Rank: New forum user
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We're looking at options for improving near-miss reporting and have come across a T-card system.
Does anyone have any good/bad experiences of using this type of system that they can share?
Regards
Geoff
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Rank: Super forum user
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It's a difficult one - people don't like reporting near misses. Our latest escapade into this particular venture is to issue everyone with a hazard report booklet. It's pocket book size with tear out leafs and any time anyone identifies a hazard (or near miss) they fill it in and give it either to their manager or myself for action. The reverse of the sheet must be filled in with action taken by the manager or whoever.
It's been the most successful yet. I keep a card index box and then file the tear off sheets by subject once the action is completed so we have a record and can investigate easily if we get a recurrence.
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Rank: New forum user
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Hilary. It will add value to get everyone onboard with some correct language and understanding of what actual event (near-miss) happened - OR - what hazard (unsafe action or unsafe condition) was observed.
The two situations:- an 'event happened' OR an 'observation was made' are utterly and completely different.
I don't believe any organisation wants its people to have accidents:- unplanned, uncontrolled events that cause harm - OR - have the potential to. When my MD states clearly & publicly to the workforce in a safety conference "he wants lots of near-miss reports", what he's asking for is people to have lots of accidents! The sentiment is right, the terminology is wrong.
Conversely, I do believe organisations want and need from their people is:- observe - intervene - correct - report. Expert hazard spotters. Expert hazard stoppers. Expert hazard interveners. Expert hazard reporters. Expert engagers with others.
Fact:- year 1 - 1265 people - 104 lost time & RIDDOR events - 3 hazard reports - Lost £0.45m Fact:- year 10 - 4000 people - 1 lost time injury - 15,000 hazard reports - Profit £12.4m Construction Industry with peripatetic and outdoor workers, often working solo or pairs out on 100's different sites day-in / day-out.
Get the language and meaning right, are you actually talking about accidents (a near-miss event) or hazards? create a positive competetive culture, commend (never patronise) any meaningful interventions to correct hazards = unsafe actions and/or unsafe conditions.
I hope this helps.
Vince
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Rank: Super forum user
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Thanks Vince but it wasn't my question. I don't use the term "near miss" because if you nearly missed him then by definition you actually hit him, I prefer "near hit" which is a miss.
I regard a hazard and a near hit as being fairly well identical, the difference being the number of steps it takes to get from one to the other. If someone has observed a hazard and it goes unchecked then it could easily become a near hit - so, if you like, it is one step out from a near hit which is one step out from an actual accident. If we look at the studies by Heinrich and Bird and Loftus they tell us that we should focus our efforts on the base of the accident triangle which are our hazards, correct those and you will avoid the near hits, the minor accidents, major accidents and ultimately the fatalities.
So, should we be looking at near hits which is working reactively or should we be identifying hazards before they get to this stage which is working proactively - fence or ambulance?
Personally I favour the fence approach.
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Rank: Super forum user
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Hilary,
I concur with just about everything you say, clearly we have had some similar experiences.
fence or ambulance Do you think this might date you ;-) I wonder how many people got it?
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Rank: Super forum user
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hilary, I once had the near-hit / near miss discussion with some US colleagues.
Afterwards I concluded that in the UK I would still have to use the term 'near-miss' because it's understood - any attempt to use the term 'near-hit' would lead to the silly discussion that I'd had already, when what I really wanted to talk about is what happened :0)
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Rank: Super forum user
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Near miss - near hit --- semantics.
Call it whatever suits you. It's what you do about it that matters. The best thing you can do to improve near miss reporting / investigation / close out is give meaningful feedback every time.
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Rank: Super forum user
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hilary wrote:Thanks Vince but it wasn't my question. I don't use the term "near miss" because if you nearly missed him then by definition you actually hit him, I prefer "near hit" which is a miss.
"Near" and "nearly" are not synonyms. They never have been synonyms, and there is no indication that they ever will be synonyms. A 'near miss' is not a 'nearly miss', and no-one calls them a 'nearly miss', because the words 'near' and 'nearly' have different meanings. 'Nearly miss' is not the term in use. Refusing to use a well-recognised terminology because if it was actually different words then that might confuse someone makes no sense to me.
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Rank: Super forum user
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Agree with PL53 - semantics
A near anything is an accident sequence but without the loss......simples :)
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Rank: Super forum user
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We use Near Miss reporting on T card system in combination with HSE observation Card, in my opinion totally depend to organization safety culture , doesn't mater how much you made you T card simple for reporting
SHV
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Rank: Super forum user
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Just to throw my hat into the mix (because it Friday) we classify someone failing to follow a SSOW or a safe process as a near miss.....
