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Posted By Robert_N
I would like you opinion I have mine.
If a driver of a fork lift type vehicle hit a roller shutter who is more to blame is it the person who opened the roller shutter or the driver.
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Posted By Pete Longworth
Can you give us a bit more detail, because I can't see how someone who opens a door can be blamed when someone else hits it?
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Posted By Sharon
Robert,
was the door open or closed at the time?
I can't see why it would be the person who opened the door.......The FLT driver should be aware of everything around them when they are in operation.
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Posted By Robert_N
Please forgive the lack of detail.
The driver hit a roller shutter which was not lifted to its fullest and it has been mentioned that the driver can not be blamed as the course was the door not being opened fully.
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Posted By Pete Longworth
To me the driver is the one who is ultimately responsible for what he does with the FLT. If he was looking where he was going he must have seen that the door was only partially open
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Posted By Sharon
Yes, in agreement with Pete on this one.
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Posted By A Campbell
I agree somewhat with Peter,
Although I have reservations as to the term... 'blame'
Some individuals have responsibilities regarding their task, position and equipment they operate.
One area to look at is contributory factors, direct & indirect causation etc
mentioning the word ‘blame’ will only inflame bad feeling amongst the workforce as opposed to agreeing what happened (facts) and what can be done to prevent reoccurrence (prevention)
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Posted By Fornhelper
When working in the railways we had a 'driver' (actually an electrician who was permitted to test drive locomotives) who had the same experience....only thing was the roller shutter door was fully closed at the time !!
We certainly never 'blamed' the person who shut the door for that one :-)
No-one hurt...just a very embarrassed electrician and a heavily dented roller shutter door!!!
FH
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Posted By Andy Brazier
I can't really believe this discussion is taking place. Unless it is believed there was some willful act (i.e. driver wanted to damage the FLT/door or person operating door wanted to harm the FLT driver) the discussion must be what were the direct and indirect causes.
If you want to talk about blame, I would blame the person who designed the door which clearly was not suitable for a route being used by an FLT, and the manager who allowed the design, and the senior manager who employed such incompetent designers and managers. Then there is everyone else who must have been in the area and should have seen the door was not fully open, and the people who were distracting the driver etc. etc.
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Posted By Fornhelper
Andy
Maybe the driver was just not paying attention....it happens. There is a low railway bridge close to where I live that gets hit at least twice a year by lorry / bus drivers who fail to see the warning signs. There have been numerous improvements in the signage / warnings over the years but how do you overcome human frailities.
I agree that there are steps that can be taken in the situation described (e.g. door either fully opens or closes when operated) and whilst I don't buy into the blame culture sometimes you sometimes have to accept that human failings cause accidents.
If we replace the word 'blame' with 'root cause' or something similar then maybe we would be having a different debate here.
Incidentally - to tie into another thread that is ongoing - if a H & S adviser had carried out a workplace 'traffic management assessment' in this area would they be 'to blame' if the risk assessment hadn't identified the likelihood of this occurring??
FH
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Posted By Stefan Daunt
If the FLT was travelling in reverse? the driver may have only been thinking about the cab clearing the door and not the mast. It would depend on how far down the door had been lowered, did it just catch the top of the mast or was the door considerably lowered?
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Posted By A Campbell
If the H&S advisor involved the workforce & management in the workplace traffic risk assessment more than likely the issue may be raised at the time.
To conduct one from a desk or on his/her tod would potentially miss aspects that could be foreseen in certain circumstances.
My rule... ALWAYS involve the workforce, observe what they do, what they use and how they do it... as well as environment, people and exclude perceptions wherever possible
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Posted By Andy Brazier
FH
You are absolutely correct. All accidents involve some degree of human failure. However, I would not say inattention is a root cause because no one can ever attend to everything they do all of the time. You can't make people pay attention and so you have to design your system to be used by people not paying attention. The obvious solution to the road bridge is to build it higher. Signs etc. will never be 100% effective.
I am glad to see the discussion is now more sensible. We need to understand human failures so that we can make effective changes. If we blame an individual it does nothing to stop someone else making the same mistake. And you can be sure that your investigations in the future will be seriously compromised by anyone who thinks they may be next in the firing line.
