Transcript Work Place Committees and Health and Safety

Work Place Committees and
Health and Safety
Representatives Training
Module 4 - HAZARDOUS
OCCURRENCE INVESTIGATION
AND REPORTING
Hazardous Occurrences Defined
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Accident: An undesired event that results
in injury or occupational illness to a person
or damage to equipment, material or
facilities
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Hazardous Occurrences Defined
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Incident: An undesired event that could
have but does not result in personal injury
or occupational illness or damage to
equipment, material or facilities.
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Better known as a “Near Miss” but “Near
Hit” is more accurate description.
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Disabling Injury Defined
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prevents an employee from reporting for
work or from performing all the duties
connected with the employee’s regular work
on any day after the day on which the injury
or disease occurred,
results in the loss of a body part or the
complete loss of use of a body part, or
results in the permanent impairment of a
body function.
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Minor Injury Defined
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an employment injury or illness for which
medical treatment is provided and excludes a
disabling injury.
In other words, no time lost beyond the day of
injury.
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Records and Reporting - Minor injuries
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Records must be kept for ten years
Annual report to HRSDC by March 1st
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First aid injuries are minor injuries, but:
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Records must be kept for two years
Reported in above totals
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First Aid Register
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Why bother filling it out?
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Are all employees aware of the
importance of completing it ???
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Records and Reporting – Disabling
Injuries
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Records must be kept for ten years
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Investigated, recorded and reported to
HRSDC within fourteen days
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Responsible Manager Shall:
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Appoint someone qualified to investigate
the hazardous occurrence;
Notify the work place committee (or rep) of
the hazardous occurrence and of the
person appointed to investigate it; and
Take necessary measures to prevent a
recurrence of the hazardous occurrence
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“Qualified Person” Defined
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a person who, because of knowledge,
training and experience, is qualified to
perform that duty safely and properly.
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Report ASAP if there is:
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A death of an employee;
A disabling injury to two or more employees;
An amputation or the complete loss of a body part;
Permanent impairment of a body function;
An explosion;
Damage to a boiler or pressure vessel that results
in fire or rupture of the boiler or pressure vessel; or
Damage to an elevating device that renders it
unserviceable, or a free fall of an elevating device
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Incidents (or “Near Hits”)
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No requirement to report
BUT
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Near hits are warnings
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They should be reported and investigated
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Work Place Committee / Rep
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Must be notified by employer
Shall participate in investigations (as per
terms of reference)
Offer comments on recommendations /
corrective actions taken
Remember: Responsibility for the
investigation of a hazardous occurrence and
the reporting remains with the employer
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Hazardous Occurrence Investigation
(HOI) Process
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Purpose is to:
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determine all causes;
recommend corrective action; and
comply with the CLC Part II
Not to lay blame
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Principles of Investigations
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collect the facts;
explore all factors;
consider conditions as well as actions /
inactions; and
recommend effective corrective measures
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Investigation Procedure
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Visit the accident scene;
Conduct interviews;
Gather evidence;
Evaluate; and
Make recommendations
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At The Scene
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Secure the scene;
Prevent removal of evidence;
Familiarize with the circumstances;
Coordinate the quarantine, the identification
and taking of samples, photos and records;
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Identify and interview witnesses
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Interview Techniques
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Put the person at ease
Avoid group interviews
Interview at the scene if possible
Listen to witness’ account
Ask open ended questions
Take notes
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Interview Techniques (cont’d)
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Do not prejudge
Encourage the witness to give all information
Ask for suggestions
Confirm understanding
Thank all witnesses
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Types of Evidence
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Documents, logs, records
Fluid and material samples
Photos and sketches
Working parts
Record any disassembly
Medical exams
Keep accurate records
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Sequence of Events Leading to The
Accident (SELA)
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Step-by-step description leading to the
occurrence
Document in detail
Clarity is CRUCIAL
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SELA Example 1
’Charlie’ tripped over a box and broke his
ankle
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What kind of analysis can the investigator do
with this ???
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SELA Example 2
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At break time, ‘Charlie’ got up and was
heading to the employee lounge to meet
some associates;
Supervisor had an urgent need for extra
materials;
She stopped ‘Charlie’ and asked for a
favour;
‘Charlie’ obliged and hurried to the
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SELA Example 2 (cont’d)
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As he turned the corner, he did not notice
the box partially blocking the dim hallway;
He tripped over it, twisting and fracturing his
ankle;
The box was one of seven that had been
left in the hallway for the past three weeks
after a late night delivery
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CLARITY IS CRUCIAL
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Do not just describe the occurrence itself;
include a description of events that led up to
the occurrence.
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Anyone reading the sequence of events
should be able to understand what was going
on and what happened
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Analysis
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Accidents seldom have a single cause
To find all causes, keep asking Why? or Why
not?
Record causes in detail
Don’t stop at injury cause(s), look for root
cause(s) of the accident
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Recommendations
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Treat the cause(s)
Ensure measures enhance
Ensure measures eliminate / control all
causes
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HOI Exercise
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Follow as events unfold
Follow the investigation team through the
process
Video will be stopped when manager asks
“The economy?”
Complete the form ….
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