May/02

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20022002

16 LTI’s in 4 months16 LTI’s in 4 months

What are WE going to learn? What are WE going to learn?

What should WE do differently?What should WE do differently?

May/02

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16 LTI’s: 1/Jan-2/May 200216 LTI’s: 1/Jan-2/May 2002

1 1 Broken FingerBroken Finger 1 Jan 1 Jan2 2 Broken FingerBroken Finger 3 Jan 3 Jan3 3 Broken Arm Broken Arm 24 Jan24 Jan4 4 RTA Ruptured spleenRTA Ruptured spleen 6 Feb 6 Feb5 5 Broken LegBroken Leg 23 Feb23 Feb6 6 Back InjuryBack Injury 9 Mar 9 Mar77&&8 8 RTA Neck Injury & broken armRTA Neck Injury & broken arm 13 Mar13 Mar9 9 Broken FingerBroken Finger 25 Mar25 Mar10 10 RTA FatalityRTA Fatality 3 Apr 3 Apr11 11 Finger AmputationFinger Amputation 5 Apr 5 Apr12 12 Elbow DislocationElbow Dislocation 7 Apr 7 Apr13 13 Crushed FingerCrushed Finger 20 Apr20 Apr14 14 Broken FingerBroken Finger 28 Apr28 Apr15 15 Broken Hip Broken Hip 29 Apr29 Apr16 16 Broken ArmBroken Arm 2 May 2 May

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Common FindingsCommon Findings

• Hazards not identified Hazards not identified • Lack of effective supervisionLack of effective supervision• Using the wrong tools Using the wrong tools • Not following rules/proceduresNot following rules/procedures• Poor communication (Language barrier ?)Poor communication (Language barrier ?)• Behaviour & attitudeBehaviour & attitude• Lack of concentrationLack of concentration• Time pressure (hurry to finish the job)Time pressure (hurry to finish the job)

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LTI 1: Broken FingerLTI 1: Broken Finger 1-Jan1-Jan

What happened?:What happened?:Finger trapped between bucket and rock breaker whenFinger trapped between bucket and rock breaker whenoffloading the bucket from the trailer.offloading the bucket from the trailer.

Result:Result:• Broken fingerBroken finger• 3 weeks lost work3 weeks lost work

Learning:Learning:• Wrong hand placementWrong hand placement• Poor positionPoor position• Poor communicationPoor communication

Could this be avoided?Could this be avoided?

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LTI 2: Broken FingerLTI 2: Broken Finger 33--JanJan

What happenedWhat happenedPipe spinner (heavy tool hanging from a cable) swung back Pipe spinner (heavy tool hanging from a cable) swung back and trapped the floorman’s finger.and trapped the floorman’s finger.

Result:Result:• Broken fingerBroken finger• 3 weeks lost work3 weeks lost work

Learning:Learning:• Improper positionImproper position• Wrong hand placementWrong hand placement• Absentminded/UnfocusedAbsentminded/Unfocused

Could this be avoided?Could this be avoided?

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LTI:3 Broken Arm LTI:3 Broken Arm 24-Jan24-Jan

What happened?:What happened?:A rigger placed his arm into the recess of the craneA rigger placed his arm into the recess of the craneoutrigger as it was being retracted. His arm was crushed.outrigger as it was being retracted. His arm was crushed.

Result:Result:• Broken armBroken arm• 6 weeks lost work6 weeks lost work

Learning:Learning:• Wrong position (rigger)Wrong position (rigger)• Wrong position (operator)Wrong position (operator)• Poor communication Poor communication • Poor supervisionPoor supervision

Could this be avoided?Could this be avoided?

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LTI:4 Ruptured spleen LTI:4 Ruptured spleen 6-Feb6-FebWhat happened?:What happened?:A food delivery truck travelling to Marmul. The driver fellA food delivery truck travelling to Marmul. The driver fellasleep. The truck left the road, rolled and crashed. Theasleep. The truck left the road, rolled and crashed. Thedriver was stuck for 2 hrs in the badly crushed cabin.driver was stuck for 2 hrs in the badly crushed cabin.

Result:Result:• Ruptured spleenRuptured spleen

(can be fatal)(can be fatal)• 2 months lost work2 months lost work• Lost truck & loadLost truck & load

Learning:Learning:• Journey Plan not followedJourney Plan not followed• Driver not authorisedDriver not authorised• Poor Safety attitudePoor Safety attitude

Could this be avoided?Could this be avoided?