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Posted By Raymond Rapp
Robert
Bit of a 'poisened chalice' this one me thinks. As others have pointed out, the term 'blame' should avoided in accident investigations. I prefer to use the terms immediate cause and underlying cause(s), as they do not infer any blame.
Also, as an ex-train driver I have seen at first hand how 'operator error' is used to cover other management inadequacies and to the detriment of the safety culture. Moreover, if two people caused an accident then they were both responsible to some degree. Accidents are rarely the fault of one person or cause, understanding them is corollary of the exercise.
Interesting thread.
Ray
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Posted By CFT
Robert
Rather than forming an opinion, investigate the circumstances and formulate a result. Just learn from it and make certain all procedures are duly altered to ensure you don't get it again.
There is lots to consider, was the FLT driver new, need glasses, stiff neck, Monday morning Friday afternoon syndrome, trained (I hope so), driving fast, communicating with someone (multi tasking) is the door broken ( I know it is now) I meant was it reported as requiring attention, did someone know, did the caution door wonky sign fall off, did someone forget to put the faulty sign on it,the channels of communication and reporting, the guy who opened it, why only part open,and so on and so forth; once your investigation is complete you will have fully established causation factors and you can then learn from it.
Clearly if you want to pin the label on someone or something, your thorough investigation will tell you why it happened and it may be a myriad of reasons, each playing their part.
It would be nice if you could come back and tell us when you have completed your investigation; you can then forget the opinion and move on.
All the best
CFT
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Posted By Robert_N
I thank you all for the responses and as always you have pointed me in the direction I needed.
I would like to say sorry firstly for my starting the thread in a bad mood which I believe may have come across. Lastly the poor use of words manily "Blame" the story is bigger than I have explained and I got wrapped up in the fact that some poor person was taking the full BLAME.
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Posted By Barry Cooper
Having read all the posts on this one, I agree to some extent on not "blaming" the driver, but he must be held accountable for his actions.
In our company we have had several incidents where FLT drivers have struck doors, electrical panels, etc.
The company's answer was to fit impact posts to protect them, and these are springing up everywhere.
A FLT driver is trained to ensure his mast will clear obstacles, he is trained to be aware of his surroundings etc. etc.
If this is his first incident, then maybe he is given a 1 day refresher training, or his manager details to the driver the cost to the company of his lack of care.
Design of the workplace, is ok, but to what extent do you design out all obstacles to allow for lack of care, neglect etc. particularly in old premises
The drivers must take responsibility for their actions, just like any driver would have to do if he was driving a car, and he caused an accident by not driving with due care and attention. I reckon the police would "blame" him.
Recently a driver caused £3000 worth of damage with a FLT, I suggested a written warning. Someone suggested that incidents would not be reported if drivers knew they would be disciplined.
My answer - If a driver failed to report an accident and he was found to be responsible he would be dismissed.
They let the guy off.
Barry
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Posted By Steve Cartwright
This reminds me a bit like a program I used to watch that Jasper Carrot used to present. I though it was Friday when I first read it.
I was driving my forklift and this door appeared from nowhere and I hit it with my mast.
Come on. You can pussy foot around all you like but at the end of the day the guy on the truck was in control of it or not as it would appear.
Its a bit like saying I only drove into the back of you because you stopped.
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Posted By Robert_N
I must add that the door was opened sometime before and not for the passage of any vehicles.
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Posted By Barry Cooper
How about "The door came down and hit my truck"
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Posted By John Richards
As someone who has been trained to operate a lift truck; sideloading, reach and counterweight, I can state that the trainers all told me (many times) to check the fork mast was lower than any obstacles in my way. A door seems to be an obstacle.
As for: "My answer - If a driver failed to report an accident and he was found to be responsible he would be dismissed"
You need to read:http://www.acas.org.uk/index.aspx?articleid=820
I do hope you let HR do the discipline, otherwise it will cost you. If he continues to deny involvement you will need witnesses. Never easy to find in a work environment.
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Posted By Andy Brazier
HSG48
First published 1989
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Posted By A Campbell
If it's written in your polict, have a procedure, have a risk assessment... all read and understood by the employees... then they are responsible, with responsibility comes accountability... hence when necesary disciplined.
Being held accountable for actions is not exactly blaming?
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Posted By John Richards
The days are LONG gone when you can tell someone it is their fault, and there's the door...."you're sacked"
You may need to include, in a contract, that driving into a door constitutes gross misconduct.
