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Universal Health & Safety Plan r <br /> For use on all high-risk,industrial and HAZWOPER projects <br /> Department of Toxic Substances Control <br /> 14.2 Incident and Near Miss Reporting <br /> All incidents and near misses(i.e., incidents without consequences), regardless of type and perceived severity, must be <br /> reported in accordance with the Incident Reporting, Notifications and Investigation, S3AM-004-PR1 and entered into <br /> IndustrySafe(AECOM's SH&E Database)within the timeframes listed below: <br /> Significant Incident, including any injury to an AECOM employee or Subcontractor Within 4 hours <br /> All Other Incidents Within 24 Hours <br /> Note: Only the basic facts, who, what, when, where and how, are needed to complete the initial IndustrySafe report. SH&E Managers will <br /> assist you in updating the report as additional information becomes available. <br /> Significant incidents include: <br /> ■ Fatality; <br /> ■ Amputation; <br /> ■ Hospitalization for treatment for more than 24 hours(admission); <br /> ■ Any single event resulting in more than one employee requiring medical treatment or more than one employee <br /> being away from work for more than 3 days; <br /> ■ Any SH&E-related Consent Agreement/Order/Lawsuit or enforcement action seeking more than$10,000 or <br /> alleging criminal activity; <br /> ■ Any spill or release of a hazardous material that is reportable to a regulatory agency; <br /> ■ Any Notices of Violation resulting from not operating within a regulatory agency permit/license or consent; <br /> ■ Any incident resulting in property damage expected to exceed $10,000 United States dollars(USD); <br /> ■ Any security-related incident that could have caused significant harm to an AECOM employee; and/or <br /> ■ Any near miss event that may have resulted in any of the above consequences, but because of"luck"did not result <br /> in harm to persons, property or the environment. <br /> Other incidents include: <br /> ■ Any injury or illness to an AECOM employee or subcontractor, even if it does not require medical attention, <br /> including non-work-related injuries/illnesses that have become significantly aggravated by the work environment; <br /> ■ An injury to a member of the public or client representative occurring on an AECOM-controlled work site; <br /> ■ Re-occurring conditions such as back pain or cumulative trauma disorders(e.g., carpal tunnel syndrome); <br /> ■ Fire, explosion or flash that is not an intended result of a planned event(e.g., remediation process, laboratory <br /> procedure); <br /> ■ Any incident involving company-owned, rented or leased vehicles (including personal vehicles used for company <br /> business); and/or <br /> ■ Any failure to comply with requirements of a regulatory permit issued to AECOM. <br /> ©AECOM Restricted <br /> Universal Heath and Safety Plan Template(S4(DSC)AM-209-FM-C) 39 <br /> Revision 12 September 9,2021 <br /> PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. <br />