Rank:: Super forum user
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Hi all
An engineer climbs to the top step of the ladder (the very top point). the client has stated that this is a near miss event. There was a risk assessment/method statement in place, training on working at height/step ladders etc... The engineer deviated from safe working practices. The engineer did not slip, topple, unbalance, fall etc
What is the opinion my fellow safety professionals on this, near miss or not near miss?
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Rank: Super forum user
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Definitely a near miss (unsafe act). Worth reporting, investigating and getting to the bottom of.
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safetyamateur wrote:Definitely a near miss (unsafe act). Worth reporting, investigating and getting to the bottom of.
I agree - In my industry the person ( I doubt he is really an engineer!) would be looking at dismissal, certainly he would be immediately banned for the site.
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It's an unsafe act, which is also a 'near miss' because no injury occurred but could have if he had fallen or the ladder had toppled over.
Suggest you find out why he needed to access the top of the ladder before launching into any disciplinary matters. A basic briefing on safe use of ladders/step ladders is probably all that is needed.
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jarsmith83 wrote:.........There was a risk assessment/method statement in place, training on working at height/step ladders etc... The engineer deviated from safe working practices.
An opportunity here to review the documents and training and compare and contrast with the people actually doing the work. The paperwork may describe a "safe working practice", but is this achievable on-task with the resources provided?
And just to be clear - standing on the top rung of a ladder is inexcusable and worthy of disciplinary action.
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Classic example of why "near miss" is such a poor term. I have a client that calls them "safety learning opportunities". Use that term instead and it instantly becomes clear that this most definitely is!
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Just as RayRapp has advised at #4, it's imperative to have a discussion as soon as possible with the engineer to find out why he/she chose or had to stand on top of the ladder. This should help to ascertain whether the person simply opted to work unsafely or was having to take a significant risk in order to get a task done, perhaps under pressure from management and/or without ready recourse to a higher stepladder or alternative safer means of access. Also, having a face to face discussion with the person will also reveal if the person was short in stature and thus at a disadvantage compared to others of standard height. Also, before considering disciplinary action, do check what training the person had and whether it was understood. Also, find out what whether or not any other employees doing transient work at height take similar risks and why. It's just possible that they've asked their supervisors/managers for better higher stepladders but had no success. If so, one possible reason is that line management perceived the extra cost of getting more equipment to outweigh the risk posed by occcasional and very transient work at height.
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Whether it a near miss or not, to me the important bit is; Why was he using a ladder that was too short? Sort out the safe system of work and provision of equipment that is suitable for the task, not the book answer to a definition.
Enjoy the sunshine,
Jim
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Rank: Super forum user
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Discipline offence as the man went agains direct orders.
Call it what you like but he will do it again if not disciplined.
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Rank:: Super forum user
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walker wrote:safetyamateur wrote:Definitely a near miss (unsafe act). Worth reporting, investigating and getting to the bottom of.
I agree - In my industry the person ( I doubt he is really an engineer!) would be looking at dismissal, certainly he would be immediately banned for the site.
Why do you think he is not an engineer? Strange comment to make.
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Thank you everyone for your contribution to this thread. I am very happy with the response as I was of the very same opinion but my manager just required further convincing. The thread has done just the trick! :-)
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walker wrote:safetyamateur wrote:Definitely a near miss (unsafe act). Worth reporting, investigating and getting to the bottom of.
I agree - In my industry the person ( I doubt he is really an engineer!) would be looking at dismissal, certainly he would be immediately banned for the site.
Are you suggesting that he can't be an engineer because engineers would not act in this?
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Sorry to put a spoke in the wheel this is NOT reportable.
Dangerous occurrences are certain listed near-miss events. Not every near-miss event must be reported. Here is a list of those that are reportable:
collapse, overturning or failure of load-bearing parts of lifts and lifting equipment;
explosion, collapse or bursting of any closed vessel or associated pipe work;
failure of any freight container in any of its load-bearing parts;
plant or equipment coming into contact with overhead power lines;
electrical short circuit or overload causing fire or explosion;
any unintentional explosion, misfire, failure of demolition to cause the intended collapse, projection of material beyond a site boundary, injury caused by an explosion;
accidental release of a biological agent likely to cause severe human illness;
failure of industrial radiography or irradiation equipment to de-energise or return to its safe position after the intended exposure period;
malfunction of breathing apparatus while in use or during testing immediately before use;
failure or endangering of diving equipment, the trapping of a diver, an explosion near a diver, or an uncontrolled ascent;
collapse or partial collapse of a scaffold over five metres high, or erected near water where there could be a risk of drowning after a fall;
unintended collision of a train with any vehicle;
dangerous occurrence at a well (other than a water well);
dangerous occurrence at a pipeline;
failure of any load-bearing fairground equipment, or derailment or unintended collision of cars or trains;
a road tanker carrying a dangerous substance overturns, suffers serious damage, catches fire or the substance is released;
a dangerous substance being conveyed by road is involved in a fire or released.
