FACTS and FIGURES
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Transcript of FACTS and FIGURES
3rd International Conference on Working on Safety12-15th September, 2006
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FACTS and FIGURES
Analysis of the storybuildsLinda J Bellamy, White Queen BV
& the Storybuilder team of Martijn Mud (RPS) & Martin Damen (RIGO),
Marjolijne Samwell (CSI), Vanessa van Eijk (CSI), Cees Paas (TU Delft) and others
W O R M
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Horrible stories
• 17-year-old male warehouse worker died when the forklift he was operating tipped over and crushed him.
How can that happen?
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1 CEIn or on(moving) vehicle
with loss of control
56 [58]
2 GVEHICLE/DRIVER FAILURE
GROUP
56 [58]
6 (1) GRegulations violate
d
56 [58]
7 GSUBSTANDARD GEOMETRY/
INFRASTRUCTUR
56 [58]
8 GVEHICLE TYPE
GROUP
56 [58]
9 GLOCATION OF
VEHICLE
56 [58]
10 AActivity of victim
56 [58]
11 AActivity ofVehicle(s)
0 [0]
21 (4) ET
INSIDE
19 [19]
27 (4) ET
OUTSIDE
36 [38]
28 (4) ETHarbour/ waterwa
y
0 [0]
29 (4) ETGeneral(industrial) site
(outside)
25 [26]
30 (4) ET
Normal road
2 [2]
31 (4) ETLogistic area (outside loading/
unloading or
4 [4]
32 (4) ET
Railway
0 [0]
33 (4) ET
Other
3 [4]
34 (4) ET
Unknown
1 [1]
35 (4) ETESAW09.00 Machinesand equipment -
0 [0]
42 (4) ETESAW11.00 Conveying,
transport and
56 [58]
43 (4) ETESAW11.02 Elevators,
lifts - hoists, bucket
0 [0]
44 (4) ETESAW11.03 Fixed cranes,
mobile cranes,
0 [0]
45 (4) ETESAW11.04 Mobile
handling devices,
56 [58]
46 (4) ETFork lift trucks
56 [58]
47 (4) ETPoweredstacking trucks,
pallet truck,
0 [0]
48 (4) ETPoweredstacking trucks,pallet trucks,
0 [0]
49 (4) ETPoweredstacking trucks,
pallet truck,
0 [0]
50 (4) ET11.04Mobile handling
device -manually
0 [0]
51 (4) ETESAW 12.00 Land
vehicles
5 [5]
57 (4) ETESAW13.00 Other
transport vehicles
0 [0]
66 B
Barrier
0 [0]
69 1_BFMSubstandardgeometry/
infrastructure
27 [28]
70 1_BGeometry/
infrastructure
0 [0]
88 (2) 1_IFLack ofsuitable marking,signalling, barriers
6 [6]
89 (2) 1_IFInsufficient space/
separation
1 [1]
92 (2) 1_IFInsufficient lighting
0 [0]
94 (2) 1_IFObstruction(s)
7 [7]
101 (2) 1_IFUneven or slippery
surface
10 [11]
104 (2) 1_IFSubstandard support (structural
failure)
8 [8]
105 (2) 1_IFUnexpected, sudden ship
motion
0 [0]
106 (2) 1_IFGroundslides/ collapse of
surface
3 [3]
107 (2) 1_IFloading bridge failur
e
4 [4]
108 (2) 1_IFsubstandard rail
condition
0 [0]
3 B
Barrier Group
0 [0]
225 2_BFMLocation/ position
failure
6 [7]
250 3_BFMMechanicalfailure or othermalfunction of
1 [2]
275 4_BFMAbility todrive/ operate failur
e
29 [30]
314 5_BFM
Overspeeding
18 [19]
333 LCEVehicle turnsover (capsizes),
falls down or jumps
56 [58]
336 6_BFMVehiclestabilising/ support
related failure
13 [13]
366 7_BFMLoad related failure
21 [21]
Using Storybuilder
1) Select forklift trucks and loss of control event vehicle turns over…….
