1. May/02 1 2002 16 LTI’s in 4 months What are WE going to learn? What should WE do differently?

2. May/02 2 16 LTI’s: 1/Jan-2/May 2002 1 Broken Finger 1 Jan 2 Broken Finger 3 Jan 3 Broken Arm 24 Jan 4 RTA Ruptured spleen 6 Feb 5 Broken Leg23 Feb 6 Back Injury 9 Mar 7 & 8 RTA Neck Injury & broken arm13 Mar 9 Broken Finger25 Mar 10 RTA Fatality 3 Apr 11 Finger Amputation 5 Apr 12 Elbow Dislocation 7 Apr 13 Crushed Finger20 Apr 14 Broken Finger28 Apr 15 Broken Hip 29 Apr 16 Broken Arm 2 May

3. May/02 3 Common Findings Hazards not identified Hazards not identified Lack of effective supervision Lack of effective supervision Using the wrong tools Using the wrong tools Not following rules/procedures Not following rules/procedures Poor communication (Language barrier ?) Poor communication (Language barrier ?) Behaviour & attitude Behaviour & attitude Lack of concentration Lack of concentration Time pressure (hurry to finish the job) Time pressure (hurry to finish the job)

4. May/02 4 LTI 1: Broken Finger 1-Jan What happened?: Finger trapped between bucket and rock breaker when offloading the bucket from the trailer. Result: Broken fingerBroken finger 3 weeks lost work3 weeks lost workLearning: Wrong hand placementWrong hand placement Poor positionPoor position Poor communicationPoor communication Could this be avoided?

5. May/02 5 LTI 2: Broken Finger 3 - Jan LTI 2: Broken Finger 3 - Jan What happened Pipe spinner (heavy tool hanging from a cable) swung back and trapped the floorman’s finger. Result: Broken finger Broken finger 3 weeks lost work 3 weeks lost workLearning: Improper position Improper position Wrong hand placement Wrong hand placement Absentminded/Unfocused Absentminded/Unfocused Could this be avoided?

6. May/02 6 LTI:3 Broken Arm 24-Jan What happened?: A rigger placed his arm into the recess of the crane outrigger as it was being retracted. His arm was crushed. Result: Broken armBroken arm 6 weeks lost work6 weeks lost workLearning: Wrong position (rigger)Wrong position (rigger) Wrong position (operator)Wrong position (operator) Poor communicationPoor communication Poor supervisionPoor supervision Could this be avoided?

7. May/02 7 LTI:4 Ruptured spleen 6-Feb What happened?: A food delivery truck travelling to Marmul. The driver fell asleep. The truck left the road, rolled and crashed. The driver was stuck for 2 hrs in the badly crushed cabin. Result: Ruptured spleen (can be fatal)Ruptured spleen (can be fatal) 2 months lost work2 months lost work Lost truck & loadLost truck & loadLearning: Journey Plan not followedJourney Plan not followed Driver not authorisedDriver not authorised Poor Safety attitudePoor Safety attitude Could this be avoided?

8. May/02 8 LTI 5: Broken Leg 23-Feb What happened?: Rigger climbed on the cabin to release the lifting slings. He did not use a ladder. When coming down his foot slipped and he fell. Result: Broken legBroken leg 6 weeks lost work6 weeks lost workLearning: Hazard not identifiedHazard not identified Not using the right toolsNot using the right tools Poor supervisionPoor supervision Could this be avoided?

9. May/02 9 LTI 6: Back injury9-Mar What happened?: Helper came out of the truck looking forward instead of backward. He lost his his footing on the first step of the ladder and fell down hitting his back. Result: Back injuryBack injury 2 weeks lost work2 weeks lost workLearning: Rule not followedRule not followed Wrong way of disembarking a truckWrong way of disembarking a truck Could this be avoided?

10. May/02 10 LTI 7 & 8: Neck injury & 13-Mar broken arm What happened?: Canter truck delivering most-urgent chemicals: night driving, very bad road due to rain, long driving hours. The truck rolled over after hitting a bad spot on the road. Result: Driver: neck injuryDriver: neck injury Helper: broken armHelper: broken arm 2 & 6 weeks lost work2 & 6 weeks lost workLearning: Poor planning/JMPoor planning/JM 2 drivers on difficult trips2 drivers on difficult trips Contact TLM for urgent deliveriesContact TLM for urgent deliveries Could this be avoided?

