Professional Documents
Culture Documents
Wilson-Simon
ACCIDENT & INJURY
PREVENTION
Instructor: Kerrie Murphy
Edmonds Community College
This course is being supported under grant number
SH16637SH7 from the Occupational Safety and Health
Administration, U.S. Department of Labor. It does not
necessarily reflect the views or policies of the U.S. Department
of Labor, nor does mention of trade names, commercial
products, or organizations imply endorsement by the U.S.
Government.
With Thanks to & Cooperation of the Tulalip Occupational
Safety & Health Administration (TOSHA)
Introduction & Course Overview
PROaction versus REaction
Risk 0
Safety
FREEDOM FROM DANGER OR HARM
Nothing is Free of
A Judgement of the
Acceptability of Risk
R
A
T
I
O
S
OSHA METHOD
330 Incidents
29 Minor Injuries
ACCIDENT
Personal Injury
Property Damage
Potential/Actual
Basic Causes
• Management Systems & Procedures
• Human Behavior
Management
• Systems &
Procedures
– Lack of systems &
procedures
– Availability
– Lack of Supervision
Environment
• Physical
– Lighting
– Temperature
• Chemical • Biological
– vapors –Bacteria
– smoke –Reptiles
Environment
Design and Equipment
• Design
– Workplace layout
– Design of tools &
equipment
– Maintenance
Design and Equipment
• Equipment
– Suitability
– Stability
• Guarding
• Ergonomic
• Accessibility
Human Behavior
Common to
all accidents
• Deviations from
SOP
– Lacking Authority
– Short Cuts
– Remove guards
Human Behavior is a function of :
Consequences
(what happens if it is/isn’t done)
ABC Model
Antecedents
(trigger behavior)
Behavior
(human performance)
Consequences
(either reinforce or punish behavior)
Only 4 Types of
Consequences:
•Positive Reinforcement (R+)
("Do this & you'll be rewarded")
•Extinction (E)
("Ignore it and it'll go away")
Consequences Influence
Behaviors Based Upon
Individual Perceptions of:
Magnitude
{ positive
• Significance or
Impact negative
• Soon
• Certain
• Positive
• Positive
• A positive consequence influences
behavior more powerfully than a
negative consequence
• Penalties and Punishment don’t work
• Speeding Ticket Analogy
Human Behavior
• Example: Smokers find it hard to stop smoking
because the consequences are:
A) Soon (immediate)
B) Certain (they happen every time)
C) Positive (a nicotine high)
The other consequences are:
A) Late (years later)
B) Uncertain (not all smokers get lung cancer)
C) Negative (lung cancer)
Deviations from SOP
• No Safe Procedure
• Employee Didn’t know Safe Procedure
• Employee knew, did not follow Safe
Procedure
• Procedure encouraged risk-taking
• Employee changed approved procedure
Human Behavior
• Thought Question:
TIME!
NEGATIVE OUTCOMES
POSITIVE OUTCOMES
$ Direct Costs
• Medical
• Insurance
• Lost Time
• Fines
Compliance
• Failure to develop and implement a
program may be cited as a SERIOUS
violation (by itself or "Grouped" with
other violations)
• Select topics
• Set & post the agenda
• Schedule safety meeting
• Prepare meeting site
• Encourage participation
Conducting A Safety Meeting
Provide an attendance list or sign in sheet
Provide a meeting agenda
Call meeting to order and review meeting topics
Cover any old business
Primary meeting topic
Future agendas
Close meeting and document
Components of an Agenda
Opening statement including reason for
attendance, objective, and time
commitment
Items to be discussed
Generate alternative solutions
Decide among the alternatives
Develop a plan to solve the problem
Assign task to carry out plan
Establish follow-up procedures
Summarize and adjourn
Regular Agenda Item
• Review Policies & Plans such as:
– Hazard Communication Program
– Personal Protective Equipment
– Respiratory Protection
– Housekeeping
– Machine Safeguarding
– Safety Audits
– Record Keeping
– Emergency Response Plans
Emergency Plan
• Anticipate What
Could Go Wrong
and Plan for
those Situations
• Drill for
Emergency
Situations
Emergency Action Plan
• The following minimum elements shall be included :
– Alarm Systems
– Emergency escape procedures and route assignments;
– Procedures for employees who remain to operate critical
plant operations before evacuation
– Procedures to account for all employees
– Rescue and medical duties for those employees who are to
perform them
– The preferred means of reporting fires and other
emergencies
– Names / job titles of who can be contacted for further
information or explanation of duties under the plan
Record Keeping & Updating
• Record each Recordable Injury & Illness on
OSHA 300 Log w/in 6 Days
– Recordable
• Occupational fatalities
• Lost workday
• Result in light-duty or termination or require medical
treatment (other than first aid) or involve loss of
consciousness or restriction of work or motion
• This information in posted every year from
February 1 to April 30 in the OSHA 300A
Summary
Record Keeping and Updating
• First Aid - one-time treatment that could be
expected to be given by a person trained in
basic first-aid using supplies from a first-aid kit
and any follow-up visit or visits for the purpose
of observation of the extent of treatment
• NOTE: The new OSHA Recordkeeping Rule
lists the specific First Aid Treatments
Immediately Report:
– Any accident that involves: 1. Injury 2. Illness 3.