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The One wrote:Sorry to put a spoke in the wheel this is NOT reportable.
I don't think anyone has claimed it is RIDDOR reportable.
Your list isn't an accurate list of what is RIDDOR reportable anyway.
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Disciplinary action is wholly inappropriate unless proper investigation of the actual circumstances and related background such as training and perhaps actual practice (as opposed to what managers and/or safety professionals, etc., think happens or should happen) has been carried out and identifies that the person involved has chosen to work unsafely without good reason.
Pursuing disciplinary action without clear justification is blatantly unfair and furthermore is liable to bring safety into disrepute. Bad news travels faster than good news!
During my time with HSE I visited a paper mill to investigate a significant scalding accident to an employee at its water treatment plant. The employer had carried out what seemed to be a cursory investigation based mainly on information from witnesses and the employee's supervisor. However, nobody had really bothered to talk to the employee who was being blamed for doing a stupid act which resulted in his injury. After taking photos and making some sketches I went to visit the injured employee (still recovering either in hospital or at home) and learned that the plant had been modified along with his working arrangements some weeks or months before the accident occurred. As a result he found he was expected to be in two or more different places at the same time and could no longer do his job properly. I think he also raised this aspect with his supervisor but sadly to no avail. My investigations found that the injured employee had been wrongly blamed when in fact the systems of work were at fault alongside failure to heed "feedback" from the employee. I can't readily recall whether my investigation led me to serve an enforcement notice and/or pursue prosecution, but do remember feeling considerable satisfaction from having unearthed the true circumstances behind the accident.
As regards the person on the ladder - and likewise for similar scenarios - don't get bogged down with definitions, but do investigate the situation and the wider circumstances and then use the findings as an opportunity, if appropriate, to make practical changes to equipment, systems of work and/or training!
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The One wrote: Post 2 states worth reporting!!
Interesting how different people interpret the same words. #2 to me meant reporting within the Company system as a near miss, NOT reporting as a RIDDOR incident, which it clearly was not.
English is a wonderful language!!
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I cannot believe how many practitioners wish to resort to disciplinary action before the matter is properly investigated. Health and safety must be detached from disciplinary matters for many good reasons. It is not out of the question, but must be the last resort - think of it like PPE.
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colinreeves wrote:The One wrote: Post 2 states worth reporting!!
Interesting how different people interpret the same words. #2 to me meant reporting within the Company system as a near miss, NOT reporting as a RIDDOR incident, which it clearly was not.
English is a wonderful language!!
Yes and often threads take totally different directions to the original questions. Great input but the thread was just 'near miss or not'. Contributors to threads should take into consideration that questions are usually asked with minimal information or in such a way as to draw answers.
Also, I can totally understand the disciplinary comments and would always look at employees first then management contributions (supervisor, then managers).
Thank you all for your contribution to this thread. I copied and pasted the comments tot my manager and now he has stated "wow that has opened my eyes" i.e. he now understands what the hell I have been going on about.
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Of course one might ask the question why the engineeer was given too short a pair of steps. Supervisory / management in need of discipline???
Bob
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quote=boblewis]Of course one might ask the question why the engineer was given too short a pair of steps. Supervisory / management in need of discipline???
Bob
That reminds me of that Claims advert that used to be on tv where a guy is doing some work to the out side of the building and slips because 'he was given the wrong type of steps'
People have obviously lost the ability to think for themselves! mmm I need to work at height and the steps provided are to short, shall I go back and tell my Manager, shall I use my own brains and get a set more suitable. No I shall just use them anyway and blame everyone else If I fall off!
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Engineers are peripatetic so would be difficult to supervise constantly. Think BT or Cable engineers.
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Mr.Flibble wrote:
People have obviously lost the ability to think for themselves! mmm I need to work at height and the steps provided are to short, shall I go back and tell my Manager, shall I use my own brains and get a set more suitable. No I shall just use them anyway and blame everyone else If I fall off!
