Misses Ppt

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    Near Misses/Close CallsNear Misses/Close Calls

    Why are they important?

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    Near MissesNear Misses

    EX. Look at video & count them. Disregard sporting, , , , , .

    1) Man in parked car 2) lady crossing st. nearly hit by 2

    .

    almost hit along the road 6) Train almost hits people on

    tracks. 7) Robbers get away despite police being there.

    8) Driver gets thru intersection 9) Lady on balcony almost

    falls. 10) Parked car moves at last sec. misses falling tree.11) Guy on cycle almost wipes out.

    SEE Video #2 intersection

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    Near MissesNear Misses

    What do they teach us? Something is right or wrong? ANSWER

    LACK OF EXPERIENCE?

    Are most incidents caused by Unsafe

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    What % of incidents do you believe

    aveunsa e acts/conditions as their rimar

    cause?Unsafe 90%Acts

    Unsafe Conditions 10%

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    UNSAFE CONDITIONSUNSAFE CONDITIONS

    EXAMPLES: POOR HOUSEKEEPING

    OIL ON FLOOR NO GUARDS ON MACHINE

    WET, MUDDY JOBSITE OR MACHINE,, .

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    The Incident Pyramid

    1 FATALITY

    30 SEVERE INJURIES

    MED. ONLY

    L.T.

    2000 NEAR MISSES

    FOCUS20,000 UNSAFE ACTS e av ore av or

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  • 7/27/2019 Misses Ppt

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    v

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    Incident Investigation Strategy

    Gather information

    facts

    Isolate the Findincontributing factorsto the cause

    Determine corrective

    action(s) to prevent

    FAULT FINDING

    recurrence

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    Man incident investi ations wron l

    pinpoint this as the cause:

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    Symptoms vs. Causes

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    Burns

    Strains Direct Cause ofIn ur

    Unguarded ay

    Cuts

    achine Hors

    e

    Createa

    hazardBroken

    toolsSurface

    Defective PPE Failst

    oreport

    injury

    IgnoreahaChemicalspillCauses

    Failstoinspec

    Fails to enforce

    n rainedworker

    Lack of time

    FailstotrainTomuchwor

    k

    Inadequate trainingNorecognit ion

    ement

    No discipline procedures

    Outdated hazcom programNo orientation process

    Inadequate labeling

    omissionstat

    No recogn on p anna equa e ra n ng p an

    No accountability polic y No inspection polic y

    ackofvision

    Root

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    SYMPTOMS

    Unsafe acts

    conditions

    see

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    CAUSES

    The underlying reasons for accidentsw c we can see.

    Can only be identified

    and root cause analysis study

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    When an HAPPENS

    WHO? WHAT? WHEN? WHERE? WHY?

    WHO CAN MAKE IT BETTER?

    HOW? BETTER INVESTIGATIONS ANDREPORTING NEAR MISSES

    NOT WHOSE AT FAULT?

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    WHO IS RESPONSIBLE for SAFETY?

    His SUPERVISOR?

    Are BOTH res onsible?

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    Hear no evil, See no evil, Speak no evil

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    SUPERVISORS RESPONSIBILITES:1) Conduct immediate initial accident

    .

    2) Collect and preserve all evidence.

    3) Conduct interviews of witnesses.

    at the accident scene. Get injured to doc.

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    EMPLOYEE RESPONSIBILITES:1) Immediately report all accidents & injuries

    .

    2) Assist in all accident investigations.

    3) Report all hazardous conditions and near-

    misses to su ervisors & com lete form.

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    -

    - .

    an incident that may have resulted in personnel injury, equipment damage or a

    combination of the two, but did not.

    O tional

    Name:____________________ Job Title:________________ Facility / Work Location:________________

    Description OfNear Miss:________________________________________

    , .

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    What factors do ou feel ma have contributed to this near miss? Forexample: inattentiveness, improper PPE* or tools, inadequate procedure,lack of training, etc.) Please be specific. If you need more room, use reverseside or additional paper._____________________________________________

    What do you feel would prevent this type ofnear miss in the future? (Forexample: better PPE or tools, revising a procedure, specialized training,etc.) Please be specific. If you need more room, use reverse side or additionalpaper.___________________________________________________________

    ________________________

    Date:__/__/2009

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    This near miss report will be distributed throughout the PARISH. You

    have the o t ion of al lowi n arish mana ement to use our name or toremain anonymous when this report is distributed to all departments (yourname will be removed).

    *PPE means personal protective equipment like safety goggles or gloves.

    YOU MAY USE MY NAME AS IT APPEARS ON THIS REPORT FORPUBLICATION PURPOSES: (Circle/Check Appropriate Box)

    Please Send Completed Form To Your SUPERVISOR.

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    Bottom-Line Results

    Investigate incidents only scratch thesurface and lots of info. gets by the radar.

    were still not getting it all.

    Investigate Near Misses and all incidents -

    much better data and chance to PREVENT LOSSES.