Military reference books and manuals (2009-2023, Volume 4) - page 25
AzSPU Manual Handling Management Programme
Figure 5.
Handling whilst Seated
The guidelines only apply when the hands are within the blue „box zone‟
indicated in Figure 5. If handling beyond the blue „box zone‟ is unavoidable a
more detailed assessment must be made.
6.7.6 None-routine work
Not all manual handling activities arise in the course of routine everyday
work. For example, maintenance work involves a wide variety of tasks. In
such cases it will often be quite unrealistic to attempt to assess every single
instance of manual handling. Instead the assessment should identify the
category type (Figure 2) of manual handling activity likely to be encountered
and establish the range of risks that each creates. This will determine the
appropriate remedial measures.
6.7.7 Work away from BP premises
Manual handling activities may occur away from BP premises in situations
over which less direct control can be exercised. However - the task and the
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load will remain under the control of the BP employees. Consequently risk
can be reduced by ensuring that employees who work off-site are provided
with effective training on manual handling techniques and on how to
establish safe systems of work.
For example, in the case of delivery operations a useful technique is to list
the various types of task, load and working environment concerned and to
review a selection of them. The aim should be to establish the range of
manual handling risks to which employees are exposed to and decide the
appropriate preventative measures where they are shown to be necessary.
6.7.8 Assessment Records
All assessment should be recorded in writing and kept readily accessible.
The assessment need not be recorded when one or more of the list below
applies;
Where the assessment is simple and obvious
The manual handing operation is quite straight forward and of low
risk
The assessment will last only a short time
The time taken to record the assessment would be disproportionate
7.0
REDUCE THE RISKS IDENTIFIED
7.1 The Ergonomic Approach
Health, safety and productivity will be optimized when an ergonomic
approach is used upon application to the manual handling activity.
Application of the four points below should be used to ensure this approach;
Where ever possible full consideration should be given to the;
1. Task
2. Load(s)
3. Working environment
4. Individual capability and their interrelationship - with a view to „fitting the
operation to the individual‟, rather than visa versa.
Particular attention should be given to the provision of mechanical
assistance where this is reasonably practicable. This should involve the use
of handling aids and, whilst and element of manual handling is retained and
bodily force are applied more efficiently thereby reducing the risk of injury.
More detailed guidance is provided in Appendices 2&3
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8.0
TRAINING and INFORMATION
8.1 Employee Training
Knowledge and training alone will not ensure safe manual handling but are
an important aspect of a safe system of work. A suitable and sufficient
training program should address the following and be delivered to each
employee involved into manual handling activities:
How potentially hazardous loads may be recognized
How to deal with unfamiliar loads
Good handling techniques including the correct use of manual
handling aids
The correct use of personal protective equipment (PPE)
Features of the working environment that contribute to safety
The importance of good house keeping
Factors affecting individual capacity
Employees should also be trained to recognize loads whose weight in
combination with their shape and circumstances in which they are handling,
might cause injury.
8.2
Provision of Information
Where reasonably practical, employees involved in the manual handling of
loads should be provided with precise information about;
The weight of each load
The heaviest side of any load whose centre of gravity is not
positioned centrally
Where this is not reasonably practical, general advice should be
given about;
The range of loads to be handled
How to handle the load whose weight is not evenly distributed.
Unfamiliar loads should always be treated with caution. The weight of an
unknown load can be gauged by attempting to raise one end of the load.
Force should always gradually until either undue strain is felt - in which case
the task should be reconsidered. Alternatively the weight of the lad can be
gauged by rocking it from side to side before attempting to lift it.
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9.0
MANAGEMENT of ILL HEALTH EPISODES
9.1
Manual Handling Injuries
Many manual handling accidents result in musculoskeletal disorders (MSDs).
MSDs can be defined as injuries or illnesses of the muscles, tendons,
ligaments, joints, nerves, vessels and supporting structures of the human
body. Symptoms of MSDs usually manifest as pain, numbness, tingling,
swelling or loss of function, most commonly located in the upper limbs, the
back and sometimes lower limbs.
Onset of MSDs can be either sudden or gradual. For example, low back
problems can occur suddenly as a result of a fall, or gradually due to
cumulative over exertion from repeated manual handling. Psychosocial and
workplace issues are also important contributing factors.
Manual handling injuries tend to be cumulative rather than attributable to any
single handling incident with each repetition of an activity producing some
wear or tear on the tissues (muscles, nerves, tendons, blood vessels, etc.)
and joints of the body. Injury then arises with time, from repeated mechanical
stress. A full recovery is not always made and the outcome can be physical
impairment or even permanent disability.
There are numerous manual handling activities and work-related risk factors,
which have been associated with musculoskeletal disorders. These risk
factors include:
Physical workload
- force, posture, movement, vibration etc. In
particular, prolonged static or awkward posture (e.g. twisting, hyper-
extension or flexion) of the back, neck, head or limbs is known to
cause musculoskeletal disorders.
Psychosocial stressors - autonomy, job satisfaction, organizational
culture etc.
Individual factors - anthropometry, biomechanics, age, gender etc.
Level of exposure
- intensity
(i.e. magnitude), repetitiveness,
duration. Repeated handling, even of lighter loads can cause
cumulative injuries.
9.2
Accidents and Ill Health
All accidents and ill health must be;
Reported by employees to supervisors/line managers
Recorded in writing
Investigated - including any regular occurrence of back disorders or
other ailments possibly associated with unsatisfactory manual
handling practices.
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These records are a valuable indicator of risk. Careful analysis may yield
evidence of links between manual handling and ill health including injuries
apparently unrelated to any specific even or accident.
Other possible indicators of manual handling problems might also include;
High levels of absenteeism
High levels of staff turnover
Poor productivity
Poor morale
Excessive product damage
General dissatisfaction amongst the employees concerned
10.0
MONITORING PROGRAM EFFECTIVENESS
10.1 Monitor and Review
Systems should be in place to monitor and review the effectiveness of the
Manual handling program.
10.2 Monitoring
Monitoring is the ongoing and regular appraisal of the systems and
procedures put into place to control the Manual handling risk
There is a number of monitoring techniques which could be applied. This
includes:
Task analysis
Manual Handling Risk Assessment
Health examinations / interviews
Manual handling task walkthroughs
Monitoring of staff complaints
Sickness and absence analysis
Reported symptoms analysis
The results of monitoring will be reported to Health Manager and Industrial
Hygienist and further communicated to Asset management.
11.0 Review
Reviews are less frequent but more strategic and should assess
effectiveness of the manual handling program. It should be undertaken when
monitoring indicates that the current manual handling program is not
providing adequate control of manual handling risks. Appropriate ideas and
suggestions for improvement should be captured and tracked through to
completion.
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11.1 Review of the Manual Handling Assessment
All assessments must be kept up-to-date and therefore it is vital that they should
be reviewed if there is any reason to suspect that they are no longer valid. This
might include where there has been a change affecting the nature of the task or
load to which an individual assessment relates or where other new information
comes to light that could materially affect the conclusion reached previously
including circumstances where a relevant reportable injury has occurred.
Assessments should be reviewed biannually.
An assessment should be reviewed if:
It is no longer valid
Where there has been a significant change in the manual handling
activity to which the assessment relates
12.0 MANUAL HANDLING ASSESSMENT TOOL
BP’s Rapid Assessment Tool (RAT)
The RAT tool -main risk assessment tool to be used in AZSPU (Appendix 1)
has been produced to rapidly create and review risk assessment data for
manual handing tasks. The system provided delivers a risk „score‟ and the
necessary intervention strategies to reduce the score to an acceptable level.
13.0
Key Documents/Tools/References
Manual Handling Guidance, BP Group
EC Directive 90/269/EEC on the minimum health and safety requirements for the
manual handling of loads.
UK HSE MAC Tool
Rapid Assessment Tool
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Appendix 1
Rapid Assessment Tool (RAT)
C:\Documents and
Settings\ahmaik\My D
Appendix 2
8.0
Guidance on Detailed Assessments
1.0 The Task
1.1 Is the load held at a distance from the trunk?
Regardless of the handling technique used, failure to keep the load close to the
body will increase the level of stress on the lower back. In addition, the further
away the load, the less easy it is to counterbalance it with the weight of the body.
Moreover, the benefit of friction between the load and the worker's garments in
helping to support or steady the load is reduced or lost.
1.2 The importance of posture
Poor posture during manual handling introduces the additional risk of loss of
control of the load and a sudden, unpredictable increase in physical stresses.
The risk of injury is increased if the feet and hands are not well placed to transmit
forces efficiently between the floor and the load.
1.3 Does the task involve twisting the trunk or stooping?
Stress on the lower back is increased significantly if twisted trunk or stooped
postures are adopted. The angle of stoop is the extent to which a line drawn
through the shoulders and the base of the spine departs from the vertical.
Safe capacity can be reduced very substantially if twisting is combined with
stooping or stretching. Such combinations should be avoided. A requirement to
position the load with precision can also add to the risk of injury.
1.4 Does the task involve excessive lifting or lowering distances?
Stresses are increased when loads are handled at extremes of vertical
movement. For example, when lifting box-like loads, heights between mid-thigh
and waist are most suitable, followed by lifting between waist and shoulder
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height. Lifting or lowering outside these ranges is likely to increase the risk of
injury.
1.5 Does the task involve moving the load through a large vertical
distance?
The distance through which a load is lifted or lowered is important, with large
distances considerably more demanding physically than small ones. Moreover,
lifting or lowering through a large distance is likely to necessitate a change of grip
part of the way, further increasing the risk of injury. Lifts commencing at floor
level should be avoided where possible - and where unavoidable they should
preferably terminate no higher than waist height.
1.6 Does the task involve excessive carrying distances?
In general if a load can be lifted and lowered safely it can also be carried without
endangering the back. However if a load is carried for an excessive distance
physical stresses are prolonged leading to fatigue and increased risk of injury.
As a rough guide if a load is carried further than about 10 metres then the
physical demands of carrying the load will tend to predominate over those of
lifting and lowering and safe capacity will be reduced.
1.7 Does the task involve excessive pushing or pulling of the load?
The risk of injury is increased if pushing or pulling is carried out with the hands
much below waist height or above shoulder height. The risk of injury is also
significantly reduced if a good grip cannot be obtained between the foot and the
floor.
1.8 Does the task involve a risk of sudden movement of the load?
If a load suddenly becomes free and the handler is unprepared or not able to
retain complete control of the load, sudden unpredictable stresses can be
imposed on the body creating a risk of injury. The risk is compounded if the
handler's posture is unstable.
1.9 Does the task involve frequent or prolonged physical effort?
The frequency with which a load is handled can affect the risk of injury. A quite
modest load, handled very frequently, can create as large a risk of injury as one-
off handling of a more substantial load. The effect will be worsened by jerky,
hurried movements which can multiply a load's effect on the body. Where
physical stresses are prolonged, fatigue will occur, increasing the risk of injury.
This effect will often be exacerbated by a relatively fixed posture, leading to a
rapid increase in fatigue and a corresponding fall in muscular efficiency.
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1.10 Does the task involve insufficient rest or recovery periods?
Failure to counter fatigue during physically demanding work increases ill health
and reduces productivity. Care should therefore be taken to ensure that
adequate opportunities for rest (i.e. breaks from work) or recovery (changing to
another task which uses a different set of muscles) are provided.
1.11 Does the task involve a rate of work imposed by a process?
Mild fatigue can soon become pronounced where the rate of work cannot be
varied by the handler, leading to an increased risk of injury and reduced output.
1.12 Handling while seated
Handling loads while seated imposes considerable constraints. Use of the
relatively powerful leg muscles is precluded and the weight of the handler's body
cannot be used as a counterbalance. Therefore most of the work has to be done
by the weaker muscles of the upper limbs. Unless the loading is kept close to
the body the handler will have to reach and/or lean forward. Not only will
handling in this position put the body under additional stress but the seat, unless
fixed in place, will then tend to move backwards as the handler attempts to
maintain a stable posture. Lifting from below the level of a work surface will
almost inevitably result in twisting and stooping, the dangers of which were
discussed earlier.
