New Incident Report

Reported By*

Category* Select Category... H&S Accident H&S Incident H&S Near Miss H&S Safety Concern H&S Positive Observation H&S Observation Marine Accident Marine Incident Marine Near Miss Marine Safety Concern Marine Safety Observation Environmental Incident Environmental Near Miss Environmental Concern Environmental Observation Marine Spill

Severity N/A 1 - Critical 2 - Major 3 - Moderate 4 - Minor

Record Injured Persons details? No Yes

About the injured person

Name

Job Title

Address 1

Address 2

Address 3

Town

County

Post code

Gender Male Female Other

Age

Status Employee of company Employed by someone else On a Training Scheme On work experience Self employed at work Member of the Public

Has this person given consent for their employer to disclose their personal information and details of the accident to safety representatives for them to carry out safety functions required by law? No Yes

Injured Area

	Abdomen		Ankle		Arm
	Back		Chest		Ear
	Elbow		Eye		Face
	Fingers		Foot		Groin
	Hand		Head		Hip
	Knee		Leg		Mouth
	Neck		Nose		Shoulder
	Toes		Wrist

Incident date*

Incident time*

Area* Other 16 Regent Quay Albert Basin Albert Quay 1- 5 Albert Quay Bunker Berth Atlantic Quay Balmoral Quay Blaikies Quay Castlegate Quay Central roadway Clipper Quay Commercial Quay East Commercial Quay West Crathes Quay Crown Wall Cut Dockgates Dry Dock Area Dunnottar Quay Duthies Quay Entrapment Due to Narrow Passages Eurolink Linkspan Eurolink pontoon Gregness Breakwater Halls Quay Harbour Vessels Installation Berth Jamiesons Quay Maintenance Workshops Marine Operations Centre Matthews Cross Berth Matthews Quay Mearns Quay 1 - 3 Navigation Channel Nord Centre North Breakwater (NH) North Harbour Approaches Pacific Quay Palmerston Fish market Pocra Base Pocra Quay Point Law Cross Berth Regent Quay 1-4 Regent Road River Dee Russells Quay Shed 1 Shed 2 Shed 3 Shed 4 Shed 5 Shed 6 Shed 8 Shed 9 South Breakwater (NH) South Harbour Approaches South Harbour Basin Telford Dock The Silver Darling Tidal Harbour Torry Quay 1 - 6 Trinity Quay Turning Basin Upper Dock Upper Dock Cross Berth Victoria Dock Waterloo Goods Yard Weighbridge A Weighbridge B

Location*

Weather conditions (if applicable)