Anyhoo we have a carbon copied hazard / near miss book's - person identifying the problem completes the first part and hands it to a manager (leaving the carbon copy in the book for audit trails), second part is completed by the manager (actions to be taken etc) and final part is completed by me to confirm that the action has been taken and is satisfactory. Works quite well :) and by well I mean that employees report hazards and never report near misses!
Then you have the problem as to when a near miss becomes a hazard...'wow I nearly tripped over that hose running across the floor'...
Oh look the sun is shining :)
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Rank: Super forum user
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Mr.Flibble wrote:Just to throw my hat into the mix (because it Friday) we classify someone failing to follow a SSOW or a safe process as a near miss.....
Anyhoo we have a carbon copied hazard / near miss book's - person identifying the problem completes the first part and hands it to a manager (leaving the carbon copy in the book for audit trails), second part is completed by the manager (actions to be taken etc) and final part is completed by me to confirm that the action has been taken and is satisfactory. Works quite well :) and by well I mean that employees report hazards and never report near misses!
Then you have the problem as to when a near miss becomes a hazard...'wow I nearly tripped over that hose running across the floor'...
Oh look the sun is shining :) Failing to follow a SSOW or procedure is an unsafe not a near miss surely?
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Rank: Super forum user
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..unsafe act I meant to say.
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Rank: Super forum user
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Mr.Flibble wrote: Just to throw my hat into the mix (because it Friday) we classify someone failing to follow a SSOW or a safe process as a near miss..... Quote:Like, not wearing his safety eyewear while drilling. Near miss? Mr.Flibble wrote:Oh look the sun is shining :) :o)) Well, recently I spoke with someone who attributed his popular near-miss reporting system for the dramatic reduction in accident rate. Yes that is a common conclusion for many businesses. But hang on, they recorded 1400 near misses in 12 months, that's about 25 near misses every working week! And 20% were someone failing to follow a SSOW or a safe process, so 5 'bad' near misses every week. Does that add up to a good safety culture? I think they have 1600 staff so maybe the numbers are not so bad?
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Rank: Super forum user
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Mr.Flibble wrote: Just to throw my hat into the mix (because it Friday) we classify someone failing to follow a SSOW or a safe process as a near miss..... Like, not wearing his safety eyewear while drilling. Near miss? Mr.Flibble wrote:Oh look the sun is shining :) :o)) Well, recently I spoke with someone who attributed his popular near-miss reporting system for the dramatic reduction in accident rate. Yes that is a common conclusion for many businesses. But hang on, they recorded 1400 near misses in 12 months, that's about 25 near misses every working week! And 20% were someone failing to follow a SSOW or a safe process, so 5 'bad' near misses every week. Does that add up to a good safety culture? I think they have 1600 staff so maybe the numbers are not so bad?
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Rank: Super forum user
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Reporting Near Misses is one issue , follow-up and implementation of corrective actions is another issue...If they report and subsequently do the corrective actions...yes they are improving and is indication of positive safety culture in organization..
Usually in any incident (including Near Miss), there are combination of causes and just not following SSOW could not be contributory factor for Near Miss
SHV
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Rank: Forum user
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Mr.Flibble wrote:Just to throw my hat into the mix (because it Friday) we classify someone failing to follow a SSOW or a safe process as a near miss.....
Anyhoo we have a carbon copied hazard / near miss book's - person identifying the problem completes the first part and hands it to a manager (leaving the carbon copy in the book for audit trails), second part is completed by the manager (actions to be taken etc) and final part is completed by me to confirm that the action has been taken and is satisfactory. Works quite well :) and by well I mean that employees report hazards and never report near misses!
Then you have the problem as to when a near miss becomes a haUzard...'wow I nearly tripped over that hose running across the floor'...
Oh look the sun is shining :) We use the company intranet system as a reporting tool, and we are fortunate to be able to do so but for the record if someone fails to follow the prescribed SSoW, regardless of whether an incident or near hit occurs, it's a violation. Unfortunately it's usually after the violation has occurred that its effects become known and reports get raised. Whatever reporting mechanism you adopt, the aim is to identify root cause and educate all to make things safer in the future.
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Rank: Forum user
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Achieve it through internal audit and safety tours
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Rank: Super forum user
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That is why we use our own definitions internally:-
Potential Hazard: Definition=A hazard is identified.e.g. a trailing cable
Near Miss: Definition=An event without loss or injury i.e. an "event" has occurred, but nobody has been injured and no equipment has been damaged. e.g.someone actually trips on a trailing cable, but no injury or damage to equipment
Incident: Definition=An event with a loss, but no injury i.e. 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. e.g.Someone trips on a trailing cable, no injury but damage to equipment
Injury Accident: An event with injury i.e. someone has been hurt.e.g.Someone trips on the cable and is injured
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Rank: Forum user
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I think the point of the post is being lost in all this discussion on definitions, interpretations etc.
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