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meady  
#1 Posted : 21 April 2016 10:27:04(UTC)
Rank: Forum user
meady

Hi, We had an incident the other day where one of our guys pushed over a walkway barrier in order to make room so that a unit could be transported around site. He was acting as a banksman at the time for the tractor driver who was towing the unit into position. The investigation is still being conducted with interviews due to be completed today. As the guy has appeared to have interfered with something that has been provided in the interests of health & safety I believe him to be in breach of Section 8 of HSWA. If this proves to be the case what sanctions can the employer impose on him? Has anyone dealt with similar incident before? Any advice would be great. Thanks
peterL  
#2 Posted : 21 April 2016 11:02:12(UTC)
Rank: Forum user
peterL

Hi, If this was a temporary measure to facilitate access for the tractor and the individual was performing his duties as a banksman effectively throughout the process, surely the temporary removal of the barrier protection was a necessary measure to complete the work task and should not be subject to investigation, as the individual compensated for the removal of the safety measure (barrier) by monitoring the condition / accessibility to that area in the interim period. If, on the otherhand, theindividual involved left the barrier in an unsafe condition following the access arrangement process, then there may be an arguement for investigation / disciplinary, really we need more information. Pete,
meady  
#3 Posted : 21 April 2016 11:16:06(UTC)
Rank: Forum user
meady

Hi Pete, Thanks for that. The barrier is kee-klamp which was bolted to the floor and is in place to protect pedestrians at a road crossing in the yard. From what I have been told so far I believe that the unit being moved had somehow 'got stuck'. The guy then pushed the barrier over to make room for the unit, there were 2 other banksmen assisting with the moving of the unit at the time who apparently did not know the barrier had been pushed over until later on. A maintenance engineer who was called to inspect the barrier afterwards has said that the barrier was left in an unsafe condition and could potentially have fallen. Thanks
chris42  
#4 Posted : 21 April 2016 11:52:54(UTC)
Rank: Super forum user
chris42

Pushed a barrier down that was bolted to the floor ? ( Big S on chest or iron suit in red and gold ?) " From what I have been told so far" so thinking of the punishment before the investigation complete, not sure that is the right way around, take care you are not seen to be prejudging. Who planned this work and put the Banksman in a bad position ? Chris
peterL  
#5 Posted : 21 April 2016 11:53:23(UTC)
Rank: Forum user
peterL

Thanks, now we have the extra info, then I believe the investigation is merited and that its findings will probably recommend for disciplinary action. The level of the action will be determined by the severity of risk the incident created, but I believe in this case that will be limited to misconduct, as it would be difficult to prove that the incident created serious and imminent danger to warrant a gross-misconduct ruling. So probably a warning in this case to remain on file for a period compatible with your disciplinary policy / procedure. Pete,
ExDeeps  
#6 Posted : 21 April 2016 12:52:47(UTC)
Rank: Super forum user
ExDeeps

To me the investigation should be to establish what happened. Once done you can then evaluate if there was a "breach" or whatever. To be perfectly blunt, this smacks of and could be used as a case study in confirmation bias - something happened but not yet entirely sure how, why or whatever, and I think someone needs to be punished so now I will only look for and gather data that confirms my original theory. Just a thought Jim
meady  
#7 Posted : 21 April 2016 12:59:30(UTC)
Rank: Forum user
meady

Hi Chris, I think he must have had his Weetabix in the morning... Just to be clear, I am just overseeing the investigation of this and will not be the decision maker on any action taken. Hopefully after the further statements are gathered today we will be able to determine exactly how the unit has come to be in such a position...time will tell. Pete, I would agree with you that as there was no imminent danger that gross misconduct may be a step too far in this case, unless something else comes up during the witness statements. Knowing the guy personally I also don't think it would have been a malicious act but that is still to be determined. Anyway, thanks for the responses. I will come back with an update later on.
walker  
#8 Posted : 21 April 2016 13:20:40(UTC)
Rank: Super forum user
walker

