HSE Annual Report 2007
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ADGAS – Abu Dhabi Gas Liquefaction Company Ltd. PO Box 3500, Abu Dhabi, UAE T: +971 2 606 1111 F: +971 2 606 5500 email: info@adgas.com
Contents
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
ADGAS General Manager’s Message ADGAS HSE Policy HSEMS – Implementation and Follow-up ADNOC HSE Award Safety 5.1 Safety Performance 5.2 Advanced Safety Audits (ASA) 5.3 HSE Training 5.4 Department HSE Performance Measurement 5.5 Emergency Preparedness 5.6 Near-miss Reporting 5.7 HSE Audits 5.8 Risk Management / Risk Assessment HSE in Projects Environment 7.1 Flaring & Emissions 7.2 Flaring & Emissions Reduction Program 7.3 Stack Emissions and Air Quality Monitoring 7.4 Monitoring of Plant Fugitive Emissions and LDAR Program 7.5 Internal Leaks in Flare Lines and Valves Detection Program 7.6 Waste Disposal 7.7 Environment Management System 7.8 Clean Development Mechanism (CDM) Initiatives 7.9 Energy Management Occupational Health ADGAS and Contractors 2007 HSE Performance Definitions
2 4 5 6 8 8 9 9 11 12 13 13 14 17 18 18 18 19 19 20 20 20 20 20 22 23 24
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1 General Manager’s Message Proudly, I present to you the ADGAS HSE Annual Report summarising our performance and other remarkable achievements for the Year 2006.
Embracing the HSE culture and increasing the HSE awareness of our employees and our contractors has been ADGAS Management’s top priority in 2006, and with certainty I say that in the coming years no efforts will be spared in sustaining and further enhancing HSE standards to their highest levels. Since our last HSEMS external audit by Lloyds Register Quality Assurance, in which we demonstrated 85% compliance with ADNOC HSEMS requirements, we have implemented several audit recommendations, and plans are in place to ensure total compliance with these requirements.
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Surpassing the set target of 22 million man-hours without Lost Time Injury (LTI), ADGAS and its Contractors have achieved, at the end of 2006, a remarkable total of 26.6 million man-hours without LTI and continued to maintain a zero lost time injury frequency. Not only is this an impressive record and milestone in ADGAS history, but it is as good as it can get in the Oil and Gas Industry. ADGAS has set itself a challenging “Zero LTI” target of 30 million man-hours which it will strive to achieve in the fourth quarter of 2007. In addition, significant increases in Near Miss reporting and Behavioral Safety audits have been achieved in 2006. These milestones indeed are elements of the HSE culture that we have pledged to embrace.
Through several external surveillance audits, ADGAS continues to maintain the ISO-14001 certification for its Environment Management System, and work is underway to further recertify for additional three years. The progress of major environmental projects such as capturing boil-off gases and improving the efficiency of sulfur recovery units is nearing its completion and commissioning is set for the first quarter of 2007, bringing about reduction in flaring and a significant reduction in toxic (SO2) emissions. Several new environmental initiatives for minimizing industrial emissions have been further identified with the ultimate goal of attaining zero emissions.
Considering the urgency of minimising flaring and plant emissions (especially CO2, SO2 and NO2), a comprehensive study has been completed identifying sources of flaring and emissions and operational and engineering solutions to reduce them. Several of these recommendations have been implemented and plans are in place to progress with the others. In addition to monitoring the chemical and physical health hazards associated with the plant’s operations, a formal quantitative Occupational Health Risk Assessment will be carried out in 2007. It will provide measures for minimizing, to the lowest levels possible, the risk to employees from occupational health hazards.
Extensive work is underway toimplement a unified emergency management framework on Das Island, jointly with ADMA-OPCO, and in line with the Incident Command System (ICS), thus replacing the current emergency management system on Das Island.
Lastly and most importantly, by embracing HSE as an integral part of our business culture, ADGAS is indeed prepared to meet all future challenging HSE targets. Saif Al Ghafli General Manager
ADGAS is proud of these achievements and recognises and appreciates the commitment, dedication and excellence that its employees and contractors have shown to make such achievements possible.
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2 ADGAS HSE Policy ADGAS, a leading gas liquefaction company in the Middle East, believes that all injuries, accidents, occupational health illnesses and adverse environmental impacts can be prevented.