11. May/02 11 LTI 9: Broken finger25-Mar What happened?: Thread protector stuck on a drill-pipe joint. Rigger takes hammer to free it. After two blows his colleague placed his hand on the protector to remove it just as the the third hammer blow was given. Result: Broken fingerBroken finger 2 weeks lost work2 weeks lost workLearning: Wrong tools.Wrong tools. Poor communication.Poor communication. Hazard not identifiedHazard not identified Could this be avoided?

12. May/02 12 LTI 10: RTA Fatality3-Apr What happened?: Truck delivering line pipe to Fahud. Driver probably fell asleep. Went straight of off the road, rolled-over and jack-knifed. Cabin completely crushed. Result: Driver deadDriver dead Family lost their fatherFamily lost their father Lost truckLost truckLearning: JM plan NOT followedJM plan NOT followed STOP when tiredSTOP when tired Could this be avoided?

13. May/02 13 LTI 11: Lost Finger 5-Apr What happened?: A helper was disconnecting a trailer from an oil-field truck winch cable. He signaled the driver to slacken-off the winch. Winch operator misunderstood and pulled-in instead.Result: 2 lost fingers2 lost fingers 4 weeks lost work4 weeks lost workLearning: Wrong hand placementWrong hand placement Poor communicationPoor communication Could this be avoided?

14. May/02 14 LTI 12: Elbow Dislocation 7-Apr What happened?: Crane operator drove too close to the edge of an excavation. Crane crashed down into the 3 m deep pit. Operator did have his seatbelt on. Result: Dislocated elbowDislocated elbow 4-6 weeks lost work4-6 weeks lost work Major crane damageMajor crane damageLearning: Hazards not identifiedHazards not identified In a hurryIn a hurry Could this be avoided?

15. May/02 15 LTI 13: Crushed Finger 20-Apr What happened?: A staff member was adjusting her shoe strap whilst walking. She lost her balance and caught herself by placing her hand against the doorframe. Her finger got trapped by the spring loaded closing door. Result: Crushed fingerCrushed finger 2 weeks lost work2 weeks lost workLearning: Do not try 2 activities at the same timeDo not try 2 activities at the same time Could this be avoided?

16. May/02 16 LTI 14: Broken Finger 28-Apr What happened?: A floorman was instructed to use the rig tong to break a pipe connection. Instead, a colleague brought a big hammer and started to hit at the assembly. The hammer slipped and fell down onto the floorman’s hand. Result: Broken fingerBroken finger 3 weeks lost work3 weeks lost workLearning: Not following instructions.Not following instructions. Using wrong tools.Using wrong tools. Wrong position.Wrong position. Rush to finish the task.Rush to finish the task. Could this be avoided?

17. May/02 17 LTI 15: Broken Hip29-Apr What happened?: A technician placed a ladder against a storage rack and climbed up to look for a flange. When coming down the ladder slipped and collapsed. He jumped off but knocked over a heavy crossover flange which in turn landed on his hip.Result: Broken hipBroken hip 3 weeks lost work3 weeks lost workLearning: Hazard not identifiedHazard not identified Procedures not followedProcedures not followed Never go up un-securedNever go up un-secured ladders ladders Could this be avoided?

18. May/02 18 LTI 16: Broken Arm 2-May What happened?: A technician was drilling a steel bar using a pedestal workshop drill. The bar was clamped but slipped out of the jig. He tried to grab the steel bar with his hands. His glove caught in the drill and hands and arm were pulled into it. Result: Broken arm/open fractureBroken arm/open fracture 2 months lost work2 months lost workLearning: Inadequate supervisionInadequate supervision No list of authorised equipment usersNo list of authorised equipment users Could this be avoided?

19. May/02 19 Some questions for discussion in your teams: Could any of these accidents have happened in your team?Could any of these accidents have happened in your team? What have you learned from these 16 LTI’s ?What have you learned from these 16 LTI’s ? Are you going to do things differently ?Are you going to do things differently ? Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why?Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why? A free tip: Find Hazards BEFORE They find YOU!!

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