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#1 Posted : 01 September 2007 10:41:00(UTC)
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Posted By jom
The discussion continues....

John.
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#2 Posted : 01 September 2007 11:00:00(UTC)
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Posted By craig b hartley
jom
here's an extract from hazards magazine online, there's also an inmteresting link from an msp concerning this:
The high court in Glasgow heard that the blast at the Stockline plant in Maryhill was caused by a build-up of liquid petroleum gas that had leaked from corroded pipes. The judge, Lord Brodie, described the situation as a 'ticking time bomb' and said whatever fine he imposed would be unsatisfactory to the relatives of those who perished. 'That response is by its nature an inadequate response,' he said. Local MSP Patricia Ferguson and MP Ann McKechin said there must be a public inquiry, echoing claims by unions, former workers and bereaved relatives. Patricia Ferguson said the outcome of the case 'does emphasise exactly why we have to have the widest possible public inquiry.' The relatives and Scottish union leaders are to press Alex Salmond, the first minister, on the issue. The lord advocate is currently considering whether a public inquiry will be held and a decision is expected within a month. The court heard the corroded pipework would have cost £405 to replace and that one risk assessment was carried out by a college student doing vacation work. Lord Brodie said: 'With the benefit of hindsight it seems remarkable that, through the whole period covered by the indictment, nothing was done by the accused companies to satisfy themselves that the pipe was sound and likely to remain so.' In a statement read outside court, the directors of the convicted firms said: 'The companies welcome any form of inquiry that will properly establish all the facts and circumstances relating to the disaster.'

http://www.patriciafergu.../ViewPage.cfm?Page=21934

craig
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#3 Posted : 01 September 2007 11:08:00(UTC)
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Posted By jom
You lot are not working hard enough on this problem.

Why did it happen? How do you effect Future Prevention?

Stop assuming the authorities will deliver the answers like an ordered take-away pizza.

Get to grips with it. Rip it apart until you understand it all. Take it to pieces until you understand every little part of it.

What's the IOSH for, if not to through its weight into understanding an industrial accident that took nine lives?

Am I wrong?

John.

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#4 Posted : 01 September 2007 11:22:00(UTC)
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Posted By jom
Craig,

"here's an extract from hazards magazine online"

Why should I read a magazine report? Media are so often wrong. Haven't you noticed that?

Can you point me to the original authoritive report?
John.
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#5 Posted : 01 September 2007 11:39:00(UTC)
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Posted By jom
Craig,

I read Patricia Fergusons release calling for an inquiry.

I think it is weak.

John.
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#6 Posted : 01 September 2007 12:35:00(UTC)
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Posted By Edward Shyer
jom/John,

"You lot are not working hard enough on this problem."

Please elaborate!

There is information within the original thread discussing this subject including the link to the HSE statement.

Regards

Ted
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#7 Posted : 01 September 2007 12:44:00(UTC)
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Posted By jom
Hello Ted.

"There is information within the original thread discussing this subject including the link to the HSE statement."

No, Ted. That information is not good enough.

John.

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#8 Posted : 01 September 2007 12:53:00(UTC)
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Posted By Edward Shyer
jom,

maybe not good enough? but if you want the full report that will not be available just yet! in the UK this can usually be a slow drawn out process

Still no response from your comment

"You lot are not working hard enough on this problem."

Ted
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#9 Posted : 01 September 2007 13:08:00(UTC)
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Posted By jom
Ted,

"the full report that will not be available just yet"

What full report? From whom?

John.
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#10 Posted : 01 September 2007 13:10:00(UTC)
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Posted By Edward Shyer
"You lot are not working hard enough on this problem."

please elaborate
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#11 Posted : 01 September 2007 13:33:00(UTC)
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Posted By jom
Ted,

"You lot are not working hard enough on this problem. please elaborate"

Okay, you clearly want an answer.

Nine deaths.

A combination of inadequate management of gas pipes and inadequate building structure. Is that right?

What do we need to know about how this occurred?