1.13 Team handling
Handling by two or more people may make possible an operation that is beyond
the capacity of one person, or reduce the risk of injury to a solo handler.
However, team handling may introduce additional problems which the
assessment should consider. During the handling operation the proportion of the
load that is borne by each member of the team will inevitably vary to some
extent. Such variation is likely to be more pronounced on rough ground.
Therefore the load that a team can handle in safety is less than the sum of the
loads that the individual team members could cope with when working alone.
As an approximate guide, the safe capacity of a two person team is two thirds of
the sum of their individual capacities; and for a three person team the safe
capacity is half the sum of their individual capacities. If steps or slopes must be
negotiated most of the weight may be borne by the handler or handlers at the
lower end, further reducing safe capacity.
Additional difficulties may arise if team members impede each vision or
movement. This can occur particularly with compact loads which force the
handlers to work close together. Such loads may also cause difficulty by offering
an insufficient number of good handholds.
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2.0 The Load
2.1 Is the load heavy?
The weight of the load is only one of the factors affecting the risk of injury. Other
features of the load, such as its resistance to movement, its size, shape or
rigidity, must also be considered. Proper account must also be taken of the
circumstances in which the load is handled; for example postural requirements,
frequency and duration of handling, workplace design, and aspects of work
organization such as incentive schemes and piecework. The numerical
guidelines, set out earlier, consider the weight of the load in relation to some of
the other relevant factors.
2.2 Is the load bulky or unwieldy?
The shape of a load will affect the way in which it can be held. In general if any
dimension of the load exceeds about 75 cm its handling is likely to pose an
increased risk of injury. It will be especially so if this size is exceeded in more
than one dimension. The risk will be further increased if the load does not
provide convenient handholds.
The bulk of the load can also interfere with vision increasing the risk of slipping,
tripping, falling or colliding with obstructions.
The risk of injury will also be increased if the load is unwieldy and difficult to
control. Well-balanced lifting may be difficult to achieve, the load may hit
obstructions, or it may be affected by gusts of wind or other sudden air
movements.
If the centre of gravity of the load is not positioned centrally within the load,
inappropriate handling may increase the risk of injury. For example, much of the
weight of a typewriter is often at the rear of the machine; therefore an attempt to
lift the typewriter from the front will place its centre of gravity further from the
handler's body than if the typewriter is first turned around and then lifted from the
rear.
2.3 Is the load difficult to grasp?
If the load is difficult to grasp, for example because it is large, rounded, smooth,
wet, slippery or greasy, its handling will call for extra grip strength - which is
fatiguing - and will probably entail inadvertent changes of posture. There will
also be a greater risk of dropping the load. Handling will be less sure and the
risk of injury will be increased.
2.4 Is the load unstable, or its contents likely to shift?
If the load is unstable, for example because it lacks rigidity or has contents that
are liable to shift, the likelihood of injury is increased. The stresses arising during
the manual handling of such a load are less predictable, and the instability may
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impose sudden additional stresses for which the handler is not prepared. The
risks are further increased if the handler is unfamiliar with a particular load and
there is no cautionary marking on it.
2.5 Is the load sharp, hot or otherwise potentially damaging?
Risk of injury may also arise from the external state of the load, for example it
may have sharp edges or rough surfaces, or be too hot or too cold to touch
safely without protective clothing. Such characteristics may also impair grip and
discourage good posture.
3.0 The Working Environment
3.1 Are there space constraints preventing good posture?
Space constraints hinder the adoption of good posture. Stooped and twisted
postures may have to be adopted which increase the risk of injury from manual
handling.
3.2 Are there uneven, slippery or unstable floors?
In addition to increasing the likelihood of slips, trips and falls, uneven or slippery
floors hinder smooth movement and create additional unpredictability. Floors
which are unstable or susceptible to movement, for example a mobile work
platform, also increase the risk of injury through the imposition of sudden,
unpredictable stresses.
3.3 Are there variations in level of floors or work surfaces?
The presence of steps, steep slopes, etc. can increase the risk of injury by
adding to the complexity of movement when handling loads. Carrying a load up
or down a ladder, if it cannot be avoided, is likely to aggravate handling problems
because of the additional need to maintain a proper hold on the ladder.
Excessive variation between the heights or working surfaces, storage shelving,
etc. will increase the range of movement and in consequence the scope for
injury. This will be especially so if the variation is large and requires, for
example, movement of the load from near floor level to head height or beyond.
3.4 Are there extremes of temperature, humidity or air movement?
High temperatures or humidity can cause rapid fatigue, and perspiration on the
hands may reduce grip. Work at low temperatures may impair dexterity. Gloves
and other protective clothing which may be necessary in such circumstances
may also hinder movement, impair dexterity and reduce grip. Air movement in
combination with air temperature can also significantly affect manual handling
activities, for example the wind chill factor.
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3.5 Are there poor lighting conditions?
Poor lighting conditions can encourage poor posture, aggravate tripping hazards
and hinder the accurate judgment of height and distance.
4.0 Individual Capability
4.1 Does the task require unusual strength, height, etc.?
The ability to carry out manual handling in safety varies between individuals and
with age. In general the lifting strength of women as a group is less than that of
men but there is considerable overlap.
An individual's physical capability varies with age, typically climbing until the early
20s and declining gradually from the mid-40s. It should be recognized therefore
that the risk of manual handling injury may be somewhat higher for employees in
their teens or in their 50s and 60s, though again the range of individual capability
is large and the benefits of experience and maturity should not be overlooked.
In deciding whether the strength, height and other requirements of a manual
handling activity should be regarded as unusual it is not unreasonable to have
some regard to the nature of the work. For example, strength requirements that
would be considered unusual for a group of employees engaged in office work
might not be regarded as out of the ordinary for a group of employees engaged
predominantly in heavy physical labor. It would also be unrealistic to ignore the
element of self-selection that often occurs for jobs that are relatively demanding
physically.
As a general rule, however, the risk of injury should be regarded as unacceptable
if the manual handling operation cannot be performed in safety by most
reasonably fit, health employees.
4.2 Does the job put at risk those who are pregnant or have a health
problem?
Pregnancy has significant implications for the risk of manual handling injury.
Particular care should be taken for women who may handle loads during the last
3 months of a normal pregnancy and for 3 months following a normal delivery.
Allowance should be made for any known health problem which might have a
bearing on the ability to carry out manual handling activities in safety. If there is
good reason to suspect that an individual's state of health might significantly
increase the risk of injury from manual handling activities, medical advice should
be sought.
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4.3 Does the task require special knowledge or training for its safe
performance?
The risk of injury from a manual handling task will be increased where a worker
does not have the knowledge or training necessary for its safe performance.
5.0 Other Factors
5.1 Personal protective equipment and other clothing
Personal protective equipment (PPE) should only be used as a last resort, when
engineering or other controls do not provide adequate protection. Where the
wearing of PPE cannot be avoided its implications for the risk of manual handling
injury should be taken into account. For example gloves may impair dexterity;
the weight of cylinders used with breathing apparatus will increase the stress on
the body. Other clothing such as a uniform required to be worn may inhibit free
movement during manual handling.
Appendix 3
Guidance on methods of reducing risk arising from manual handling activities
1.0 The Task
1.1 Improving task layout
Changes to task layout can reduce the risk of injury. For example, store heavy
loads around waist height leaving the storage above or below this height for light
loads or loads that are handled infrequently.
1.2 Use the body more efficiently
Carry loads close to the body
The level of stress at the lower back will be reduced; the weight of the load will
be more easily counterbalanced by the weight of the body; and the load will be
more stable and the handler less likely to lose control of it. Friction between the
load and clothing will help to steady and support it.
Eliminate obstacles
The handler should be able to move in close to the load and adopt a good
posture before commencing the manual handling operation.
Replace lifting by controlled pushing or pulling
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It may be possible to slide the load or push it along. However, for both pushing
and pulling a secure footing is required. Another option, safety considerations
permitting, is to push with the back against the load, using the leg muscles to
exert the force.
1.3 Improving the work routine
The risk of manual handling injury can also be reduced by careful attention to the
work routine. For example, the risk of injury can be reduced by minimizing the
need for fixed work postures and by reducing the frequency at which heavy or
awkward loads are handled.
Where possible, allow employees to adjust their rate of working to optimize
safety and productivity. Voluntary breaks, rather than breaks undertaken at fixed
intervals, are a more efficient method of reducing the risk of injury.
Introduce job rotation if feasible. This allows one group of muscles to rest whilst
others are being used. Care must be taken to ensure that the change in task
does not require the same set of muscles to be used as this will have little effect
in reducing the risk of injury.
1.4 Handling while seated
This activity demands particular care. Lifting loads from the floor should be
avoided where possible. The possibility of accidental movement of the seat
should be considered. Castors may be inadvisable, especially on hard floors. A
swivel-action chair will help the handler to face the load without having to twist
the trunk. Ensure seat and work surface heights are matched.
1.5 Team handling
Safe team handling can be achieved if:
there is enough space for the handlers to maneuver as a group;
there is adequate access to the load;
the load has sufficient hand holds or slings or a stretcher are available;
one person co-ordinates and controls the task;
Team members are of broadly similar height and physical capability.
1.6 Personal protective equipment (PPE)
Suitable PPE, such as gloves, aprons, safety shoes, coveralls and aprons should
be provided where appropriate. For example PPE may be required to protect
against cuts and thermal injury.
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1.7 Maintenance and accessibility of equipment
Mechanical handling equipment should only be used by trained and competent
personnel. All mechanical equipment provided for use during manual handling
activities, including slings and chains, should be inspected and maintained in
accordance with national requirements. Equipment should be readily accessible
at all times.
2.0 The Load
2.1 Make it lighter
Consider reducing the weight of loads, for example liquids and powders may be
packaged in smaller containers. Where loads are bought in it may be possible to
specify lower package weights.
2.2 Make it smaller or easier to manage
Consider making loads less bulky so that they can be grasped more easily and
the centre of gravity brought closer to the handler's body. Again where loads are
bought in it may be possible to specify smaller or more manageable loads, or to
redesign those produced in-house.
2.3 Make it easier to grasp
Use hand held hooks, slings or other devices when handling bulky awkward
loads or loads that are difficult to grasp. The provision and location of handles,
hand grips or indents will also need to be considered when designing packaging
materials.
2.4 Make it more stable
Where possible, packaging should be such that objects will not shift
unexpectedly while being handled. If the load lacks rigidity use slings or other
aids to maintain effective control. Keep containers holding fluids and powders
well filled, leaving only a small amount of free space.
2.5 Make it less damaging to hold
Keep loads clean and free from dust, oil, and other hazardous materials. Watch
out for loads with jagged edges, sharp corners, rough or hot or cold surfaces use
suitable handling aids or PPE.
Control Tier:
<<2>>
Revision Date: <<16/07/10>>
Document Number: << AZSPU-HSSE-DOC-00081-2>
Print Date: 2/1/2011
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AzSPU Manual Handling Management Programme
3.0 The Working Environment
3.1 Removing space constraints
Gangways and other working areas should be large enough to allow adequate
room to maneuver during manual handling activities. In many cases, this can be
achieved simply by improving the standard of housekeeping.
3.2 The condition and the nature of floors
Floors should be flat, well maintained and adequately drained. All spillages
should be cleaned up promptly. Where necessary, consideration should be
given to the provision of slip resistant surfacing.
3.3 Work at different levels
Ideally all manual handling activities should be carried out on a single level.
Where more than one level is involved the transition should preferably be made
by a gentle slope or, failing that, by well-positioned and properly maintained
steps. Benches should also be at a uniform height to avoid the need for the
lifting and lowering of loads.
3.4 The thermal environment
Extremes of temperature, humidity and air movement should be avoided where
possible, either by improving environmental control or by relocating the work.
Where conditions cannot be changed appropriate PPE will have to be made
available.
3.5 Lighting
There should be sufficient well-directed light to enable handlers to see clearly
what they are doing and the layout of the workplace, and to make accurate
judgments of distance and position.
3.6 Strong air movements
Care must be taken when handling bulky or unwieldy loads in circumstances
where significant air movement (e.g. high winds or powerful ventilation systems)
could catch the load and destabilize the handler. Possible improvements include
relocating the manual handling operation or taking a different route, provision of
handling aids to give greater control of the load, or team handling.