Equipment or property damage
HAZARD –
condition with
the potential to
cause personal
injury, death and
property damage
Hazard Identification
• Review Records
• Talk to Personnel
• Accident Investigations
• Follow Process Flow
• Write a Job Safety Analysis
• Use Inspection Checklists
STEP 2: Assess Hazards
• Probability - How likely is the hazard?
– Likely
– Not likely
• Severity - What will happen if
encountered?
– Death
– Serious Injury
– Damage to property
Levels of Risk Awareness
• Unaware: Doesn’t realize at-risk
• Substitution
• Engineering controls
• Administrative Controls
• Personal Protective Equipment
Hazard Controls
Source
Path
Receiver
Hazard Control
Administrative Engineering
Protective Equipment/Clothing
Engineering
Hazard Elimination Ventilation
Add-On Safety Design Design/Layout
“Active” vs. “Passive” Safety Devices
User Instructions
(Manual)
Administrative
• Safety Rules
• Disciplinary Policy - Accountability
• Preventative Maintenance
• Training
• Proficiency/Knowledge Demonstrations
Step 5: Supervise
• Ensure risk control
measures are
implemented
• Track progress
• Feedback
JOB SAFETY
ANALYSIS
Job Safety Analysis
• Use a checklist
• Ask questions
• Take notes
• Respect lines of communication
• Draw conclusions
Unsafe Acts
??
Management Commitment
NO !
PRIORITIES CHANGE
SAFETY
MUST BE A
VALUE!!
Employee Participation
• Crew-Leader Meetings
SHARED VISION
EXERCISE
AVAILABLE RESOURCES
• OSHA Website: www.osha.gov
WHAT IS AN ACCIDENT?
THE ACCIDENT
An
unplanned and unwelcome event
that interrupts normal activity
Accidents are What Happens to
Somebody Else
BUT REMEMBER:
YOU
are somebody else
to somebody else
THE ACCIDENT
MINOR ACCIDENTS:
• NEGATIVE Results
– Injury & possible death
– Disease
– Damage to equipment & property
– Litigation costs, possible citations
– Lost productivity
– Morale
OUTCOMES OF ACCIDENTS
• POSITIVE Results
– Accident investigation
– Prevent repeat of accident
– Change to safety programs
– Change to procedures
– Change to equipment design
ACCIDENT INVESTIGATION
• Accidents are usually complex
• An accident may have 10 or more events
that can be causes
• A detailed analysis of an accident will
normally reveal three cause levels:
– direct
– indirect
– root
Direct Cause
• An accident results only when a person
or object receives an amount of energy
or hazardous material that cannot be
absorbed safely - This energy or
hazardous material is the DIRECT
CAUSE of the accident
The direct cause is usually the result of one or
more unsafe acts or unsafe conditions or both
Indirect and Root Causes
• Unsafe acts and conditions are the indirect
causes or symptoms of accidents
• Indirect causes are usually traceable to:
– poor management policies and decisions
– personal or environmental factors
• Root causes are the actual policies and
decisions by management and the actual
personal and environmental factors of the
workplace
ACCIDENT INVESTIGATION
You Must:
• Conduct a preliminary investigation for:
– serious injuries with immediate symptoms
Death
Lost Time
Injury
Reportable Injury
Minor Injuries
Near Misses
Acts Conditions
Maintenance
Knowledge
Motivation
Design
Ability
Others
Action
of
Investigation Strategy
• Need For Investigation
• Gather Facts
• Analyze Data
• Establish Causes
• Write Report
8 4
7 5
6
12
11 1
10 2
9 3
8 4
7 5
6
12
11 1
10 2
9 3
8 4
7 5
6
COMPANY ACCIDENT
FORMS
• Must be filled out completely by
the employee and employee’s
immediate supervisor (this includes
foremen)
• Must be turned in to Safety within
24 hours of incident
BENEFITS OF ACCIDENT
INVESTIGATION
• Unbiased Recording
• Keep Log of Photos
• Overall to Close-up
• Color if possible
• Supplement with Video
Gather Data
• Data includes:
– Persons involved
– Date, time, location
– Activities at time of accident
– Equipment involved
– List of witnesses
Review Records
• Check training records
– Was appropriate training provided?
