INCIDENT REPORTING / INVESTIGATION
Purpose and Scope
A. The purpose of this procedure is to:
1- Provide guidance for the timely reporting of work related injuries, illness, incidents, and near
misses
2- Prevent incidents from recurring.
B. This policy applies to all employees of Builders Chicago Corporation.
Requirements
A. Reporting
1- All incidents shall be reported IMMEDIATELY and no later than PRIOR TO THE END
OF YOUR SHIFT.
2- Incidents shall be reported to:
a. Safety Coordinator { Main Office – (224) 654-2122, Cell – (847) 525-4122 }; AND
b. Their appropriate level of management (e.g. Division VP and/or Foreman).
3- A reportable incident may includes the following, but is not limited to:
a. An injury to any Builders Chicago Corporation employee, subcontractor, client representative, or
private citizen, even if the injury does not require medical attention
b. An injury to a member of the public occurring on a work site possibly resulting from a Builders
Chicago Corporation activity or involving property, equipment, or resource
c. Illness resulting from suspected chemical exposure
d. Chronic or re-occurring conditions such as back pain or cumulative trauma disorders
e. Fire, explosion, or flash
f. Any vehicle accidents occurring on site, while traveling to or from client locations, or with any
company-owned or leased vehicle
g. Property damage resulting from any activity
h. Structural collapse or potential structural hazards
i. Unexpected release or imminent release of a hazardous material
j. Unexpected chemical exposures to workers or the public
k. A safety related complaint from the public regarding Builders Chicago Corporation activities
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l. Any other significant occurrence that could impact safety – WHEN IN DOUBT, FILL IT OUT
B. Responsibilities/Actions
1- Employees
a. If necessary, suspend operations and secure and/or evacuate the area
b. Notify emergency services (911) as needed
c. Immediately notify personnel as stated in aforementioned section (Requirements, A-2)
d. Record all information pertaining to the incident (e.g. time, date, location, name and company of
person(s) involved, description of event, and actions taken)
e. Complete and distribute Employee Incident Statement Form within 24 hours
f. Assist with incident investigation as directed by management
g. Implement corrective actions as directed by management
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h. Do not discuss the incident with members of the news media or legal representatives (except
Builders Chicago Corporation legal counsel or your personal legal advisor) unless directed to do
so by management
i. Do not make statements pertaining to guilt, fault, or liability
2- Division VP and/or Foreman
a. Review circumstances of the incident with applicable employee(s)
b. Complete and distribute Foreman Incident Report within 24 hours
c. Have any witnesses to incident complete and distribute Witness Incident Form
d. Review and verify that necessary corrective actions are identified and implemented
e. Discuss with department or project staff the circumstances surrounding the incident and corrective
actions taken
3- Health and Safety Department
a. Assist with incident evaluation as applicable
b. With management, identify cause(s) of incident and identify corrective actions needed to avoid
recurrence
c. Review injury/incident report for completeness and accuracy
d. Determine OSHA recordability and maintain OSHA 300 log
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4- Local Human Resources Representative
a. Report work-related injuries and illness to worker compensation carrier
b. Notify Health and Safety Coordinator
C. Media Inquiries
1- All media reporters and related persons must be directed to Matthew Crandall at the corporate office
in Elk Grove – (224) 654 – 2122.
2- Only a designated company representative will speak to the media under all circumstances.
Under no circumstance, are employees allowed to speak to the media about anything related to the incident.
D. Supporting Documentation
1- Foreman Incident Investigation Form
2- Employee Incident Statement Form
3- Witness Form
This form is to be completed by the BCC Forman / Supervisor and only if an INJURY has occurred which required medical attention.
If reporting a NEAR-MISS or INFORMATION ONLY, please complete the appropriate form HERE.
This form is to be completed by the BCC Forman / Supervisor for INFORMATION ONLY or NEAR-MISS Events.
If and INJURY or FIRST-AID was administered, please complete the appropriate form HERE.