Copyright © 2011 Resource RTO 1 Copyright © 2011 Resources RTO 1 When things go wrong! What are the issues buried within the training systems?

Copyright © 2011 Resource RTO 1Copyright © 2011 Resources RTO 1

When things go wrong!

What are the issues buried within the training systems?


The incident

Whilst moving some pallets of oil, the operator was seriously injured when the forklift rolled onto it’s side.


Set The Scene

The Task:

Move pallets of oil from the top of old pallet racks and relocate some 20 metres to the new storage racks.


Set The Scene

The Activities:

Morning tool box meeting task identified

JSA completed after morning meeting as this was a non-routine task

Large number of delivery trucks required unloading prior to task being undertaken


Set The Scene

The Environment:

The area was wet due to rain

Area cluttered with materials due to refurbishment of stores area

Ground conditions uneven surfaces, soft spots in the gravelled area


Set The Scene

The Equipment:

Hyster 2.5 tonne forklift with side shift capable forks


Set The SceneThe Event:

The operator carried the loads of drums at height across the yard to save some time.

On the third trip, as the operator swung into the new pallet rack with a load of drums, the forklift overbalanced and toppled over.

The operator was thrown from the forklift seat and was pinned under the forklift by the arm and leg


The InterviewsForklift Operator:

Lets establish the story according to the forklift operator.

Experience:• general amount and types of equipment•site specific• working conditions and activities

Understanding of procedures:• site and manufacturers operating requirements• training received


What are your initial thoughts?

Audience Questions


The InterviewsWitness:

The story according to the witness of the incident.

Third Party account:• general knowledge and understanding of what went on leading up to the incident

Understanding of procedures:• Duty of care/ Obligations



Audience Questions


The InterviewsWarehouse Supervisor:

The story according to the Warehouse Supervisor.

Assigning the task:• Selection of appropriate personnel to do the job• Identifying the hazards and controlling the risks

Understanding of procedures:• Supervision



Audience Questions


The InterviewsSite Trainer/Assessor:

The story according to the Trainer/Assessor.

Quality undertaking:• Skills and Qualifications• Training and Assessment processes

• Site training and assessment scheme• Authorisation process

• Body of assessment• Evidence

• Current Authentic Valid Sufficient



Audience Questions


The InterviewsSite Trainer Coordinator:

The story according to the Trainer Coordinator.

Training and assessment scheme:• Knowledge of the systems

• Assessment for authorisation• Refresher training

• Knowledge of statutory drivers• Endorsed training package rules• Competency criteria, critical aspects of skills and

knowledge• Record keeping


The InterviewsSite Trainer Coordinator:

The story according to the Trainer Coordinator.

Training and assessment scheme:• Knowledge of the systems

• Assessment for authorisation• Refresher training

• Knowledge of statutory drivers• Endorsed training package rules• Competency criteria, critical aspects of skills and

knowledge• Record keeping



Audience Questions


The InterviewsRTO CEO:

The story according to the RTO.

Training and Assessment compliance:• Knowledge of the processes for the issue of a qualification

• Assessment records• Assessment currency



Audience Questions


Training SystemsWhere do you start?

• Risk Management (ISO AS/NZS 31000)• Risk management framework• Training needs analysis (risk based)

• Organisational risk• Activities undertaken• Statutory compliance

• Operational risk• Quality, productivity and Safety critical activities

• Quality outcomes• to take competent people and progress them to

become operationally skilled


Training SystemsOrganisational Risk

• Business objectives and the identified hazards associated with achieving the objectives.

• Statutory requirements• Recognised standards

• Endorsed training packages and competency standards

• Requirements for training and assessment methodology to meet the endorsed standards

• Requirements for training and assessing against the endorsed standards

• Qualifications and skills of trainers and assessors


Training SystemsOperational Risk

• Operational activities• Types of activities• Equipment used

• Manufacturers operational requirement• Site operating environment• Site risk reduction measures

• procedures and work instructions• Manual labour activities

• Operational Targets• Productivity• Quality and safety processes


Training SystemsQuality Outcomes

• Initial level of competency• Demonstration of basic level of skills and knowledge to

operate at an acceptable level of risk• Ongoing development to full operational proficiency

• Refresher and development training and coaching


Training SystemsQuality Outcomes

• Initial level of competency• Demonstration of basic level of skills and knowledge to

operate at an acceptable level of risk• Ongoing development to full operational proficiency

• Refresher and development training and coaching


Work Process Model or the Nertney Wheel

Trai

ned

an

d

Co

mp

eten

t P

eop

leSafe W

ork

Practices

Fit for P

urpose

Equipment

Copyright © 2011 Resource RTO 27

• Fit for purpose equipment:– Define the requirements for equipment

• Suitability to meet production targets• Suitability for operational environment• Inherent safety and operational risk• Maintenance requirements and scheduling• Reliability

• Trained and competent people– Define the requirements for people

• Training needs analysis• Training standards• Organisational and equipment specific skills and knowledge• Safety and operational critical tasks defined• Ongoing skills management and maintenance (refresher)

Work Process Model

Copyright © 2011 Resource RTO 28

Work Process Model• Fit for purpose procedures:

– Define the requirements for operational procedures• Company and task specific best practice• Risk based for operation specific needs and environment• Legislative compliance identified• Integrated into management framework for continuous improvement• Manufacture specification and requirements integrated

• Planned and controlled environment– Organisational operational methodology (Standard Setting)

• Inspections• Auditing• Hazard identification and risk review• Supervision• Planning and scheduling

Copyright © 2011 Resource RTO 1 Copyright © 2011 Resources RTO 1 When things go wrong! What are the issues buried within the training systems?

Documents

resource rto

resources rto

supervision slide

leg slide

gravelled area slide

interviews forklift

duty of care obligations

tonne forklift