any apparent, direct, contributing, or root causes.
      4. Describe controls that effectively prevent recurrence.

    E. Roles and Responsibilities

    Role

    Responsibilities

    Approver

    Any individual, such as a line management representative, supervisor, subject matter expert (SME), or individual acting in another capacity, may be designated as an approver as determined appropriate by the Division Safety Coordinator.

    Associate Laboratory Director Liaison

    As an SME, contributes his or her expertise and supports the review process at the request of a Division Safety Coordinator or the Injury Review Program.

    Division Health and Safety Representative

    As an SME, contributes his or her expertise and supports the review process at the request of a Division Safety Coordinator or the Injury Review Program.

    Division Safety Coordinators

    • Facilitate line-management ownership of the injury review by integrating their division's Integrated Safety Management Plan with the injury-review process.
    • Facilitate line-management ownership of issues management after an injury review.

    Environment/Health/Safety (EHS) SME

    Contributes SME expertise and supports the review process at the request of a Division Safety Coordinator or the Injury Review Program.

    Injured employee

    • Notifies supervisor and Health Services of work-related injury, illness, or other incident.
    • Participates in the injury review.

    Injury Investigator

    Provides professional skills and tools for injury investigation, causal analysis, recurrence-control development, and report preparation for all injury-review cases.

    Injury and Illness Program Manager

    • Determines whether a review will be division-owned or institutional.
    • In collaboration with the affected division, assigns investigators for all injury reviews.
    • When appropriate for minor cases, waives the requirement for a review when a review is unlikely to add value.

    Reviewers

    SMEs and other line management with a vested interest in the case, as well as individuals named for peer and quality review of an Injury/Illness Report.

    Supervisor/work lead for injured employee

    • Participates in the injury-review process.
    • Reviews, contributes to the review (as appropriate), and approves the incident review report.
    • With assistance from the Division Safety Coordinator, enters corrective actions into the Corrective Action Tracking System.

    F. Definitions/Acronyms

    Term

    Definition

    Division ownership

    The injured employee's division bears responsibility and accountability for controlling factors related to event causes and can initiate controls to prevent recurrence.

    Division line management

    The injured employee's supervisor or other line-management representatives, as defined in that division's Integrated Safety Management Plan (such as the Division Safety Coordinator, a work lead, a principal investigator, or another individual with delegated authority and accountability).

    Institutional ownership

    The responsibility and accountability for factors related to the event causes and for implementing controls to prevent the recurrence of an event have an institutional foundation.

    Incident

    An unplanned event that results in injury, illness, other loss, or a near miss.

    Near miss

    An unplanned event that under slightly different circumstances could or would have resulted in injury, illness, or other loss.

    Work-related injury or illness

    An injury or illness that occurs while performing a work-related activity on an employer-controlled property or in an employer-controlled space; while performing certain other activities on an employer-controlled property or in an employer-controlled space during regular work hours; while performing a sanctioned work-related activity away from the employer-controlled property or space; or while travelling on work-related business.

    G. Recordkeeping Requirements

    Role

    Recordkeeping Requirement

    EHS Injury Review Program SME

    • CAIRS (Computerized Accident Incident Reporting System) DOE Order 231.1B, Environment, Safety, and Health Reporting
    • OSHA 300, Log of Work-Related Injuries and Illnesses
    • OSHA Log 300A, Summary of Work-Related Injuries and Illnesses
    • CAIRS Quarterly Hours Report, Update Days Away and Restricted Days


    H. Implementing Documents

    Document Number

    Other Reference Number

    Title

    Type

    07.03.002.001

    PUB-3000

    Injury Response and Review

    Program

     

    PUB-5519(1)

    Issues Management Program Manual

    Publication

     

    PUB-5519(2)

    Causal Analysis Program Manual

    Publication

    I. Contact Information

    Incident Reporting/Analysis Subject Matter Expert
    EHS Division

    J. Revision History

    Date

    Revision

    By whom

    Revision Description

    Section(s) affected

    Change Type

    1/2/2012

    0

    R. Fisher

    Rewrite for wiki (brief)

    All

    Minor

    7/19/2013

    1

    R. Fisher

    Rewrite for wiki (update to current)

    All

    Minor

    12/11/2017

    1.1

    M. Alexandre

    Rewrite for wiki (update to current)

    All

    Minor

    DOCUMENT INFORMATION

    Title:

    Injury Response and Review

    Document number

    07.03.002.000

    Revision number

    1.1

    Publication date:

    12/11/2017

    Effective date:

    9/30/2010

    Next review date:

    12/11/2022

    Policy Area:

    Incident Review and Reporting

    RPM Section (home)

    ESH

    RPM Section (cross-reference)

    None

    Functional Division

    EHS

    Prior reference information (optional)

    PUB-3000 Chapter 5.1

    Source Requirements Documents

    • ES&H Manual Health Services program
    • Worker Safety and Health Program (PUB-3851), Section 4.6, Reporting Incidents and Hazards; and Section 7.7, Reviewing Safety and Health Experience
    • 10 CFR 851, Worker Safety and Health Program
    • 29 CFR 1904, Recording and Reporting Occupational Injuries and Illnesses
    • DOE Order 231.1B, Environment, Safety, and Health Reporting
    • DOE Order 232.2, Occurrence Reporting and Processing System
    • DOE Order 414.1D, Quality Assurance

    Implementing Documents

    Document Number

    Other Reference Number

    Title

    Type

    07.03.002.001

    PUB-3000

    Injury Response and Review

    Program

     

    PUB-5519(1)

    Issues Management Program Manual

    Publication

     

    PUB-5519(2)

    Causal Analysis Program Manual

    Publication




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