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LTI 5: Broken Leg LTI 5: Broken Leg 23-Feb23-FebWhat happened?:What happened?:Rigger climbed on the cabin to release the lifting slings. Rigger climbed on the cabin to release the lifting slings. He did not use a ladder. When coming down his footHe did not use a ladder. When coming down his footslipped and he fell.slipped and he fell.

Result:Result:• Broken legBroken leg• 6 weeks lost work6 weeks lost work

Learning:Learning:• Hazard not identifiedHazard not identified• Not using the right toolsNot using the right tools• Poor supervisionPoor supervision

Could this be avoided?Could this be avoided?

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LTI 6: Back injuryLTI 6: Back injury 9-Mar9-Mar

What happened?:What happened?:Helper came out of the truck looking forward instead ofHelper came out of the truck looking forward instead ofbackward. He lost his his footing on the first step of thebackward. He lost his his footing on the first step of theladder and fell down hitting his back. ladder and fell down hitting his back.

Result:Result:• Back injuryBack injury• 2 weeks lost work2 weeks lost work

Learning:Learning:• Rule not followedRule not followed• Wrong way of Wrong way of

disembarking a truckdisembarking a truck

Could this be avoided?Could this be avoided?

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LTI 7LTI 7&&8: Neck injury 8: Neck injury && 13-Mar13-Mar broken armbroken arm

What happened?:What happened?:Canter truck delivering most-urgent chemicals: nightCanter truck delivering most-urgent chemicals: nightdriving, very bad road due to rain, long driving hours. Thedriving, very bad road due to rain, long driving hours. Thetruck rolled over after hitting a bad spot on the road.truck rolled over after hitting a bad spot on the road.

Result:Result:• Driver: neck injuryDriver: neck injury• Helper: broken armHelper: broken arm• 22&&6 weeks lost work6 weeks lost work

Learning:Learning:• Poor planning/JMPoor planning/JM• 2 drivers on difficult trips 2 drivers on difficult trips • Contact TLM for urgent Contact TLM for urgent

deliveriesdeliveries

Could this be avoided?Could this be avoided?

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LTI 9: Broken fingerLTI 9: Broken finger 25-Mar25-Mar

What happened?:What happened?:Thread protector stuck on a drill-pipe joint. Rigger takesThread protector stuck on a drill-pipe joint. Rigger takeshammer to free it. After two blows his colleague placedhammer to free it. After two blows his colleague placedhis hand on the protector to remove it just as the the thirdhis hand on the protector to remove it just as the the thirdhammer blow was given.hammer blow was given.

Result:Result:• Broken fingerBroken finger• 2 weeks lost work2 weeks lost work

Learning:Learning:• Wrong tools.Wrong tools.• Poor communication.Poor communication.• Hazard not identifiedHazard not identified

Could this be avoided?Could this be avoided?

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LTI 10: RTA FatalityLTI 10: RTA Fatality 3-Apr3-Apr

What happened?:What happened?:Truck delivering line pipe to Fahud. Driver probably fell Truck delivering line pipe to Fahud. Driver probably fell asleep. Went straight of off the road, rolled-over and asleep. Went straight of off the road, rolled-over and jack-knifed. Cabin completely crushed. jack-knifed. Cabin completely crushed.

Result:Result:• Driver deadDriver dead• Family lost their fatherFamily lost their father• Lost truckLost truck

Learning:Learning:• JM plan NOT followedJM plan NOT followed• STOP when tiredSTOP when tired

Could this be avoided?Could this be avoided?

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LTI 11: Lost Finger LTI 11: Lost Finger 5-Apr5-AprWhat happened?:What happened?:A helper was disconnecting a trailer from an oil-field truckA helper was disconnecting a trailer from an oil-field truckwinch cable. He signaled the driver to slacken-off thewinch cable. He signaled the driver to slacken-off thewinch. Winch operator misunderstood and pulled-inwinch. Winch operator misunderstood and pulled-ininstead.instead.

Result:Result:• 2 lost fingers2 lost fingers• 4 weeks lost work4 weeks lost work

Learning:Learning:• Wrong hand placementWrong hand placement• Poor communicationPoor communication

Could this be avoided?Could this be avoided?

