Incident alert

LOCATION:
ASPHALT/COATING PLANT
ACTIVITY:
MAINTENANCE & HOUSEKEEPING
SUB ACTIVITY:
N/A
ALERT STATUS:
Normal
DATE ISSUED:
12/08/2020 10:46:56
INCIDENT No:
02566

TITLE
Near Miss - Falling Object
COUNTRY OF ORIGIN
United Kingdom
ACCIDENT / INCIDENT DETAILS
During a maintenance task on a piece of fixed plant, a Fitter was replacing a steel wear plate at the top of an aggregate elevator at a height of 33 metres.

When the Fitter came to adjust the plate a sliver of metal fell through an open mesh and landed directly below on a platform where an operative was performing a greasing task close by.

Had the strip of Hardox steel plate struck the employee, there would have been a potential for serious injury.

Incident facts:
- The RAMS for the task noted cutting the steel plate at ground level, and not at height.

- The task changed during the activity and not been noted on the Risk Assessment.

- No cordoned zone was established below when the task changed and no checks made
by the fitter.

- The off-cut fell through open mesh flooring at height, missing an operative by 1 metre.

- The Fitter did not advise site Management of the task change but proceeded anyway.

- RAMS controls became ineffective as a result.

- Permit to Work - Hot works became ineffective
ACCIDENT / INCIDENT IMAGES
Click image to enlarge

Click image to enlarge

LEARNING POINTS / ACTIONS TAKEN
- Fitter re-inducted and trained in the process to follow.

- Review of contractual relationship with fitting contractor.

- Local Management re-trained in the Risk Assessment process.

- Implementation of a mid-task checklist for supervisory staff to carry out and audit checks during completion.
LEARNING POINTS / ACTIONS IMAGES




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