Control Tier:
<<2>>
Revision Date: <<16/07/10>>
Document Number: << AZSPU-HSSE-DOC-00081-2>
Print Date: 2/1/2011
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AzSPU Manual Handling Management Programme
4.0 Individual Capability
4.1 Personal capacity
Consideration should be given to employees who are or recently have been
pregnant, or who are known to have a history of back trouble, hernia or other
manual handling injury.
An individual‟s state of health, fitness and strength affect the ability to perform a
task safely. However, reliable studies have shown no close correlation between
these characteristics and the incidence of injury. It is recognized, however, that
there is an element of self-selection for work involving manual handling activities.
Motivation and self-confidence in the ability to perform manual handling activities
are additional factors in reducing the risk of injury.
Revision/Review Log
Revision
Authority
Custodian
Revision Details
Date
21.07.2009
Almaz
Hijran
Periodic Review
Agazade
Jafarova
Amendment to risk assessment
toll and simplified the format
attached as excel (Appendix 1)
16.07.10
Almaz
Hijran
Periodic Review
Agazade
Jafarova
Control Tier:
<<2>>
Revision Date: <<16/07/10>>
Document Number: << AZSPU-HSSE-DOC-00081-2>
Print Date: 2/1/2011
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Page 1 of 20
Mass Casualty Medical Management
Plan
AZSPU-HSSE-DOC-00256-2
Authority:
Az SPU OH Team
Custodian:
Adviser OH / Shahla Seyidova
leader/Elnur Mirzazadeh
Scope:
AzSPU
Document
AzSPU HSSE MS Document Coordinator
Administrator:
Issue Date:
3 October 2008
Issuing Dept:
Central HSSE , Health Team
Revision Date:
07 August 2010
Control Tier:
2
Next Review
07 August 2012
Date:
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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1.0 Purpose/Scope
This section provides an overview of the purpose/scope of a procedure within a
specific Health, Safety, Security and Environmental Management System
(HSSE).This section also serves as a high level overview of the procedure and
what it contains. Generally, this should be a couple of short paragraphs.
The purpose of this plan is to establish responsibilities and determine actions
required to coordinate a multi-agency (BP, contractors, government) response to
a mass-casualty incident (MCI) within AzSPU. Understanding that each MCI will
vary in size and scope, flexibility of medical resources should be considered.
The Mass Casualty Incident Plan outlines the response policies and procedures
for emergency medical services providers and agencies in Az SPU to be
implemented in the event of a Mass Casualty Incident (MCI) when a city or
counties capabilities are overwhelmed as determined by the hospital in the
affected jurisdiction and the on scene medical sector coordinator.
This controlled document applies to Azerbaijan SPU engaged in the exploration,
drilling, production and transportation of oil, including all related construction
activities.
The purpose of this document is to guide:
● every one who may be involved in managing a mass casualty incident
within Az SPU
● emergency medical team members in managing a mass casualty incident
in Az SPU systematically
● define minimum standards for medical contractors in the Az SPU region,
whatever the functions, positions, actual resources and other main
characteristics of the health facility.
The mass casualty plan (MCP) will reflect all goals and standards which will be
used by all Az SPU facilities in mass casualty preparedness.
Mass Casualty Preparedness will include:
● Number of healthcare professionals, equipment,
● Review of all equipment, capabilities, and training.
● Review BP Medical Providers ERP (Azerbaijan & Georgia) - Main and
Satellite
● Review Additional Medical Provision (local medical Providers)
Az SPU MCP will guide all Az SPU sites and performance units on the structure
and implementation of site specific mass casualty preparedness procedures after
consideration of all site specific risks and potential exposures.
Major Medical Incident & Mass Casualty Plan on different sites
The MCP should categorize potential incidents from 1 - 3 depending on the
number of possible causes, health risks, equipment, facilities, staff capability,
distance from medical centers, transportation
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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AzSPU Mass Casualty Medical Management Plan
Page 3 of 20
2.0 Definitions
This section provides detailed definitions for HSSE or operational terminology
referenced in the procedure. Only definitions unique to this procedure are
included here. General HSSE definitions are in a separate AzSPU Unified
Controlled Document.
Mass casualty incident (MCI)
A major medical incident is one where the location, number, severity or type of
live casualties requires extraordinary resources and overwhelms the normal
resources in place. It may occur at anytime, anywhere and the medical service
called upon to support and manage it must be skilled not only in advanced
trauma life support in the pre-hospital setting but also in command and
communications.
A mass casualty situation is one where the number and severity of casualties
overwhelms the medical resources available for treatment whereas a multi
casualty situation is one where the number of casualties is such that they can be
managed by the ambulance and medical resources available for their treatment.
MCI can be man made (terrorists’ attacks, explosions, chemicals’ spills) and
natural causes (earthquake, flood, volcanic activity, epidemic etc)
Triage
Triage is the sorting of patients by the severity of injury or illness so that
resources can be more efficiently utilized to do the most good for the most
people.
Triage involves prioritizing the selection of disaster victims according to which of
them require the administration of medical assistance most urgently and
referring these victims for treatment.
The primary objective of triage is to protect and save as many disaster victims as
possible.
Site Doctor
BP has placed contracts for the medical provision through Az SPU These
contracts are presently ISOS and Medi Club. The providers have facilities in
Baku and Ganja, sites belong export pipelines and are required to manage
casualties, directing them to an appropriate facility and providing consultations.
For a serious incident, the Duty Doctor may be called in to act as part of the Site
Emergency Response Team
3.0 General Requirements
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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This section provides an overview of the requirements of the associated
standard(s) or other compliance requirements.
For operational procedures, this section includes, as appropriate, more specific
information related to the requirements associated with use of the procedure.
Az SPU has a lot of facilities in different geographical and topographical regions
and these lead to the following concerns:
a. Remote area sites, where access to adequate medical services is limited.
b. A variety of potential mass casualty incidents eg land/water/air transportation
accident, serious food poisoning, offshore drilling accident.
c. High workforce numbers which increases the risk of a mass casualty incident
(Major Project expands).
3.1 Preparation and Planning
The HSE manager, in association with the Health team will agree on the gap
analysis process, action plans and on additional support requirements
concerning health or occupational health issues.
Occupational health issues should be considered and include:
Medical support, both primary care and trauma response, is provided by Medical
support contractor.
Tools, equipment, hierarchy of involvement, action plans should be different
according to level of severity, stages , location and existing site capabilities and
should be reflected in Site specific MCP.
3.2. Principles for Mass Casualty Planning
In planning for a mass casualty event the aim should be to deliver acceptable
quality of care to preserve as many lives as possible.
The main principles are:
● Assessment of health risks of the project or operation
● Decision matrices to determine the appropriate level of personnel to
mitigate those risks
● Recommended profiles and competence of medical professionals
● Medically accepted response times (these are regulatory in some
locations)
● Facilities, equipment and medication
● Triage and evacuation procedures
● Guidance on tertiary (specialist) referral centers (cardiac, trauma, burns)
● Scope of medical contracts to facilitate the delivery system
● Key performance indicators and assurance processes
● A checklist to facilitate the process
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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AzSPU Mass Casualty Medical Management Plan
Page 5 of 20
Planning medical and an industrial hygiene response to a mass casualty event
must be comprehensive, community based, and coordinated between Georgia
and Azerbaijan. There must be an adequate legal framework for providing
medical care and industrial hygiene in a mass casualty event.
The rights of individuals must be protected to the extent possible and reasonable
under the circumstances.
Clear communication with the public is essential before, during, and after a mass
casualty event.
All sites and contractors should have their own guideline based on this document
and should be:
● compatible with or capable of being integrated into day-to-day operations.
● applicable to a broad spectrum of event types and severities.
● flexible, to permit graded responses based on changing circumstances.
● tested, to determine where gaps in the framework exist.
4.0 Procedure/Process
The content of the procedure
When using this template, identify if the document is a procedure or a process
and select accordingly.
Site specific Medical Management of Mass Casualty -
All Az SPU Operational sites have the site specific Mass/Multi Casualty Plans.
These plans describe site specific/on scene personnel medical provision,
evacuation procedures and roles and responsibilities.
Site specific MC procedures were developed for all BP facilities that were the
risks of Mass Casualty incidents were identified.
Shah Deniz Mass Casualty Plan
Central Azeri Mass Casualty Plan
West Azeri Mass Casualty Plan
Chirag Mass Casualty Plan
East Azeri Mass Casualty Plan
DWG Mass Casualty Plan
PSA 2 Multi Casualty Plan
Sangachal Terminal Casualty Management Guidelines
4.1 Mass Casualty Medical Management Activation Procedure
This section covers the activation procedure for the Mass Casualty Management
Plan and details the roles and responsibilities for the support team that will
coordinate the process.
Any onshore or offshore evacuation of personnel will require a well co-ordinated
response by the Incident Management Team (IMT). There are some members of
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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the Azerbaijan SPU Health Department, together with selected members of the
IMT, regardless of their primary role, are trained as EROs, a role they should be
prepared to adopt when they are not formally on-call. All those nominated as
EROs must speak English, Azeri and Russian.
Upon notification by the IMT IC, the Medical Case manager on duty will mobilize
a team consisting of a Health Team representative, Site Medical Unit Leader,
Nominated Medical Provider and a required number of that will fulfill the roles as
detailed in Section 4. The numbers of staff required will be dependant on the
scale of the incident. The notification, organizational structure and information
flow is shown at Figure 1 below.
The Medical Case Manager on duty will act as the Health coordination link
between the IRP and the ERC.
Information
AzSPU IMT
Az SPU Medical
Case Manager on
Incident Commander
Duty IMT
Activation
Activation
Information
Information
Activation
Information
Activatio
IRP Health
Representative
ERP Health
Hospital Health
Mortuary Health
(Site Medical Unit
Representative
Representative
Representative
Leader, PU Health
(BP Central Health
(BP Central Health)
(BP Central Health)
Advisers)
Representative)
Activat
Information
Informati
Activatio
Site Medic/Triage
Nominated Medical
Officer
Provider’s team
Figure 1
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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4.2 Key Responsibilities
Key groups/individuals involved in this procedure are listed here along with their
appropriate responsibilities.
. The following roles and responsibilities detail the actions that need to be taken
by the staff that will activate, support and coordinate the mass casualty
management process.
4.2.1 Incident commander
● Act as a leader of incident command team.
● Declare mass casualty based on info from on scene command.
● Appoint Operation section chief to supervise/ lead on scene command.
● Notify BP AzSPU MCM on Duty to activate Medical Providers at the IRP for
triage purposes etc.
4.2.2 On scene commander
● Act as a leader of tactical response team which organizes all respond on
the project area during mass casualty incident occurs.
● Report to Operation section chief
● On scene commander is Project leader or senior project management.
● Arrange a triage area at IRP
4.2.3 Medical Case Manager on Duty
Role
Responsible for managing all medical aspects of incident response operations,
including coordination of communication between IMT the injured employee(s),
site medical personnel, HR, nominated medical providers and others as
appropriate
Responsibilities
● Activate appropriate medical evacuation procedure, mobilize appropriate
medical provider and Health Team representative if required
● Advise on general emergency medical support requirements, e.g. first aid,
medic, clinic ambulance, etc.
● Work with the Chief Medical Officer / Duty Doctor of medical provider in
clinic to ensure provision of optimal quality care
● Monitor and oversee case management process at all stages as required
● Advise on potential health risks at incident site, e.g. chemicals, snakes,
infectious diseases, etc
● Provide technical expertise for out of ordinary cases including second
opinion
● Communicate with nominated medical providers and secondary care
facilities regarding employee’s injury/illness status, job description and
other required information
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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● Provide a central point of communication regarding the case in medically
confidential manner
● Liaise with relevant state health authorities and other government bodies
as required
● Act as medical advisor for Logistic section and planning section
● Facilitate coordination among medical units in Az SPU when mass
Casualty incident occur.
Refer to: Offshore Emergency Medical Evacuation Procedure, Exports PU
Emergency Medical Evacuation Procedure; Evacuee Management Plan.