IOSH can influence the process of inquiry and learning.

Please don't sit back and think the authorities will deliver a perfect answer.

Discuss the accident and all its causes. Look for the things that could have prevented it. Anything.

I think that's what I meant when I said "you lot are not working hard enough".

Talk the bejeezus out of the subject.

John.
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#12 Posted : 01 September 2007 13:48:00(UTC)
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Posted By jom
Are there other 19th century buildings being used as chemical factories?

John.
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#13 Posted : 01 September 2007 15:11:00(UTC)
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Posted By Edward Shyer
John,

"Are there other 19th century buildings being used as chemical factories?"

Was the Maryhill site a chemical factory I don't think so if you know better please enlighten me.

To answer your query almost all workplaces have a presence of hazardous substances including chemicals. It is also very likely that there are other 19th century buildings being used as workplaces and maybe even some that are a lot older.

It is not the buildings or the processes that are the problem it is the control measures that are (or should) be in place to prevent incidents of this nature.

Just look at the majority of the major incidents over the last 30 years and you find that two things that keep springing up as main contributory factors.

Poor/non existent safety Management.
Poor/non existent Maintenance programmes.

one life lost at work is one life too many but until the judicial system acts more appropriately we will continue to have these kind of incidents

Regards
Ted
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#14 Posted : 01 September 2007 18:34:00(UTC)
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Posted By craig b hartley
JOM

unfortunatly until a PI and all the facts come out the questions you have posed cannot be answered fully;
with the guilty plea then there was management failures,
altering the building again management + LA +HSE failures
if its true that THE HSE failed to respond to complaints from the workforce then failure by the authoritive body

How do you effect Future Prevention?
more powers to the courts so the wheeling and dealing that goes on within the lawyers closed doors is irrelevant.
tougher sentences.
iosh lobbying government to stop 15% budgets cuts to the HSE(dreaming i'm afraid)
we really could go on and on all but until we know the exact facts company's will continue to flout the law.
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#15 Posted : 01 September 2007 22:01:00(UTC)
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Posted By Pete48
Jom, the case has been determined and the HSE have published their statement and recommendations at http://www.hse.gov.uk/press/2007/gnnsco09107.htm
Thus this phase is complete with regard to understanding the specific cause of the collapse of the building and any guilt associated with that factual event.

Assuming that any future inquiry would be held under the Inquiries Act 2005 (??) then the following extract from guidance might be useful to post here.
"such inquiries under this Act have no power to determine civil or criminal liability and must not purport to do so. There is often a strong feeling, particularly following high profile, controversial events, that an inquiry should determine who is to blame for what has occurred. However, inquiries are not courts and their findings cannot and do not have legal effect. The aim of inquiries is to help to restore public confidence in systems or services by investigating the facts and making recommendations to prevent recurrence, not to establish liability or to punish anyone."
However...."it is not intended that the inquiry should be hampered in its investigations by a fear that responsibility may be inferred from a determination of a fact."

For me, the terms of reference would have to cover both areas of what I perceive to be of public concern at the moment:
1.) Something around looking at the relevance/impact of the particular style of H&S management in use at the companies and what would be the significance of changing the law with regard to reducing or removing risks,
Key areas might be;
required competences and prescribed H&S systems within companies,
third party or enforcement audit and inspection regimes,
sentencing guidelines especially with regard to impact of guilty pleas where there are deaths at work.
2.) And something around why the law appears, so frequently, not to provide what those most damaged by the events expect that it will provide.

I am no legal eagle so the wording and indeed the scope I suggest may be totally inappropriate but hopefully you can see my thinking here.

Looking at those terms, I do ask myself whether an inquiry would be an effective use of public money. Have I missed the point somewhere?
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#16 Posted : 01 September 2007 22:44:00(UTC)
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Posted By Heather Collins
jom/John

Why on earth do you think the people posting on this forum have sufficient information to solve this problem? Most of us know nothing about it beyond what we (and you) can read in the media.

