Barnet Bread Case Study

8/11/2019 Barnet Bread Case Study

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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

Documents

Barnet Bread Case Study