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INC-2026-0087

CRITICALUnder Investigation

Reported by Tom Garcia — Electrician

03 December 2025 at 05:00 pmPower StationHazard ReportElectrical (Isolation/LOTO)Night Shift

Incident Description

Backup generator auto-started during planned maintenance on main power distribution board. Isolation procedure did not include backup generator interlock. Maintenance crew narrowly avoided energised bus bar.

Immediate Actions Taken

  • 1All work stopped
  • 2Generator isolated
  • 3Isolation procedures for power station completely reviewed
  • 4Stand-down for all electrical work pending review

Likelihood x Consequence Matrix

InsignificantMinorModerateMajorCatastrophic
Almost Certain
Likely
Possible
Unlikely
Rare

Likelihood

4 / 5 — Likely

Consequence

5 / 5 — Catastrophic

Risk Score

20/25

Failed / Breached Controls

Fall Protection System

Harness worn but not connected to anchor point

CRITICAL
Effectiveness
0%

Scaffold Inspection

Green tag from previous day - no re-inspection

HIGH
Effectiveness
20%

Controls That Held

Emergency Response

First aid and ambulance dispatched promptly

Effectiveness
95%

Area Barricading

Area secured immediately after incident

Effectiveness
90%

Priority Questions

  • What were the direct and contributing causes of this incident?
  • Were all relevant procedures followed by personnel involved?
  • Was there adequate supervision at the time of the incident?

Follow-Up Questions

  • Were there any similar incidents in the past that could have predicted this?
  • Were all personnel adequately trained for the task being performed?
  • Were environmental conditions a contributing factor?

Systemic Questions

  • Does this incident indicate a gap in the current risk management framework?
  • Are there systemic issues with procedure adherence in this area?
  • Would additional engineering controls reduce the likelihood of recurrence?
04:45 pm

Pre-start meeting completed

05:00 pm

Incident occurred

05:05 pm

Incident reported to supervisor

05:10 pm

Area secured and barricaded

05:20 pm

HSE team notified and on-scene

05:45 pm

Initial investigation commenced

06:00 pm

Report filed in SafetyScribe AI

Incident Details

Date & Time

03 December 2025 at 05:00 pm

Location

Power Station

Type & Category

Hazard Report

Electrical (Isolation/LOTO)

Severity
Critical
Status
Under Investigation
Shift

Night Shift

Reported By

Tom Garcia — Electrician

  • Electrician — Tom Garcia
  • Electrician — Robert Kim
Night shiftPlanned outage
Backup GeneratorMain Power Distribution Board

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