How do you know this is the case?!!!
For all we know engineer could have phoned manager and explained the issue, manager could then have said "tough get on with it". For all we know the provision of ladders could been an entrenched issue for many years and people fall off them all the time etc. etc. What we actually know is not much, because this is a forum not an internal investigation panel meeting.
Yes the engineer is at least partially at fault, but without more details the natue and extend of that fault remains a mystery.
Quite how you can make the assumption that the engineer was totally at fault is beyond me.
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jarsmith83 wrote:[Why do you think he is not an engineer? Strange comment to make.
Some of us from the "proper" engineering profession and who were around at the time of the Finniston Report (and beyond) still rail against the general abuse of the term "engineer" in the UK, often applied to others who might more properly called technicians, fitters, etc.
See also link below for an expression of the obvious disparity (and thus lesser status, salary etc.) between the engineering PROFESSION here and in other Countries.
http://www.engc.org.uk/e...neering%20Profession.pdf
The acceptance of this disparity caused (and continues to contribute to) a significant loss of leading-edge technology and investment in the UK - the "brain drain" if you will.
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I was resonding to the evidence as submitted - risk assessment says don't stand on the top of the ladder - employee stands on top of the ladder.
Not rocket science to see the misconduct there ?
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Some of your best people will make your worst mistakes. The trick is to learn from it, correct it and move on.
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RayRapp wrote:I cannot believe how many practitioners wish to resort to disciplinary action before the matter is properly investigated. Health and safety must be detached from disciplinary matters for many good reasons. It is not out of the question, but must be the last resort - think of it like PPE.
Exactly! Whilst carrying out an OHSAS inspection a few years ago on a construction site, I observed a simililar 'unsafe act' and reported it to the host. The guy (a contractor) was 'sacked' on the spot and told to leave the site. I was young (ish) and inexperienced at the time, however went home feeling sick. Now I would raise a major NCR against management for being crap...if only...
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Getting people sacked because they displease the practitioners on this forum seems to be a growing trend
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I take it that we are satisfied that there was no suitable handhold to give the equivalent of the top rungs of the ladder for a temporary circumstance. A secured ladder and suitable handholds above the top rung may allow sufficient safety where temporary access is required, eg, grain silos. The wearing of a harness may well be a further requirement but someone has to first get to the anchor point!
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Good point by farmsafety at #29. The person standing on top of the stepladder may have been doing just a fleeting visual inspection of something and been able to use suitable parts of adjacent plant/equipment to provide him/herself with adquate stability/safety while standing on top of the stepladder. Thus, in addition to talking to the person involved, it's very desirable, if feasible, to have a look at the location involved if this hasn't already occurred.
On a wider note, forum users need to recognise and remember the considerable limitations of this forum and avoid pontificating on scenarios which can only be described by typed words, often very briefly, and without the benefit of photos and diagrams, etc.
p.s. If pontificating can only be done by pontiffs, can anyone suggest an alternative suitable word?!! :-)
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John J wrote:Getting people sacked because they displease the practitioners on this forum seems to be a growing trend
If this is aimed at my post I was just stating a fact.
Because the word "site" was mentioned people maybe assume construction but I was actually talking about high hazard sites.
Many high hazard industries have a zero tolerance to procedural breaches, which if you live down wind you should be very grateful for.
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ron hunter wrote:jarsmith83 wrote:[Why do you think he is not an engineer? Strange comment to make.
Some of us from the "proper" engineering profession and who were around at the time of the Finniston Report (and beyond) still rail against the general abuse of the term "engineer" in the UK, often applied to others who might more properly called technicians, fitters, etc.
See also link below for an expression of the obvious disparity (and thus lesser status, salary etc.) between the engineering PROFESSION here and in other Countries.
http://www.engc.org.uk/e...neering%20Profession.pdf
The acceptance of this disparity caused (and continues to contribute to) a significant loss of leading-edge technology and investment in the UK - the "brain drain" if you will.
Thanks Ron, nice to see someone on my wavelength
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have to agree with John J, it does appear that more and more it is about getting the person sacked. Why does it come down to supervision? You can refuse to do the job on H&S grounds if you feel, that you will be put at risk i.e. given the incorrect equipment to complete the task.
Even using suitable parts of other equipment to stable yourself is not acceptable for standing on the top of the step ladder.