4.2.4 Site medical unit leader/PU Health Advisers
● Provide info to the on scene command (or through Emergency response
team leader) whether the mass casualty incident exist or not.
● Acts as the liaison between the scene of the emergency and the other
health unit within Az SPU.
● Lead emergency medical team member, including:
● Ensures that trained personnel, equipment and facilities are ready for
victim evacuation.
● Prepares replacement personnel if needed in case administering medical
treatment exceeds 24 hours. Work with Industrial hygiene in managing
the potential industrial health and hygiene problems at the disaster scene
especially on how to control them to protect personnel.
● Specifies the need for Med evac equipment at the disaster site.
● Determines first aid requirements and prepares first aid at the disaster site.
● Co-ordination of medical treatment in the event of mass casualties.
● Ensuring that adequate medical treatment facilities/first aid stations are
available at the site.
● Co-ordination of emergency medical responses with the local health
authorities.
● Providing advice on topics of site-specific specialized health
needs/requirements for response personnel.
● Report to On scene commander and Medical case manager on Duty within
IMT.
4.2.5 Company Nominated Medical Providers shall
Provide top side support to all BP operational facilities
Activate their own Mass Casualty Management Plan
(ISOS Mass
Casualty Management Plan MediClub Mass Casualty Management Plan)
Consult site medical professionals as required
Liaise with Company authorized personnel on medical evacuation both in
and out of country
Arrange medical evacuation by ground or air as needed
Provide treatment at the clinic and refer patients to secondary care
facilities if required
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Coordinate treatment at secondary care facilities including requests for
completing patients medical reports
Coordinate treatment of injured/ill personnel including follow up visits and
rehabilitation process
Advice on employee’s fitness for task to return to duties following injury or
illness
Communicate with Medical Case Management Team at all stages if
required
4.2.6 Site doctor
● Sets up Treatment Area and Treatment Units with anticipated medical
personnel and their equipment.
● Has overall responsibility for the treatment of all victims.
● Assures all health service personnel, paramedics and other higher level
medical skills personnel will be assigned to the treatment area on a
priority basis.
● Allows access for Victim Evacuation Team moving casualties from the
triage to treatment area.
● Works with the Triage Officer or designee to ensure casualties are
decontaminated prior to being moved into the treatment area
● Co-ordinate/provide on-site medical care to affected personnel when such
services are required.
● Notify appropriate agencies of all medical/health related accidents.
Incidents or problems.
● Assist Human Resources with personnel and psychological support
services for incident victims and emergency responders.
● Provide on-site Hazardous material handling advice and respirator medical
clearance, if needed.
● Reports to the Medical Unit Leader.
● Assess the situation: (Number of casualties, Condition of casualties,
assistance required.
● Advice the site incident management of requirements: (First Aiders
required assisting the Medic, Status of the casualty clearing area to
accommodate casualties, recorder to log information, medical assistance
required)
● Seek advice from the Medical Case manager on Duty/site medical unit
leader.
● Assign duties to First Aiders and the Recorder.
● Establish the number of casualties for evacuation.
● Treat the casualties in order of priority.
● Determine the order of evacuation of casualties.
● Ensure that the Recorder has documented casualty information as fully as
practicable.
● When the incident is concluded, write a report and submit it to the OIM or
site manager and Health.
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Medics, to cover the management of multiple casualty incidents offshore
Installations are equipped with Incident Management Packs. Medics and First
Aiders use the Triage Sieve and Triage Sort processes (refer to addenda for
further information) to manage multiple casualties.
Further details of the process are part of the specialist course for Medics.
The process of Triage Sieve may be taught to First Aiders routinely.
4.2.7 Triage Officer or designee
● Designates triage area (usually is located where victims are found or
hazardous, the next safest, closest place where triage can begin)
● Classify all victim based on Triage system (using Simple-Triage-And-
Rapid-Tagging)
● Coordinates movements of casualties to the Treatment Area
● Acquires/coordinates medical supplies for use on triage area
● Reports to the site Medical Unit Leader/site medic.
● Triage officer can be First Aiders or medic.
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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STAGE 1: INITIAL RECEPTION POINT (IRP)
Medical Suite
Medical Suite
EXIT
Entrance
HOLDING AREA
TRIAGE AREA
Entry Desk
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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4.2.8 Logistic Officer
● Is responsible for loading and transporting all victims
● Cooperates with the Treatment Officer to decide the arrangement of
transportation.
● For Mass Casualty response activity, the Transportation Officer reports to
the Medical Unit Leader.
● Responsible for other logistic supplies.
4.2.9 Staging Officer
● Selects an area for transportation area which allows easy access from
medical staging and treatment.
● Controls the flow of all ambulances (air & ground) so that a bottle neck
does not occur.
● Coordinates all incoming ambulances, medical staffs and supplies.
● For Mass Casualty response activity, the Staging Officer reports to the
Medical Unit Leader.
4.2.10 Industrial hygiene
● Report to Medical unit leader
● Provide advice on hazard identification
● Provide advice on hazard control and monitoring.
● Specify appropriate personal protective equipment to be used by all
response team members and contractors (respiratory, hearing, eye
protection, suits, gloves, hats, etc.)
● Develop and implement a monitoring plan for measuring worker exposure.
Include types of monitoring equipment, frequency of samples, sampling
methods, analysis methods, etc.
● Review the incident site Health & Safety Plan to ensure it adequately
protects workers and meets all local regulations.
● Identify need and secure contractors who can provide monitoring/analysis
of air quality.
● Ensure that all personnel on site are advised of the existence of health and
safety hazards in the operations area and provide training if necessary.
● In areas impacted by blast or fire damage, assist the Safety Team in
determining health risks associated with contamination (e.g. asbestos,
PCBs, radio nuclides, chemicals).
4.2.11 Site Safety Officer
● Identifies the disaster site characteristics
● Establishes a hazard control zone
● Determines the types of PPE
● Makes schedule and hold safety briefings
● Prepares first aid and decontamination approaches
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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● Prepares emergency response procedures
● Work with EMT / Medical unit leader
● Report to Emergency response team
4.2.12 Security officer
Background
During emergency incidents, there is a need for enhanced security at existing
offices, shore bases, offshore sites, and at remote incident locations.
Heightened public and media interest, involvement and/or proximity to BP and
any Partner activities during such times requires that additional precautions may
be required. Some incidents may be security driven and the operational
response will focus on this.
Security team is nominated First aiders in all Az SPU offices and residential
areas and relevant FA responsibilities fall on them
Separate security procedures will be prepared to deal with this and will be
implemented as part of the Incident Management Team activity. Initially the HSE
representative will cover this role calling specialist security support as
appropriate.
Major Responsibilities
● Protection of physical and non-physical assets as necessary at incident
sites and at a Company and any Partner offices.
Activities
● Liaise with relevant national or international government police, military or
security agencies from host or allied countries.
● Provide additional security information and assessments from external
sources.
● Assess the need for, and implement as necessary, additional security at
existing offices and sites and accommodation.
● Arrange temporary security services as necessary at remote incident sites.
Considerations will include need to control physical access, vehicle
access, goods access, parking, and the reporting and investigation of site
security incidents.
● Maintain direct contact with Company regional security adviser on
interpreting political events and their future likely impacts.
● Liaise with, Company and regional security advisers on the impacts of
political and civil security risks.
● Advise the Incident commander and External Affairs representatives
on the need for special security arrangements at site meetings,
press briefings etc. Arrange as necessary
4.2.13 Legal officer
Background
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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The Legal Unit provides guidance on all legal and claims matters relating to an
incident. The type of incident will influence the degree that a legal input will be
required. For major incidents additional guidance and support will be required by
the Incident Management Team and the Business Support Team, if formed.
Major Responsibilities
When an incident occurs, the Legal Representative determines the responsibility
and liability for the accident and advises the Incident commanderon the steps
necessary to minimize any liabilities arising from local or national law. The Legal
representative will also assess the necessity to review press releases, resolve
contract disputes and help negotiate with the authorities.
Not all the resources will be available from within the Company and any Partner
in country, so the Representative must ensure that local Company consultants
are fully aware of our requirements and will have staff available to support the
response in the event of a call-out.
Activities
● Contact the Incident Manager, External Affairs and Claims advisers.
● Liaise closely in all matters with Company and any Partner legal
departments.
● Propose a liability position and advise the Incident Manager.
● Advise on the liabilities of sending response team members.
● Advise the Incident commander and Insurance and Claims Unit on the
claims/payment position.
● Advise the Incident commander on any product liability issues.
● Advise Human Resources on liabilities regarding employees, contractors,
and civilians.
● Advise External Affairs on any sensitive media relations issues.
● Research contractual arrangements with affected customers, distributors,
and carriers, and advise the Incident commander on a recommended
position.
● Are there any internal legal issues to consider from bringing people,
equipment, or supplies into the country?
● Develop "Terms of Reference" for providing assistance and for any
investigation team.
4.2.14 HR Officer
The Duty HR Officer provides a 24 hour “on call” service and will be part of the
IMT Command Staff that is mobilized in the event of an incident. He/she will
liaise with the Incident Commander and if it is required will activate the Evacuee
Management Plan by mobilizing the HR Emergency Support Group (HR-ESG
Manager). The HR Officer will aim to account for all personnel directly involved
in the incident by obtaining the POB/POS and supply this information to the HR-
ESG Manager. The HR Officer will also liaise with the Logistics Section Chief to
confirm the following:
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Page 4 of 20
Where the Evacuees will be going to (Heliport/Sea Port etc).
Ensure that sufficient vehicles are available for the land transportation of the
evacuees and that the relevant equipment is available (especially food, water
and clothing packs etc).
Call out sufficient EROs to staff the IRP/ERC using current company
call-out procedures.
If required, identify at an early stage EROs to attend the relevant
hospitals and mortuaries with Health team representative.
Make contact with the relevant IRP/ERC locations and notify them that
rooms will be required to assist with the Evacuation Process.
Assume the co-ordination of the transport, security and logistical support
until the ERC Manager is in place.
Co-ordination of the POB/POS will remain the responsibility of the HR
IMT Officer throughout the whole process.
Once all the relevant support is activated, the responsibility of coordinating the
response will be delegated to the HR-ESG Manager. The IMT HR Officer will
then update the Incident Commander on the progress of HR support to the
incident. They will also ensure that the HR-ESG Manager has activated the HR-
ESG Relative Responders Team and that they are supplied with the relevant
information to enable them to effectively carry out their role.
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Azerbaijan SPU Mass Casualty Medical
IMT Medical Case Manager on duty
Management Checklists
Function
Srl.
Objectives
Obtain briefing from HR-ESG Manager/ERC Manager (Ensure this includes info on
A
location of ERC and the Point of Contact at ERC.).
Ensure that relevant Medical Providers have been notified and that sufficient teams are responding to
Actions
B
the ERC as per the nature of the incident and number of casualties.
C
Arrange for any medical equipment to be taken to ERC.
D
Always wear your ID Badge.
E
Liaise with Company ERC Manager/Site Coordinator for ongoing briefings.
F
Advice Incident commander on all Health Related Issues
G
Co-ordinate medical provision (including counseling service).
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Azerbaijan SPU Mass Casualty Medical Management Checklists
ERC -Health team Representative
Function
Srl.
Objectives
A
Obtain briefing from Medical Case manager on Duty.
Initial Reception Point
Ensure that relevant Medical Providers have been notified and that sufficient teams are responding to the ERC as per the
B
nature of the incident and number of casualties.
C
Arrange for any medical equipment to be taken to ERC.
D
Always wear your ID Badge.
At
E
Liaise with Company ERC Manager/Site Coordinator for ongoing briefings.
Evacuation
F
Familiarize yourself with the ERC layout and identify the Medical Room.
Reception
Co-ordinate medical provision (including counseling service) at site.
G
Centre
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Azerbaijan SPU Evacuee Management Check Lists
HOSPITAL -Health Team
representative
Function
Objectives
Obtain briefing from Medical Case Manager on Duty (Ensure this includes info on
A
location of which hospital casualties are being taken to).
B
Obtain copies of POB list.
C
Ascertain the means of communication between yourself and the ERC/Medical Case Manager on Duty
D
Always wear your ID Badge.
