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OSH Accident Investigation Workshop

Chapter 2

Integrity Mastery Reliability

2.0 RISK ASSESSMENT

2.1 2.2

Introduction Legal Aspect of Risk Assessment

2.3
2.4

Accident Categories
Hierarchy of Risk Control

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OSH Accident Investigation Workshop

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Hazards Risks Accidents

What are they?

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HAZARD

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What is a "hazard?"

OHSAS 18001:1999

It is a source or situation with a potential for harm in terms of injury or ill health, damage to property, damage to the workplace environment, or a combination of both.

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OSH Accident Investigation Workshop

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Hazard:
Anything which may cause harm, injury, or ill health.

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Hazard identification is the first step in the risk management process. Only people with a thorough knowledge of the area, process or machine under review should carry out a hazard identification survey. The task of identifying hazards should be broken up into clear and manageable sections, in a manner which suits the organisation, the task itself, and the people doing the work.

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OSH Accident Investigation Workshop

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PREVIOUS ACCIDENT REPORTS Location Machine Person Age of Person Time of Day Day of Week Part of Body Severity of Injury Occupation

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PHYSICAL INSPECTION OF THE WORKPLACE A physical examination of the workplace requires an inquiring mind, lateral thinking, and the ability to be and remain open minded. It is of little use to look at a particular area and in a perfunctory manner, declare it to be hazard free.

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BRAINSTORMING

This is a process of conducting group meetings with people who are familiar with the operation of the area under review, recording all ideas and thoughts relating to possible hazards and then sorting the results into some sort of priority order.

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KNOWLEDGE OF EMPLOYEES Employees should be encouraged to report any hazards they are aware of.

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TRADE JOURNALS Trade journals are often a source of information regarding hazards encountered by others in the industry. They can be a source of useful inquiry, as members of the same industry would expect to encounter similar hazards

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OSH PUBLICATIONS
These publications can be of particular benefit as they concentrate on reporting issues relating to safety and health

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CONTACTS
A counter-part in another subsidiary of the company or even a contact in a competitive company could be a good source of information as they probably share similar safety problems.

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Industry Associations
Safety and health is often brought up at industry association meetings or during informal discussions before or after meetings.

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ASK, "WHAT IF . . . ? Its important to try to anticipate how human behaviour, equipment, and system failures could combine to create a hazardous situation.

Constantly ask yourself "What if?...."

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OHSAS 18001:1999

Integrity Mastery Reliability

What is risk?

It is a combination of the likelihood and consequence of a specified hazardous event occurring.

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Risk may be considered as the potential for adverse effects resulting from an activity or event

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This is generally determined by what is prepared to be lost balanced against possible gains

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Risk is a new concept in our society. Prior to the renaissance the widely held belief was fatalistic. Its all in the hands of the gods, the fates , our lord . Mans destiny was usually seen as being predetermined.

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In 1654 , a French duke asked the famous mathematician Pascal to solve a problem. How to divide the stakes of an unfinished game of dice when one of the players was ahead. This question was originally posed 200 years earlier by the monk Paccoili. The laws of probability were explored.

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These early explorations into laws of probability resulted in. The Dutch Tulip Bulb Futures market ( the first modern stock exchange) The Marine Insurance Industry ( and all types of insurance that followed) Intellectual challenges to church doctrine. Exploration of the New World. Acceptance of the concept of being Masters of our own destiny.

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Risk is a very individual concept. It is different for every one.


Consider the activity of driving. On a scale of 1-5 how would you rate driving as a daily activity? For a Grand Prix Driver? A Taxi Driver? My 88 year old grandmother?

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Risk is often viewed very differently from individual to individual. Another thing to consider is that peoples perceptions change as familiarity increases the perception of a hazard and its risks change.

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the total procedure associated with


identifying a hazard, assessing the risk, putting in place control measures, and reviewing the outcomes.

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Risk Assessment

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Risk: The possibility of an unwanted event occurring Likelihood: The chance of an event actually occurring.

