Safety Wise Solutions_ICAM.pdf - MIRMgate

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Incident Summary • At 0715 hours, haultruck 336 was hauling to the crusher and the vehicle suffered a total loss of engine power • The driver reacted by trying to shift down a gear to maintain forward motion. As the gear selector reached neutral, the driver could not select another gear, lost steering control and reported poor braking. • He applied the emergency brake which started to retard the vehicle, but he had no steering control. • The vehicle drove off the left hand side of the haulroad tipping onto its left hand side into a swamp.
Consequence • The driver escaped without injury. • The truck suffered damage estimated at $45,000 and needed extensive repair to its electrical system and was out of service for 3 months. • One load of ore was lost in the swamp without any environmental impact. • Because of the potential consequences of the incident an investigation was conducted at 3 different levels – Descriptive – Compliance – <strong>ICAM</strong>
Page 1 and 2: Systemic Incident Investigation Ann
Page 3 and 4: Today’s Operating Environment Max
Page 5 and 6: Tools for a safe system Management
Page 7 and 8: Consequence based usage Frequency C
Page 9 and 10: Did somebody screw up The role of
Page 11 and 12: A Structured Framework Like sorting
Page 13 and 14: ICAM and risk management ICAM Model
Page 15: Truck Into Swamp Case Study
Page 20 and 21: Descriptive level outcome Cause 1.
Page 22 and 23: Compliance level outcome Cause The
Page 24 and 25: Team / individual actions Maintenan
Page 26 and 27: Organisational factors • CM No ma
Page 28 and 29: Recommended corrective actions 5. C
Page 30 and 31: Errors are like mosquitoes You can
Page 32 and 33: The bottom line of safety In a comp

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