ADGAS is committed to managing its health, safety and environmental issues in a manner that meets the expectations of the stakeholder, which includes employees, community and our shareholders. To meet these standards and expectations, ADGAS will: • Treat Health, Safety and Environmental (HSE) performance on par with other business objectives to safeguard the wellbeing of employees, contractors, the community in which it operates, and to maintain a high business performance. • Do its best to ensure the safety and integrity of its facilities and operations. • Train employees to meet HSE requirements appropriate to the nature of their work. • Comply with all ADNOC standards and applicable UAE regulations.
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• S trive to prevent pollution in general, but maintain special attention to the following: - Control gas flaring, efficient utilization of energy, and minimize emissions. - Control and minimize SO2 emissions. - Effectively manage hazardous waste by proper segregation and disposal. • Develop HSE objectives, targets and measurable performance indicators wherever possible. • Strive for continual improvement of HSE performance. • Develop, implement and maintain an integrated Health, Safety and Environmental Management System (HSEMS) as per the expectations of ADNOC, the prime shareholder of the company. ADGAS employees and contractors will contribute to achieving the set level of HSE performance by conducting their duties within the HSE policy and up to the standards detailed in the Health, Safety and Environmental Management System.
• C ooperate with ADNOC and other shareholders in reporting and improving HSE performance. • Ensure that all major projects and plant modifications are carried out in line with ADNOC HSE requirements and applicable UAE regulations. • Respond promptly to control any incident, unsafe condition or act, and implement measures to prevent recurrence. • Encourage its employees and contractors to participate in the HSE performance improvement process.
Saif Ahmed Al Ghafli General Manager
3 HSEMS Implementation and Follow-up Since the launch of the revised ADGAS HSEMS in 2004, the system has undergone several reviews and audits by its own process owners and program champions, including third party auditors
The 2007 year-end self-assessment showed progressive improvement in our system compliance with respect to ADNOC HSEMS expectations. In addition, several meetings were held between HSEMS program champions and their respective process owners, which has substantially improved communication and led to further implementation of ADNOC HSEMS expectations. With the introduction
of a revised agenda of the ADGAS HSEMS steering group committee, items such as HSE performance, high potential near-misses and incidents, near-miss analysis, and major HSE schemes are discussed and reviewed by the team. In comparison with the year 2006, there is a clear improvement in ADGAS HSEMS compliance with ADNOC, and this was due primarily to the net improvement of the audit element.
HSEMS Expectations – Compliance
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4 ADNOC HSE Award ADGAS’ participation in ADNOC’s 2006 HSE Awards was very rewarding in both the number of papers presented and the number of awards achieved.
ADGAS participated in the competition with twelve submissions and received the following awards: • Runner up in the Environment Category • Zero Lost Time Incident (LTI) Certificate • Special Recognition award • Group company and contractor partnership certificate The Zero Lost Time Incident Certificate achieved by ADGAS was the fourth consecutive one received since the inception of this award by ADNOC.
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5 Safety By the end of 2007, ADGAS and its contractors had achieved an extraordinary record of 34.2 million man hours without a single Lost Time Incident (LTI). This new record represents more than five and half years of operation without an LTI.
On 7 August 2007, ADGAS celebrated the achievement of its set target of 30 million LTI-free man hours, and set another challenging target of 40 million man hours. 5.1 Safety Performance In 2007, ADGAS and its contractors worked a total of 7.7 million LTI-free man hours and continued to achieve a zero LTI frequency rate. Achieving this target was a result of the following individual safety milestones:
Lost Time Frequency Rate
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• T he Operations Department, Production Support Department, Operations Support Department, HSE Department, Product Quality Department, Business Support Division and Marketing/ Commercial Division have all achieved one year without LTI for the fifth consecutive year. • T he General Services Department (Das), Corrosion & Inspection Department, Cost Services Department, Engineering Division, Procurement Division, and Finance Division have achieved one year without LTI injury for the sixth year in a row.
• T he Maintenance Department, Administration Department, (Das), Training Department, Materials Operations Department, Performance and Reliability Department, Public Relations Department, Human Resources and IT Divisions, have, for the sixth year in a row, achieved one year without an LTI injury. • T he ADGAS Project Division achieved a target of one year without an LTI injury for the eighth consecutive year.
• T he ADGAS Overhaul and Planning Department, along with contractor Descon, has successfully conducted the 2006 Train 3 Overhaul without LTI injury, which is the sixth overhaul achieved without LTI. • K AEFER achieved 2,191 days (equivalent to 7 years) without an LTI injury. • C ostain, Target, Veco, ADCC and Granite all have completed their on-going projects (PSU, IGD, New Nitrogen Plant, AGRU, Painting & Scaffolding) with no LTI during 2007.