"you lot aren't working hard enough on this problem" What a breathtakingly arrogant statement that is. Where exactly are you going with this argument? Are you just trying to be controversial? It certainly looks like it. Got anything useful to add?
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#17 Posted : 02 September 2007 09:35:00(UTC)
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Posted By jom
Heather,

""you lot aren't working hard enough on this problem" What a breathtakingly arrogant statement that is."

Yes, it was. I apologise.

John.
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#18 Posted : 03 September 2007 13:35:00(UTC)
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Posted By craig b hartley
hi all
here is a link to an independent report by srathclyde and stirling universities prior to the disaster:
http://www.hazards.org/icldisaster/index.htm
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#19 Posted : 03 September 2007 14:06:00(UTC)
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Posted By John Murgatroyd
"The legally required health and safety consultative processes with the workforce were
not in place. The management culture actively discouraged worker participation,
including any attempt to raise concerns about health and safety.
The building itself was neither safe nor suitable for the purpose, amplifying the risks
already inherent to poorly managed, high risk processes.
Oversight by statutory authorities was inadequate and allowed a continuation of work
processes in unacceptably hazardous conditions. Problems remained unresolved and
clear breaches of health and safety law remained unprosecuted"


So, apart from the dead and injured, what's new ?
The scale is different, but the attitude and the problems are there in every worplace for all to see. If they look.
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#20 Posted : 03 September 2007 14:20:00(UTC)
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Posted By Raymond Rapp
John

I agree wholeheartedly with your comments. Until the Regulators start clamping down on organisations who flout h&S law with apparent impunity, these types of tragedies will continue unabated. Why is it so many organisations get away with such violations? After all, we are not talking about a tiny 'tin pot' company here.

Also, the courts need to hand out stiffer penalties when organisations are prosecuted and not just when an accident has occurred.

Now, we don't need a public enquiry to identify the above two facts!

Regards

Ray
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#21 Posted : 03 September 2007 14:36:00(UTC)
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Posted By Sally
john,

May one ask what your interest and position in this is. I'm assuming from your use of the expression 'you lot' you are not a health & safety professional.

There has been and are lots of people currently disecting the events leading up to this tragedy - a message board where the professionals can rarely agree on anything simple never mind anything as complicated as this is hardly likely to add much to the debate.
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#22 Posted : 03 September 2007 15:47:00(UTC)
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Posted By jom


Sally,

My interest is probably much the same as most on this forum - a desire to prevent future accidents through learning what we can from these bad events.

I am not an OHS professional, but an engineer with a interest in how major accidents occur. My "you lot" comment was disrepectful and I wish I could retract it. Sorry.

I'm glad to hear that lots of people are dissecting the events. If there's lots of analysis going on that's great. But this forum is about the only place to have a public discussion. Is there another place to discuss...?

I'm in Australia and I doubt we have a single workplace similar to the Glasgow building. We still have major accidents, and people are trying to understand why they occur when they are so clearly preventable. It's not about technology failing, but our systems failing. To understand that we need both investigation and discussion. I think we have great technical investigation, but feeble discussion.

Investigation of major accidents in the process industries has moved on from identifying technical proximate causes to examining why organisations fail to deliver safety. The courts deal with the first, but have nothing to say about the second.

The HSE bulletin and fact sheet are pretty scanty in detail, don't you think? It advises companies to check their gas pipes. Do you not think, that after a nine-fatality accident, something more than that is required?

