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idInjury Response and Review
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labelBrief

Title:

Injury Response and Review

Publication date:

6/29/2020

Effective date:

6/29/2020

BRIEF

Policy Summary

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 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 and 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:

ES&H Manual, Chapter 5

Contact Information

Incident Reporting/Analysis Subject Matter Expert

Environment, Health, and Safety (EHS) Division

Card
labelPolicy

Title:

Injury Response and Review

Publication date:

6/29/2020

Effective date:

6/29/2020

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.and 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, and 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 a 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

ES&H Manual

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

12/4/2018

1.2

M. Alexandre

Update source documents

Source Requirements Documents

Minor

6/29/20201.3M. AlexandreReference update to Cal/OSHA to reflect 10 CFR 851 varianceSource Requirements DocumentsMinor
Card
labelDocument Information

DOCUMENT INFORMATION

Title:

Injury Response and Review

Document number

07.03.002.000

Revision number

1.3

Publication date:

6/29/2020

Effective date:

6/29/2020

Next review date:

6/29/2025

Policy Area:

Incident Review and Reporting

RPM Section (home)

ESH

RPM Section (cross-reference)

None

Functional Division

EHS

Prior reference information (optional)

ES&H Manual, Chapter 5.1

Source Requirements Documents

  • Worker Safety and Health Program (PUB-3851), Section 4.6, Reporting Incidents and Hazards; and Section 7.7, Reviewing Safety and Health Experience
  • DOE Order 231.1B Admin Chg 1, Environment, Safety, and Health Reporting
  • DOE Order 232.2A, Occurrence Reporting and Processing System
  • DOE Order 414.1D Admin Chg 1, Quality Assurance
  • California Code of Regulations, Title 8, Section 3203, Injury and Illness Prevention Program
  • Cal/OSHA 14300

Implementing Documents

Document Number

Other Reference Number

Title

Type


ES&H ManualHealth ServicesProgram

07.03.002.001

ES&H Manual

Injury Response and Review

Program


PUB-5519(1)

Issues Management Program Manual

Publication


PUB-5519(2)

Causal Analysis Program Manual

Publication

Show If
grouprpm2-admins
Card
labelAdditional Information

ADDITIONAL INFORMATION

Title:

Injury Response and Review

Document number

07.03.002.000

Revision number

1.3

Publication date:

6/29/2020

Effective date:

6/29/2020

Next review date:

6/29/2025

Policy Area:

Incident Review and Reporting

RPM Section (home)

ESH

RPM Section (cross-reference)

none

Functional Division

EHS

Author name/contact info

M. Alexandre, [email protected]



Revision 0 publication date

1/2/2012

Retirement date

n/a

Prior reference information (optional)




Inputs from more than one Functional Area?

No

List additional Functional Areas & contacts




Inputs from more than one Policy Area?

No

List additional Policy Areas & contacts




30-day notification needed?

No

30-day start date

n/a

30-day end date

n/a



LDAP protected?

No



Need TABL reminders?

No

Frequency

n/a

Brief reminder text:

n/a



Approval Sheet for this revision received (date) [Note: author is responsible]


Key labels/tags:

  • (Policy Area 1), (Policy Area 2), (Section)

New terms that need to be added to Glossary/Acronym list:

  • (list items not found and context (Policy Area name) – full definition would be included in Policy)

Implementing Documents restricted to department/functional use

(optional – these will be used for tracing between requirements and associated documents)

Document number

Title






Side bars: 
Side bar 1 location (cite by Policy Section # - for example: Section D.2.a)
Sidebar 1 text: 
Sidebar 2 location
Sidebar 2 text: 
Sidebar 3 location

Sidebar 3 text: