Case study on prevention of fatal Accident ?

Case study on prevention of fatal Accident ? Safety concerns:While workers are expected to carry out their work in a safe and healthy environment, we know, with the number of workplace accidents, this isnt always the case.

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When you are confronted with safety and health issue at work, you dont have to deal with it alone. Thus Safety is every bodies responsibility as for as accident prevention is concerned.

1I , K Venkateshwar Rao, on behalf of Group1, Welcome you to the presentation on case study on prevention of Fatal Accidents. My other team members are Sh. Abhimanyu Suttar Sh. Om Prakash Saini Sh Devashis Nayak Sh. Gurucharan Singh Virdi

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FACTS: IN CASE STUDY

FATAL INJURY- AT THERMAL POWER COMPANY-

Thermal Power Companys is a 2000 MW Thermal power plant . The plant is fully operation, on the day of the incident unit #1 was under overhauling and unit #2 had a Boiler tube leakage .every body in the turbine floor was busy trying to get the units operational The accident took place during restarting activity of unit #2

3Chronological Order of EventsHP bypass valve replacement activity was planned in untit #2. C & I had applied for and had taken Permit to work ( PTW) For shifting of material from 8.5 mts to 17.0 mts. Floor Grill near UCB entrance was opened and put aside so as to be able to access the equipment One non-technician helper was asked to stand near opening so as to warn people regarding the openingC&I Engineer had gone to bring EOT crane near to floor opening for lifting the valve from 8.5 mtr to 17.0 mtr

4Chronological Order of EventsAt that time, Operation Engineer came out of UCB and fell through that opening and got horrible head injury.C & I Engineer came near to the opening and saw someone fall into the opening and raised the alarm.Operation Engineer was taken to hospital in ambulance immediately.Doctors on duty declared patient brought dead5TPC: AIC An Accident Investigation Committee was formed to :Establish the circumstances and reasons leading to the accident.Fixation of responsibility to the extent possible.Suggest remedial measures for prevention of recurrence of similar or related nature of accident.Any other aspect.6TPC : Investigation by the AIC :

AIC went throughSite visit:Documents Checked 1. Accident FIR report 2. Photograph of accident place. Interviewing: Persons :. 1.Shift charge Engineer : 2.C&I Engineer 3 Helper kept at site to warn people Enquiry finding:

7Enquiry findingsC&I helper told that he was at the washroom at that time for nature call. He was not told about the importance to staying near the floor opening by the engineer.The Operation engineer had rushed out of the Unit Control Room (UCB) due to some urgent work and had failed to notice the opening .No Visual Indication or barricading was in place to warn anybody as to removal of floor plate at that location

8ACTION TAKEN BASED ON ENQUIRY FINDINGSPTW system modified .For issuing PTW for opening of floor safety, CISF-fire , operation Shift In charge has to give clearance only after Physical verification the barricading near opening and all other safety measures taken.Then only actual PTW issued with cross PTW with barricading PTW and signature of all 3 concerned departments representatives.

9Effect of the Safety Procedure Adopted Maintenance personnel had a complaint that they were facing delay in completion of work as getting signature from all concerned is time taking.10Learnigs1. All locations where work is in progress and unsafe condition persist are to be guarded and visual warning signal provided .2. Only after all the safety measures are in place the required required permit to work is to be issued3. Proper guidance and training is to be given to the Engineers and workers for working at unsafe areas.4. Continuous, close supervision should be available and risk assessment of work to been ensured while working at such locations.

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Any question please ? 12