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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Case Study 5
Unsafe Placing andHandling
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Brief Description of AccidentBrief Description of Accident
Date: May 2004
Work process:Loading of lorry with metal bins of loads
Casualty: One permanent injury
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Synopsis of AccidentSynopsis of Accident
2 workers were loading metal bins onto the lorry fortransportation.
One of the worker was standing on the lorry to cover theloaded metal bins with plastic canvas.
Plasticcanvas
Forkliftloading thebins
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Synopsis of AccidentSynopsis of Accident
The other worker was operating a forklift to load the
metal bins onto the lorry.
As one worker was manning the plastic canvas for the
7th bin, the 8th bin was loaded onto the lorry by the forkliftdriver.
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Synopsis of AccidentSynopsis of Accident
The right index finger of the worker on the lorry wascaught between the 7th and 8th metal bins and was crushed.
The workers right distal index finger was later amputated.
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Observation and FindingsObservation and Findings
The forklift operator had 13 years of experience in driving
forklift trucks and had successfully completed the forkliftdrivers training course at PSA Institute in 2002.
The empty metal bins weighed about 265 kg and could
weigh about 1000 kg when loaded. They measure about 135
cm x 124 cm x 125 cm. The injured had been operating the loading process forabout 4 5 years.
Investigation reveals a lack of communication betweenthe lorry driver and the forklift driver while loading the metalbins.
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Root Cause AnalysisRoot Cause Analysis
Not applicableFailure of SMS
Poor coordination between twoparties
Basic cause
Improper position for taskImmediate cause
Caught in between two metalbins
Type of contact
Amputation of right distal indexfinger
Evaluation of loss
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
Corrective MeasuresCorrective Measures
Ensure all loading and unloaded operation were
communicated and coordinated properly
Brief all forklift drivers and lorry drivers to be vigilant andfocus when carrying out loading and unloading operations
To look into an alternativemethod of covering the metal
bins using plastic canvas. Eg.To use covered lorries and
canvas curtains to cover allmetal bins after all had beenloaded.
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WSHACWSHACWSHACWSHAC Workplace Safety & Health Advisory Committee 2006 WSHAC
THE ENDTHE END