Why do you feel the need to quote a reg at all? The open minded investigation might conclude unsafe practices and maybe serious ones. However you are not a HSE inspector and the incestigation is not a criminal court.
walker  
#9 Posted : 21 April 2016 13:26:15(UTC)
Rank: Super forum user
walker

investigation
Invictus  
#10 Posted : 21 April 2016 13:34:21(UTC)
Rank: Super forum user
Invictus

If he is found to have moved it then you should take disiplinary action against him in whatever form that maybe or what will he do next this type of behaviour encourages others to follow suit and needs to be stamped out.
Ian Bell2  
#11 Posted : 21 April 2016 13:51:21(UTC)
Rank: Super forum user
Ian Bell2

Whatever happened, I would doubt the understanding of the investigation team. Why quote Section 8 of HASAWA? This is purely a private investigation. Only a Court can decide if there has been a breach of HASAWA. I also think the investigation should be investigated with an open mind. The usual philosophy is to establish how/why the incident occurred, not to decide who is to blame.
Invictus  
#12 Posted : 21 April 2016 13:54:23(UTC)
Rank: Super forum user
Invictus

Ian Bell2 wrote:
Whatever happened, I would doubt the understanding of the investigation team. Why quote Section 8 of HASAWA? This is purely a private investigation. Only a Court can decide if there has been a breach of HASAWA. I also think the investigation should be investigated with an open mind. The usual philosophy is to establish how/why the incident occurred, not to decide who is to blame.
Anyone can decide if there has been a breach of any Act, but only a court can punish you.
MEden380  
#13 Posted : 21 April 2016 14:06:42(UTC)
Rank: Super forum user
MEden380

What I find in this conversation is that there is a need to blame someone for something that was done - fair enough. Who planned the move? A member of the management team perhaps? Was a safe system of work drawn up to move the large item - doesn't look it. Who was responsible ? A manager? Clearly the operation was not adequately supervised. Sounds as though you were lucky no ones safety was put in jeopardy. A lot of assumptions - be careful who you blame. If throwing the proverbial starts it will stick to a lot of people
meady  
#14 Posted : 21 April 2016 14:07:32(UTC)
Rank: Forum user
meady

Hi thanks for the responses. Just to make clear, there is no pre-judgement at all on my part. The investigator has spoken with me this morning on his findings and I was looking in to the possible breaches that may have taken place. As I have said, I am not the decision maker on this and will only put my recommendations in the report. It may turn out to be the case that the guy felt he had to move the barrier as there was an imminent danger, in which case there will be no further actions apart from to review and update the relevant SSW and Risk Assessments. As investigating manager I need to give the decision maker sufficient information to make an informed decision on the incident which is why I quoted the relevant regs. Be sure that I have come to no conclusion yet as to what my recommendations will be. Thanks again for the replies
Ian Bell2  
#15 Posted : 21 April 2016 14:28:20(UTC)
Rank: Super forum user
Ian Bell2

Anyone can decide if there has been a breach of any Act, but only a court can punish you.
Disagree - anybody can have an opinion, but only a Court can formally find someone to be guilty and to punish. As previous, when I undertake incident investigations I follow the spirit of the statement of every report issued by the Air Accident Investigation Branch. The sole objective of the investigation of an accident or incident under these Regulations is the prevention of future accidents and incidents. It is not the purpose of such an investigation to apportion blame or liability. Accordingly, it is inappropriate that AAIB reports should be used to assign fault or blame or determine liability, since neither the investigation nor the reporting process has been undertaken for that purpose. As others have said, is the original poster prepared to pin point all failings in the incident and to proportion blame and punishment to all levels of management who might be deemed to be at fault? Or is just the easy target of the chap involved in the incident going to get punished?
stevedm  
#16 Posted : 21 April 2016 15:20:25(UTC)
Rank: Super forum user
stevedm

Sort of with Ian on this one...this was not from the account a deliberate act so banging the guy on the heed with a bit of legislation won't help..he did what he had to do in the circumstances he might just have forgotten to put it back in place afterword or arrange for repair..? I have dealt with cases before like this and from the information you have provided so far you would be on a sticky wicket (and I would have though it is against your safety ethos -i.e investigate to learn rather than punish) to discipline this guy.
walker  
#17 Posted : 21 April 2016 15:50:33(UTC)
Rank: Super forum user
walker

