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Stantec PM makes verbal notification <br />immediately to at least one of the <br />following people in each group: <br /> Chevron Incident Review Team: <br />-Tom Madsen <br />-Brent Lucyk <br />-Jim Burns <br />-Bob Wilson <br />Stantec HSE Team: <br />Jon Lessard <br />-Carol Ferguson-Scott <br />-Clint Reuter <br />-Fred Miller <br />-Keith Kuhlmann <br />-Tony Wong <br />Stantec PM or Director obtains <br />concurrence from <br />at least 1 member of the Chevron <br />Incident Review Team regarding <br />Chevron Reporting Requirements <br />If a team member <br />does not answer, <br />leave a detailed <br />message with a <br />number at which you <br />can be reached and <br />call the next team <br />member in the call list <br />Stop Work, stabilize situation, <br />and secure site. <br />Immediately notify <br />Stantec SHSO. <br />V <br />Notify Stantec PM immediately. <br />------- If you are unsure <br />whether something <br />should be reported, <br />Stop Work and <br />proceed with <br />notification anyway. <br />Incident Not <br />Reportable to Chevron <br />Submit initial copy of <br />Stantec report (RMS-3) to <br />hse@stantec.com within <br />24 hours of event. <br />Final Report Due within 5 <br />business days. <br />Stantec Requirement <br />Submit initial copy of <br />Stantec report (RMS-3) to <br />hse@stantec.com within <br />24 hours of event. <br />Final Report Due within 5 <br />business days <br />Chevron EMC Requirement <br />Submit initial IMPACT <br />Incident Report & IMPACT <br />Incident Investigation <br />report to the Chevron EMC <br />PM within 24 or 48 hours <br />depending on the incident <br />level. <br />Incident Reportable to <br />Chevron EMC <br />V <br />Stantec PM or Director <br />notifies Chevron PM & <br />works with Chevron EMC & <br />Stantec Chevron Incident <br />Review Team to complete <br />associated internal and <br />external paperwork, within <br />required timeframes <br /> <br />Incident Reporting Protocol - US <br />tGrL:C7A <br /> <br />Stantec <br />1 2