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Very Likely -- Could happen frequently Likely -- Could happen occasionally Unlikely -- Could happen, but only rarely

Highly Unlikely -- Could happen but probably never will

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When evaluating the likelihood of an accident, a factor that will modify the likelihood category, is exposure. Very Rare -- Once per year or less Rare -- A few times per year Unusual -- Once per month Occasional -- Once per week Frequent -- Daily Continuous -- Constant

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The location of a hazard can affect the likelihood of the accident happening.

For example, an exposed V belt drive located adjacent to a walkway where persons could easily come into contact with the nip points would have a higher likelihood rating than if the same drive arrangement were located in a position from which persons were excluded.

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FATAL

Death

MAJOR INJURIES Normally irreversible injury or damage to health requiring extended time off work to effect best recovery.

MINOR INJURIES Typically a reversible injury or damage to health needing several days away from work to recover. Recovery would be full and permanent. NEGLIGIBLE INJURIES Would require first aid and may need the remainder of the work period or shift off before being able to return to work.

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Control: the measures we take to eliminate or reduce the risk to an acceptable level.

Hierarchy of Control: The order in which controls should be considered when selecting methods of controlling a risk.

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Elimination Substitution Isolation Engineering Controls Administrative Controls Provide Personal Protective Equipment .

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Elimination
The Best method of dealing with a hazard is to eliminate it. Once the hazard has been eliminated the potential for harm has gone.

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Substitution
This involves substituting a dangerous process or substance with one that is not as dangerous. This may not be as satisfactory as elimination as there may still be a risk (even if it is reduced).

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Isolation
Separate or isolate the hazard from people. This method has its problems in that the hazard has not been removed. The guard or separation device is always at risk of being removed or circumvented.

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Administration
Administrative solutions usually involve modification of the likelihood of an accident happening. This can be done by reducing the number of people exposed to the danger reducing the amount of time exposed and providing training to those people who are exposed to the hazard.

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Personal Protective Equipment


Provision of personal protective equipment should only be considered when all other control methods are impractical, or to increase control when used with another method higher up in the Hierarchy of Control.

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KEY POINT A review follow-up is always essential.


Review is an important aspect of any risk management process. It is essential to review what has been done to ensure that the controls put in place are effective

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Hazard identification, risk assessment, control and review is not a task that is completed and then forgotten about. Hazard identification should be properly documented even in the simplest of situations. Risk assessment should include a careful assessment of both likelihood and consequence. Control measures should conform to the recommendations of the hierarchy of control. The risk management process is an on going one.

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OSH Accident Investigation Workshop

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OHSAS 18001:1999

It is an undesired event giving rise to death , ill health, injury, damage or other loss

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SINGLE FACTOR THEORIES This theory stems from the assumption that an accident is the result of a single cause. Further, if that single cause can be identified and eliminated the accident will not be repeated.

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SINGLE FACTOR THEORIES Example: A person in a hurry walks through a poorly lit area and trips over a piece of wood. Single Factor Theory Solution: Remove the offending piece of wood to solve the problem.

The reality is that accidents always have more than one contributing factor.

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states that accidents are more likely to happen at or during a transfer of energy.

The rate of energy release is important because the greater the rate of release the greater the potential for damage.

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It should be noted that this concept of identifying hazards is very limited and not dissimilar to the Single Factor theory.

Factors other than energy release are important.

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says that an accident occurs when a number of factors act together to cause an accident

This and similar ideas are favored by most experienced safety and health practitioners.

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OSH Accident Investigation Workshop

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Example: A person in a hurry walks through a poorly lit area and trips over a piece of wood.

require answers to such questions as:

Was there a necessity for that person to walk in that area or was there a safer route? If the person was not in a hurry would they have been more aware and avoided the wood? If the area was better lit would the person have avoided the wood. Could the wood have been removed?

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Social Environment: Those conditions which make us take or accept risks.

Unsafe Acts or Conditions: Poor planning, unsafe equipment, hazardous environment.


The Accident: The accident occurs when the above events conspire to cause something to go wrong. The Injury: Injury occurs when the person sustains damage.

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Often accidents occur without injury and they are referred to as near misses. All too often, these near misses are ignored until, figuratively speaking, the last domino is knocked over and the injury occurs.

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may be too limited to consistently reflect reality. A more accurate picture of reality may be gained by combining the elements of the Multiple Factor Theory and the Domino Effect.