Maybe we are all being a bit quick to assume there will be blame and or punishment. A whiff of hypocrisy that I am guilty of too. Often I have senior people asking me who is to blame and my response is always the same - you. I can follow this up with a reasoned argument that sends them scuttling back under their stones and allows me to progress the no blame culture
peterL  
#18 Posted : 21 April 2016 16:37:33(UTC)
Rank: Forum user
peterL

I feel there has been a bit of mixed interpretation of this thread, I initially saw it as an HR investigation, as opposed to an incident investigation and feel that's why we have got mixed responses from the forum in general. Pete,
bob youel  
#19 Posted : 21 April 2016 19:08:12(UTC)
Rank: Super forum user
bob youel

I advise that u always put in facts and facts alone not recomendations and let management act in what ever way they feel is correct on those facts
A Kurdziel  
#20 Posted : 21 April 2016 23:07:33(UTC)
Rank: Super forum user
A Kurdziel

The whole approach to this investigation looks odd to me, with questions being asked as to legislation before the full facts are known. As people have said in any sort organisation that believes in a just culture (as opposed to a blame culture) the aim should be to found out what system failures occurred rather than finding some body to take the blame. So question 1-how did the unit get “stuck”, was the move not properly planned, was someone trying to move something though too small a gap etc? Question 2 “How important to peoples’ safety was the barrier in questions-is it likely that vast lemming like hordes will throw themselves under vehicles if the barrier is taken down temporally? Perhaps the barrier should have been removed at part of the planned move anyway with some sort of temporary controls put in its place. Question 3 what sort of H&S culture e does your organisation have? Are people clear about their roles and responsibilities, was the banks man working outside his remit? Should he have summoned a more senior manager to deal with the issue” Did anyone in management care as long as the unit was actually moved? Question 4 was the unit being stuck itself a H&S safety issue? Was shifting it a matter of urgency or could they (to quote Bernard Cribbins in “Right Said Fred”) have a cup of tea and have a good think about it? Lots of things to think about before we start wielding HSWA.
Invictus  
#21 Posted : 22 April 2016 08:08:59(UTC)
Rank: Super forum user
Invictus

Ian Bell2 wrote:
Anyone can decide if there has been a breach of any Act, but only a court can punish you.
Disagree - anybody can have an opinion, but only a Court can formally find someone to be guilty and to punish. As previous, when I undertake incident investigations I follow the spirit of the statement of every report issued by the Air Accident Investigation Branch. The sole objective of the investigation of an accident or incident under these Regulations is the prevention of future accidents and incidents. It is not the purpose of such an investigation to apportion blame or liability. Accordingly, it is inappropriate that AAIB reports should be used to assign fault or blame or determine liability, since neither the investigation nor the reporting process has been undertaken for that purpose. As others have said, is the original poster prepared to pin point all failings in the incident and to proportion blame and punishment to all levels of management who might be deemed to be at fault? Or is just the easy target of the chap involved in the incident going to get punished?
You can come to a conclusion that there has been a breach! Anyway I agree that entering a investigation should be open minded without any preconcieved outcomes. It does appear that the outcome had been reached prior to the start of the inveistgation. Don't look at punishing look at educating, if that is what is required. (I know this can't happen in all circumstances). Education on most occasions is the key to improving safety.
WatsonD  
#22 Posted : 22 April 2016 08:31:04(UTC)
Rank: Super forum user
WatsonD

Going back to the OP question. If there has been a breech of safety by your employee(s) that has potentially left a hazard, which was not rectified or reported, then you need to first come to understand exactly why this has happened. It is important to remember no workplace is perfect and the important point is learn what went wrong to prevent this or similar happening The investigation itself should allow you to uncover the how,when,what and where. Just get the facts. At that point you should not concern yourself with asking witnesses why - this can imply blame. Then, afterwards when analysing the evidence you have collected and by following through on the events in and asking your self why at each stage, you will see what combination factors have happened to lead to the dangerous occurrence. As other posters have commented, it is not sufficient simply to quote HASWA section 8 and punish, but to understand why, so that you can rectify each issue to prevent recurrence. This can range from better training/ signage or supervision, through to re-configuring elements of your workplace.
boblewis  
#23 Posted : 22 April 2016 09:17:48(UTC)
Rank: Super forum user
boblewis