– When was training provided?
• Check equipment maintenance records
– Is regular PM or service provided?
– Is there a recurring type of failure?
• Check accident records
– Have there been similar incidents or injuries
involving other employees?
Documents
• Collect All Related Documents
– Inspection Logs
– Policy & Procedures Manual
– JSA (Job Safety Analysis)
– Equipment Operations Manuals
– Insurance Records
– Employee Records
– Police Reports
Those who do not know the
past are destined to:
Repeat
Repeat
Repeat
Repeat
Repeat
Repeat
It.
ISOLATE FACT FROM
FICTION
• Use NORMS-based analysis of
information
– Not an interpretation
– Observable
– Reliable
– Measurable
– Specific
• If an item meets all five of above, it
is a fact
NORMS OF OBJECTIVITY
Objective Subjective
Not an Interpretation - Based on Interpretations - Based on
a factual description. personal
Observable - Based on what is seen interpretations/biases.
or heard. Non-observable - Based on
Reliable - Two or more people events not directly observed.
independently agree on what they
observed.
Unreliable - Two or more
people don’t agree on what
Measurable - A number is used to they observed.
describe behavior or situation.
Non-Measurable - A
Specific - Based on detailed number isn’t used.
definitions of what happened.
General - Based on non-
detailed descriptions.
INVESTIGATION TRAPS
• Put your emotions aside!
– Don’t let your feelings interfere -
stick to the facts!
• Do not pre-judge
– Find out the what really happened
– Do not let your beliefs cloud the
facts
• Never assume anything
• Do not make any judgements
Record Evidence
• Keep All Notes in Bound Notebook
• Keep Originals
• Inadequately guarded or
unguarded equipment
• Defective tools, equipment or
materials
• Fire and explosion hazard
• Unexpected movement hazard
• Projection hazards
Breakdown of Unsafe Conditions
• Housekeeping
• Hazardous environmental conditions
• Improper ventilation
• Improper illumination
• Unsafe dress or apparel
Breakdown of Unsafe Acts
• Operating without authority
• Operating or working at unsafe speeds
• Making safety devices inoperative
• Using unsafe equipment
• Neglecting to wear PPE
• Unsafe loading, placing, mixing, combining
• Taking unsafe position or posture
Basic Causes
• Management Systems & Procedures
• Environment
• Human Behavior
Management
• Was a hazard assessment conducted?
• Were the hazards recognized?
• Was control of the hazards addressed?
• Were employees trained?
• Did supervision detect/correct deviations?
• Was Supervisor trained in job/accident
prevention?
• What were the production rates?
FIND ROOT CAUSES
P IT H its W a ll
F a ilu r e T o S t o p
E n v ir o n m e n ta l E q u ip m e n t P ro c e d u ra l Hum an
W e t F lo o r B r a k e s F a il S te e r in g F a ils N o T r a in in g N o In s p e c tio n
N o F lu id D id N o t K n o w In te n tio n a l O m is s io n
B r e a k L in e L e a k N o T r a in in g
S u d d e n R e le a s e S lo w L e a k
N o P r e s h ift In s p e c tio n
Problem Solving
Fault Tree
P IT H its W a ll
F a ilu r e T o S to p
E q u ip m e n t P ro c e d u ra l Hum an
D id n o t C o n d u c t In s p e c tio n
B r a k e s F a il T r a in in g R e q 'd
N o F lu id S u p .R e s p . D id N o t K n o w In te n tio n a l O m is s io n
B r e a k L in e L e a k S u p v . s ic k T r a in in g N o t R e c e iv e d T im e ltd .
S u d d e n R e le a s e S lo w L e a k N O T R A IN IN G
N o P r e s h ift In s p e c tio n
ISHIKAWA “FISHBONE”
DIAGRAM
Machinery Methods
EFFECT