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Introduction to Fire Safety Management

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Reactive moni<strong>to</strong>ring – reporting, recording and investigation<br />

Table 12.2 Accident rates calculated by the HSE in 2001/02 for skilled tradesmen and machine opera<strong>to</strong>rs<br />

Workgroup Reported fatal Reported major Reported minor Estimated near misses<br />

accidents (per accidents (per (3 day) accidents (per 100 000)<br />

100 000) 100 000) (per 100 000)<br />

Skilled tradesmen 2 212 2084 2 000 000<br />

Machine opera<strong>to</strong>rs 3 403 771 800 000<br />

categories the HSE publish information relating <strong>to</strong> the<br />

rates and results of injuries for each category of injury<br />

causation. This allows HSE, in partnership with industry,<br />

<strong>to</strong> focus legislation and guidance <strong>to</strong>wards the generic<br />

causes of injury resulting from adverse events. The categories<br />

of injuries are those that are caused by:<br />

➤ Slips, trips and falls<br />

➤ Falls from height<br />

➤ Falling objects<br />

➤ Collision with objects<br />

➤ Trapping/crushing<br />

➤ Manual handling<br />

➤ Contact with machinery and equipment<br />

➤ Electrocution<br />

➤ Transport<br />

➤ Contact with chemicals<br />

➤ Asphyxiation/drowning<br />

➤ <strong>Fire</strong> and explosion<br />

➤ Animals<br />

➤ Violence.<br />

Figure 12.3 Unguarded electrical machinery which has<br />

the potential <strong>to</strong> cause injury in many ways including starting<br />

a fi re<br />

Table 12.3 Example of a matrix <strong>to</strong> establish the level of<br />

investigation required<br />

Likelihood of Potential worst consequence of<br />

recurrence adverse event<br />

Certain<br />

Likely<br />

Possible<br />

Unlikely<br />

Rare<br />

Minor Serious Major Fatal<br />

Risk Minimal Low Medium High<br />

Investigation Minimal Low Medium High<br />

level<br />

(Source: HSG 245)<br />

12.1.5 Basic investigation procedures<br />

This section outlines the basic investigation procedures<br />

for investigation of all types of adverse events and<br />

discusses:<br />

➤ The level of investigation<br />

➤ Involving others<br />

➤ Conducting the investigation<br />

➤ Gathering information<br />

➤ Analysing information<br />

➤ Identifying risk control measures<br />

➤ Agreeing and implementing an action plan.<br />

The level of investigation<br />

As mentioned above the level of resources allocated <strong>to</strong><br />

the investigation will depend upon the seriousness of<br />

the actual or potential outcome of the event.<br />

The decision regarding the level of investigation,<br />

particularly for near miss events and undesired circumstances,<br />

is quite often complex. To aid this process and<br />

287

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