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1 CEIn or on(moving) vehicle
with loss of control
56 [58]
2 GVEHICLE/DRIVER FAILURE
GROUP
56 [58]
6 (1) GRegulations violate
d
56 [58]
7 GSUBSTANDARD GEOMETRY/
INFRASTRUCTUR
56 [58]
8 GVEHICLE TYPE
GROUP
56 [58]
9 GLOCATION OF
VEHICLE
56 [58]
10 AActivity of victim
56 [58]
11 AActivity ofVehicle(s)
0 [0]
21 (4) ET
INSIDE
19 [19]
27 (4) ET
OUTSIDE
36 [38]
28 (4) ETHarbour/ waterwa
y
0 [0]
29 (4) ETGeneral(industrial) site
(outside)
25 [26]
30 (4) ET
Normal road
2 [2]
31 (4) ETLogistic area (outside loading/
unloading or
4 [4]
32 (4) ET
Railway
0 [0]
33 (4) ET
Other
3 [4]
34 (4) ET
Unknown
1 [1]
35 (4) ETESAW09.00 Machinesand equipment -
0 [0]
42 (4) ETESAW11.00 Conveying,
transport and
56 [58]
43 (4) ETESAW11.02 Elevators,
lifts - hoists, bucket
0 [0]
44 (4) ETESAW11.03 Fixed cranes,
mobile cranes,
0 [0]
45 (4) ETESAW11.04 Mobile
handling devices,
56 [58]
46 (4) ETFork lift trucks
56 [58]
47 (4) ETPoweredstacking trucks,
pallet truck,
0 [0]
48 (4) ETPoweredstacking trucks,pallet trucks,
0 [0]
49 (4) ETPoweredstacking trucks,
pallet truck,
0 [0]
50 (4) ET11.04Mobile handling
device -manually
0 [0]
51 (4) ETESAW 12.00 Land
vehicles
5 [5]
57 (4) ETESAW13.00 Other
transport vehicles
0 [0]
66 B
Barrier
0 [0]
69 1_BFMSubstandardgeometry/
infrastructure
27 [28]
70 1_BGeometry/
infrastructure
0 [0]
88 (2) 1_IFLack ofsuitable marking,signalling, barriers
6 [6]
89 (2) 1_IFInsufficient space/
separation
1 [1]
92 (2) 1_IFInsufficient lighting
0 [0]
94 (2) 1_IFObstruction(s)
7 [7]
101 (2) 1_IFUneven or slippery
surface
10 [11]
104 (2) 1_IFSubstandard support (structural
failure)
8 [8]
105 (2) 1_IFUnexpected, sudden ship
motion
0 [0]
106 (2) 1_IFGroundslides/ collapse of
surface
3 [3]
107 (2) 1_IFloading bridge failur
e
4 [4]
108 (2) 1_IFsubstandard rail
condition
0 [0]
3 B
Barrier Group
0 [0]
225 2_BFMLocation/ position
failure
6 [7]
250 3_BFMMechanicalfailure or othermalfunction of
1 [2]
275 4_BFMAbility todrive/ operate failur
e
29 [30]
314 5_BFM
Overspeeding
18 [19]
333 LCEVehicle turnsover (capsizes),
falls down or jumps
56 [58]
336 6_BFMVehiclestabilising/ support
related failure
13 [13]
366 7_BFMLoad related failure
21 [21]
2) Loss of control event – vehicle turns over – we have 56 cases with 58 victims
3) We can examine the causes: Load related, speeding, ability to drive related etc…
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The data are at a very detailed level of underlying causes
366 7_BFMLoad related failure
21 [21]
367 7_B
Loading
0 [0]
385 (2) 7_IFConnection failure
0 [0]
386 (2) 7_IFFork/ loadtoo high when
driving
13 [13]
387 (2) 7_IFSharp turn with
high load
4 [4]
388 (2) 7_IFLoad notequally distributedand/or overloading
7 [7]
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It is also possible to look at the management failures to deliver the safety barrier:
Here failure to provide competence and motivation not to drive too fast dominate
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A horrible story in the pizzeria
• 15-year-old male pizzeria worker was killed when he became entangled in a machine used to mix pizza dough.
• He apparently lifted the cover of the mixer, uncovering the 32-inch-diameter mixing bowl, and started the machine.