Of course if he did it thinking he was empowered by dint of the task to do there could well be a breach of section 2 by the employer - Failure of instruction training and supervision. Even on the facts offered by OP for me there is a very strong case for a failure of the SMS. Is the investigation looking at the management actions and training provision? I suspect not as the focus sounds to be - the operative moved a pedestrian barrier ergo he has committed an offence - now we need to establish what!!
bleve  
#24 Posted : 22 April 2016 11:34:35(UTC)
Rank: Super forum user
bleve

Very glad that I don't work there. Ever heard of no blame culture? Yours approach has a very narrow and incorrect focus IMPO
Ian Bell2  
#25 Posted : 22 April 2016 12:30:14(UTC)
Rank: Super forum user
Ian Bell2

I quite agree, more or less what I have been saying. The general safety sector is still years behind the aviation, nuclear and (most) areas of process safety in this area, if some of the views expressed on this particular discussion are truthful.
Animax01  
#26 Posted : 22 April 2016 12:49:34(UTC)
Rank: Super forum user
Animax01

I think Invictus has the approach nailed down. Lets look at what went wrong, how and why, and then implement our lesson learned to ensure that it doesn't happen again. I try to apply this mentality to all honest mistakes that appear in my workplace. Malicious actions, if it can be proven, that is altogether different and these individuals shall feel the full legislative force of my powers! Got carried away there, but you get my gist. Happy Friday all. Pete
WatsonD  
#27 Posted : 22 April 2016 13:21:32(UTC)
Rank: Super forum user
WatsonD

Unfortunately, the OP was more concerned with what sanctions could be imposed on the employee rather than consider the factors that lead to the incident. Infringements of Health and Safety -Vicarious liability perhaps(?) IMHO, I am weary of a NO blame culture. I think that it absolves people of responsibility, and goes against the make up of our society's laws which are built on trying to establish a FAIR blame. Bur perhaps that's for another post.
Ian Bell2  
#28 Posted : 22 April 2016 14:54:24(UTC)
Rank: Super forum user
Ian Bell2

Fair blame is a reasonable concept - provided it is just that. Instead of looking at the person actually involved in the incident - what sanctions would you place on other layers of management? Examples could be - poor shift patterns, working hours, lack of training. Maybe there has been previous recommendations to provide better equipment etc all dismissed by senior managers, so these decisions may actually be the root cause of the incident. As others have said - can of worms if you want it to be. Don't pick on the guy at the bottom unless you also can reasonably and objectively identify other failings in the safety system.
jay  
#29 Posted : 22 April 2016 15:47:38(UTC)
Rank: Super forum user
jay

There is an excellent book by Sidney Dekker, "Just Culture: Balancing Safety and Accountability" and it deals with protecting people's honest mistakes from being seen as culpable. But what is an honest mistake, or rather, when is a mistake no longer honest? Drawing on his experience with practitioners (in nursing, air traffic control and professional aviation) whose errors were turned into crimes, Dekker lays out a new view of just culture. This book will help you to create an environment where learning and accountability are fairly and constructively balanced. Instead of "No Blame Culture, better to have a "Just Culture"
paulm69  
#30 Posted : 22 April 2016 16:43:47(UTC)
Rank: Forum user
paulm69

James Reason's culpability decision tree may help. Black Box Thinking by Matthew Syed is also a good read for the eager safety practitioner.
meady  
#31 Posted : 25 April 2016 09:57:03(UTC)
Rank: Forum user
meady

Morning all, Thanks again for the responses. I completely agree with the responses about ensuring that the investigation is fair and unbiased, I have made sure that I gave facts only in the report. The question on the breach of legislation was to get general opinions from everyone, I am not looking to hang the guy. This formed part of the investigation where SSW, training and task management were all covered and recommendations made to try to make sure that similar incidents do not occur. It was never my intention to pass guilt but rather to cover all of the bases as part of a complete investigation. Thanks again for the responses on this.
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