Reporting an incident

Incidents during training as defined in this annex must be reported to GWO within the timelines stated. No references to personal data shall be included in the incident description. Should GWO share the incident with other stakeholders, no references will be made with regard to the training provider sharing the incident. This instruction applies to all GWO-certified training providers in terms of reporting, investigating and mitigating any event defined by GWO as an incident or significant incident.

2. Definition

Incident:

An undesired or unplanned event that has caused injury to any person participating in GWO-certified training. This also includes first aid cases.

First aid: Medical attention that is usually administered immediately after the injury occurs and at the location where it occurred. It often consists of a single instance of short-term treatment, and requires little technology or training to administer. First aid can include the cleaning of minor cuts, scrapes, or scratches; treating a minor burn; applying bandages and dressings; the use of non-prescription medicine; and drinking fluids to relieve heat stress

Significant incident: An undesired or unplanned event that has caused serious injury to any person on a training site participating in GWO-certified training. As a minimum, the following will be considered as a significant incident:

1) Fractures, other than to fingers, thumbs and toes:

2) Bone fractures diagnosed or confirmed by a doctor, including a break, crack or chip. In some cases, there may be no definitive evidence of a fracture (e.g. if an X-ray is not taken), but the injury will still be deemed as serious if a doctor considers it is likely that the bone has been fractured. Self-diagnosed ’suspect factures’ are not reportable.

3) Amputation of an arm, hand, finger, thumb, leg, foot or toe. Amputation includes both a traumatic amputation injury at the time of the accident, and surgical amputation following an accident, as a consequence of the injuries sustained.

4) Any injury likely to lead to permanent loss of sight or reduction in sight in one or both eyes.

5) Any blinding or injuries causing reduction in sight are considered as serious when a doctor GWO Requirements for Training Providers number: G-TPR-09

6) Any crush injury to the head or torso, causing damage to the brain or internal organs.

7) Injuries to the brain or internal organs in the chest or abdomen, when caused by crushing as result of an accident.

8) Any burn injury (including scalding) that covers more than 10% of the whole body's total surface area, or causes significant damage to the eyes, respiratory system or other vital organs.

9) Burns that meet the above criteria are considered as serious, irrespective of the nature of the agent involved, and so include burns caused by direct heat, chemical burns and radiological burns. Where the eyes, respiratory system or other vital organs are significantly harmed as a consequence of a burn, this is a serious injury irrespective of the surface area covered by that burn. Damage caused by smoke inhalation is not included in this definition.

10) Any degree of scalping requiring hospital treatment. Scalping is the traumatic separation or peeling of the skin from the head due to an accident, e.g. hair becoming entangled in machinery.

11) Lacerations, where the skin is not separated from the head, are not included, nor are surgical procedures where skin removal is deliberate.

12) Any loss of consciousness caused by head injury or asphyxia. Loss of consciousness means that the injured person enters a state where there is a lack of response, either vocal or physical, to people trying to communicate with them. The length of time a person remains unconscious is not significant in terms of whether an injury is considered as serious.

13) Any other injury that: a. includes heat-induced illness, or b. requires resuscitation or admittance to hospital for more than 24 hours.

Significant near-miss incident:

An undesired or unplanned event that could potentially have caused serious injury to a person on a training site, participating in GWO-certified training.

Incident investigations:

Incident investigations must focus on identifying and correcting the causes of a problem and not the symptom of the problem (e.g. finding fault or attributing blame to individuals), and thus demonstrate commitment to a safe training facility. An incident investigation must utilise a structured and standardised approach to identify the root causes of an incident and to deliver corrective actions for removing or reducing the likelihood and severity of future similar incidents. Incident investigation starts when the incident occurs, and ends when corrective actions have been under GRM04 Document number GRM04 GLOBAL WIND ORGANISATION www.globalwindsafety.org 26 / 55 established and the implementation deadline has been set.

Causal factor:

Human mistake or equipment failure that, if corrected, could have prevented the incident from occurring, or would have significantly mitigated its consequences.

Root cause analysis:

Analytical review in a structured environment of conditions and events leading to an incident. An incident will often have multiple root causes. Root cause: The absence of best practice or the failure to apply knowledge that would have prevented the problem or mitigated the consequences. The following requirements apply when reporting incidents:

3. Reporting an incident and significant near-miss incident

Any incident or significant near-miss incident must be reported to GWO, including, as a minimum, the information stated in the initial report example within 7 days of occurrence. You can submit the incident report via this online form.

An example of the initial report with the minimum level of information needed is attached in annex 4.1.

4. Reporting a significant incident

Any significant incident must be reported to GWO. You can file the report through this online form initial report within 24 hours of occurrence. Any significant incident shall lead to an immediate stop of training delivery for that module, including any training planned for the following days. Should the immediate cause of the incident affect not only the module in question but other modules as well, all GWO training shall be put on hold. Training cannot be resumed until written confirmation has been provided by GWO on this matter. A complete report must be submitted to GWO within 7 days of the incident. An example of the complete report with the minimum level of information needed is attached in annex 4.2. GWO has the right to review the complete report within 10 business days after receiving the report, and to request any further information that is deemed to be relevant. The review is a qualitative assessment of the investigation’s findings, the root cause analysis and the corrective actions