Project

Accident - Incident Report

Transmission Line Works

Type of  Personnel injury  Security breach  Fire / explosion  Other:

incident  Work related  Accidental pollution  Community relations Environmental
illness  Motor vehicle incident Incident.
Material damage accident  Near miss
Time and Location: Moglica Road Lot2 Km from 18+544 to 23+300
place
Date Time □ During working hours Organisational unit:
02.03.2014 12:00PM □ During business travel Truck’s Team
□ During leisure time
Employee Employee no. Name:
Info.
Date of birth Occupation / position

11.10.1991 Truck Driver

Company/Department / Employer
Company
Description Main activity at the time of the event?
of incident / Excavator was charged on the tugboat.
events /
illness How did the incident occur?

When the legs of tugboat was closed the hydraulic pump of tugboat legs is broken and the
hydraulic oil was spilled on the asphalt. The spilled hydraulic oil was somewhere to 4 or 5
Litres.

Machinery, tools, chemicals or materials involved?

None
Injury or Describe injury / damage / type of  Lost-time injury  Other incl. first aid injury
damage illness  Restricted work case  Emergency preparedness
injury organisation mobilised
info.  Medical treatment injury
 Eyes  Hand, wrist  Amputation  Fracture
 Head, face  Leg  Burn, scald  Hernia
 Back  Feet, ankles  Concussion  Bruise
 Trunk  Internal  Crushing  Sprain, strain
 Arm  Other  Cut, puncture  Other
Deviations Equipment Inspections was not made at right time.

Causal The pulley of the hydraulic oils was deadlocked and consequently oil pressure was damaged
analysis the counter valve.

Actions 1.The truck Driver was close all the hydraulic pipelines to avoid as little oil leaking.
taken

Actions to prevent recurrence: Responsible Due date

We send the Tugboat to Mechanical Departament
and they repaired all the leaks problem at this Eng. 03.08.2014
truck.

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 Project
Accident - Incident Report
Transmission Line Works

Signatures Date Resp. Supervisor Date Reported by

08.08.2014 08.08.2014 Arber Dogani

Where applicable has the relevant regulatory authority been informed? Yes

DHP Observation Corrective Actions Taken

Comments: Oil Of New Asphalt Surfacing on Lot 2 road
1 Comments: For emergency we clean the asphalt only
with water because is very difficult to find oil
washing products for asphalt in a Albania, but we
assure you that next month during September we
have order to buy abroad ( Oil Spill Clean Up for
Concrete, Asphalt, Soil to protect the
Environment.)

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