During a JGA rail tanker move using a capstan, the injured person (IP) placed the strap over the buffer-stop with the rope and hook and attached to the strap. Upon the tension being taken up on the capstan rope the strap snapped and recoiled and struck the IP on the ankle, (this is assumed as the IP did not remember much prior to the incident and to getting to hospital).
Image shows broken strap attached to buffer.
Images show broken strap and rope
Rope and capstan
The operator sustained the following injuries, bruising to the ankle, pain to right leg and knee, cut to ear and a graze to head.
• The primary reason the IP was hurt was that he was stood in an unsafe position as per training.
• The person in charge did not clear the area before using the capstan as per training.
• Unauthorised un-serviced equipment (the strap) used for the task.
• Task HIRA and SSoW did not identify the risk or manage the risk.
• There was no management of change , HAZOP or STOP conducted for the new process in 2020.