E
Confirm identities of casualties where possible and pass information back to HR-ESG.
Liaise with Hospital Authorities and see if you can arrange a room for all the relatives.
F
Regularly update Medical Case Manager on Duty .
Actions
G
Brief HR Representative on a regular basis.
Liaise with hospital authorities/medical staff, ascertain when casualties are medically examined and can be
H
visited by relatives.
Assist Human Resources with personnel and psychological support services for incident victims and
I
emergency responders.
Coordinate treatment at secondary care facilities including requests for completing patients
J
medical reports
Liaise with Company authorized personnel on medical evacuation both in and out of country
K
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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Azerbaijan SPU Evacuee Management Check Lists
MORTUARY -
HR and Health Representative
Function
Srl.
Objectives
Obtain briefing from HR-ESG Manager (Ensure this includes info on location of which
mortuary the deceased are being taken to) - see Appendix 1 for list of nominated hospitals.
Please note that you should inform the HR-ESG Manager if:
A
You are uncomfortable in undertaking the role of Mortuary Rep.
If you believe that you know the deceased person and/or their family and are concerned about how this would
affect you.
B
Refer to and follow the Deceased Personnel Procedure Plan.
Actions
C
Obtain copies of POB list.
D
Ascertain the means of communication between yourself and the HR-ESG.
E
Always wear your ID Badge.
F
Confirm identities of fatalities where possible and pass information back to HR-ESG.
G
Liaise with Mortuary Authorities and see if you can arrange a room for all the relatives.
H
Meet relatives and introduce yourself.
I
Assist in protecting relatives from undue media attention.
J
Regularly update HR-ESG Manager.
K
Log all actions and submit logs and completed checklist to IMT Situation Unit (Recorder) as necessary.
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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6.0 Key Documents/Tools/References
This section should include, as applicable, references to other documents/tools
that interface with this procedure.
The references can be modified administratively by the Custodian without
creating a new revision to the document.
6.1.
AzSPU Emergency medical response procedures.
6.2.
AZSPU Baku Office Building Emergency Evacuation Plan.
6.2. BP AzSPU Incident management Plan (IMP)
6.4 AzSPU First Aid Management Program
6.5 AzSPU Medical Case management program.
6.6 AzSPU Procedure for Deceased Personnel
6.7 BP GRP 4.6 -0002 Response to Medical Emergencies
6. 8 HSE Office manual
6.9 AzSPU Evacuee Management Plan
7.0 APPENDICES
Revision/Review Log
Revision Date
Authority
Custodian
Revision Details
<<3 October
<< Az SPU Health
<< Adviser OH
Initial Issue
2008>>
Manager / Almaz
/ Shahla
Agazada >>
Seyidova >>
3 October 2009
<< Az SPU Health
<< Adviser OH
Reviewed
Manager / Almaz
/ Shahla
Agazada
Seyidova >>
07 August 2010
Control Tier:
<<2>>
Revision Date: <<August 7, 2010>>
Document Number: << AZSPU-HSSE-DOC-00256-2>>
Print Date: 2/1/2011
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CONTROLLED VERSION OF THIS DOCUMENT CAN BE FOUND AT
AzSPU Medical Case Management Programme
Medical Case Management Program
AZSPU-HSSE-DOC-00110-2
Authority:
AzSPU Health Manager
Custodian:
Az SPU OH Adviser
Scope:
AzSPU
Document
Administrator:
Document Asset Technician Name
Issue Date:
10.09.2006
Issuing Dept:
HSE & TD/Health
Revision
25.12.2009
Control Tier:
2
Date:
Next Review
25.12.2010
Date:
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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AzSPU Medical Case Management Programme
1.0
Purpose/Scope
This document describes the process of medical case management for all BP
employees in Azerbaijan SPU that are impacted by injury or illness and is
intended to ensure effective and timely decision regarding securing medical
attention and return to work processes.
This controlled document applies to Azerbaijan SPU engaged in the exploration,
drilling, production and transportation of oil; including all related construction
activities.
2.0
Definitions
Case management
process of coordinating an employee’s total
heath care needs following an illness or
injury. The goal of medical case
management is to provide optimal quality
care in cost effective manner to obtain
positive health outcomes for the employee.
BP employee
an employee who is hired by BP and receives
job duties, payroll, benefits, discipline,
transfer and other related matters from BP
Contractor employee
Agency employee
OSHA
Occupational Safety and Health
Administration
Occupationally related illness any abnormal medical condition or
disorder, Other than one resulting from an
occupational injury, cause by exposure to
environmental factors associated with
an individual’s employment.
This includes acute and chronic illness or
disease which may be caused by inhalation,
absorption, ingestion or direct contact with
physical, chemical, biological or
psychological hazards associated with the
work tasks or the environment / location
in which the work is undertaken.
Health Team
BP Azerbaijan Strategic Performance Unit
Central Health, Safety and Environment
Department, Health Team
HR
BP Azerbaijan Strategic Performance Unit
Human Resources Department
Day Away from Work Case
If the employee could not have worked on any
day after the injury or illness, irrespective of
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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whether there was scheduled work
OHAIRS
Occupational Health and Illness Reporting
System
3.0 General Requirements
BP Getting Health Right
BP Group Medical Management Guide
4.0
Key Responsibilities
4.1 Line Managers/Supervisors shall
Be responsible for ensuring proper case management of all occupational
and non occupational injuries and illnesses under the area of their
responsibility
Ensure that proper first aid and medical response is available at all times
under areas of their responsibility
Ensuring that injured/ill employees are evacuated to nominated medical
facilities as appropriate
Ensure proper reporting of all injuries and illnesses under the area of
their responsibility e.g. Tr@ction
According to Az SPU Sickness absence management program all work
related injury or illnesses must be referred to OH team (via task check
list and OH Referral Form).
Referring all long-term sickness cases (sickness absence greater than
15 consecutive calendar days) to OH to initiate return to work
assessment process.
Notify Medical Case Management Team if injuries or illnesses are out of
ordinary e.g. life threatening, concerns around quality of medical care,
disability, long term sickness absence etc
Ensure that employees within their teams returning to work after injury
and/or illness are deemed as fit for task and complete Task Checklist
together with HR as required
Ensure that all prescribed work restrictions are followed
Liaise with Contractor companies representatives regarding any
Contractor’s staff injuries or illnesses under the area of their
responsibility
Ensure applicable post incident drug and alcohol testing is performed as
per Substance Abuse Management Programme
4.2 Site Medical Professionals
Coordinate site first aid response
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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Advise site Line Manager/Supervisor in determining whether medical
assessment beyond first aid is needed
Provide adequate medical response
Consult Chief Medical Officer (CMO) at company nominated medical
provider clinic as appropriate
Coordinate together with the nominated medical provider clinic
transportation of injured or ill from site
Complete detailed medical report to be sent with the patient to nominated
medical company
Complete OSHA 301 form for all occupationally related injuries and
illnesses
Provide input into injury and illness reporting system - OHAIRS and
Tr@ction
Advice on employee’s fitness for task to return to duties following injury or
illness on site
Address Company Occupational Health Adviser for further guidance in
case of any doubt connected with return to work assessment of Company
employees
Communicate with Medical Case Management Team at all stages if
required
Participate in required Illness and Injury reporting training
4.3 Company Nominated Medical Providers shall
Provide top side support to all BP operational facilities
Consult site medical professionals as required
Liaise with Company authorized personnel on medical evacuation both in
and out of country
Arrange medical evacuation by ground or air as needed
Provide treatment at the clinic and refer patients to secondary care
facilities if required
Coordinate treatment at secondary care facilities including requests for
completing patients medical reports
Coordinate treatment of injured/ill personnel including follow up visits and
rehabilitation process
Review employee’s Task check list and advice on his fitness for task to
return to duties following injury or illness
Address Company Occupational Health Adviser for further guidance in
case of any doubt connected with return to work assessment of Company
employees
Communicate with Medical Case Manager on Duty at all stages if
required
4.4 Medical Case Manager on Duty (Health Team)
4.4.1 IMT duties:
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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Aware of BP AzSPU Medical Evacuation procedures, knows which
medical contractor covers which facility
Aware of current medical resource distribution/availability within the SPU
Aware of possible health risks on incident site (e.g. chemicals, snakes,
infectious diseases, etc.)
Aware of general emergency medical support requirements (e.g. first aid,
medic, clinic ambulance, etc)
Aware of the Procedure for deceased personnel
General understanding of the main functions of all other IMT members
with the ability to help in coordination of workload in a emergency
situation
Review Incident Action Plan Task Assignments prepare changes to Site
Health and Safety Plan if necessary
Ensure that Finance/Administration Section Chief if advised of all cost
commitments
Consider need for an alternate or backup person for extended (24-
hour)coverage
Compile and maintain appropriate documentation
4.4.2 Case Manager Duties
Monitor and oversee case management process at all stages as required
Provide advisory support as requested
Provide technical expertise for out of ordinary cases including second
opinion
Communicate with nominated medical providers and secondary care
facilities regarding employee’s injury/illness status, job description and
other required information
Assist in OSHA injury/illness classification
Provide a central point of communication regarding the case in medically
confidential manner
Provide consultation
/ advice to HR / Line Managers / Employees on all
health related matters following injury/illness
When notified by line managers facilitate the arrangement of post injury/
illness health assessments
Liaise with relevant state health authorities and other government bodies
as required
4.5 Health Manager (or designee) shall
Review and update this document periodically
Ensure there is Medical Case Manager on Duty function is available
Identify medical facilities as Company Nominated Medical Providers
4.6 Human Resources Manager (or designee) shall
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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Advise Line Managers/Supervisors and Medical Case Manager on Duty
on all HR related issues
Notify Next of Kin (NOK) as required
Provide support to family members of injured/ill persons as needed e.g.
transportation and accommodation
Assist Line Managers/Supervisors in the return to work process
Notify Contractors HR Department as required
4.6 Employees shall
Report all incidents to Line Manager/Supervisor
Notify (if appropriate) Line Managers/Supervisor prior to obtaining
medical consultation for work related injuries/illnesses including follow up
visits
Cooperate with nominated medical provider and Medical Case Manager
on Duty
Undergo return to work fitness for task assessments as required
5.0
Procedure
Medical case management is a process of coordinating an employee’s total
Heath care needs following an illness or injury. The goal of medical case
management is to provide optimal quality care in cost effective manner to obtain
positive health outcomes for the employee.
The process is about coordination of communication between the employee, site
medical personnel and management, HR, nominated medical providers and
others as appropriate. Proper communication with the employee also
encourages return to work in a safe and timely manner.
Medical case management is divided into two processes: occupational and non
occupational.
The medical case management process covers the following:
o Site medical response and evacuation to nominated medical
provider and referral facilities if applicable
o Return to work
o Medical case reporting and classification criteria
o Consult/Advice HR /Line manager on health related issues.
5.1
Site medical response and evacuation from site to nominated
medical provider and referral facilities if applicable
Medical case management starts from the onset of illness or injury.
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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AzSPU Medical Case Management Programme
Contact information for all medical clinics in Table.
MediClub is the nominated medical provider for all onshore operational facilities
in Azerbaijan and Georgia. International SOS is the nominated medical provider
for all offshore operational facilities in Azerbaijan.
They provide top side coverage which includes 24/7 access to Chief Medical
Officer (CMO) and support on all medical issues and provision of medical advice
and decision making in regards to medical treatment, referral and evacuation if
necessary.
Refer to relevant medical evacuation plans.
The injured/ill personnel may be admitted to a referral facility. See the list of
referral facilities currently used
5.2
Return to work
Following treatment after illness or injury employee’s fitness to return to work
must be confirmed.
Employees returning from periods of prolonged potentially significant or serious
illness / injury may require Post Illness health assessment before returning to
work (e.g. following evacuation from an offshore installation for medical or dental
reasons, has an illness/injury that may be work-related, and/or may require a
phased return to work or change to tasks in short term). This is especially
important where the safety of others is dependant on their state of health e.g.
drivers and offshore workers.
HR and/or Line Management should inform Medical Case Manager on Duty
about all cases.
Injured /ill employee may require phased return to work or change of task in
short term.
