Document Number: RRE-HC-HC1-A00-NSP-RRE-HSE- MAN-00001 HSSE Requirements for Contractors Revision Number: 00 September 2021 HSSE ACCIDENT/INCIDENT INITIAL NOTIFICATION PROJECT: AL AROUS CONSULTANT: SAPL LOCATION: Zone E CONTRACTOR: SAPAC 1.0 – INJURY TYPE CATEGORY √ CATEGORY √ Fatality Major Environmental Incident Major Injury Major Property Damage Medical Treatment beyond First Aid Security Incident Dangerous Occurrence √ Road Traffic Collision (RTC) 2.0 – INCIDENT DETAILS EVENT DETAILS Date of Incident 11 - 01 -202 3 Time of Incident 09 : 30 P M Location of Incident Zone E. Name of Injured Person(s) N o any. Company Injured person working for N/A 3.0 – BRIEF DESCRIPTION AND ACTION TAKEN Kindly be informed that on dated 11-01 -202 3 at around 09 : 30 P M an accident of vehicle failure occurred in zone D near ROSHAN & SAPAC offices area, in which axle of dump truck / trailer truck having registration number TLA 5303 got damaged. Vehicle belong supplier and he is informed about the incident. No any injury Details of Driver & Vehicle: Name: Noor Ullah Vehicle No: TLA 5303 Company: Supplier Below are details of property loss 1. Axle damaged Actions Taken: 1. Area Barricaded 2. Informed to supplier for timely removal of vehicle. 3. Informed senior management about incident . Below are pictures of the Vehicle TLA 5303 : Prepared by (Name): Aashique Ahmed Date: 12.01.2023 Signature: Job Title: HSE Manager Employer: SAPAC Reviewed by (Name): Ahmed Salama Date: 12.01.2023 Signature: Job Title: HSE Lead Engineer: SAPL