Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 65 of 538 Doc u m e n t Identif icat ion S E L 010 P age Nu m b e r 5 of 8 An e mpl o y e r must i mm e diate l y und e rta ke a n inve sti g a ti on int o the c a use o f a n y incide nt t ha t re sult e d in i njur y to a wo rke r r e quirin g medic a l t r e a tm e nt did not invol ve inj ur y to a wor ke r or invol ve d onl y mi nor injur y not re quiri ng medic a l t re a tm e nt but had a potential f or c a using se rious inj ur y to a wor ke r wa s a n incide nt r e quire d b y r e g ulation t o be invest ig a ted 52 Wo rkp lace I ncide nt Re po rt in g and Inve stigat ion Pro cedu re S te p 1 The incide nt i s re porte d b y a pe rson to the supe rvisor first aide r sa fe t y o ff ic e r or re pre s e ntative or the m a na ge r An inc ident invol ving a n e mpl o y e e ma y b e re port e d b y other s to t h e c ompan y whe re the injur e d e mpl o y e e is un a ble to do so W h ere t h e b ra n c h m a n a g er i s n o t i n f o rm ed ab o v e i n d i v i d u a l s m u s t e n s u re t h a t t h e b ra n c h m an ag er i s co n t a ct e d i m m ed i at el y S tep 2 All attempts must be made to vi sit the inc ident si te b y the b ra nc h m a na g e r o r the sa fe t y off ice r The sit e sha ll be pre se rv e d unti l t h e investi g a ti on is c ompl e te a nd i f sa fe to do s o P hotog ra phs sket c he s a n d other e videnc e c oll e c ti on shoul d be unde rta ke n promptl y N o t e In ci d e n t s re q u i ri n g im m ed i at e n o t i fi cat i o n t o W o rk e rs C o m p en s at i o n B o ar d W CB w i l l re q u i re c o m m u n i cat i o n w i t h W CB b o ard o ff i cer s w i t h reg ard t o s i t e access a n d p re s er v a t i o n o f e v i d e n ce S tep 3 The R e g ional Vi c e P re sident a nd c o rpor a t e H S de pa rtme nt i s not ifie d of the incide nt b y the br a nc h man a g e r S tep 4 The dire c t super v isor or de sig n a te sha ll no w c ompl e te a pr e li mi na r y investi g a ti on re po rt F R M 011 w it h a ll infor mation collec ted ie wit ne ss st a teme nts p icture s of the sc e n e a nd other infor mation collec ted e t c S tep 5 The pre li mi na r y r e port is for wa rde d to t he H S de pa rtme nt on the da y o f the incide nt S tep 6 B ra nc h M a na g e r C orpor a te H S a nd othe r c ompete nt i ndivi dua ls sha ll wor k with t he dire c t super visor a nd the inj ure d wor ke r w he r e po ssi ble a nd a ssi st i n the c ompl e ti on of the investi g a ti on The investi g a ti on mus t be c a rr ied ou t b y those know led ge a ble a bout t he t y p e of w ork invol ve d a nd if r e a sona b l y a v a il a ble w it h the pa rt icipa ti on of a J HSC mem be r or a s a fe t y re pre s e ntative All i nve sti g a ti ons shall be le d b y the br a n c h mana g e r or it s de si g na te In v es t i g a t i o n rep o r t s h al l n o t be acce p t ed u n l e s s 5Y h a s be en co m p l et e d