All post illness/injury health assessments must be always preceded by
completing Task Checklist.
5.3
Medical case reporting and classification criteria
All injuries and illnesses on site should be reported through OHAIRS and in
addition all occupationally related injuries and illnesses must be reported through
Tr@ction as per Injury and Illness Recordkeeping Decision Tree.
The Medical case reporting flow chart describes the process.
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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5.4. Provide consultation/advice to HR /Line manager on health related
issues.
In case if any job adjustments or job transfers are required for employees BP OH
adviser informs HR representative and Line manager on any changes.
5.5.
Medical Records
The principal medical record for all employees should be held at appropriate
Company Nominated medical facilities and/or Central HSSE/Health Team,
provided there is a full-time or part-time doctor or nurse to ensure the records
remain medically confidential and secure.
Regardless who performed an assessment or where it was undertaken all
medical and Occupational Health records remain at all times the property of the
BP Health Team and access to them will be subject to the requirements of
medical confidentiality.
Company retains medical records for a minimum of 50 years after the employee
leaves the Company, or longer if required by local legislation.
Health records are medically confidential documents and only Company medical
staff, and authorized Health Team administrative staff who have signed a
confidentiality agreement have access to them.
It is Company’s policy that all individuals have the right of access to the
information contained in their own personal health records although the actual
record is Company property. Individuals shall contact Health Team to access
their personal health records.
5.6
Training
Training on BP injury and illness reporting is available. Please refer to VTA for
Refer to VTA for a list of calendared training sessions
All records will be maintained in VTA.
5.7
Contractor employees’ / third party providers Injury and Illness
Contractor employees are subject to their own employer’s incident reporting and
medical policies for injury and illness treatment in the event of an injury or illness
and are not covered by or subject to BP’s medical policies.
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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AzSPU Medical Case Management Programme
If a contractor employee should become injured or ill while doing work on BP
premises, the local BP representative should confirm that the injury or illness has
been to the contractor employee’s employer and initiate BP internal
reporting requirements.
Each employment staffing company and third party service provider is
responsible for managing the medical situation and return to work status for its
employees and for communicating work status to the local BP representative.
BP may facilitate access to its nominated medical provider but Contractor
company should be responsible for all associated costs.
In emergency situations or situations where the injured/ill contractor employee’s
well being is believed to be at risk, BP representative may seek
recommendations from on behalf of the in Medical Case Manager on Duty
ured/ill contractor employee, with the costs to be charged to the contractor.
6.0 Key Documents/Tools/References
1 Fitness for Task and Health Surveillance Management program
2 First Aid Management program
3 Offshore Medical evacuation procedure
4 Sickness absence management program
6 Substance Abuse management program
7 Occupational Illness Reporting Requirements
8 Injury and Illness Recordkeeping Decision Tree
9 Management Referral to AzSPU Occupational Health
Revision/Review Log
Revision
Authority
Custodian
Revision Details
Date
25.12.2009
Almaz
Shahla
Periodic Review (No Changes)
Agazade
Seyidova
Control Tier:
<<2>>
Revision Date: <<25.12.2009>>
Document Number: << AZSPU-HSSE-DOC-00110-2>>
Print Date: 2/1/2011
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AzSPU Noise Management and Hearing Conversation Programme
Az SPU Noise Management and Hearing
Conservation Programme
AZSPU-HSSE-DOC-00111-2
Authority:
AzSPU Health Manager
Custodian:
AzSPU Industrial Hygiene Advisor
Almaz Agazade
Hijran Jafarova
Scope:
AzSPU
Document
Administrator:
HSMS & C Coordinator
Issue Date:
30 December 2004
Issuing Dept:
HSE&TD
Revision Date:
15/07/2010
Control Tier:
2
Next Review
15/07/2011
Date:
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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AzSPU Noise Management and Hearing Conversation Programme
1.0
Purpose/Scope
This document sets forth BP policy, procedures, and processes to prevent
noise-induced hearing loss for workers in BP AzSPU worksites. To that
end it covers:
key responsibilities,
noise criteria,
noise surveys,
worker noise exposure assessments,
means of noise control,
audiometric evaluations,
training, and
recordkeeping.
Noise is a physical agent health hazard described as an unwanted sound.
High noise exposure can lead to hearing loss or other health conditions,
and can be a factor to workplace accidents.
This controlled document applies to Azerbaijan Strategic Performance
Unit engaged in the exploration, drilling, production and transportation of
oil, and the related site support, maintenance and overhaul activities.
Provision of surveillance programmes such as Hearing Conservation
programme is the responsibility of every employer
(Resolution
13,
Azerbaijan Ministry of Health). Hearing conservation programme
requirements must be communicated to all contractors and be part of the
BP contractual HSE requirements.
This document does not address nuisance or disturbance noise that is not
expected to cause noise-induced hearing loss or other safety issues.
However, the Az SPU Industrial Hygienist can provide assistance and
advice in dealing with nuisance noise situations outside of the provisions
of this program.
2.0 Definitions
Audiometry
A method of assessing the degree of hearing
loss of a person.
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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AzSPU Noise Management and Hearing Conversation Programme
Core Site Employee
An employee, either BP or contractor,
permanently assigned to a BP-operated site.
Daily Personal Noise
Exposure LEP,d
A measure of the average noise energy in
decibels that a person is exposed to during a
working day. The LEP,d is directly related to
the risk of hearing damage.
Decibels (dB and dB(A)) Unit of sound level and noise exposure
measurement expressed using a logarithmic
scale. When considering the effect on human
hearing, the dB(A) unit is used. This takes
account of the response of the ear to different
frequencies.
EEMUA
Engineering Equipment and Materials Users
Association
Health Team
BP Azerbaijan SPU HSE and Engineering
Department, Health Team.
Noise dose
The percentage of occupational exposure limit,
to which the worker is exposed during the
monitoring period, usually the entire work shift.
Similarly Exposed Group A group of workers doing similar tasks in
similar locations and whose measured
exposures on any day are considered to be
representative of others in the group.
NAWR
Noise at Work Regulations, 2005, UK Health
and Safety Executive
3.0 General Requirements
General requirements for identifying, assessing, and controlling health
hazards, are included in the following documents:
OGP Managing health for field operations in oil & gas activities.
Noise at Work Regulations, 2005, UK, HSE
4.0 Line Managers/Supervisors shall
Ensure that this Noise Management and Hearing Conservation
Programme have been implemented within the area of their
responsibility.
Ensure that all people working under their control are made aware
of any noise risks associated with their activities, the effects of
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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exposure to high noise levels, and necessary precautions that
should be taken.
Ensure that new equipment and machinery purchased within the
area of their responsibility meet relevant noise specifications such
as EEMUA and BP Group industrial hygiene guidance (available
from IH share point) , so that risks from noise are reduced to the
lowest practicable level.
Ensure that noise assessments are performed in their area of
responsibility.
Ensure that a selection of approved types and sizes of hearing
protection is available at noise-hazardous work sites sufficient to
provide workers a choice of comfortable and effective protection.
Ensure that hearing protection is used within their areas of
supervision in accordance with this document.
Ensure that employees within their area of responsibility exposed to
noise levels at or over 85dB(A) are enrolled and participate in the
Hearing Conservation programme, providing routine audiometric
testing and training.
Ensure that where noise controls are required, engineering controls
are used wherever practicable.
Supply Chain Manager shall
Ensure that suppliers and vendors:
o Provide equipment and machinery designed and constructed
to meet BP noise specifications so that risks from noise
emissions are reduced to as low as reasonably achievable
level;
o Provide information on noise emissions (in accordance with
the EEMUA Publication No.140)
Health Manager shall
Assure generally that the Hearing Conservation programme is
implemented as provided in this document
Ensure that funds and staffing are sufficient for implementation
Maintain and evaluate audiometric test data for enrollees of the
Hearing Conservation Program.
Record and report any work related, noise induced hearing loss in
accordance with BP HSE reporting standards.
Industrial Hygienist as Hearing Conservation Coordinator shall
Control Tier:
<<2>>
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Document Number: << AZSPU-HSSE-DOC-00111-2>
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Periodically review and update this document.
Provide technical support, guidance and advice as requested on all
aspects of noise and hearing conservation.
Complete noise surveys and assessments at AzSPU worksites.
Track action items, arising from noise surveys and exposure
assessment.
Maintain the list of similar noise-exposed groups for enrolment in
the hearing conservation programme.
Support AzSPU Engineering function in ensuring compliance with
noise specifications for all new and/or modifications to plant and
equipment.
Encourage the use of engineering and administrative controls to
reduce noise exposures where feasible.
Assure that Management provides hearing protective devices
necessary to protect workers enrolled in the program and visitors to
noise-hazardous facilities.
Provide consultation and advice to the Training Team in support of
hearing conservation training.
Ensure Ear Protection Zones are demarcated and that adequate
supplies of technically suitable hearing protection devices are
available.
Ensure that proper records of all noise assessments and related
data including audiometric evaluations are maintained and that
they are accessible to all who need to know.
Ensure provisions are in place for Hearing Conservation
Programme review and audit.
Work with medical staff to review hearing loss cases for
recordability and to determine whether the additional workplace
exposure monitoring is required.
Site H&S Personnel and/or PU Heath advisors shall
Support hearing conservation implementation, give advice as
necessary and monitor compliance.
Conduct noise assessments and personal dosimetry under the
direction of Industrial Hygienist.
Company Nominated Medical Providers and Site Medics shall
Provide audiometry services on site and/or in the central clinics.
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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Be familiar with BP Hearing Conservation Programme
arrangements and procedures and be aware of any changes and
updates done to this document.
Provide competent personnel for audiometric testing and results
reading.
Ensure that audiometric equipment is checked and calibrated and
that internal procedures are maintained.
Update records and database with regular reporting to BP Health
Team in a medically confidential manner.
Provide educational programme for all those exposed to high noise
levels in conjunction with audiometric testing.
Maintain the list of all those enrolled in hearing conservation
programme in accordance with BP audiometric procedure.
Employees exposed to noise shall
Wear hearing protection devices (ear plugs or ear muffs, or both)
for all exposures exceeding 80 dB(A) regardless of duration.
Wear double protection (ear plugs and ear muffs) for all exposures
at and exceeding 105dB(A) regardless of duration.
Complete annual audiometric testing and training as required for
enrollees of the hearing conservation programme.
Participate in audiometric testing and hearing conservation training.
Promptly report any malfunction or problem with hearing protection
to the Line Manager/Supervisor.
5.0
Procedure
5.1
Noise Criteria
Occupational noise exposure limit.
The BP Az SPU adopts the current UK HSE Noise at Work Regulation 2005
limits as the occupational exposure limit for application to workplaces covered by
this program.
Noise exposure determination should be made for all employees who work in
area or who operate equipment generating sound levels at or above 80 dBA.
Persons who work in areas where dose is ≥ 80 dB(A) LAeq,8 must be provided with
Hearing protection and its use mandated in the areas marked as hearing
protection zones.
Persons who work in areas where the dose is ≥ 85 dB(A) LAeq,8 must be enrolled
into a Hearing Conservation Program (HCP).
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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A full work shift personal exposure equivalent to the upper exposure action
value, measured outside any hearing protection in use, shall be considered
100% of the allowable daily noise dose.
For the purposes of evaluating
exposures for comparison to this exposure limit, full shift (e.g. 12hours shift)
measurements of noise dose shall be carried out using personal dosimeters set
to the following criteria:
A-weighted equivalent-continuous sound level, LAeq,T, during the time period T,
using a 3-dB exchange rate and no threshold level.
Results corrected to 8 hour and compared to 85 dB(A) LAeq,8 (100% Dose)
Core site employees, both BP and contractor, in similarly exposed groups
expected to be exposed to noise levels specified above must to be enrolled in
the company hearing conservation program, be provided with and use hearing
protection for noise hazardous tasks, have periodic audiograms and hearing
conservation
training.
Hearing protection areas and tasks.
Hearing protection shall be used in all areas and for all tasks where noise levels
are expected to exceed 80 dB(A).
Areas or equipment where the instantaneous noise is 105 dB(A) or greater
should be recommended as double hearing protection zones.
