Report of an Oil and Gas Incident (rogi) Form Interim version Guidance Who should use this form?



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46.Part G Detailed Report


Fatalities
Implementing Regulation Section G: Any fatal accident to be reported under the requirements of Directive 92/91/EEC “The employer shall, without delay report any serious and/or fatal occupational accidents and situations of serious danger to the competent authorities”
RIDDOR 2013 6. Work-related fatalities & Schedule 1 Part 1 Injuries, fatalities and dangerous occurrences/ Schedule 1 Part 1 Injuries, fatalities and dangerous occurrences




Please complete section K

Note: Consider if there is requirement to also complete Section L Form to be Completed in respect of the death or loss of a person pursuant to Regulation 21B – Offshore Installations and Pipelines Works (Management and Administration) Regulations 1995


End of Part G Detailed Report

47.Part H Detailed Report


Serious Injuries
Implementing Regulation Section H: Any serious injuries to five or more persons in the same accident to be reported under the requirements of Directive 92/91/EEC “The employer shall, without delay report any serious and/or fatal occupational accidents and situations of serious danger to the competent authorities”
RIDDOR 2013, 4. Non-fatal injuries to workers/ Schedule 1 Part 1 Injuries, fatalities and dangerous occurrences




Please complete section K

Note: Consider if there is requirement to also complete Section L Form to be Completed in respect of the death or loss of a person pursuant to Regulation 21B – Offshore Installations and Pipelines Works (Management and Administration) Regulations 1995



End of Part H Detailed Report

48.Part I Detailed Report


Partial or Complete Evacuation of Personnel
Implementing Regulation Section I: Any evacuation of personnel.

RIDDOR 2013, dangerous Occurrences, Schedule 2 Part 6- 86. Evacuation



49.Section I1





General information

Start date and time of evacuation

Enter a date

Enter time hh:mm

End date and time of evacuation

Click here to enter a date

Enter time hh:mm



50.Section I2





Description of circumstances, consequences of event and emergency response

Indicate the system that failed and provide a description of the circumstances of the event / describe what has happened (weather conditions)

Was the evacuation precautionary or emergency?



Precautionary



Emergency



Both

Number of persons evacuated

Enter number of persons evacuated

Means of evacuation (e.g. helicopter)

Enter means of evacuation

Indicate the system that failed and provide a description of the circumstances of the event / describe what has happened, unless already reported in a previous section of this report.

Enter description



51.Section I3





Preliminary direct and underlying causes (within 10 working days of the event)

Enter causes



52.Section I4





Initial lessons learned and preliminary recommendations to prevent recurrence of similar events (within 10 working days of the event)

Enter lessons learned and recommendations


End of Part I detailed Report

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