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WSTD Incident Report <br /> <br />Water Supply and Treatment (WSTD) Incident Report Page 2 of 6 <br />Revision Date: 10/18/18 <br />15 B. Incident <br />Description <br />Add pictures from the incident and add captions for more details. <br />16-17 C. Incident Review The lead reviewer fills out item #16-22, and lead reviewers will fill out <br />incident report ID. For incidents related to equipment failure, Nicole <br />Yturralde will be following up with the facility chief. For incidents related to <br />operator error (including delivery spills), Jowin Jung will follow up with the <br />facility chiefs. <br />18 - 19 D. Possible Root <br />Cause <br />Indicate in the checkboxes all the possible root causes and add any <br />additional information about root cause. <br />20 - 21 E. Corrective <br />Action Plan <br />Lead reviewer will work with chief to assign corrective actions. The chief will <br />be the primary person responsible for completing the action items. <br />22 F. Required <br />approval signature <br />Once the corrective action plan and all associated actions are completed, <br />the superintendent will sign and date the incident report, which means the <br />incident report is finalized. <br />Incident Report Submission <br /> <br />Email word file version of the incident to report within 48 hours after the incident to the report group. <br />Incident Report <br />Group (2018_10-01).msg <br />Additional Information <br /> <br />Contact Jowin Jung at (650) 871-1010 or jjung@sfwater.org with any questions regarding the WSTD Incident <br />Report template. <br /> <br /> <br />Other forms <br />For questions about unplanned chlorinated discharge forms and planned discharges from the transmission <br />system, contact Anna Fedman at (415) 554-3281 or AFedman@sfwater.org. For unplanned chlorinated discharge <br />forms (e.g., Pulgas Dechloramination Facility, and Harry Tracy Water Treatment Plant), use the forms below: <br /> <br />PDC Chlorinated <br />Discharge Final Report for 09-12-2017.pdf <br />HTWTP Chlorinated <br />Discharges.docx <br /> <br />For planned discharges from the transmission system, at least 10 working days prior to the planned discharge, fill <br />out the discharge monitoring form below. <br /> <br />A. Discharge <br />Monitoring Form_FINAL 20161027 Form.pdf <br />A. Discharge <br />Monitoring Form_FINAL 20161027.docx <br />