• As he reached in to the bowl to clean it, he became entangled on a large mixing fork (beater) that rotated inside the mixing bowl. His co-workers heard him scream, but were unable to reach him in time.
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8.1 Machine accidents• Every year around 400 reported machine accidents in
the Netherlands involving contact with moving parts• Occurs mostly in manufacturing industry
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57
11
1
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1
57
11
Deaths
Permanent injuries
Recoverable injuries
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8.1 CONTACT WITH MOVING PARTS OF FIXED MACHINE
• In 80% of cases the machine is onon when the accident happens
• In 20% of cases the machine is offoff but then suddenlysuddenly switched onswitched on/ or there is still residual movement i.e. lock-out/ tag-out or mechanical (un)blocking failure.
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Entering the danger zone
• 66% of accidents result from entering the danger zone of the machine, half of the time intentionally …so..
• …in 35% of cases the person consciously ignores the danger zone
• Errors in operating the machine occurs in 11% of cases, resulting in ejected parts or unintended movement of machine.
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8.1 CONTACT MOVING PARTS OF MACHINE – Management failures
• Management failed to provide adequate equipment to prevent the accidents (30% of accidents )
• Procedural failures in providing prevention measures (30% of accidents )
• Safety motivation failures in operating machines safely and not entering the danger zone (20% of accidents)
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Machine guarding
• 30% of cases had no machine guard provided
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8.1 MACHINES – type of contact
• Pinching/crushing/trapping was the dominant problem (65%)
• Piercing/cutting (23%)
• Pulled in by clothes/hair entanglement (10%)
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MACHINES: Limiting factors after contact
• In 20% of cases the emergency stop wasn’t used, was out of reach or not provided
• In 20% of cases it was used to limit injury
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MOVING MACHINES: INJURIES
• Around 50% of injuries involve traumatic amputations of body parts
• Practically all of these are lost fingers or lost hand
• 50% of known cases of lost time were more than 1 month of which 10% of all known cases were more than 6 months
• When deaths occurred head, shoulders and whole body injuries were indicated
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Dutch top 10 1998-Feb 2004
– (3150) 8.1 Contact with moving parts of a machine– (1658) 3 Contact with falling/dropped/collapsing object/person
falling under gravity– (1135) 1.1.3 Fall from height roof/floor/platform– (1066) 1.1.1 Fall from height ladder– (556) 1.1.2 Fall from height scaffold– (552) 2 Struck by moving vehicle – (517) 11 In or on moving vehicle with loss of control– (412) 1.2 Fall on same level– (302) 8.3 Trapped between/against– (279) 1.1.5.3 Working on height unprotected
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Construction industry 1998-Feb 2004 (NL)
576
472
425
338
311
88
63
60
53
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1.1.3 Fall fromheightroof/floor/platform
3 Contact withfalling/dropped/collapsing
object/person/wall/vehicle/crane
1.1.1 Fall from height ladder
1.1.2 Fall from height scaffold
8.1 Contact with moving parts ofa machine
1.1.5.1 Fall from moveableplatform
8.2.1 Contact with hanging orswinging objects
2 Struck by moving vehicle
8.3 Trapped between/against
4.1 Contact with object ejectedfrom machine
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Country comparisons: reporting differences
BOWTIE REPORTED CASUALTIES PER YEAR1
NETHERLANDS (GISAI)
DENMARK (RAW)
Per working POP. 7 million workers 2.5million workers FALL FROM HEIGHT
552 1975
Roofs/platforms 178 123 Ladders 170 878 Scaffolds 84 173 Unprotected height 39 464 Non-moving vehicle 27 216 Hole 10 44 FALLING OBJECTS 265 2641 CONTACT MOVING PARTS
607 3464
1 Reporting criteria differ
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OATS:Occupational Accident Triangles
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11
1 Dead
2
4
1
17
64
1
2
7
1.2 Fall on same level (around 70 accidents including 8 permanently
injured per year)
1.1.3 Fall from height roof/floor/platform (around 175 accidents including 12 deaths
per year)
8.1 Contact with moving parts of a machine (around 400 accidents including 5 deaths per
year for 2002 and 2003)2 Struck by moving vehicle (around 85 accidents including 7 deaths per year)