ASA’s Per Year
The above achievements clearly indicate the increased maturity of the safety culture in ADGAS, and the growing HSE attitude of its workforce, including its contractors. 5.2 Advanced Safety Audits (ASA) The graph clearly shows a gradual increase in conducting ASA over the years. In 2007, a total of 1212 advanced safety audits were conducted, which represents an increase of 10% compared to 2006. As in 2005 and 2006, senior managers (including heads of departments) set a target to conduct safety tours of
ADGAS facilities and perform a number of ASA, with rewards for those with the highest compliance against their set targets. As an encouragement, those employees who conducted high numbers of ASAs in 2007 were also rewarded. 5.3 HSE Training Continuing to implement the 2005 ADGAS safety recommendations, more employees have attended the Hazard Awareness training course, which has been amended to include major hazards, and a number of sessions were arranged to cover both senior and junior employees.
HSE Training
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5 Safety continued
With the full implementation of the Incident Command System (ICS) by 1 March 2007, in accordance with ADNOC COPV5-05, and the need to ensure all personnel are well trained in the use of ICS, several training sessions at different levels and for different ICS positions were organized and many personnel attended them. The levels of training included awareness, basic, intermediate and advanced, in addition to several workshops and exercises that formed part of the training package.
Furthermore, in 2007 the HSE training section conducted a total of 508 courses involving 2,437 employees (both ADGAS and contractors), covering a wide range of HSE topics. The above training figures do not include major projects (OAG), which are taken care of by the contractor.
• • • •
Number of near-misses reported HSE workplace meetings held Planned general inspections performed Management safety tours and ASAs carried out • Safety training attended against committed schedule • HSE toolbox talks conducted
5.4 Department HSE Performance Measurement Similarly to previous years, ADGAS department HSE performance is measured against a set target that is increased yearly in line with the policy of continuous improvement. The performance indicators included are:
In 2007 three departments were recognized for their excellent performance based on their average % compliance, ranking 1st, 2nd and 3rd.
Department HSE Performance Measurements (3 years)
Department
2005
2006
Operations
105
Engineering Support
2007 Score
Rank
91
106
8th
63
61
123
5th
Materials Operations
108
108
112
7th
Product & Quality
108
118
126
3rd
95
103
137
2nd 9th
Corrosion & Inspection
78
96
93
Operations Support
168
126
187
1st
Maintenance
104
123
125
4th
Overhaul & Planning
129
133
105
8th
Administration – Das
112
98
117
6th
General Services (Das)
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5 Safety continued
The following table summarizes the departments’ performance, and the graph shows the performance trend for the past three years. 5.5 Emergency Preparedness With the implementation of the Incident Command System (ICS), ADGAS emergency preparedness has improved substantially and now follows the principle of command and control process. Credible scenarios from the pre-fire plans are exercised, allowing us to measure the system’s effectiveness. Several exercises were held jointly with ADMA-OPCO to test the capability of each of the two companies as well as providing mutual aid, and also to establish and maintain effective communication between the two organizations.
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The following emergency exercises and drills were conducted in 2007: • J oint emergency exercise witnessed by ADGAS shareholders conducted on 11 December 2007 • Preparation session for major exercise held on 10 December 2007 • Emergency exercise (LNG leak jetty) held on 25 November 2007 • Emergency exercise (Fire in Transformer N1) held on 24 November 2007 • ADGAS ICC workshop (Pentane Tank D-501) held on 3 April 2007 • ICS workshop (oil spill) held on 26 March 2007 • ADGAS Red Alert ICC Tabletop held on 18 May 2007
In addition, several real emergency situations were experienced in 2007 and were considered as part of our emergency preparedness. In order to ensure effective implementation of ICS and continuous awareness among all emergency team members for both companies (ADGAS and ADMA-OPCO), several workshops and desktop exercises were organized.
5.6 Near-Miss Reporting In 2007, the HSE Department received a total of 1787 Near-miss reports, representing an increase of 43% over the previous year. The ADGAS KPIs related to Near-miss versus the cooperated population set for 2007, including the stretch target (respectively 115% and 120%), were well surpassed. Indeed, such an increase in reporting of Near-miss incidents is credited to the increased safety attitude of ADGAS employees and contractors, and to the safety culture that has been well promoted by all members of the ADGAS management team.
