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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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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7/27/2019 Misses Ppt
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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Outdated hazcom programNo orientation process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.
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