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1 ) Safety and the Law of Unintended Consequences No Group of Engineers in a Boardroom can ever Anticipate what Normal People will do with their Inventions(Peter Thelen, LBWL)

Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

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Page 1: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

1

)Safety and the Law of

Unintended

Consequences

“No Group of

Engineers in a

Boardroom can

ever Anticipate

what Normal

People will do with

their Inventions“(Peter Thelen, LBWL)

Page 2: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

2

What does a Mechanical

Engineer Do?

Page 3: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

3

What is Mechanical

Engineering?

• Application of principles from physics and

materials science.

• Requires a solid understanding of core concepts

including mechanics, kinematics,

thermodynamics, fluid mechanics, heat transfer,

materials science, and energy.

•robotics heating and cooling

systems

•motor vehicles,

•medical devices •manufacturing plants •aircraft

•machinery •industrial equipment •watercraft

Page 4: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

4

What is Safety?

To the Engineer

• Reliability – Takes great pride that the equipment will operate as designed.

• Planning, Design, Operational Procedures, Training

• Remember - What you design can hurt people!!!!!

To Everyone Else

• Human Factors – “Why bad things happen to good people”

• Man-machine relationship – “Who in their right mind put the valve against the wall with 6” clearance?”

• Exposure – chemicals, noise, pathogens, radiation

• Ergonomics – repetitive stresses, lifting, twisting, vibration

• And things you never even thought of!

Page 6: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

6

Page 7: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

7

Occupational Safety and

Health Administration

OSHA

General Duty Clause

The employer is

responsible to provide a

safe work place

Page 8: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

8

Michigan Occupational Safety

& Health Administration

MIOSHA

140 General

Industry

59 Construction

6 Administrative

24 Agriculture

1,000’s of pages !!!

Page 9: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

9

Consensus Standards

• ANSI - American National Standards Institute

• ASTM - American Society for Testing and Materials

• NFPA – National Fire Protection Association

• Electrical, mechanical, medical, etc

Page 10: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

10

Engineering Design &

Hazard Control

Administrative

Engineering

Hot

work

Permit

Confined

Space

Lock

Out –

Tag

Out Protective

Page 11: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

11

Engineering ControlsRemove or reduce the Hazard

Make sure the solution is not worse than the original hazard

Administrative ControlsRemove or reduce the Exposure

Manages but does not remove the hazard

Personal Protective Equipment (PPE)Protective Barrier

Only provides a barrier that is not fail safe

The Hierarchy of Controls

Page 12: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

12

Personal Protective

Equipment

1. Least effective

2. Last line of defense when:

a. Exposure can not be removed

b. Administrative controls cannot

provide sufficient protection

3. Equipment that puts a barrier

between worker and hazard

4. Does not remove the hazard

Gloves, Hard Hat,

Safety Glasses,

Face shield,

Clothing, Shoes,

Hearing Protection

Page 13: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

13

Design for Safety

• Contractor has to install it

• Operations has to use it

• Maintenance has to fix it

• Everyone else has to live with it

$$Estimate 1,000 times more expensive

to redesign after installation

Page 14: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

14

------ Behind here to work ???

How do you get

this ---

Page 15: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

15

Control

Accessibility

• Visible

• Preferred at ground

level or fixed platform

• Readily available for

emergency shutdown

Pressure

gauge & sight

glass

Page 16: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

16

A Portable

Step Ladder

should not

be

permanent –

That’s why

they are

called

portable !!!

Page 17: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

17

How

do

you

get

from

here?

To

Here

Page 18: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

18

Page 19: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

19

Through

here

So we can

get to this

Page 20: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

20

Keep a clear

path to Safety

Showers and

Eye Wash

Stations &

Fire

Extinguishers

Safety Equipment Accessibility

Page 21: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

21

Working Aloft

First Rule is

Prevention

Railings

Barriers & Structures

Scaffolds

Ladders

Personnel-lifts

Safety Harnesses

Attachment points

Page 22: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

22

Fall Restraint

• Prevent the worker

from “going over the

edge”

• Attachment point &

cable – 2 times

expected load.

Page 23: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

23

Fall Arrest System

Last resort for Fall Protection

When you fall you will not hit the

ground!!

• Engineered attachment point to

withstand 5000 lbs

• Free fall limit of 6 feet

• Swing clearance

• Rescue plan – 30 minutes or

less

– Orthostatic intolerance (suspension

trauma) Restricted Blood circulation

– Blood pooling

Page 24: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

24

Sound levelsHearing damage is

permanent !!

Page 25: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

25

Sound Levels

Operating at Full Load

115 -125 dB

8 hour exposure is exceeded in 15 minutes

Engineering Controls are the Most Effective

Hearing protection is the method of last resort.

Caterpillar 2MW generator

Page 26: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

26

Drains

Remember water runs

down hill !!!