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While watching the Piper Alpha Story consider the Multiple cause theory and the Domino Effect.
Answer the Questions on Pages 15& 16 of the Spiral to Disaster Handout.

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Hazard Uncontrolled Risk Accident

Risk-based solution

Hazard identification + risk assessment = risk control strategies

Risk Management

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What are the four categories of hazards in the workplace? (MEEE)

M aterials
Equipment

Environment Employees

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Physical effects death, injury, property damage, fatigue Biological effects health effects Psychological stress, unmotivated, hatred

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Types of Hazards in the Workplace


1. 2. 3. 4. 5. 6. 7. Falls Impact Mechanical Vibration/Noise Toxics Heat/Temperature Flammability/Fire 8. 9. 10. 11. 12. 13. Explosives Pressure Electrical contact Ergonomics Biohazards Violence

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Four Important Processes to Identify and Analyze Hazards

Inspections and Audits

The inspection examines conditions in the workplace to identify hazards.


The audit evaluates the quality of program design and performance to better control hazards.

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Inspect to identify potential accidents, examples:


Struck-by Struck-against Caught-between Fall-To-surface

Contact-by
Contact-with Caught-on Caught-in

Fall-To-below
Over-exertion Bodily reaction Over-exposure

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Observation

Observations, informal and formal, are quite important in daily workplace safety. Employees and managers can spot hazardous conditions and unsafe or inappropriate behaviors while they conduct their other tasks.

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The Job Hazard Analysis

The process...

Break a job or task into specific steps.

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Incident/Accident Analysis

All non-injury incidents and injury accidents, no matter how minor should be analyzed to identify and control hazards. Incident analysis allows you to identify and control hazards before they cause an injury. Accident analysis is an effective tool for uncovering hazards that either were missed earlier or have managed to slip out of the controls planned for them.

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Employer- the creator of OSH hazards and risks at the workplace! Employer duties:

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Employee duties- Safety is everyones responsibility. Its the law!

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Management commitment is regulated!


1.
2. 3.

OSH Policy OSH Organization OSH arrangements at the workplace

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OSH Accident Investigation Workshop

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Divide into 4 groups. Each doing Items 1-4. Inspection Observations JSA Incident/accident analysis
Then your group must present your HAZID findings to the class. Hazards that are identified must be categorized as per MEEE slide.

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1. 2. 3. 4.

Major hamzah, pls expand on the slides above, especially of legal requirements on employers and employees The above slides should end before lunch. After lunch, group exercise on HAZID techniques as mentioned above, ie Inspections Observations JHA/JSA Incident analysis and accident analysis

Divide into 4 groups. Each doing Items 1-4. (2-5pm) 1. Inspection can be done at the car park, example, or hotel premises as a whole. 2. Observations can be done by photo observation of a work activity 3. JSA- Driving to work/driving at work for field trips 4. Incident/accident analysis/records- use near-miss photo and accident photo
Then t hey must present their HAZID findings to class. Hazards that are identified must be categorized as per MEEE slide.

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Qualitative subjective in nature Quantitative objective in nature

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Elimination Substitution Isolation Engineering Control Administrative Control PPE

Risk elimination programs

Risk reduction programs

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Eliminate risky processes/resources Re-design/substitute risky processes Use technology

Risk elimination is usually costly to implement, it involves detailed studies using experts

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Risk reduction programs


Procedures, work instructions Permit-to-work system Employee training Engineering equipments, ie. Suction hoods, ventilators, etc. Quality PPE

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Substitution Modify process Enclosure Local exhaust Fugitive emission control Isolation

Housekeeping General ventilation Continuous area monitoring Dilution ventilation Automation or remote control

Training and education Worker rotation Enclosure of worker Personal monitoring Personal protective devices

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Using results from the HAZID exercise, develop the Risk Register for each group, conduct 1. Risk assessments on the hazards using the Qualitative approach (RA form provided), decide which are significant or otherwise 2. Recommend the suitable risk control systems for each significant hazard 3. Group presentation

