Accident Utility -

Report an Incident

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To verify the incident is reportable please see IB18-004-R1 references beside choice for more information and answer the following questions.

Was the Pressure equipment incident a:

Please select one of the incidents

Fire

Unsafe Condition

Accident

Timelines for reporting:

Section 35(1) of the Pressure Equipment Safety Regulation requires the owner to forthwith report all unsafe conditions, accidents and fires. With respect to this initial reporting, “forthwith” means:

Accidents- same day, no later than the following business day.
Fires- same day, no later than the following business day.
Unsafe conditions: in a timely manner, but in all cases within 30 days.

Owner-User organizations that hold a quality management certificate of authorization permit for pressure equipment integrity management may report in accordance with the above or shall otherwise report all

Injury or fatality within 24 hours, and
Unsafe conditions, accidents and fires not resulting in injury or fatality within 90 days.

Note: The Administrator may direct a safety codes officer to request earlier reporting of unsafe conditions, accidents and fires that do not result in injury or fatality, if the Administrator is of the opinion earlier reporting better serves the interests of public safety.

For all accidents, if a full report in writing is not submitted at the time of initial reporting, it is required within 21 days of the accident initial report. It is understood that a report submitted within 21 days may not be representative of a full and exhaustive investigation into the cause and particulars of an accident. However, early indications of the “probable cause” are useful in meeting the objective of ABSA’s investigation, being to identify the cause of an accident in order to prevent similar accidents in the future.

Date of Incident (YYYY-MM-DD)

Site/plant name

Address Lookup

Street

City

Province

Country

PostalCode

Do you want to replace address with the coordinates information ?(LSD)

LSD (i.e. 10-33-51-24w4)

Do you want to replace address with the coordinates information ?(LONG/LAT)

LONG

LAT

Type of Plant

Description of incident

Loss of Containment

Description

Any injuries or death

Description

Main Equipment Type

A numbers

Equipment type description

Sequence of events before, during and after event

Corrective action

Root / Probable cause

Corrective and preventive action

Upload Attachments:

Drag and Drop files here.

FileName

Type

Description (Optional)

Reported to ABSA by

Last Name

First Name

Telephone

Company Contact Information

Company Name

Last Name

First Name

Title

Street

City

Province

Country

Postal Code

Telephone

Chief Inspector/Management Representative, different from above?

Yes

Chief Inspector/Management representative

Last Name

First Name

Title

Street

City

Province

Country

Postal Code

Telephone

Your Area's Safety Code Officer (if known)

Last Name

First Name

The personal information collected on this form is for the purpose of collecting relevant information related to Accident Reporting. This personal information collection is authorized by section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of personal information, you may contact generalinq@absa.ca, or by mail to ABSA, 9410 20 Ave. NW, Edmonton, AB, T6N 0A4

Preview Information

Type of Incident

Fire

Unsafe Condition

Accident

Address Information

Date of Incident

Site/plant name

Address

Do you want to replace the address with the coordinates (LSD) ?

LSD

Do you want to replace the address with the coordinates (LAT/LNG) ?

LONG

LAT

Description Information

Type of Plant

Description of incident

Loss of Containment

Description

Any injuries or death

Description

Main Equipment Type

A numbers

Equipment type description

Sequence of events before, during and after event

Corrective action

Probable cause

Corrective and preventive action

Reported to ABSA by

Last Name

First Name

Telephone

Company Contact Information

Company Name

Last Name

First Name

Title

Street

City

Province

Country

Postal Code

Telephone

If different from above option

Chief Inspector/Management Information

Last Name

First Name

Title

Street

City

Province

Country

Postal Code

Telephone

Your Area's Safety Code Officer (if known)

Last Name

First Name

Unsafe Condition

A “pressure equipment integrity near miss” as defined in API RP 585: “The discovery of equipment degradation or process operating conditions outside of acceptable limits that requires immediate action to shut down the equipment and/or perform repairs to avoid a loss of containment, usually the result of some form of damage mechanism such as those covered in API 571, but did NOT result in a loss of containment or structural stability”.

Loss of containment due to misoperation of pressure equipment. Note: “Misoperation” means operating the pressure equipment in a manner that is inconsistent with its intended use or design, which requires immediate action to shutdown the equipment

The discovery of in-service pressure equipment components in which the construction, or the repaired or altered condition, does not conform to the pressure equipment design

A condition of pressure equipment installation or operation having high potential to cause injury that requires immediate action to shut down the pressure equipment

Circumvention of critical safety devices or controls, or maintenance practices or procedures, with a high potential for injury to personnel or damage to the pressure equipment that requires immediate action to shut down the pressure equipment

Accident

Pressure equipment failure or operation that results in an Alberta Workers’ Compensation Board (WCB) reportable accident
Note: See the Alberta WCB website for information regarding WCB reportable accidents.
Pressure equipment failure or operation that results in an injury or fatality that did not occur in a workplace.

A “pressure equipment integrity failure” as defined in API RP 585: “The termination of the ability of a pressure equipment system, structure, or component to perform its function of containment of the process fluid (i.e. a leak or loss of containment).”

An event that is not associated with the operation of the pressure equipment, which results in damage to the pressure equipment.

Fire

Fire means a fire that has caused any damage to the pressure equipment, or was caused by the unintentional release of fluid from the pressure equipment.

Dashboard

Report an Incident

To verify the incident is reportable please see IB18-004-R1 references beside choice for more information and answer the following questions.

Was the Pressure equipment incident a:

Timelines for reporting:

Upload Attachments:

Reported to ABSA by

Company Contact Information

Your Area's Safety Code Officer (if known)

Preview Information

Unsafe Condition

Accident

Fire