Number of Near-Miss Reports Received
When the Near-miss reports were risk ranked, it was found that 5% were categorized as high risk, 33% as medium risk, and 62% were low risk. In addition, 68% of the total incidents were reported within the LNG plant, while the rest were from different locations outside the plant area. The key message that resulted from the Near-miss analysis is that people have improved their ability to recognize hazards as compared to previous years, but risk recognition associated with the hazards needs further improvement.
5.7 HSE Audits ADGAS has established a five-year rolling HSE audit plan, which covers not only the ADGAS critical operations, facilities and systems but also its contractors’ HSE management system. With the aid of these audits, it is possible to provide valid feedback to management on the adequacy, effectiveness and implementation of the HSE systems in place. Several of the audits were also conducted by external bodies, and details of the audits in 2007 are provided below:
Risk Ranking of Reported Near-Miss
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5 Safety continued
• T wo joint audits conducted by ADGAS and ADMA-OPCO staff for both Al Otaiba and Emirates Technical Associates Contractors. • T wo audits conducted by an external consultant (CRESENT), for KAEFER and ADCC contractors. • E xternal pre-shutdown audit conducted for DESCON in September 2007. • B i-monthly audits conducted by ADGAS job officers for their respective contractors. • O ne ISO-14001 Re-certification Audit conducted by Lloyds.
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5.8 Risk Management/ Risk Assessment In compliance with ADNOC corporate HSE policy, and as clearly stated in ADGAS HSE Policy (“all injuries, accidents, occupational health illnesses and adverse environmental impacts can be prevented”), all hazards are systematically identified, their risks analyzed and properly assessed, and managed to acceptable levels (as low as reasonably practicable). A process risk assessment procedure is implemented in ADGAS to manage all tasks performed in its different facilities. In 2007, ADGAS conducted the following risk management activities both for its on-going operations and projects: Number of HAZOPs (Hazards and Operability Study) Number of Task Risk Assessments Number of QRAs (Quantified Risk Assessment) Number of HSEIAs Number of HAZIDs (Hazards Identification)
10 102 05 03 06
ADGAS believes that the assessment and control of all risks is an essential requirement for proactive HSE Management.
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6 HSE in Projects In 2007, outstanding HSE performance was achieved not only by the eight projects managed by the ADGAS Projects Division, but also by the major project, Offshore Associated Gas (OAG), which started its EPC (Engineering, Procurement & Construction) phase in February 2007. All of these projects finished the year 2007 with no Lost Time Incidents. This excellent accomplishment is a clear indication of the HSE qualities inherent among project leadership. ADGAS’ HSE Department has made part of its HSE manual a detailed chapter on project HSE requirements, and all projects are required to adhere to it. With this, assurance is provided that the HSE rules and regulations, along with all ADNOC COP requirements, are fulfilled from the design stage to the decommissioning stage.
For every project and major plant modification, a project HSE plan is developed which identifies all HSE studies/activities that need to be carried out at different stages of the project. The following on-going projects were managed by ADGAS in 2007: • Boil-Off Gas and Sulphur Recovery Unit Projects (BOG/SRU) • Power System Upgrade (PSU) • HP Feed Gas Conditioning Unit • Acid Gas Removal Unit (AGRU) Filtration System Upgrade
• N ew Nitrogen Plant • Offshore Associated Gas Project (OAG) • Integrated Gas Development Project (IGD) • Storex Control System Upgrade (CSU) • New Training/Laboratory Building The table below summarizes the status of the different HSE studies conducted for ADGAS’ current projects.
HSE Studies Status
HSE Studies
Completed a
BOG / SRU
PSU
OAG
Nitrogen Plant
IGD
Develop HSE Plan
a
a
a
Hazard Identification (HAZID)
a
a
a
Hazards & Operability Study (HAZOP)
a
a
a
Environmental Impact Study (ENVID)
a
a
a
Quantified Risk Assessment (QRA)
a a
Safety Integrity Level (SIL) HSE Impact Assessment (HSEIA) Project HSE Review (PHSER)
a
a
HP Feed Gas
AGRU
STOREX CSU
New Training Building
a
a
a
a a a
a
a a
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7 Environment Please provide introduction
7.1 Flaring & Emissions The graphs attached here reflect the 2007 actual performance along with the trends of previous years. ADGAS accomplished its stretch target of 15 mmscfd of Gas Flaring in 2007. The major contributors to this success were the installation of a new BOG (boil off gas) compressor, and the sulphur plant efficiency enhancement project, as well as less flaring from the Train 3 Cryo Leak. Over the years, CO2 emissions stabilized in the range of 0.59 to 0.63 ton per ton of total production.