Even then, the odds are that an employment court will conclude the dismissal was unfair.
Bang goes another few thousand, or more, and costs.
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Posted By Raymond Rapp
The purpose of conducting an accident investigation is to establish the immediate and underlying causal factors and ensure that corrective actions are implemented to prevet recurrence - period.
If there is a need to bring about behavioural change through disciplinary measures then so be it. However, this is not the primary goal of an accident investigation. All to often discipline is used as a first resort without properly identifying the causes.
As I have said before, health and safety practitioners should not be both judge and jury, discipline is a management issue.
Ray
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Posted By Barry Cooper
Yes Ray, but much more fun sacking em!
Barry
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Posted By Barry Cooper
Seriously though, I appreciate it is not our role to minister discipline, and it should be the last resort, but there is only so much we can do to make the workplace safe.
At the end of the day, it comes down to employees taking responsible for their actions, and being held accountable.
As a previous post has stated, a FLT driver is trained to keep his mast at a height that is clear of obstacles. If he doesn't and hits something then he should accept the consequences.
Barry
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Posted By Richard Altoft
See Regulation 13 of MHSW Regs 1999. An employer must be sure workers can carry out tasks entrusted to them without creating danger to selves or others. Any FLT driver with a tendency to hit doors should be taken off his FLT, retrained or reassigned to something less risky such as a brush and shovel.
This is in essence the difference between competence and capability.
Not a blaming thing just a managing risk as employers are required to do, morally, legally and economically thing.
R
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Posted By Raymond Rapp
Indeed Barry, a train driver is trained not to pass a signal at danger, but they do for many reasons. However, it is much easier, and cheaper, to blame the driver than to investigate whether the infrastructure associated with the signal was a contributory factor. Paddington and signal 109 springs to mind.
Ray
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Posted By Tabs
Pressumably there is no reference mark for people to open the door to ... a minimum height that a travelling FLT can pass under safely?
I know that once loads are added this might vary, but the FLT driver would be specifically aware of this variation.
Going through a door hundreds of times per year becomes almost automatic. As he approached, was there clear visual clues that he would hit? You don't say by how much the door was too low.
It is easy to blame, but not much more difficult to have prevented it.
I can't believe that there were not any near-misses that could have given a clue.
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Posted By TBC
In my opinion there needs to be a procedure here. 1. All roller shutter doors should be either fully open or fully closed (normal practice in an area where operating FLTs). 2. Everyone must practice this procedure regardless.
So who is to 'blame'
- without a procedure the driver.
- with a procedure the driver and the person who didn't open the door fully.
Place a sign near the operating controls of the door to remind employees of the rule.
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Posted By John Richards
I consider the paddington event to be a bad analogy. Warnings about that signal were frequent and many.
As for the flt V door event: I don't see any hope of instant dismissal being either just or reasonable. You would need to suspend the driver (on full pay) while an investigation was carried-out. You would need to consider the reasons/excuses given for the accident,by the driver and probably the person who closed the door (if he/she can be found). You may even need to consider whether the door was closed deliberately by another person so as to cause the accident (a door being closed partially is not the norm). I've known many problems caused by people trying to cause trouble for others, and usually succeeding. If a person is in a union then he/she will have excellent legal representation to help them, and just because your company may be non-union does not mean that individuals are not in a union. You should also note, in the event of an employment court being invoked, that a third party (usually acas) will be required to seek a compromise between the parties involved. If someone is "shown the door" after an event they are about 90% sure to be awarded some compensation. Management idiocy has swollen many a solicitors coffers, and they do not seem to be getting any brighter.
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Posted By Gordon P
Just a small point, has the FLT operator expressed his concerns about the safety of the door in the past?
Eliminate
Substitute
Engineer Controls
Administrative Controls
Personal Controls.
Has the Management AFARP put all necessary controls in place. Can the door have been Eliminated or Substituted? Engineering controls (Automatic doors, Barriers e.t.c.)
Admin controls (Information, Instruction, Training and Supervision)
Only after all of this can the operators actions be (If i dare to use the word) blamed.
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Posted By TBC
On further reflection - This is a lesson learn't and shouldn't really happen again. I think a verbal warning would suffice, he certainly won't do it again and others will take more notice.
