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#1 Posted : 06 September 2007 09:54:00(UTC)
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Posted By Claire C
Dear All,

I work for a construction company and i am attempting to improve our near miss reporting culture. I would like to explain to the operatives what a near miss is and also the importance of reporting near misses.

Does anyone have any suggestion on how to best explain this to the operatives? I would like something simply, yet catchy.

Your suggestions would be greatly appreciated.

Thanks




Claire
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#2 Posted : 06 September 2007 10:03:00(UTC)
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Posted By Jane Blunt
I have described a 'near miss' as a 'phew, I'm glad I wasn't any closer to that!' moment.

I accompany this with a cartoon picture of a knife that has just embedded itself in the ground inches from a bean man's foot.

Jane
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#3 Posted : 06 September 2007 10:33:00(UTC)
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Posted By Glen Coe
I have always said a near miss could have been a hit, except for a few millimetres or a few milliseconds. So these events are fortunately free learning, unless riddor reportable. I also ask them how many times do they think they can repeat the same event before they are injured and therefore what would they change to stop it happening again.

But there are loads of approaches, bird triangle etc.
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#4 Posted : 06 September 2007 14:00:00(UTC)
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Posted By steve e ashton
Claire:

When trying to clarify this in a previous employment, I used to describe a pile of (redundant) loose tiles left on a roof parapet following maintenance.

A windy day - the first thirty tiles fall, landing in the grass, and may be kicked to one side to prevent anyone tripping. This falls within my own 'near miss' definition. It is a clear learning opportunity that will be missed if no-one reports it.

The next tile hits the managers car - minor property damage.

The next tile hits someone's arm as they walk underneath, causing bruising and shock.

The next tile slices through a skull - why didn't we learn from the near miss, the property damage or the minor injuries?

If the next tile has potential to hit the discharge hose from the LPG tanker fuelling the Central Heating system... - how many fatalities?

The example is useful, because all events have the same fundamental or underlying cause(s) - and the reason for encouraging near miss reporting is to learn from them, to take remedial actions that prevent the more serious property damage or injury accidents. It is also useful because you can have as many tiles as you need to fit your own version of the Bird / Heinrich accident triangle.

It's also fairly easy to draw as a cartoon on PowerPoint or OVH slides!


Hope this helps..

Steve
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#5 Posted : 06 September 2007 15:05:00(UTC)
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Posted By alan brotherton
Bird's triangle is a simple model to use and can be explained as "improving things at the bottom lessens the probability of the fatality at the top". Managing accidents at the bottom end is aided greatly by understanding near miss events. I good deffinition is to use for "near miss" is an event in which injury, damage or some loss was averted only by good fortune.
This of course carries with it the follow on message that next time they might not be so lucky!!.

Alan
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#6 Posted : 06 September 2007 18:05:00(UTC)
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Posted By Bob
Simple, catchy and hard-hitting : 'Today's near miss is tomorrow's fatality'
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#7 Posted : 06 September 2007 23:07:00(UTC)
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Posted By Chris Jerman
Sorry Bob, the reason that that doesn't always find favour is that today's near miss might be tomorrow's slight bruise. You have to get people into the mind set that incident reporting is risk assessment in reverse. The reactive and pro active sides of your safety management system. Assessment what do people do, what could go wrong, why, how badly and then how likely versus what were people doing, what did go wrong, why how badly and how likely it is to happen again. The only difference is that assessment works on the virtual injury and investigation works on the actual injury - which might be zero of course. Face it the level of investigation is traditionally driven by the level of actual injury.

To make this work, we have to get away from injury and focus on the event and, just as we do in risk assessment, highlight the reasonably foreseeable worst case injury. This goes for ALL events. The reason that you can't get people to report 'near misses' is that when you examine the content of the accident book, most of the written account is about the injury. Hence accident has become synonymous with injury. Treat every event in line with its RFWCI and seriously show that you investigate 'near misses' that could have been high (on your injury scale) with the same robustness that you would if someone HAD been killed or maimed. Until then, the workforce won't buy in or believe that there's any point to reporting non injury events. Sorry Bob, didn't mean that to come out hostile - merely to point out that not every 'near miss' is actually worth bothering with. If reasonably it could have resulted in a bruise at worst, we should be looking elsewhere.
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#8 Posted : 07 September 2007 07:51:00(UTC)
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Posted By Bob
No offence taken Chris,

Maybe I misread Claire's request - thought she was after a simple, catchy slogan as an attention grabber rather than an in-depth analysis if the topic.
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#9 Posted : 07 September 2007 07:54:00(UTC)
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Posted By Chris Jerman
No you're right Bob. But as usual I can't resist trying to change people's view in relation to the question that they asked in the first place. It's like NEBOSH. They never ask you question that you'd like to have been asked!
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#10 Posted : 07 September 2007 08:13:00(UTC)
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Posted By steven bentham
Claire

I think in a construction environment you can do much better than getting workers to report near misses - it will sound much too much like more paperwork.

An alternative, why not sit down with managers, supervisors, operators and go through accidents that have happened to others.

You will see on HSE's site safety alerts following accidents [such as the digger bucket one] and go discuss topics & accidents that match the work. With the obvious chance to get them to contribute to the learning.

If you want to make a difference on site make you intervention worthwhile and interesting, not adding to the paperwork.

Good luck
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#11 Posted : 07 September 2007 08:19:00(UTC)
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Posted By Bob
I know where you're coming from Chris but I think we need to remember what Claire is trying to achieve here, ie simply to get the workforce to report NMs rather than be able to write a thesis in the subject. In this situation it's usually more effective to keep the message as simple as possible.

