Information

  • When is a SIRP required. In the event of major injuries, hospitalisation, Sewage leaks and Road Traffic Collisions

  • Conducted on

  • Prepared by/ Staff Number

  • Incident title (must be completed)

  • Incident summary (must be completed)

Admin details

  • Enter the ebasis number

  • Terminal

  • Exact location (Lounge/Zone/Desk etc.)

  • BA 3rd Party or Customer

  • Details of flight, Customer PNR reference, seat number, destination

On Arrival At the accident scene

  • Names of colleagues attending (e.g. TM, CSM, Gate Team)

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

  • Ensure photographs of the accident scene are taken

Make Area Safe

  • Ensure all spillages are reported to HAL and BA facilities management

Colleagues Involved and present at the scene.

  • Relieve any colleagues 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?

  • Has the owning CSM and Escalation manager been informed.

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

  • Ensure that the departmental safety representative has been informed.

Road Traffic Collision (RTC)

  • Ensure accident scene remains undisturbed, and all equipment and property remains isolated (record any actions taken)

  • Ensure that assessment has been made for drug or alcohol tests to be conducted for any colleagues involved. Refer to SOP SM07

  • Airside driving permit checked and valid?

  • 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

What equipment or property has been damaged?

  • Make/Operator

  • Fleet/Eqpt No

  • Vehicle Reg

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

  • What is the extent of the damage?

  • Were there any customers in the vehicles involved? If yes please provide names/staff number/department

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

  • What actions have been taken to prevent a recurrence?

Gather information/facts for investigation

  • Where and when did the incident occur? And what operation/task was being 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 key 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?

  • Tap here to take picture

Environmental conditions at the time:

  • Lighting (was this a cause in the incident)

  • Visibility (was this a cause in the incident)

  • Weather (was this a cause in the incident)

  • Enter further relevant Information here

  • Road/Stand

  • Surface

  • Shadows (For Road Traffic Collisions only)

  • Contamination

  • Floor Surface

  • Fumes

On return to office

  • If customer's involved inform the Press Office/Customer Relations. (85100)

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

  • 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.

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

  • Staff members training records checked for compliance?

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

  • Time lost from work? (If known)

  • Relevant Standard Operating Procedure 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 to LHR SIRP, LHR AOM, HCS Safety HCS Leadership Team

Road Traffic Accident

  • Ensure accident scene remains undisturbed.

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.