OSH Jenis Accident Investigation Workshop Kaitan Pekerjaan dengan Hazard

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Chapter 2
Hazard

Integrity Mastery Reliability

Jenis Pekerjaan

Tukang bata/batu Penyakit kulit, posisi janggal, beban berat


Tukang cat Wap pelarut, bahan beracun dalam pigmen, bahan tambahan cat

Hard tile setters


Tukang kayu Juru elektrik Tukang Paip

Wap dari bonding agents, penyakit kulit, posisi janggal


Habuk kayu, beban berat, pergerakan berulang Logam berat dalam wasap sadur, posisi janggal, beban berat, habuk asbestos Asap dan partikel plumbum, asap patri, posisi janggal

Pemasang karpet Trauma lutut, posisi janggal, wap gam, pergerakan berulang

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MENILAI RISIKO Chapter 2

Integrity Mastery Reliability

5 : KERAP 4 : SELALU 3 : PERNAH BERLAKU 2 : SEKALI-SEKALI 1 : JARANG

KEGAGALAN KERAP BERLAKU KEGAGALAN SELALU BERLAKU

PERNAH BERLAKU KEGAGALAN, TETAPI TIDAK BESAR


JARANG BERLAKU DI DALAM ORGANISASI YANG SAMA/DALAM NEGARA JARANG BERLAKU MUNGKIN DI NEGARA LAIN

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MENILAI RISIKO Chapter 2

Integrity Mastery Reliability

5: BENCANA 4: BESAR 3: SEDERHANA 2: KECIL 1: SEDIKIT

KEMATIAN HILANG UPAYA KEKAL KECEDERAAN SEDERHANA, > 4 HARI CUTI SAKIT KECEDERAAN KECIL, HINGGA 4 HARI CUTI SAKIT FIRST AID

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RPN : RISK PRIORITY NUMBER, 1 (SANGAT RENDAH) 25 (SANGAT TINGGI)

Chapter 2
1 JARANG
2 SEKALISEKALI

Integrity Mastery Reliability

3 PERNAH BERLAKU

4 SELALU

5 KERAP

1: SEDIKIT 2: KECIL

2 3
4

4 6
8

6 9
12

8 12
16

10 15
20

3: SEDERHANA
4: BESAR 5: BENCANA

10

15

20

25

Dapatkan RPN : Risk Priority Number berdasarkan kebarangkalian dan kesan akibat

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TINDAKAN

Integrity Mastery Reliability

RISIKO
SANGAT TINGGI (15-25) TINGGI (8-14) SEDERHANA (4-7) RENDAH (1-3)

BERITAHU PIHAK PENGURUSAN SEGERA HAPUSKAN : TIDAK BOLEH DIBIARKAN; PERLU KAWALAN SEGERA DAN JANGKA PANJANG YANG LEBIH BERKESAN
BERITAHU KETUA JABATAN. PERLU KAWALAN SEGERA DAN JANGKA PANJANG YANG LEBIH BERKESAN

BERITAHU HAZARDS KEPADA PEKERJA; TOOL BOX MEETING; SAFE BEHAVIOUR; JSA KAWALANN JANGKA PANJANG BERKESAN
RISIKO BOLEH DITERIMA; UMUMNYA TIDAK PERLU TINDAKAN; KEKALKAN KAWALAN SEDIA ADA

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RISIKO SangatTinggi Tinggi Sederhana Rendah

Integrity Mastery Reliability

PENGAWALAN RISIKO
Semua risiko

perlu di
kurangkan

TIDAK BOLEH DITERIMA KURANGKAN SERENDAH YANG MUNGKIN

As
Low

As

Reasonably
Practicable.

BOLEH DITERIMA

LANGKAH Nuri HIRARKI Allied Consultant (M) Sdn. Bhd.


OSH Accident Investigation Workshop

1. Hapuskan hazard

Chapter 2

Integrity KAWALAN Mastery Reliability

Contohnya, menukar peralatan yang bising, elakkan menggunakan bahan atau mesin berbahaya,

Sekiranya tidak praktikal, kemudian

2. Tukar sesuatu kepada yang kurang berisiko


Sekiranya tidak praktikal, kemudian

Contohnya mengangkat beban yang lebih ringan, gunakan bahan kimia kurang berbahaya, menukar dari forklift petrol kepada elektrik, gunakan penyedut hampagas dari penyapu Contohnya mengadakan penghadang sekeliling tumpahan sehingga dicuci, meletakkan mesin fotostat di bilik berpengundaraan Contohnya menggunakan troli untuk bawa beban berat, memasang pengadang bahagian jentera berputar

3. Asingkan hazard
Sekiranya tidak praktikal, kemudian

4. Guna kawalan kejuruteraan


Sekiranya tidak praktikal, kemudian

5. Guna kawalan pentadbiran


Sekiranya tidak praktikal, akhirnya

Contohnya mengadakan pusingan kerja, tugasan pendek, pastikan peralatan diselanggara, amalan kerja selamat, arahan dan latihan.

