Download - Misses Ppt

7/27/2019 Misses Ppt

1/24

Near Misses/Close CallsNear Misses/Close Calls

Why are they important?


2/24

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


3/24

Near MissesNear Misses

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

LACK OF EXPERIENCE?

Are most incidents caused by Unsafe


4/24

What % of incidents do you believe

aveunsa e acts/conditions as their rimar

cause?Unsafe 90%Acts

Unsafe Conditions 10%


5/24


6/24

UNSAFE CONDITIONSUNSAFE CONDITIONS

EXAMPLES: POOR HOUSEKEEPING

OIL ON FLOOR NO GUARDS ON MACHINE

WET, MUDDY JOBSITE OR MACHINE,, .


7/24

The Incident Pyramid

1 FATALITY

30 SEVERE INJURIES

MED. ONLY

L.T.

2000 NEAR MISSES

FOCUS20,000 UNSAFE ACTS e av ore av or


8/24


9/24

v


10/24

Incident Investigation Strategy

Gather information

facts

Isolate the Findincontributing factorsto the cause

Determine corrective

action(s) to prevent

FAULT FINDING

recurrence


11/24

Man incident investi ations wron l

pinpoint this as the cause:


12/24

Symptoms vs. Causes


13/24

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Outdated hazcom programNo orientation process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


14/24

SYMPTOMS

Unsafe acts

conditions

see


15/24

CAUSES

The underlying reasons for accidentsw c we can see.

Can only be identified

and root cause analysis study


16/24

When an HAPPENS

WHO? WHAT? WHEN? WHERE? WHY?

WHO CAN MAKE IT BETTER?

HOW? BETTER INVESTIGATIONS ANDREPORTING NEAR MISSES

NOT WHOSE AT FAULT?


17/24

WHO IS RESPONSIBLE for SAFETY?

His SUPERVISOR?

Are BOTH res onsible?


18/24

Hear no evil, See no evil, Speak no evil


19/24

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.


20/24

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.


21/24

-

- .

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:________________________________________

, .


22/24

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


23/24

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.


24/24

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.