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The incident involved: Employee Legal Consulted (Actual Cat 4 & 5 incidents): yes no
Contractor:
Is this a repeat incident: Yes No
(i.e. Previously occurred at the operation; Involved the same activity or FHP;
Occurred as a result of exposure from a similar hazard; Occurred as a result of
a similar direct or indirect underlying cause)
Consequences
Paralización del subnivel 600 Veta Andalucía Nivel 3900
Immediate Actions
Se bloquea y paraliza todas las actividades programadas de la labor
Se realizó la comunicación del evento a la Gerencia General de Operaciones.
Se conformó un equipo multidisciplinario con los responsables de las Áreas involucradas (Mina, Planeamiento y Geomecanica),
quienes se constituyeron a la labor.
Se inicia la investigación con la metodología ICAM.
Approved by
Name: Jhon Baldera Leon Title: Superintendente de Mina
Phone: 511 + 976006933 Email: Jbaldera@volcan.com.pe
This HSEC Alert is not intended to be comprehensive or provide definitive safety or environmental advice. The information
may change upon further investigation and more information becoming available.
The information contained in the alert should be factual and not contain opinions or speculation.
Title: Zn_HSEC_Incident Reporting Form Effective date: 14/07/2017 Version: 2.1 Page: 1 / 3
ID: GZn HSEC FRM 001 Review period: Status: Approved
THIS DOCUMENT IS UNCONTROLLED UNLESS VIEWED ON THE INTRANET
Incident Alert
Comment(s) on any local authority legal investigation procedures that are required and other legal considerations (insert
comment(s) below). N/A
Photos of Incident (different from Section A)
Details about the Deceased/Injured Person(s) (for multiple fatalities/injuries copy-paste this table)
Name: Gender:
Years of experience:
What is the status of the injured person(s) now?