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the PeoPle - OPERC - Off-highway Plant and Equipment Research ...

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1<br />

case studies<br />

To illustrate how <strong>the</strong> human factors<br />

discussed can impact upon behavioural<br />

safety, six short case studies are shown<br />

here. They provide brief snapshots of<br />

typical mistakes, omissions <strong>and</strong> errors<br />

that occur across <strong>the</strong> incident causal<br />

supply chain <strong>and</strong> could have resulted<br />

in serious fatality or injury. The human<br />

factors involved could belong to <strong>the</strong> job,<br />

individual or organisation <strong>and</strong> in some<br />

instances a combination is in operation.<br />

Defect reporting,<br />

Birmingham, 2011<br />

The Job - A crane operator<br />

diligently reported defects prior to an<br />

assessment. He explained that although<br />

<strong>the</strong> defects were reported daily he<br />

doubted that action would be taken – an<br />

indication of apathy towards machinery<br />

maintenance on this particular job.<br />

The Individual - The operator was<br />

a long st<strong>and</strong>ing employee within a<br />

scrap metal company. He had an<br />

excellent work ethic <strong>and</strong> was keen to<br />

make everything as safe as possible.<br />

The Organisation - Although <strong>the</strong><br />

company had a multi-million (£) annual<br />

turnover, main equipment items in<br />

use were in need of major inspection<br />

<strong>and</strong> repair. The company’s Health <strong>and</strong><br />

Safety <strong>Off</strong>icer was totally out of touch<br />

with <strong>the</strong> practical application of <strong>the</strong><br />

equipment <strong>and</strong> seemed reticent about<br />

making <strong>the</strong> decision to improve <strong>the</strong><br />

safety of machinery on site. There was<br />

suggestion that senior management<br />

would not welcome <strong>the</strong> additional<br />

spending on machinery maintenance.<br />

2<br />

3<br />

Unloading tracked dumper,<br />

Manchester, 2011<br />

The Job - A tracked crawler dumper was delivered to site. The<br />

image shows <strong>the</strong> operator stood in an extremely dangerous<br />

position, a position from which he started <strong>the</strong> dumper <strong>and</strong> <strong>the</strong>n<br />

pushed <strong>the</strong> tiller bars to unload. The unloading activities were not<br />

being managed on site.<br />

The Individual - The plant transporter driver held no certification<br />

o<strong>the</strong>r than a generic site dumper certificate of competence from<br />

a national body <strong>and</strong> clearly did not recognise, or chose to ignore,<br />

<strong>the</strong> inherent danger of<br />

this activity.<br />

The Organisation -<br />

Site management were<br />

blissfully unaware of <strong>the</strong><br />

driver’s incompetence<br />

<strong>and</strong> <strong>the</strong> dangerous<br />

occurrence that had<br />

occurred. No action was<br />

taken to address this<br />

observed incident.<br />

ROPS utilisation, Cannock, 2009<br />

The Job - A relatively straightforward work task involved<br />

moving topsoil for general l<strong>and</strong>scaping purposes, operating on a<br />

firm temporary road surface.<br />

The Individual - The operator did not hold any formal training<br />

certificate <strong>and</strong> failed to recognise <strong>the</strong> danger of not securing<br />

<strong>the</strong> roll-over protective structures (ROPS) frame into <strong>the</strong> correct<br />

position or of wearing a seat belt. He considered such activities<br />

to take time that he didn’t<br />

have <strong>and</strong> questioned why<br />

he should bo<strong>the</strong>r as he had<br />

never had an accident <strong>and</strong><br />

had operated plant for years!<br />

The Organisation - A high<br />

profile major contractor<br />

remained ambivalent about<br />

this sub contractor’s bad<br />

operational practice. On this<br />

particular job site, a tight<br />

project deadline was <strong>the</strong> key<br />

priority.<br />

SPECIAL REPORT<br />

April 2011<br />

17

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