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LTI 12: Elbow Dislocation LTI 12: Elbow Dislocation 7-Apr7-Apr

What happened?:What happened?:Crane operator drove too close to the edge of anCrane operator drove too close to the edge of anexcavation. Crane crashed down into the 3 m deep pit.excavation. Crane crashed down into the 3 m deep pit.Operator did have his seatbelt on.Operator did have his seatbelt on.

Result:Result:• Dislocated elbowDislocated elbow• 4-6 weeks lost work4-6 weeks lost work• Major crane damageMajor crane damage

Learning:Learning:• Hazards not identifiedHazards not identified• In a hurryIn a hurry

Could this be avoided?Could this be avoided?

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LTI 13: Crushed FingerLTI 13: Crushed Finger 20-Apr20-Apr

What happened?:What happened?:A staff member was adjusting her shoe strap whilst walking.A staff member was adjusting her shoe strap whilst walking.She lost her balance and caught herself by placing her She lost her balance and caught herself by placing her hand against the doorframe. Her finger got trapped by thehand against the doorframe. Her finger got trapped by thespring loaded closing door.spring loaded closing door.

Result:Result:• Crushed fingerCrushed finger• 2 weeks lost work2 weeks lost work

Learning:Learning:• Do not try 2 activitiesDo not try 2 activities

at the same timeat the same time

Could this be avoided?Could this be avoided?

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LTI 14: Broken FingerLTI 14: Broken Finger 28-Apr28-AprWhat happened?:What happened?:A floorman was instructed to use the rig tong to break a pipeA floorman was instructed to use the rig tong to break a pipeconnection. Instead, a colleague brought a big hammer andconnection. Instead, a colleague brought a big hammer andstarted to hit at the assembly. The hammer slipped and fellstarted to hit at the assembly. The hammer slipped and felldown onto the floorman’s hand.down onto the floorman’s hand.

Result:Result:• Broken fingerBroken finger• 3 weeks lost work3 weeks lost work

Learning:Learning:• Not following instructions.Not following instructions.• Using wrong tools.Using wrong tools.• Wrong position.Wrong position.• Rush to finish the task.Rush to finish the task.

Could this be avoided?Could this be avoided?

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LTI 15: Broken HipLTI 15: Broken Hip 29-Apr29-Apr

What happened?:What happened?:A technician placed a ladder against a storage rack andA technician placed a ladder against a storage rack andclimbed up to look for a flange. When coming down theclimbed up to look for a flange. When coming down theladder slipped and collapsed. He jumped off but knockedladder slipped and collapsed. He jumped off but knockedover a heavy crossover flange which in turn landed on hisover a heavy crossover flange which in turn landed on hiship.hip.

Result:Result:• Broken hipBroken hip• 3 weeks lost work3 weeks lost work

Learning:Learning:• Hazard not identifiedHazard not identified• Procedures not followedProcedures not followed• Never go up un-securedNever go up un-secured laddersladdersCould this be avoided?Could this be avoided?

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LTI 16: Broken Arm LTI 16: Broken Arm 2-May2-May

What happened?:What happened?:A technician was drilling a steel bar using a pedestalA technician was drilling a steel bar using a pedestalworkshop drill. The bar was clamped but slipped out of theworkshop drill. The bar was clamped but slipped out of thejig. He tried to grab the steel bar with his hands. His glovejig. He tried to grab the steel bar with his hands. His glovecaught in the drill and hands and arm were pulled into it.caught in the drill and hands and arm were pulled into it.

Result:Result:• Broken arm/open fractureBroken arm/open fracture• 2 months lost work2 months lost work

Learning:Learning:• Inadequate supervisionInadequate supervision• No list of authorised No list of authorised

equipment usersequipment users

Could this be avoided?Could this be avoided?

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Some questions for discussion in your teams:Some questions for discussion in your teams:

• Could any of these accidents have happened Could any of these accidents have happened in your team?in your team?

• What have you learned from these 16 LTI’s ?What have you learned from these 16 LTI’s ?

• Are you going to do things differently ?Are you going to do things differently ?

• Do you HAVE a Toolbox talks/meeting before Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why?you start a new job/task? Why?

A free tip:A free tip: Find Hazards Find Hazards BEFORE BEFORE

They find YOU!! They find YOU!!

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