Flaring Trend
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Non-CO2 emissions are largely dependent on the performance of Sulphur Recovery Units. In 2007, non-CO2 emissions remained in the range of 0.0068 ton of emissions per ton of total production. 7.2 Flaring & Emissions Reduction Program In 2007, based upon recommendations of the Shareholders, ADGAS set itself an aggressive plan for accelerated implementation of flaring and emission reductions. ADGAS is to achieve absolute minimum flaring of approximately 1–2 MMSCFD by 2010 through implementation of four packages:
• P ackage 1: Major Flaring Reduction Schemes • Package 2: Energy Efficiency Improvement/CO2 Reduction Schemes • Package 3: SRU Reliability and Integrity Improvement Schemes • Package 4: Other Flaring Reduction Schemes In 2007, FLUOR-UK was appointed to do the Engineering/Feasibility study for Package 1 schemes.
CO2 Emissions, Ton/Ton of Production
7.3 Stack Emissions and Air Quality Monitoring ADGAS is routinely monitoring source emissions from boiler and gas turbine stacks along with ambient air quality on Das Island. This is being done twice a year by chemical analytical methods. Ambient air quality on Das Island was also evaluated at three different sites for sulphur dioxides, nitrogen oxides, respirable and total suspended particulates. The results were found to be well within UAE federal limits. An ADNOC recommended project is being pursued by ADGAS for implementing a detailed Air Quality Monitoring Systems (AQMS).
This project envisages installation of Continuous Emissions Monitoring (CEMs) and Predictive Emissions Monitoring (PEMs) equipment for selected stacks. 7.4 Monitoring of Plant Fugitive Emissions and LDAR Program In 2007, Fugitive Emissions Monitoring and LDAR (leak detection and repair) were conducted in Train 2, and partly in Train 1. There were 912 leaks in Train 2, which represent 462.3 ton/yr of fugitive emissions of hydrocarbons. After the tightening round campaign by
maintenance, the leaks were reduced to 849 no. which amounts to fugitive emissions of 351.1 ton/yr. These leakages were repaired while the plant was running, without affecting normal operation. However, further reduction in fugitive emissions will be achieved (target: 70%) when all the leakages are attended to during the annual overhaul in 2008.
Non CO2 Emissions, Ton/Ton of Production
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7 Environment continued
7.5 Internal Leaks in Flare Lines and Valves Detection Program A comprehensive survey was carried out in Train 2 and Train 3 to determine the integrity of the equipment connected to flare and/or vent systems such as pressure relief valves, block valves and control valves. In all, 1,441 such sources were checked and 19 internal leak sources were identified. The Train 2 internal leak sources will be repaired during the annual overhaul in 2008. The additional flaring due to these passing valves was quantified to be 1,808 tons per year. 7.6 Waste Disposal Waste generation and disposal continued to be tracked and monitored. In 2006, ADNOC TAKREER stepped in as a nodal agency, separately named as BeAAT, for receiving and treating hazardous waste at Ruwais. It is expected to be operational in 2008 for all ADNOC companies. Accordingly, BeAAT has proposed a set of guidelines. ADGAS has interacted with BeAAT and started the process of revising its waste disposal procedures.
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7.7 Environment Management System In 2004, ADGAS achieved ISO 14001 certification for its Environmental Management System. As part of the system requirements, six internal audits and two external surveillances were carried out throughout the year. ISO 14001 awareness training sessions were conducted regularly and the HSE Policy was also amended to reflect key environmental issues. 7.8 Clean Development Mechanism (CDM) Initiatives In accordance with the framework of the international agreement to address the concerns of global warming (Kyoto Protocol, 1997), ADGAS started the process of approval for two Clean Development Mechanism (CDM) projects, in partnership with the Masdar (Abu Dhabi future energy company). These are projects leading to the reduction of Greenhouse Gas (GHG) emissions. CDM is a United Nations approved process which encourages investment in GHG reduction projects, thus allowing the investing company to take part in carbon trading in the international market.