John.
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#23 Posted : 03 September 2007 16:42:00(UTC)
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Posted By craig b hartley
hi john

i totally agree with you, about the detail being rather thin, i left a link above of a 165 page document which in my opinion might explain why the HSE is lacking.

could i ask what would the penalties be in Australia for an accident similar to this?

i think that the penalty this company recieved was disgusting and shows that a re-look of coporate manslaughter needs upgrading and thats before it even comes into effect.
craig
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#24 Posted : 03 September 2007 22:28:00(UTC)
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Posted By Pete48
Craig, many thanks for the link to the university report. It provides useful information from another perspective, that of the employee.
Independent? Of the formal investigation, yes of course. But maybe a balancing view might be a better description? Please don't misunderstand me, all views are valid.
Whilst I find some of their final recommendations to be most apposite, I doubt that their research has actually established the grounds for some of them.
I was also a little concerned that they appear to have left the reader to imply technical inadequacy where in fact all they discovered was an apparent failure to follow the law. For example, the building permits. There was nothing in this report or any other that proves a failure in design, just comments that it could have been relevant?

Nonetheless for my personal response to the report, I still think this is a very useful document to have in the public domain.

Does its publication increase the probability of a public inquiry; anyone care to give odds?
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#25 Posted : 04 September 2007 13:53:00(UTC)
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Posted By jom
Craig,

I’m reading the university report. Thanks for the link. That’s an interesting path for the uni experts to take. I hope their involvement proves constructive. Has to better than mainstream media speculation.

The fines were 100,000 pounds per charge. That’s AU$225,000, which is at the high end of the scope available in most Aust. jurisdictions for OHS breaches. I think our record is $250,000 for one charge, in a case where the total was $2 million (900,000 pound). Two fatalities in that case.

John.
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#26 Posted : 04 September 2007 15:51:00(UTC)
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Posted By craig b hartley
pete
unfortunatly in reading the report it seems the people who created it could only do so with the information available.


With the Hse withholding documents i can understand why they had to adopt this approach, Should it now be the case that these documents become available?
In looking at the list of chemicals in this factory, as one worker states in the report how many people did you see coming out the factory with safety equipment on!

Personally what i think this report shows is the failures of not only the management but the HSE inspectorate and the local authority.

my guess 50/50 due to the fact this reports brings into question and criticises the role of the HSE and raises the question
Did the HSE fail in their duty to protect the workers?
How could they have done more?



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#27 Posted : 04 September 2007 16:28:00(UTC)
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Posted By Heather Collins
Independent report? It's interesting but it certainly doesn't fit my interpretation of the word "independent".

As far as I can see the research is more or less based on interviews with 7 employees or former employees of the company none of whom can exactly be said to have an independent point of view! (Understandably so)

From reading it, it seems obvious that there were many problems at the factory. However you are not going to get a balanced picture in this way. I note also that one of the Directors who came in for some fairly severe criticism in this report died in the disaster and so has no right of reply.

Try reading some of the other "reports" published on the website and then see how "balanced" you think this one is....
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#28 Posted : 04 September 2007 18:47:00(UTC)
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Posted By craig b hartley
heather
it really depends on your definition of independent.

executed or originating outside a given unit, agency, business, etc.; external: an independent inquiry

Eight experts from four universities, stirling,strathclyde,york and liverpool. i agree the report has been limited but this seems to be due to factors outwith there control

"former employees of the company none of whom can exactly be said to have an independent point of view!"

Does this mean that no commissioned report is independent as everyone in life has a point of view?
does this mean the debate on here is not independent?

Is it because it has been published on a union website that makes it less credible.or is it the content casting a shadow over the HSE practices that doesn't meet your approval

http://www.sundayherald....most_damning_verdict.php

pete looks like my 50/50 may be out "First Minister Alex Salmond has this weekend given his backing to a public inquiry "to prevent a recurrence of this tragedy"

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#29 Posted : 05 September 2007 09:25:00(UTC)
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Posted By jom
The Australian government has instituted a public inquiry headed by a former judge, with coercive powers to seize evidence and subpoena witnesses.

Purpose? Inquire into how and why some of our racehorses recently contracted equine flu.

Curious world, isn't it?

John.
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#30 Posted : 06 September 2007 13:20:00(UTC)
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Posted By jom
The uni report is interesting. My understanding of "independent" implies no vested interest. It should also imply factualness and objectivity.

Some material can be questioned. For me, that's okay so long as the questioning does happen. This is better than having no discussion.

John.

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