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Posted By Merv Newman
Sorry people, but I have not taken the time to read your various to-and-fro postings. As soon as the word "blame" came up I went a bit radical.
My opinion is that the only person to blame is the managing director, who should pay for the new door out of his production bonus.
Discuss.
Merv.
And it's just wednesday. It can only get better. And the radicals are rising.
I believe I am going to have to weed around the carrots again. Or watch countdown.
Is this existentionalism or just the usual dialectical materialism ? (thinks : must remember to send that bill to last week's client)
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Posted By Garry Homer
I have worked for a company with a 'no blame' culture and a 'get it right first time' ethos.
These were ideals that were not believed by the staff as the managers' first response was, 'who the hell was supposed to be in charge of this fiasco!' before they found out anything about the incident.
As the senior engineer, I once had a grilling and told I must have done something wrong even though I told them I was not on site at the time. I was under the threat of being suspended from duties for lying while they wasted their time checking everything I had been testing that had nothing to do with the incident under investigation. Two days later, an operator at another company finally admitted he had made a mistake and remotely operated the equipment on my site.
I am glad I had left the site to visit the local supermarket during my lunch-break as I was beginning to believe what I was being accused of. The fact that I was off site was supported by other staff on the site but ignored by management who thought they were just covering for me.
Even though this has been my experience, I believe someone is always at fault and it is just a case of finding the right person. There may be contributing factors but ultimately it is a person who either commits the act or fails to carry out an action to prevent the event.
My spin on this incident was. It was the responsibility of the other remote company to have procedures in place that physically prevented their staff from being able to operate equipment in one half of a site while work was being carried out on the other half. My side of the site being already locked out and labelled. All that was required was a lock and notice to be applied on a panel where every control was identical to its neighbour, to cause the operator to re-check what he was about to do. Their solution was to suspend their chap and re-train him because he had made this mistake before on the same panels and was under caution. Hence his reluctance to step forward and admit his error immediately. He too worked for a 'No Blame' company. His manager was not going to step forward and say, 'well, perhaps if we had a process whereby ..... then it could not happen' as this would also expose his behind for a kicking.
When procedures are developed at a very high level in a big organisation and by luck or good judgement these have been apparently adequate for years, it is extremely difficult to get them changed.
The world has turned a few times since then. I wonder if labels and locks are now used or will the incident be repeated, as it must some day?
Garry
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Posted By A Campbell
Tend to look at the word 'blame' generally has a stigma attached to it... can be miscontrued as is generally seen in newspapers.
It is obvious that some people are given responsibility and have always advocated that with that you inherit accountability for your actions/inactions... is this the same as blamining an individual... partial, full ?
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Posted By Merv Newman
Garry,
No, no, no but also yes, yes, yes.
Local managment, and I mean that quite sincerely, are 100% responsible for safety at their locality.
Risk assessments, Safety plans, whatever. it is the "owner" of the site where the work happens who is responsible.
Might be a £100/weeker, might be a director at £100,OOO/year. Personaly (merv still being radical this afternoon) I would go for the top (sorry, no asterisks allowed)
Until we get really serious personal fines/prison sentences (your house, your cars, your daughter's horse ...) then there ain't nothing going to happen.
Merv
OK, let me get reallyreally radical.
"Mister Diretor, someone has just died in your factory. So your life is forfeit. Your house, your cars, your horses, your garden. Your liberty. All gone"
Am I being too radical ?
Merv
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Posted By John A Wright
If there are no procedures in place about the opening/closing of the shutter/roller doors (full open) then that is the root cause of this incident.
I think I'm right to guess that the door in question had an 'up' button that had to be HELD IN till the door was raised. ??
If so, corrective action: install doors that have just 'up' and 'down' buttons which with one quick PRESS (don't need to hold it) will ALWAYS roll the door to the top, fully open, and always lower the door to the ground.
John
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Posted By Steve Cartwright
Agree with Merv that Directors are responsible for H&S.
However employees do have to take responsibility for their actions (section 7) but this will depend on each individual incident.
With regards to this one and based on the info provided I would say that the FLT Driver was at fault. This is based on my 20 years experience of driving FLT's.
One of the things that was drummed into us was always ensure that the route is clear and always be aware of overhead obstructions.
It can be very hard to legislate for stupidity.
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