In 2007 ADNOC formed a steering committee to oversee CDM projects, and ADGAS is also a participating member. ADGAS already has the Designated National Authority (DNA)’s approval for two flaring reduction schemes under CDM, and has also produced a project development document (PDD) for further approval/validation. 7.9 Energy Management From 2007, ADNOC has started emphasizing the need for energy management for all its group companies. ADNOC has already formed a taskforce on energy management with members from all the group companies. Taskforce members are meeting regularly, and two workshops were also organized in 2007 to raise awareness of energy management. The immediate focus of the taskforce is to identify appropriate energy KPIs for group companies, and initiate a process for monitoring and reporting such KPIs. This will ultimately lead to a long-term program for improving energy efficiency at plant level. As energy and environment management work hand in hand, the focus on energy efficiency is being considered as a future drive for improving environmental performance.
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8 Occupational Health Only one case of occupational illness was reported for contractor employees in 2007. No cases were reported for ADGAS staff.
ADGAS took a proactive approach in 2007, conducting Quantitative Health Risk assessments for its employees in line with ADNOC codes of practice. The expected completion of the project is Q1-2009. Routine workplace monitoring was conducted for occupational health hazards such as H2S, SO2, hydrocarbons, particulates, noise, heat stress etc.
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9 ADGAS and Contractors 2007 HSE Performance
ADGAS and Contractors 2006 HSE Performance Element / Company
ADGAS
Contractors
ADGAS + Contractors
1,825,000
5,641,000
7,661,000
Fatalities
00
00
00
Number of lost time injuries
00
00
00
Total accidents/incidents
27
07
34
Total number of fires*
03
00
03
Lost time injury frequency rate (LTIFR)
00
00
00
Number of man-hours worked
–
–
–
14.99
–
14.99
Total near-misses Gas flared (MMCF/ day)
1,200,000
1,300,000
2,500,000
Total vehicle accidents**
03
02
05
Medical treatment cases (work-related injuries)
02
04
06
Vehicle kilometers driven (km)
* All fires recorded were small and of smoldering type. ** All vehicle accidents were very minor dents and minor paint damage, and none resulted in any injury to passengers or pedestrians.
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10 Definitions
Lost-Time-Injury. It is a fatality or a lost working day case which disables an employee from working on one or more days, following the day of the accident. Lost Time Frequency Rate. It is the number of LTI’s (Fatalities + Lost Working day cases) incidents per 1,000,000 (1 Million) hours worked.
�أو يوم عمل، كل حادث وفاة:�إ�صابة ينتج عنها خ�سارة يف وقت العمل ينتج عنها تعطيل قدرة موظف عن العمل ملدة يوم واحد،�ضائع .�أو عدة �أيام عقب يوم الإ�صابة هو عدد:معدل وقوع احلوادث امل�ؤدية �إىل خ�سارة يف وقت العمل حـاالت �أيـام+ الإ�صابات التي ينتج عنها خ�سارة يف وقت العمل (وفيـات .) �سـاعة من �ساعات العمل1000000( العمـل ال�ضائعة) مقـابل كل مليون
Near-Miss. It is an undesired event, which under slightly different circumstances, could have resulted in harm to people, damage to property, loss of product or loss of containment.
، كل حدث غري مرغوب به مت تفـادي وقـوعه:الأحداث العر�ضية ،وكان ميكن �أن ي�ؤدي �إىل �أ�ضرار للأفراد واملمتلكات لو كان قد وقع يف ظروف،�أو �إىل فقدان املحتوى .خمتلفة قليال
Accident. It is an undesired event that results in harm to people, damage to property, loss of product or loss of containment.
�أحـداث غري مرغوب فيهـا ينتج عنهـا �ضرر للأفـراد:احلوادث الإنتاج، �أو جلزء من، �أو فقدان ال�شركة لكل،واملمتلكات .�أو املحتوى
Medical Treatment Case. Any work-related injury or illness that involves neither lost workdays nor restricted workdays but which requires treatment by, or under the specific order of, a physician or could be considered as being in the province of a physician.
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تعـريف ـ ـ ــات10
كل �إ�صابة �أو مر�ض ينتج عن:احلوادث التي تتطلب عالجا طبيا العمل ولكن ال ينتج عنه خ�سارة يف �أيام العمل وال قدرة حمدودة مع �إنها (احلوادث) تتطلب عالجا،على العمل لبع�ض الأيام �أو التي ميكن،من قبل طبيب �أو حتت �أوامره املبا�شرة .اعتبارها من اخت�صا�ص الأطباء