5.2
Workplace Noise Surveys
Facility or workplace noise surveys shall be performed in any area where
workers may be exposed to noise over 80 dB(A). Noise surveys
determine where workers may be exposed to hazardous noise. Noise
surveys are also useful for planning engineering controls to reduce noise.
Noise surveys should be carried out by a trained person under the
direction of the SPU Industrial Hygienist, using calibrated equipment
selected by the Industrial Hygienist as appropriate for the type of survey.
Reports of noise surveys including site noise maps shall be provided to
the facility or workgroup supervisor or manager and also kept on file in the
SPU Central Health Team IH office.
Noise survey data should be field checked and updated as needed when
process or equipment changes occur, and in any case at least every three
years.
5.2.1 Worker Noise Exposure Assessments
Control Tier:
<<2>>
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The SPU Industrial Hygienist shall complete either qualitative or
quantitative noise exposure assessments of similarly exposed groups
whose work areas or tasks may expose them to noise over 80 dB(A).
Qualitative exposure assessments may be made during baseline
surveys of the workplace or workgroup. Where the industrial
hygienist judges that no significant noise hazards are present or
that noise exposures over 85 dB(A) are rare, no quantitative
assessment is necessary.
Quantitative exposure assessments, shall be made when the
Industrial Hygienist judges there to be significant potential for 8
hour time-weighted average exposures over 85 dB(A) during
characteristic work days. The assessment shall be based on
personal noise dosimetry, conducted by a trained person under the
direction of the Industrial Hygienist, involving a statistically
significant sample of the similarly exposed group exposure days.
5.3
Noise control
Noise controls shall be applied to protect workers from noise exposures
exceeding the UK HSE NAWR 2005 limits. The application of noise
controls should reflect the hierarchy of industrial hygiene controls with
preference for the following order:
Elimination of the noise source or hazard.
Engineering control to reduce the transmission of hazardous noise
to people.
Administrative controls, generally to exposure time in high noise
areas.
Personal protective equipment, i.e. hearing protective devices
Guidance for selection and application of noise controls is included
in BP group documents referenced in Section 6.0 of this document.
5.3.1 Elimination
Wherever possible new tools and equipment should be specified or
selected that do not exceed 80 dB (A) at 1 meter.
Process equipment should be designed to minimize noise exposure to
workers. Piping systems, valves, and related process equipment should
be designed to eliminate high speed and turbulent flow that generates
high noise. Special limits shall be set for relief valves and vents that
operate occasionally. Noise from relief valves should never exceed 140
dB and should exhaust to unoccupied areas. Flares at Offshore locations
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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should be sited such that the noise does not exceed 115 dB(A) at
occupied locations.
Portable equipment, such as generators and compressors set up at work
sites, should be located as far from occupied areas as possible.
Equipment should be maintained so as to eliminate the additional noise
radiation resulting from worn, loose, or defective parts.
5.3.2 Engineering Control Measures
Where high noise has not been eliminated in the original design or
equipment purchase it should be controlled by engineering measures
such as the following
Re-engineering of piping systems or equipment to reduce noise
generation
Application of vibration damping materials to reduce resonance
and/or noise radiation
Application of engineered noise insulation to piping systems or
equipment
Isolation of noise sources from workers—such as by engineering
enclosure of source or worker
Routing of noise generating exhaust systems so as to exhaust
through mufflers or to an unoccupied location
5.3.3 Administrative Control Measures
Where high noise has not been eliminated or sufficiently reduced by
engineering controls, high noise areas must be posted and workers
should plan and execute their work so as to minimize the time they are
present. Non-essential personnel should stay out of very high noise
areas. This particularly applies to areas where noise exceeds 100 dB(A).
5.3.4 Hearing Protection Devices
In areas and for tasks in which other controls have not reduced noise
levels below 80 dB (A), hearing protection shall be worn:
Single hearing protection:
All employees and visitors present in
areas, or conducting tasks, where noise is expected to exceed 80
dB(A) in the person’s hearing zone, shall wear at least single
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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hearing protection, i.e. either earplugs or earmuffs, approved by the
BP SPU Industrial Hygienist.
Dual hearing protection : All employees and visitors present in
areas, or conducting tasks, where noise is expected to exceed 105
dB(A) in the person’s hearing zone, shall wear double hearing
protection, i.e. both earplugs and earmuffs, approved by the BP
SPU Industrial Hygienist.
Hearing protection shall be worn as indicated regardless of
exposure time or of whether the person is enrolled in a hearing
conservation program.
A sufficient selection of types and sizes of approved ear plugs shall
be available at noise-hazardous work sites to provide workers with
a comfortable and effective choice.
Work areas exceeding 80 dB(A) shall be posted indicating the level
of hearing protection required.
Tools and portable equipment expected to generate exposures
over 80 dB(A) shall be labeled as requiring hearing protection when
in use.
IMPORTANT NOTE: Moulded Earplugs Hearing Protection
and moulding procedure
All the published data suggests that the attenuation (Noise protection)
offered by moulded plugs is not significantly better than Foam plugs.
Using foam plugs in addition to earmuff type protectors can always
enhance hearing protection. The procedure for making impressions for
these devices is in many ways similar to medical ear syringing and
therefore has similar risks. Manufacture of impressions and moulding
procedure for the production of Moulded Earplugs is prohibited on BP
premises.
5.4
Audiometric Evaluations
Audiometry is a useful means of measuring and monitoring an employee’s
hearing during employment. It is also a valuable means of measuring the
effectiveness of hearing conservation, and identifying areas where
conservation may be deficient.
Employees transferring to a noise-exposed position from a non noise-
exposed job shall have a baseline test done within six months. See Pre-
placement assessment in Fitness for Task Management Programme and
Audiometry Procedure.
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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If an employee declines or refuses to take an audiometric test, every
reasonable step should be taken to persuade the individual to participate.
Should the employee continue to refuse, the supervisor will be notified.
5.5
Information and Training
All employees who will be working in the areas with known high noise
levels (e.g. operator technicians) shall have noise awareness training at
the pre-employment stage during induction.
Employees enrolled in the Hearing Conservation Program shall receive
education and training annually in the following areas:
Recognition of noise hazards both at work and at home
Occupational noise exposure
The effects of noise on hearing
Risk of damage to hearing
Hearing loss and steps to minimize that risk
Selection, fitting, use and care of hearing protectors and how to
report defects
Roles and responsibilities under this document
Suitable local arrangements should include the use of leaflets, posters,
video and computer based training material.
Refer to VTA for a list of calendared training sessions
Training can also be arranged through the Industrial Hygienist.
All records will be maintained in VTA.
5.6
Record keeping
Noise assessment and noise management actions will be documented
and resultant recommendations placed within a suitable action tracking
system. Such noise management records will require periodic review to
track action items e.g.
Workplace noise survey reports
Work group noise exposure assessments
Noise exposure reduction action item tracking
Audiometry records in personal health records
Program review
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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Training records
6.0
Key Documents/Tools/References
1. Noise at Work Regulations, 2005. UK HSE.
2. Noise Control Engineering, BP IH Sharepoint
C:\Documents and
Settings\jafarovh\My
3. Sound Solutions Offshore (UK, HSE publication)
4. Noise
Assessment
Flowchart
C:\Documents and
Settings\jafarovh\My
5. Procedure
for
Audiometric
Testing
6. Revision Log
Revision Date Authority Custodian
Revision Details
20/05/2008
Almaz
Hijran Jafarova Periodic review
Agazade
01/ 07/ 2009
Almaz
Hijran Jafarova
Periodic review
Agazade
15/07/2010
Almaz
Hijran Jafarova
Periodic review
Agazade
Control Tier:
<<2>>
Revision Date: <<15/07/10>>
Document Number: << AZSPU-HSSE-DOC-00111-2>
Print Date:
2/1/20117/27/2010
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AzSPU HSSE Objectives, Targets and Management Programs
Page 1 of 6
Objectives, Targets and Management Programs
AZSPU-HSSE-DOC-00020-2
Authority:
AzSPU HSSE Safety &
Custodian:
AzSPU HSSE Team Leader
Compliance Systems
(Idrak Nazarov)
Manager (Yuliy Zaytsev)
Scope:
AzSPU Operational PUs
Document
AzSPU HSSE MS
Administrator:
Document Co-ordinator
(Nargiz Abiyeva)
Issue Date:
July, 2000
Issuing Dept:
HSSE MS & Compliance
Revision Date:
May 12, 2010
Control Tier:
2
Next Review Date:
July 31, 2010
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
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AzSPU HSSE Objectives, Targets and Management Programs
Page 2 of 6
1.0 Purpose/Scope
The purpose of this procedure is to describe the process for establishing and maintaining Health,
Safety, Security, Environmental and Social (HSSE&S) objectives, targets and management programs
at appropriate levels within the organization.
This procedure applies to AzSPU Operations PUs engaged in the drilling, production and/or
transportation of oil and gas. Revision of this procedure will be in accordance with the Document
Management Procedure (AzSPU-HSSE-DOC-00025-2).
2.0 Definitions
Refer to Document AzSPU-HSSE-DOC-00021-2 HSSE Definitions for definitions common to the
HSSE&S Management System.
3.0 Specific Requirements
OMS Sub-elements 1.2, 1.3, 3.6 and 6.8.
ISO 14001 - Clause 4.3.3 Objectives, Targets and Program(s) and Clause 4.3.4 Environmental
Management Program(s).
OHSAS 180001 - Clause 4.3.3 Objectives and Clause 4.3.4 OH&S Management Program(s).
4.0 Key Responsibilities
AzSPU Top Management / Performance Unit Leaders - Responsible for providing adequate
resources and leadership support for the implementation of objectives and targets. During annual
Management Review Meetings progress against objectives and targets are reviewed and opportunities
for continual improvement identified.
HSSE&S Representatives - Located at AzSPU and PU/Asset level and responsible for providing
guidance and assistance in setting HSSE&S objectives and targets at their respective levels.
Operations Manager (PU/Asset) - Works with HSSE&S Representatives as appropriate to establish,
maintain and achieve objectives and targets.
5.0 Procedure
HSSE&S objectives and targets will be established and maintained in accordance with this procedure.
These objectives and targets will be the key to driving continual improvement in company HSSE&S
performance. The AzSPU and each PU/Asset will have documented objectives and targets. HSSE&S
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
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AzSPU HSSE Objectives, Targets and Management Programs
Page 3 of 6
management programs will be established at the appropriate level to ensure delivery of the objectives
and targets.
5.1 HSSE&S Objectives and Targets
HSSE&S objectives reflect the long term goals of the business, including meeting company HSSE&S
policies and promoting continual improvement in company HSSE&S performance.
HSSE&S targets are set to achieve the HSSE&S objectives. Appropriate resources, responsibilities
and timeframes will be allocated to achieve the HSSE&S targets.
The targets will be specific and quantified where practicable. Key Performance Indicators (KPIs) (e.g.
number of oil spills, number of injuries, etc) will be established against the targets. The KPIs will act
as a basis for monitoring and measuring progress towards the targets.
All HSSE&S objectives and targets will be reviewed at the annual Management Review meeting and
tied to the business planning cycle. In addition progress against HSSE&S targets will be tracked, as
driven by target / KPI deadlines, throughout the year.
Objectives and targets may be established at several levels (e.g. AzSPU, PU, Asset, etc). Meetings
will be held to set and review objectives and targets. The appropriate HSSE&S Representatives will
ensure that the following information is taken into account when establishing and reviewing HSSE&S
objectives and targets:
BP Corporate Policy, including HSSE&S requirements, standards and initiatives
BP AzSPU HSSE Policy
Project specific requirements, e.g. ESIAs, ESAPs, etc.
Significant HSSE&S aspects, impacts, risks and hazards associated with operational activities
Performance contracts
Applicable legal requirements
HSSE&S MS audit findings
Existing management programs
Financial, operational and business needs and requirements
Site/regional sensitivities and external views, including NGOs, lenders and the public.
The delivery of high level objectives and targets set at AzSPU level or above, will normally require a
commitment at PU/Asset level. Draft objectives and targets will be reviewed during the fourth quarter
of each year, for discussion at the end of year Management Review Meeting. Finalisation and
implementation of the objectives and targets will then take place in the first quarter of the following
year. Management will be accountable for delivery of the agreed objectives and targets.
