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This report was carried out to evaluate the
accident case study that is related to the
relevant legislation and safety systems
relevant to the Safety Technology elements
where applicable and suggest the
recommendation for better improvement
AccidentCase Study
Evaluation
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Contents
1.0 Introduction of the incident .............................................................................................................. 2
2.0 Case review ....................................................................................................................................... 3
3.0 Decision/recommendation ............................................................................................................... 8
4.0 Summary/Conclusion ........................................................................................................................ 9
5.0 References ...................................................................................................................................... 10
6.0 Legislation ....................................................................................................................................... 11
7.0 Appendices......................................................................................................................................12
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Barnet bread company fined after man dies from fall
1.0 Introduction of the incident
As reported in HSEs news (2011) a bread company based at Barnet in Greater
London named Ovenpride Wholesale Ltds Finchley Road bakery has been
prosecuted and fined by the Health and Safety Executive (HSE) after cause a fatal
accident where an employee fell from a ladder in 2009.
The site manager of the bakery Amjad Mahmood, was gave an order to casual
handyman Rocco Carofalo for build the shelving in the storeroom. The accident happenin the morning of 22 April 2009, Carofalo had stood on a stepladder while construct the
shelves using the tools and material that provided by Ovenpride. However, the
stepladder view to be in very poor condition, and cause an accident to Carofalo, he was
found lying on the floor bleeding from a severe head wound, with the stepladder beside
him at the noon. On 23 June, as a result of his injuries, he died.
The tragic incident happen was easily preventable The Ovenpride and the manager
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2.0 Case review
Stones reported in Employers Liability Insurance News (2011), two Inspectors
from HSE inspected the scene after the incident and issued a Prohibition Notice to stop
any work at height because of the unsuitability of all access equipment. A stepladder
was in poor condition, was taken from the bakery by HSE inspectors.
The City of London Magistrates' Court heard that the Ovenpride Wholesale Ltd,
of Empire Way, Brent pleaded guilty to breaching Section 2(1) Health & Safety at Worketc Act 1974. It was fined total of 1. Ovenprides fine reflects the fact that the firm is
now in liquidation.
The site manager, Amjad Mahmood, age 57, from Donnington Road, Brent
pleaded guilty to also breaching Section 2(1) of the Health & Safety at Work etc Act
1974. He was fined a total of 300 and ordered to pay costs of 200.
In Section 2(1) of Health and Safety at Work etc. Act 1974 stated that:
General duties of employers to their employees.
(1) It shall be the duty of every employer to ensure, so far as is reasonably
practicable, the health, safety and welfare at work of all his employees
Th i id h d b l k f i h k di h
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2) Health and Safety at Work etc. Act 1974
General duties of employers to their employees. General duties of employers and self-employed to persons other than their
employees.
General duties of employees at work
3) The Work at Height Regulations 2005
According to The Work at Height Regulations 2005, it is require duty holders to
ensure:
all work at height is properly planned and organised
all work at height takes account of weather conditions that could endanger
health and safety
those involved in work at height are trained and competent
the place where work at height is done is safe
equipment for work at height is appropriately inspected
the risks from fragile surfaces are properly controlled
the risks from falling objects are properly controlled
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Safety Technology Elements
1) Assessing suitable personal protective equipment (PPE) at work
As stated in HSE website (2014) PPE is the equipment that will protect the user
regarding health and safety risks at work. The Ovenpride Wholesale Ltd can
apply the PPE approach to the workers. For example, it can include items such
as safety helmets and hard hats, gloves, eye protection, high-visibility clothing,
safety footwear and safety harnesses.
For head hazards
It can cause an impact from falling or flying objects, risk of head bumping, hair
entanglement. The employee can wear an option such as range of helmets, hard
hats and bump caps
For hands and armsIt can cause hazards such as abrasion, temperature extremes, cuts and
punctures, impact, chemicals, electric shock, skin infection, disease or
contamination. The user should wear gloves, gauntlets, mitts, wrist-cuffs,
armlets. It is recommended to avoid gloves when operating machines such as
bench drills where the gloves could get caught.
For feet and legs
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When working on stepladders, avoid work that imposes a side loading,
such as side-on drilling through solid materials for example bricks or
concrete, by having the steps facing the work activity.
Sources : www.hse.gov.uk/pubns/indg402.pdf.
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Establish the ladder or stepladder is in a safe condition before using it. As a
guide, only use ladders or stepladders that:
Have no visible defects. They should have a pre-use check each working
day
Have a current detailed visual inspection.
Have been maintained and stored in accordance with the manufacturers
instructions.
Do not use the top two steps of a stepladder, unless a suitable handrail isavailable on the stepladder (see Figure 11)
Do not use the top three steps of swing-back or double-sided stepladders, where
a step forms the very top of the stepladder (see Figure 12)
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3) Maintenance of tools and equipment
Ladders are easy tool to use but if they are not maintained properly, they can
be unsafe. The employers should maintain the neglected ladders frequently.Before using a ladder, it should be inspected to make sure it is in good
condition.
A pre check ladder starts from the top to down. Users should looking for any
loose steps and rungs. The rungs have to be sturdy, clean, and not slippery
from grease or oil. The upright ladder legs should be strong and free of
cracks, splits, and bent edges. The ladders braces should be solid. Nails,
screws, bolts or other fasteners should be tight. Finally, the ladder feet should
be examined and the non-slip base should be in good repair
(www.statefundca.com/safety, 2013)
3.0 Decision/recommendation
Risk Assessment
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iii. Evaluate the risks and decide on precaution
Risks of using poor condition of materials and tools, proper risk
assessment and maintenance from the employers should be taken toprevent any incident might happen.
iv. Record findings and implement them
v. Review assessment and update if necessary
The sample of risk assessment and policy template to be attached in the
appendices from Health and Safety Executive website.
4.0 Summary/Conclusion
From the case that had been review before, it was concluded that the
breach of duty by employers and fatal accident cause to the workers because
lack of proper inspection of tools and equipment. Aims to reduce work-related
death, injury and ill health, according to the legislation, Health and Safety
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5.0 References
Available at: http://www.she.ltd.uk/how-can-we-help-you (Accessed: 24 January
2014)
Available at: http://www.thsp.co.uk/news/health-and-safety-in-the-
workplace/death-fall-fine-for-barnet-bread-firm.html (Accessed: 22 January 2014)
Available at:
http://www.statefundca.com/safety/safetymeeting/SafetyMeetingArticle.aspx?Arti
cleID=67 (Accessed: 22 January 2014)
Falls from height, Available at: www.hse.gov.uk/falls/index.htm (Accessed: 22
January 2014)
Heath, Employers Liability Insurance, News (2011) Available at:
http://www.johnheath.com/news/barnet-bread-firm-fined-over-employee-death/(Accessed: 22 January 2014)
Health and Safety Executive (2011) Available at:
http://www.hse.gov.uk/press/2011/coi-ldn-2017.htm (Accessed: 22 January
2014)
Health and Safety at Work etc. Act 1974 Available at:
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pg. 12
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pg. 13
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