Information

  • Conducted on

  • Prepared by/ Staff Number

  • INCIDENT TITLE ( MUST BE COMPLETED)

  • INCIDENT SUMMARY (MUST BE COMPLETED)

Admin details

  • Enter the ebasis number

  • Location

  • Stand No

  • Details of flight and aircraft registration? If applicable Any aircraft delay incurred? e.g. Unfit for service, delay

  • BA Department or 3rd Party

On Arrival At the accident scene

  • Names of colleagues attending (e.g. First Aider if attending, Engineer, TRM, TRC, Crew Leader)

  • Have all the emergency services been contacted? E.g. HAL/Police/Fire Brigade/Ambulance (provide name/no. of attending officers)

  • Has the owning Heathrow Ops Mgr/Departmental Head been informed?

  • Ensure accident scene remains undisturbed

  • Ensure all equipment and property is isolated and removed from service. (Record action taken)

Make Area Safe

  • Ensure all spillages are reported to HAL and prevented fro entering the drains e.g sawdust.

  • Ensure any equipment and property associated with the incident is isolated and removed from service, (record taken)

Staff Involved

  • Stand down any staff involved to a safe area and ensure appropriate welfare arrangements are made.

  • If injured party requires attendance at A&E have they been accompanied? Is so by whom and which hospital have they been taken to?

  • Ensure that assessment has been made for drug or alcohol tests to be conducted for staff involved under EG303.

  • Have you collected details of all persons involved including those of witnesses? Make arrangements to take/collect statements? Please list names of witnesses.

  • Airside driving permit checked and valid?

  • Ensure that the departmental safety representative has been informed.

Gather information/facts for investigation

  • Where and when did the incident occur?

  • What task was being performed at the time?

  • When did the emergency services arrive? Was first aid administered?

  • What injuries have occurred to staff, passengers, public or contractors? If incident involves staff or pax in the terminal have HAL been notified?

  • We're personnel wearing PPE? And was it serviceable? Check condition of footwear, tabard, ear defenders etc.

  • Have you photographed the scene, equipment, and any property involved?

  • Add media

Environmental conditions at the time:

  • Lighting

  • Visibility

  • Weather

  • Road/Stand

  • Surface

  • Shadows

  • Contamination

  • Floor Surface

  • Fumes

What equipment or property has been damaged?

  • Make/Operator

  • Fleet/Eqpt No

  • Vehicle Reg

  • What is the extent of the damage?

  • Who was operating/driving the equipment? e.g. Names/staff number/department

  • If applicable what dangerous substances are involved? Name, nature and quantity.

  • We're there any passengers in the vehicles involved? If yes please provide names/staff number/department

  • What actions have been taken to prevent a recurrence?

On return to office

  • If passengers involved inform the Press Office/Customer Relations. (85100)

  • SIRP manager to request CCTV for incident site within first 4 hours of incident.

  • If a fire, electrical fault, building or structural incident has occurred, have Facilities been notified I.e fault reported? (Obtain job number)

  • If Radioactive material involved ensure Radiation Protection Advisor (RPA) is contacted immediately. RADAM Associates (24 hr hotline) 01625-576000. The Team Manager must inform the Corporate Safety Duty Manager.

  • In the event of vehicle/equipment/plant damage confirm completion of R138.

  • Was the staff member suspended from driving duties (if applicable) if not, why not?

  • Obtain reports from HAL/Police who attended? If not state possible reason.

  • What actions are HAL/Police taking? e.g. HAL remove driving permit/pass etc

  • Staff members training records checked for compliance?

  • Staff members working hours record? (10 previous days)

  • Time lost from work? (If known)

  • Relevant Procedures checked? Please provide reference number.

  • If contractors involved please contact there local office and ensure BA account manager is advised. Please obtain copy of their report/ contacts?

  • For incidents found on arrival (e.g. damage, unsecured load, dangerous goods) please ensure out station airport manager is advised. Please record details.

  • Please email this checklist and any witness statements taken to: Alan.Emery@ba.com

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.