All objectives, targets, and KPIs will be recorded in the HSSE Objectives, Targets and Programs
Template (AzSPU-HSSE-DOC-00020-2-A). This will then form the basis for the AzSPU / PU / Asset
specific Objectives, Targets and Management Program.
It should be noted that all columns in the HSSE Objectives, Targets and Programs Template have to be
used. However an additional column may be added, if required, for comments or additional references.
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
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Page 4 of 6
5.2 HSSE&S Management Programs
Individual HSSE&S management programs will be developed at each relevant level (e.g. AzSPU, PU,
Asset, etc) and will be reviewed during the fourth quarter of each year for discussion at the end of year
Management Review Meeting. Finalisation and implementation of the management programs will then
take place in the first quarter of the following year.
Management programs should not be duplicated at each level of the organisation, however,
management at all levels needs to understand how they fit into the delivery of higher level objectives
and targets.
HSSE&S management programs will be produced to ensure that:
Actions to meet established HSSE&S objectives and targets are documented, understood, and
responsibilities are clearly assigned and deadlines defined.
Corrective or preventive actions are considered.
The following processes as a minimum will be a basis for establishing HSSE&S management
programs:
Recommendations from HSSE&S internal and external audits/inspections.
Actions from the HSSE&S Management Review Meeting.
Significant HSSE&S aspects, impacts, risks and hazards identification and screening.
Monitoring and measurement.
HSSE&S management programs shall identify:
Actions
Responsible persons
Schedule
Resource requirements
Supporting controls / processes
Status on progress.
The HSSE&S management programs will be authorized by the responsible person and actions will be
agreed with the assigned personnel prior to issue. The documents will be located at the appropriate
level within the HSSE&S Management System.
All HSSE&S management programs will be recorded in the HSSE Objectives, Targets and Programs
Template (AzSPU-HSSE-DOC-00020-2-A).
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
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AzSPU HSSE Objectives, Targets and Management Programs
Page 5 of 6
Progress against HSSE&S management programs will be tracked, as driven by target / KPI deadlines,
throughout the year.
If additional issues are identified such as additional significant environmental or social aspects /
impacts, health and safety hazards, security risks, etc, the AzSPU / PU / Asset specific Objectives,
Targets and Management Program will be updated with additional management actions and re-issued.
5.3 Communication
HSSE&S objectives, targets, and management programs shall be communicated to the appropriate
personnel.
5.4 Reporting and Record Keeping
The PU/Asset Operations Manager will report on the status of HSSE&S management programs,
including progress against targets. In the event that corrective actions are required, these will be
included as additional management actions in the AzSPU / PU / Asset specific Objectives, Targets and
Management Program and re-issued.
Records will be retained by the PU/Asset Operations Manager, or the relevant HSSE Department as
appropriate, these will include:
Justification for any changes to objectives and targets.
HSSE&S management program progress.
6.0 Key Documents/Tools/References
HSSE Objectives, Targets and Programs Template (AzSPU-HSSE-DOC-00020-2-A).
Revision/Review Log
Revision Date Authority
Custodian
Revision Details
July 2000
G. Vidrine
G. Stacey
Initial Issue
F. Askerov
August 2000
G. Vidrine
G. Stacey
Consistency with BP EMS guidelines
R. Gallagher
April 2004
L. Emmons
S. Sultanova
Consistency with EMS requirements
December 23,
Gunther Newcombe
Yuliy Zaytsev
Edit language to reflect new ISO14001:2004
2005
requirements and incorporate HSSE&S MS and
new AzSPU organisation.
December 4,
Gunther Newcombe Yuliy Zaytsev
Information on completion and updating of the
2006
HSSE Objectives, Targets and Programs
Template added to procedure.
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
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AzSPU HSSE Objectives, Targets and Management Programs
Page 6 of 6
Targets and Management Program review dates
revised to ensure uniformity throughout.
October 10,
Yuliy Zaytsev
Rebecca Heath
Requirement to record minutes of meetings to set
2007
objectives and targets removed from procedure.
December 12,
AzSPU HSSE MS
AzSPU HSSE MS
Progress against HSSE&S targets will be
2007
& Compliance
Senior Advisor
tracked, as driven by target / KPI deadlines,
Manager (Yuliy
(Rebecca Heath)
throughout the year (rather than on a 6 monthly
Zaytsev)
basis). Amendment made in response to
November 2007 external ISO 14001 audit
recommendation.
Clarification provided regarding use of the HSSE
Objectives, Targets and Programs Template. All
columns have to be used; however, an additional
column may be added if required for comments
or additional references. Amendment made in
response to November 2007 external ISO 14001
development point.
February, 17,
AzSPU Safety &
AzSPU HSE MS
Periodic review. Position titles updated throughout.
2009
Compliance
Team Leader
Systems Manager
(Idrak Nazarov)
(Yuliy Zaytsev)
May 12, 2010
AzSPU Safety &
AzSPU HSE MS
Document reviewed and validity extended to end
Compliance
Team Leader
of July 2010 when further clarity will be
Systems Manager
(Idrak Nazarov)
available on AZSPU reorganization and roles /
(Yuliy Zaytsev)
responsibilities.
Control Tier:
2-AzSPU
Revision Date: May 12, 2010
Document Number: AzSPU-HSSE-DOC-00020-2
Print Date: 2/1/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu
Offshore Emergency Medical Evacuation
Page 1 of 14
Procedure for:
Offshore Emergency Medical Evacuation
Document Number:
AZSPU-HSSE-DOC-00085-2
Authority:
<<AzSPU Health Manager
Custodian:
<< CCM/ER Manager
Almaz Aghazada>>
Anar Hassanov>>
Scope:
<<AzSPU >>
Document
Administrator:
<< Document Asset Technician Name >>
Issue Date:
<<01 August 2006>>
Issuing Dept:
<< CHSE Crisis Management Team>>
Revision Date:
<< 31 August 2010 >>
Control Tier:
<<2>>
Next Review
<< 12 June 2011 >>
Date:
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: <<AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms
Offshore Emergency Medical Evacuation
Page 2 of 14
Table of Contents:
1 Purpose and Scope
3
2 Definitions
3
3 Medical Evacuation Process (BP & Contractor)
4
4 Roles and Responsibilities
8
5 General Contact Information
10
Appendix 1: Offshore Medical Evacuation Logsheet( link to the attached
document)
11
Appendix 2: Triage Categories Description
12
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: << AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms
Offshore Emergency Medical Evacuation
Page 3 of 14
1 Purpose and Scope
This document describes the process of medical evacuation of Injured or Ill Person from
Azerbaijan Strategic Performance Unit‟s (AzSPU) offshore work environment to ensure
effective and timely medical care is received.
This controlled document applies to Azerbaijan SPU engaged in offshore exploration,
drilling, production and transportation of oil, including all related supply and construction
activities.
2 Definitions
Case management
Process of coordinating an employee‟s total heath
care needs following an illness or injury. The goal of
medical case management is to provide optimal
quality care in cost effective manner to obtain positive
health outcomes for the employee
CMO
Chief Medical Officer
CHC
Canadian Helicopters Company, helicopter provider
Health Team
BP Azerbaijan SPU Central HSE, Health Team
IC
Incident Commander
BST
Business Support Team
IMT
Incident Management Team
IP
Injured Person
OIM
Offshore Installation Manager
Vantage
Electronic System enabling to manage personnel
details of Offshore Installations and track personnel to
and from worksite
Vessel
BP or Contractor operated vessel
Vessel Master
Master or Captain of BP or Contractor operated
vessel
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: <<AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms
Offshore Emergency Medical Evacuation
Page 4 of 14
3 Medical Evacuation Process (BP & Contractor)
BP assumes Duty of Care responsibility to get Offshore Medevac Injured/Ill Person to an
Onshore Referral Medical facility in Baku:
OIM or Vessel Master or IC have authority to dispatch Medevac
Site medical professional offshore determine necessity for Medevac
BP Nominated Medical Provider (currently ISOS in liaison on with relevant vessel
medical crew team) coordinates medical evacuation of IP to ISOS Clinic Baku
and/or refer patient to secondary care facility if required
OIM or Vessel Master is a Single Point of Accountability to coordinate Logistics
offshore
IMT (IC) supports the coordination of all onshore aspects (i.e. helicopter,
ambulance, out-of-country evacuation) as necessary
NOTE: In order to avoid potential loss of time and improve the Medevac response the
medical provider, all platforms and vessels will use one type of stretcher.
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: << AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms
Offshore Emergency Medical Evacuation
Page 5 of 14
*See Appendix 2 and Appendix 3
** Medevac priority categorization shall be agreed within ISOS Chief Medical Officer, ISOS Duty
Manager in consultation with BP Medical Section Chief. BP Operations Health Advisor can provide
additional consultancy support if required
Medical Evacuation from Platforms and Drilling Rigs
Medical Incident
OIM or Delegate to contact:
1. Canadian Helicopters
to mobilize a helicopter
Mob: (994 50) 221 1267 / 632 4399
Office: (994 12) 447 0437 / 57
2. ISOS
to mobilize medical assistance
YES**
Mob: (994 50) 212 6921
Immediate
Other
NO
Treatment on board
*****S
NO**
3. IMT Incident Commander
Medevac
Medevac
or
to coordinate with contractor(s)
P1*?
P2 or P3*?
Fit to return to work
for out-of-country medevac
Mob: (994 50) 250 3030
OIM or Delegate to contact:
5. IMT Incident Commander:
Mob +(994 50) 250 3030
6. For SD contact “Baki” stand by
vessel: Mob +(994 50) 255 4150
(or other vessel on duty)
IP Medevac’d to
7. For ACG contact “Caspian
Referral Facility
Protector” stand by vessel: Mob
+(994 50) 255 41 64
(or other vessel on duty)
8. ISOS to mobilize onshore medical
assistance: Mob +(994 50) 212 6921
ISOS to
YES
IP
NO
coordinate with
Treatment
Referral Facility
in Baku?
ISOS get approval from
Medical Case Manager for
out-of-country medevac
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: << AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms
Offshore Emergency Medical Evacuation
Page 6 of 14
*See Appendix 2 and Appendix 3
** Medevac priority categorization shall be agreed within ISOS Chief Medical Officer, ISOS Duty
Manager in consultation with BP Medical Section Chief. BP Operations Health Advisor can provide
additional consultancy support if required
Medical Evacuation from Stand-by, Supply and other Vessels without helipad
Medical Incident
OIM or Delegate to contact:
1. Canadian Helicopters
to mobilize a helicopter
Mob: (994 50) 221 1267 /
1. Vessel Master
632 4399
or delegate to
Office: (994 12) 447 0437 / 57
contact
2. ISOS
nearest
Treatment on
to mobilize medical assistance
platform with
YES**
Mob: (994 50) 212 6921
helideck
Immediate
NO**
Other
NO
board
2. Transfer IP to
Medevac
Medevac
or
3. IMT Incident Commander
platform
P1*?
P2 or P3*?
Fit to return to
to coordinate with contractor(s)
3. Platform
work
for out-of-country medevac
OIM or
Mob: (994 50) 250 3030
delegate to
contact
OIM or Delegate to contact:
1. IMT Incident Commander:
Mob +(994 50) 250 3030
2. For SD contact “Baki” stand by
vessel: Mob +(994 50) 255 4150
IP Medevac’d to
(or other vessel on duty)
Referral Facility
3. For ACG contact “Caspian
Protector” stand by vessel: Mob
+(994 50) 255 41 64
(or other vessel on duty)
ISOS to
YES
IP
4. ISOS to mobilize onshore medical
NO
coordinate with
Treatment
assistance: Mob +(994 50) 212 6921
Referral Facility
in Baku?
ISOS get approval from
Medical Case Manager for
out-of-country medevac
Control Tier:
<<2>>
Revision Date: <<31 August 2010>>
Document Number: << AZSPU-HSSE-DOC-00085-2 >>
Print Date: 01/02/2011
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
VERSION OF THIS DOCUMENT CAN BE FOUND AT http://docs.bpweb.bp.com/dkazspu/component/hssesms