(Incidentally, what are you saying about NEBOSH!! This is tantamount to sacrilege, go wash your mouth out!!)
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#12 Posted : 07 September 2007 11:25:00(UTC)
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Posted By Steve B
Claire, I clocked this sometime ago and it stuck in my mind, hope it helps

"Ah, the near miss. I remember her well. She sat alongside me in everything I did, always near and yet so far away. Move towards her and she moves away, move away from her and she gets annoyed and causes an accident".

Regards
Steve
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#13 Posted : 07 September 2007 11:58:00(UTC)
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Posted By Mark H
Claire,

Try the SGB DVD, the cost of accidents. Good descrition of near miss, accidents etc and filmed on a construction site.

Regards
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#14 Posted : 07 September 2007 12:15:00(UTC)
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Posted By Claire C
Dear All,

Thanks for all the responses they are much appreciated.

It seems that the operatives, and their managers, on the sites i cover just do not seem to understand what a near miss is and why they should be reported. Only yesterday i ended up in another heated discussion on this matter. An incident occurred whereby a pallet of concrete blocks collapsed causing the blocks to topple over and spill out on the ground. No injury or damage was caused.

Once it had occurred the foreman arranged for the area to be tidied up; contacted the supplier of the bricks and asked for more suitable pallets to be sent out in future. However afterwards when i approached him and asked him to complete a near miss report he point blank refused. His response was that as soon as he walks out his cabin he could report a near miss i.e. a car drives passed him - thats a near miss; your shoelace is undone - thats a near miss; a man that trips/stumbles on site - thats a near miss! He then stated that he wouldnt be able to leave his site cabin for filling in 'all this a*se covering paperwork'.

Although good at his job and he takes safety seriously, when it comes to near miss reporting, i seem to be struggling in improving the near miss reporting culture. (It should be noted that the foremans attitude is similar to alot of other managers/operatives on site)
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#15 Posted : 07 September 2007 18:28:00(UTC)
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Posted By Chris Jerman
I know Bob. I was quoting an old friend who's a NEBOSH examiner. He always said that he had some fabulous answers - just not to the questions that were set. It was candidates single biggest failing. I did ask him why the questions often appeared to be so ambiguous, he didn't reply!

I appreciate the need for snappy stuff, but I never do anything unless there's a point to it. In this case, i appreciate the thesis but - very true. We have our own bespoke Incident reporting system geared exactly to my reply. It's called IRIS. So we say t our employees, if you have a close shave TELL IRIS. We've tried to make it sound like a person, an agony aunt if you will. Guess what? It's caught on and people are now reporting non injury events. Never found sticking posters up was worth a jot.

Chris
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#16 Posted : 07 September 2007 20:30:00(UTC)
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Posted By John A Wright
Chris, I like the TELL IRIS, but what is the second I ? :o|
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#17 Posted : 07 September 2007 21:09:00(UTC)
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Posted By Pete48
To Steve B , thanks mate, you just made me famous! Pleased my original story stuck in your mind.
Claire, what your description tells you is something different from needing to get people to report near miss events.
They think, and they may be right, that their life is full of near miss events every day, every shift; it goes with the territory. So nagging them to report is really like asking them to write down everything they do! It is more likely to get you out of favour than a near miss report.
I haven't read all of the posts but hopefully someone has made the point about starting at a different place. There will be some that do frighten these guys, talk to them about those, ask them the last one they remember, then accept that if you can get those started you have moved forward. Then keep looking yourself and making reports. Lead by example stuff.
Then as i am sure you know, make sure that something gets done about every one that is reported, even if that is just giving feedback.
Catchy title. How about.

CATCH HER (if you can!) :like near MISS??!!

Claire Asks Tough Construction Hunks
Help Eliminate Risks.

Best I can do after a couple of glasses of Goats do Roam

Best of Luck
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#18 Posted : 10 September 2007 10:34:00(UTC)
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Posted By Chris Jerman
IRIS is Incident Reporting and Investigation System. It is two separate systems in effect. One to gather and one to investigate. The system links to peoples' e-mails and when a particular category of event is logged it mails the right people and the respective heads as well as me so that I can monitor responses or take further action. This way, I'm not the last to know anymore! I must stress that it's people that do the investigation. I'm not a believer in being LED by a computer.
Bot sections are fully search able by location, type, outcome etc etc.


Happy talk through it with anyone on a new thread or one to one if you're interested in the principles
C
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#19 Posted : 10 September 2007 11:29:00(UTC)
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Posted By Sally
Claire

In the scenario you described is it really necessary to report the incident. The supervisor took all the right steps to prevent reoccurence without the need for a paper form and I would much rather be in that position than having the piece of paper but no action taken.

I'm not saying that reporting near misses isn't a good thing to encourage in general.
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#20 Posted : 10 September 2007 16:05:00(UTC)
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Posted By Claire C
Sally,

With respect to your comment - i agree that yes it is more important to take action than it is to fill in the paperwork and this was also the attitude of the Supervisor who said "why should i fill in the paperwork when i had done all that is required of me" He stated that "it is more important to take all the necesarry action than it is to fill in paperwork".

However my reply to this was that it is also just as important to report near misses as it means that you can learn from your mistakes, and although on that particular site the Supervisor contacted the building supplies firm and got replacement pallets, on another site they may still be using the same pallets not knowing of the these type of pallets pose a risk. By reporting the near miss it will be entered into the central reporting system and the knowledge can then be shared to other sites and could prevent an accident from occurring.

The Site Supervisors reaction to this statement was to just shake his head...it ended up that they did not report the near miss, so i done it for them anyway.

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