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walker wrote:ron hunter wrote:jarsmith83 wrote:[Why do you think he is not an engineer? Strange comment to make.
Some of us from the "proper" engineering profession and who were around at the time of the Finniston Report (and beyond) still rail against the general abuse of the term "engineer" in the UK, often applied to others who might more properly called technicians, fitters, etc.
See also link below for an expression of the obvious disparity (and thus lesser status, salary etc.) between the engineering PROFESSION here and in other Countries.
http://www.engc.org.uk/e...neering%20Profession.pdf
So is an electrical engineer not an engineer? The qualification is electrical engineering! HNC is not a bad qualification for an 'engineer'.
The acceptance of this disparity caused (and continues to contribute to) a significant loss of leading-edge technology and investment in the UK - the "brain drain" if you will.
Thanks Ron, nice to see someone on my wavelength
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walker wrote:John J wrote:Getting people sacked because they displease the practitioners on this forum seems to be a growing trend
If this is aimed at my post I was just stating a fact.
Because the word "site" was mentioned people maybe assume construction but I was actually talking about high hazard sites.
Many high hazard industries have a zero tolerance to procedural breaches, which if you live down wind you should be very grateful for.
I wasn't particularly referring to your post, but the trend in general.
The 'High Hazard' sites you refer to will investigate the breach fully before dismissing anybody. Many will have a 'No blame' or 'Just' culture which will allow employees to be open about the incident while understanding that there are consequences.
To suggest that an individual is sacked simply based on an incident such as this, and with no investigation completed, will simply drive everything underground and the first you know about it is when something big happens.
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jarsmith83 wrote:Hi all
An engineer climbs to the top step of the ladder (the very top point). the client has stated that this is a near miss event. There was a risk assessment/method statement in place, training on working at height/step ladders etc... The engineer deviated from safe working practices. The engineer did not slip, topple, unbalance, fall etc
What is the opinion my fellow safety professionals on this, near miss or not near miss?
My opinion is based on the basic information and I am not assuming anything!.
In our internal reporting systems, this would be classified as a "potential hazard" based on our own internal definitions copied below:-
Potential Hazard: A hazard is identified.
Near- Miss: There has been an "event" but nobody has been injured and no equipment has been damaged.
Incident: An event has occurred and there has been damage to equipment or a spill has gone beyond the point at which the material can be recovered.
Accident: An event has occurred and someone has been hurt.
Our internal reporting system is based on a "just culture" and its primary aim is to prevent a recurrence.
However, we also have "Life Saving Rules" and a breach of one of those will follow a formal investigation procedure that may be followed by disciplinary process should the nature of the breach and the investigation findings warrant it. The disciplinary action could be against the supervisor and their manager too.
So, you need to have a faily well defined system to have a robust internal classification of "Events". There is no universally agreed definition either.
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The earlier comments about misuse of the term "engineer" in the UK remind me of when I inspected for HSE various parts of a smallish airport. While being shown round a hangar for maintaining light aircraft I asked the manager how many aircraft mechanics he had. His polite reply was something like "none, we're all aircraft engineers...nobody gets to do anything to an aircraft large or small unless they're gone through rigorous training and assessment." As for trainees I think he added that they always worked under the direct supervision of a qualified engineer.
I apologised and thanked the manager for correcting me, and explained that my terminology stemmed from having visited what seemed like countless vehicle repair garages where 'mechanic' seemed to be the ubiquitous term for motor engineers, fitters or anyone else who did physical work on vehicles. My appreciation of aircraft engineering was further reinforced several years later during an organised tour with other members of a local safety group round the maintenance hangars of an RAF base.
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Off course that is near miss, The Engineer did the unsafe act. Which is breach of the safe working procedures(Method statement)That unsafe act should be investigate and analyses the root cause.
If I am not correct please correct me
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Off course that is a near miss, The Engineer did the unsafe act. Which is breach of the safe working procedures(Method statement)That unsafe act should be investigate and analyses the root cause.
If I am not correct please correct me.
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Rank: Forum user
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jarsmith83 wrote:Hi all
An engineer climbs to the top step of the ladder (the very top point). the client has stated that this is a near miss event. There was a risk assessment/method statement in place, training on working at height/step ladders etc... The engineer deviated from safe working practices. The engineer did not slip, topple, unbalance, fall etc
What is the opinion my fellow safety professionals on this, near miss or not near miss?
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