Incident type* Other Act of violence Adverse Weather Impact Animal Hazard (Encounters with wildlife or invasive species) Back Injury from Incorrect Lifting Techniques Breach of Environmental Protection Laws Cargo Handling Equipment Damage (Forklifts, Reach Stackers) Chemical Spills During Maintenance (Lubricants, Solvents) Collision Between Port Equipment and Vehicles Contact - Fixed Object Contact with electricity or electrical discharge Contact with moving machinery Contact with Moving Vessel During Mooring Contact with Skin or Eyes During Spill Cleanup Contact/Collision with Vehicle Contamination of land, flora, fauna Contamination of Water Supply or Marine Environment Crane or Lifting Equipment Failure Crushing Injuries During Mooring Operations Crushing Injuries from Collapsed Cargo Loads Crushing Injuries from Collapsed Hoses or Pipes Damage to equipment / tool / infrastructure Discharge of Ballast Water Containing Non-Native Species Diving Incident Dockside Infrastructure Damage (Berths, Quay Walls, etc.) Dropped Object – Overboard Dropped Tools or Materials from Height Dropping Heavy Loads on Hands or Feet Drowning or Asphyxiation Electrical Contact While Working on Roofs (E.g., Power Lines) Electrical Faults or Short Circuits During Repairs Emission to Air of Gas, Dust, Fumes, or Other Pollutants Engulfment by Liquids or Solids in Tanks or Pits Entanglement of Hands or Feet in Mooring Lines Environmental Compliance Failures (Specific SEPA Regulations) Environmental Concern Equipment failure / malfunction Equipment Failure in Confined Spaces Explosion Risk During Maintenance on Fuel Systems Exposure to Contaminated Water or Hazardous Chemicals Exposure to Extreme Weather Conditions (Hypothermia, Heat Stress) Exposure to Fire or Explosion Exposure to Hazardous Substances (E.g., Paint Fumes, Cleaning Agents) Exposure to Toxic Vapours from Spilled Oil Exposure to, or Contact with, Harmful Substances Failure of Bollards, Winches, or Capstans Failure of Fall-Arrest Systems Failure of Lifting Equipment During Maintenance (Hoists, Chains, Slings) Failure to Comply PoA -PTW system / Work Notification Failure to comply with site rules Failure to Maintain Port Assets and Infrastructure Fall from height Fall into water Fire/Explosion Incident First Aid Case Fly tipping (Illegal waste dumping ) GDPR Grounding Health/Wellbeing Concern Housekeeping issues Injured by an animal Injured while handling, lifting or carrying Intoxicated behavior / Drug or Alcohol Abuse IT Failure Machinery/Hull Failure Marine Collision Marine Contact (Allision) Marine Fire /Explosion Marine Incident (Near Miss) Marine Less Serious Casualty Marine Machine Failure Marine Other Onboard Incident Marine Pollution Marine safety Observation Marine Serious Casualty Marine Very Serious Casualty Medical Treatment (MTC) Mooring Line Failure Noise, light, odour, vibration or other nuisance Object Overboard Other Onboard Incident Other type of incident Person Overboard Personal protective equipment (PPE) non-compliance Pilot ladder damage PoA LTI (Lost Time Injury ) Pollution of water courses, surface water drains, foul water sewers Positive Observation -Action/ Condition Restricted Work Days Safety Concern Security Breach /Security Incident or Unusual Behavior/Concerned Individual. Slip, Trip and Fall on same level Spillage, leakage, or uncontrolled discharge of substance Strike against something fixed/stationary Struck by moving vehicle Struck by moving, including flying/falling, object Suspicious Package Theft Traffic Issue Traffic Violation Trapped by Something Collapsing/Overturning Tripping on Uneven Surfaces or Loose Cables Unattended Vehicle/Equipment Unauthorised Access/Trespassing Unauthorised Mooring or Vessel Entry Unauthorised parking Uncontrolled Swing of Suspended Work Platforms Unsafe Access and egress Unsafe Condition lack of Maintenance Unsafe Lifting/Rigging Unsafe Mooring/Line Handling Unsafe Observation (Specify) Unsafe Positioning of Gangway Unsafe Storage and Stacking Unsafe Storage of Containers/Skips Unsafe Transportation/Unsecured Load Unsafe Working at Height Unsecured Load Incident (Cargo Shift on Deck/Quay Side) Unstable Work Platforms (eg MEWPs - Mobile Elevating Work Platforms) Use of Mobile Phone Whilst Driving Waste Management Water Leakage or Pipe Burst Leading to Injuries Weather Hazards (Rain, Snow, High Winds Impacting Operations) Wet Surfaces from Rain or Water Supply Operations Wildlife Disruption (Marine Mammals, Seabirds) Worker Fatigue/Overexertion Incident Working in Remote Port Areas Without Immediate Medical Access

Description of Incident*

Action taken at the time*

Root cause category* Other Crew failed to utilise the correct type of fairlead for the tugs line. Crew Fatigue Defective tools or machinery Environmental Factors (e.g., currents, visibility) Equipment failure /Equipment Malfunction External Factors Failure of Port Infrastructure Failure to comply with Port regulations Failure to follow standard operating procedures (SOPs) Failure to maintain Failure to provide suitable and sufficient risk assessment Failure to tend lines, incorrect procedures GDPR Breach Human error - Lapse Human error - Violation Human error process failure Inadequate coordination between different teams or departments Inadequate design of workplace and equipment (Unsafe work environment) Inadequate Emergency Response Procedures Inadequate implementation of safety management system Inadequate Inspection of Vessels or Equipment Inadequate Lighting Inadequate Maintenance of Equipment or Infrastructure Inadequate Risk Assessment or Risk Management Inadequate Training of Crew Members Incorrect maneuvering procedures Incorrect Navigation Insufficient training on specific equipment or procedures Lack of adequate supervision Lack of co-operation Lack of communication Lack of competence Lack of oversight or supervision Lapse error whilst manoeuvring Medical Emergencies Misunderstandings or unclear instructions Overloading or Improper Loading Poor Communication Between Crew Members or with Port Authorities Poor Weather Conditions Security breaches or unauthorized access Structural deficiencies or weaknesses Structural Failure of Equipment Supply Chain Disruptions Training and familiarisation. Underwater Infrastructure Damage Unfamiliarity with maritime environment Unfamiliarly with Maritime environment. Unsafe Practices (e.g., shortcuts, ignoring safety protocols) Violation

Details of root cause of the incident (if known)

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