Floor drains should

be close to the

equipment drain

Floor

Drain

Page 27: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

27

Confined Spaces

• Limited Access

• Air Monitoring

Carbon Monoxide

has no warning

signs and is

deadly

• Emergency

rescue

• Training

Page 28: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

28

Machine Guarding

• Power presses

• Robotics

• Saws

• Grinders

• Machine shop

equipment

Have to be able to do the work with the guard

in place.

Page 29: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

29

Muscles

Tendons

Ligaments

Joints

Blood vessels

Nerves

Work Related Musculo-

Skeletal Disorders (WMSD)

Occupational

disorders of the

soft tissues

Page 31: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

31

Lifting Injuries Aren’t Just

Back Injuries

30% of Shoulder WMSDs

22% of Elbow

WMSDs

13% of Hand/Wrist

WMSDs

43% of Back

WMSDs

Lifting results in:

Source: SHARP technical report No. 40-6-2002

Page 32: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

32

Reduce Heavy Lifting

• Reduce the weight

• Increase the weight

distribution

• Use mechanical

assistance

• Slide instead of lift

• Team lifting

Page 33: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

33

Other Ergonomic Stress

Factors

• Repetitive - Computer use,

assembly line work

• Vibration – Jack hammer,

construction activities

• Twisting and pulling

• Reaching and over extension

• Posture – Crawling, working in

small spaces

• Static stress – Same posture for

long periods of time

Page 34: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

34

Spot says, “it’s HOT out there!”

“Be sure you’re drinking plenty

of water!”

Heat Illnesses

Heat Stress – rash,

fainting, cramps,

exhaustion

Heat Stroke - Core body

temperature >105 o F

Life threatening

condition!!!

Page 35: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

35

Hypothermia & Frost Bite

Hypothermia ("low heat”) Body fails to maintain its normal core temperature of 98.6°F.

Frostbite - Deep layers of the skin and other body tissues freeze (<28°F-30°F). Ice crystals form, destroying tissues and causing

permanent damage.

Hypothermia is a medical emergency!

Page 36: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

36

Chemical Safety

• Material Safety Data Sheets (MSDS)

• Substitute a less hazardous material

• Employee exposure

• Spill Response

• Containment structures

• Storage and disposal

• Environmental requirements

Page 37: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

37

Hazardous Energy Control

Lockout \ Tag Out

(LOTO)

Equipment must be

able to take a lock

Location of lock

must be accessible

Electrical, mechanical, chemical,

pressure, thermal, pneumatic,

gravity, hydraulic

Page 38: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

38

Housekeeping and Storage

• Design places for

accessible tool

storage

• Provide work

spaces and work

benches

• Wash stations and

sinks

Page 39: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

39

Combustible Dust

Since 1980, there have

been at least 350 dust

explosions in the U.S.,

killing 133 people and

injuring hundreds more.

There are at least 30,000

factories in the nation

vulnerable to dust

explosions

•Youtube hyperlink

Page 40: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

40

Combustible Atmosphere

Dust, gas vapor

Ignition Source

OxygenExplosive when concentration is between the LEL

& UEL!

Combustible Atmosphere

Page 41: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

41

Combustible Atmosphere

Dust Ignition Source

Oxygen

Combustible Atmosphere

SuspensionConfinement

Page 42: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

42

Slips Trips & Falls

• Most falls (injury/death) are from less

than 6 feet.

• 15 % of all accidental deaths

(≈12,000/year)

• 2nd leading cause behind motor vehicles

• About 25% of reported injury claims per

year

• > 17% of all disabling work injuries are

the result of falls

MANY OF THESE COULD HAVE BEEN PREVENTED

Page 43: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

43

Slip, Trip, Fall Definitions

Slip - too little friction or traction between your feet (footwear) and the walking or working surface, and you

lose your balance.

Trip - foot (or lower leg)

hits an object and your upper

body continues moving,

throwing you off balance.

Fall

Occurs when you are

too far off your center of

balance.

Friction: The resistance encountered when an object (foot) is moved in contact with another (ground). Friction is necessary in order to walk without slipping.

orWhen you step down unexpectedly to

a lower surface (Misstep) and lose your

balance, e.g., stepping off a curb.

Page 44: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

44

Causes of Slips, Trips, Falls

• Falls - same level,

lower level

• Contamination of

surface

• Highly polished

surfaces

• Unexpected height

or transition

• Slopes, uneven

terrain

• Weather conditions

• Rug, mats

• Inappropriate shoes

• Inattention

Page 46: Safety and the Law of Unintended Consequences · 2010. 3. 18. · traction between your feet (footwear) and the walking or working surface, and you lose your balance. Trip - foot

46

Irene Armock, Certified Industrial Hygienist

Lansing Board of Water & Light

Safety Department

PO Box 13007

Lansing Michigan 48910

Phone: 517-702-6385

Cell Phone: 517-388-6385

E-mail: [email protected]

Good Luck &

Have a Safe Day !!!