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Risk Management. Deparrment Head.
Departmt:nt Safety Coord tnator and C tty Employee (l f destred)
C'0mpJ
City of Deerfield Beach
Public Works and Environmental Services Department
MEMORANDUM
TO: William Jackson, Operator Ill
FROM: Carl F. Peter, Director of Public Works and Environmental Services
XC: Larry Deetjen, City Manager
Marva J. Gordon, Director of Human Resources
DATE: May 31 , 2005
SUBJECT: Suspension Without Pay for Preventable Accident
On May 16, 2005, you were involved in an accident that was determined to be preventable. You did not
exercise the proper safety practices and skills necessary when operating City vehicle #8814, the aerial
truck. By not raising the driver's side out rigger and driving down MLK Jr Avenue, the outrigger struck the
median curb, breaking the curb, bending the outrigger and even breaking out the rear window of the
vehicle causing an estimated total of $13,604 in damages to the vehicle. In addition if we lease a
replacement vehicle for the four weeks it is estimated to take for repairs the City faces an additional
expense of $3,600 in lease fees. In addition your work partner was in the bucket while you were moving
the vehicle and could have been even more seriously injured.
You have been involved in three accidents (December 2004, September 2004 and December 1999) with
City vehicles with trailers attached where you were backing up, jackknifed the trailer and indicated you
"forgot" the trailers were attached. When we inet to discuss this accident you indicated you torgot" to
raise the outrigger. Your forgetfulness is dangerous as well as expensive. This accident is a violation of
Personnel Rules and Regulations, Article IX, Disciplinary Action, 9.03 (b) Violations of safety rules and
practices.
You are an experienced operator with eight years on this vehicle and should have a better understanding
of the vehicle you are operating than most. In addition, you need to pay attention and be more aware of
your surroundings as you operate City equipment. We expect that in the future, you will make better
j udgments while operating City vehicles and equipment.
At this time because of the severity of the damage done to the vehicle, I am recommending to the City
Manager that you be suspended for five (5) days without pay. If you fail to show satisfactory improvement
when d ing a City further disciplinary action will be taken up to and including termination.
r1 F. Peter, P.E.
Director of Public Works and Environmental Services
I having received t is document
Date
EMPLOYEES REPORT OF ACCIDENT
EMPLOYEE: ___ _______ DATE OF THIS REPORT: 09-19-04
OCCUPATION: Equipment Operator Ill
DEPT: 4053 SEX:---'M"-'---
CITY VEHICLE(S) INVOLVED: Yes
VEHICLE --------
DATE AND TIME OF ACCIDENT: 09-19-04 Approx. 3:00 pm
EXACTLOCATION:,STRUCTURES,OR
FIXTURES WERE INVOLVED) I was parked in the Public Works Complex and I attempted to back up and the trailer
jack knifed. I forgot that the trailer was on the vehicle. I immediately notified my supervisor Trent Lacy, Pictures
were taken.
WAS REPORT DELAYED:....:...:N=-o _ IF YES, WHY:
ENVlRONMENTAL
ACCIDENT CAUSE ANALYSIS- CHECK ACCIDENT CAUSES
PERSONAL
1. INADEQUATE SAFEGUARDS ( )
LACK OF HANDLING OR SAFETY DEVICES;
UNSAFE DESIGN; UNGUARDED MACHINERY.
2. IMPROPER OR DEFECTIVE EQUIPMENT ( )
POORLY MAINTAINED EQUIPMENT; WORN.
CRACKED. BROKEN. ROUGH. SLIPPERY
AGENCIES.
3. HAZARDS OF LOCATION ()
POOR LAYOUT; CONGESTION: INSUFFICIENT
SPACE FOR STORAGE; POOR LIGHTING, ETC.
4 POOR HOUSEKEEPING ( )
IMPROPER PILING OR PLACING; CLUTIER,
SPILLAGE, OR BREAKAGE.
1 BOOIL Y CONDITIONS ()
EXPLAIN BELOW
2. LACK OF INFORMATION ()
TRAINING
3 A IT! TUDE A I TIME
EXPLAIN BELOW
4 INCORRECT. INSUFFICIENT ()
APPEAL
5. NOT OTHERWISE CLASSIFIED ( ) 5. NOT OTHER WISE CLASSIFIED ()
WHAT BE PREVENT OF THIS OF ,ACCIDENT? ,}N:fh lnl l
h v I " I , )'- A 'fl"' /I I . I [ , ' "
EMPLOYEE's siGNA uRE U n 1 DATE:
WHAT ACTION ARE YOU TAKING TO SE THAT THIS SITUATION IS CORRECTED? it-'// I (c.}J }'J
____.., ', f J r' I
; } "'- .r, ' I I
COMMENTS BY UPERVISOR OR SUPERINTENDENT \ft.
1
-/) }/ ( , I .r /, 1 l }
SUPERVISOR'S -4- '._.?- -tL,..---w .... ... :..... '...:.. _ __ DATE 9 -v L (
COMMENTS BY DEPARTMENT HEAD t7
{ ..
Proudl y Pri nted on Recycled Paper
F1lenamc: Jnckson, Wllltom #8807
UNIT # 834IDT UNIT # 78 WITH TRAILER BY BACKING UP 1/30/04
-
UNIT #78 HIT BY TRAILER ON 1/30/04
DAMAGE/LOSSrfHEFT REPORT
TO: Risk Manager
Risk ManagemenUinsurance Services
FROM: William Jackson
Dept. Name: Public Works Date of Event: __
Dept. # __ ....:.4..:::.0=53=---_______ Police Report No: ____ _
ITEM (S) INVOLVED AND/OR MISSING: __
FROM WHAT LOCATION: __ -=2:....:.1..:::.0-=G=o=o=ls=bJ....y =B=Lv.:....:d:..:..-----------
APPROXIMATE DATE DISCOVERED: _ _ DISCOVERED BY: __
DOLLAR VALUE: $ _______ _
COMMENTS/ EXPLANATION OF OCCURRENCE: William was driving # 834 and
was backing up at the gas pump. The recycling vehicl e# 78 pulled up behind #834 and
William hit them. Denting the driver's front fender. (see attached pictures)
2ll:i 00 i 1\!0'l 1-aJuro 1-30-04
DEPARTMENT NAME & NUMBER:_-.!....P=ub=l=ic.....:.W...:...o=r...:..:.ks=---
Proudly Pnnted on Recycled Paper
Filename: W. Jackson 1-30-04 damage
City of
DEERFIELD
BEACH
MEMO UM
Department of Public Works & Environmental Services
TO: William Jackson
"
FROM: Rickey Reed, Grounds Maintenance a n a g e ~
Trent Lacy, Acting Grounds Maintenance Manager
DATE: December 8, 2003
SUBJECT: Lost Equipment
Sthil that was report lost. December 1,2003 cost to replace$ 295.00 Backpack Blower
dollars payment is now due see Vicki Langlois A.S.P
Cc: Carl F. Peter, Director of Public Works & Environmental Service
Bernard Adams, Acting Division Manager/ Public Works
Vicki Langlois, Office Supervisor