6.Guna peralatan perlindungan diri

Contohnya mengadakan perlindungan bising dan mata, helmet keselamatan, sarung tangan

Hendaklah selalu sedar terhadap peluang untuk mendapatkan kaedah kawalan yang

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Jika tiada HIRARC .. OSH Accident Investigation Workshop

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Kerja formwork- acuan (satu contoh)


Aktiviti terlibat: 1. Mengangkat 2. Menyimpan Sementara 3. Membersih 4. Memasang 5. Memeriksa 6. Menyimen 7. Membuka

OSH Accident Investigation Workshop Chapter 2 (satu contoh) Kerja formwork - acuan

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Integrity Mastery Reliability

Aktiviti Hazard 1.Mengangkat Objek jatuh, sling gagal, kren gagal, komunikasi gagal 2. Menyimpan Kegagalan sementara penyokong, Sudut yang salah Tidak teguh Objek jatuh Angin taufan 3. Mencuci Pekerja jatuh, Objek jatuh

Akibat K KA R Kawalan Kematian, 3 1 3 Pemandu/signalman kecederaan yang kompeten, / kerosakan penyelenggaraan/ harta pemeriksaan berkala, benda CF sah, Mengangkat beban berlebihan Kematian, kecederaan / kerosakan harta benda Kecederaa n 4 2 8 Anchored' Sudut penyokong <80o Kawasan khas Penyelenggaraan/ pemeriksaan 9 Memasang perancah/Memakai PPD

3 3

K: Kebarangkalian KA: Kesan Akibat R: Risiko

OSH Accident Investigation Workshop Chapter 2 (satu contoh) Kerja formwork - acuan

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Akibat K KA R 5

Integrity Mastery Reliability

Aktiviti 4. Memasang

Hazard Objek jatuh Kegagalan sling Kegagalan kren Kegagalan Pekerja jatuh

Kawalan

Mati, 4 cedera, kerosakan harta benda

5. Memeriksa

Mati, 3 Kecederaan Mati, 2 Kecederaan

20 Seperti kawalan mengangkat. Mengadakan pelantar kerja Gunakan 'life line' Pakai PPD 6 Mengadakan pelantar kerja, Gunakan 'life line' Pakai PPD 4 Kawalan, Pemeriksaan struktur form work, PPD 20 Seperti kawalan mengangkat. Mengadakan pelantar kerja Gunakan 'life line' Pakai PPD

6. Menyimen

7. Merombak

Acuan tumbang, Kegagalan kren, Objek Acuan tumbang, Kegagalan kren, Objek jatuh, Pekerja jatuh

Mati, 4 Kecederaan

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OSH Accident Investigation Workshop

Rekod Kemalangan Maut di Tapak Bina di Selangor 06-07


Bil
1 2 3 4 5 6 7 8 9 10

Chapter 2
Perihal Kemalangan

Integrity Mastery Reliability

Tarikh
07 Apr 06 29 Mei 06 30 Jun 06 14 Jun 06 18 Ogo 06 08 Jul 06 14 Ogo 06 16 Sep 06 13 Okt 06 10 Ogo 06

Sebab
Jatuh dari tempat tinggi Jatuh dari tempat tinggi Jatuh dari tempat tinggi Dilanggar Objek jatuh Jatuh dari tempat tinggi Objek jatuh Jatuh dari tempat tinggi Objek jatuh Jatuh dari tempat tinggi/objek jatuh

Terjatuh dari pelantar memunggah di tingkat 12 Terjatuh dari struktur tangki air di atas bangunan pada ketinggian 4 meter Pekerja jatuh semasa menyapu minyak pada permukaan steel formwork di tingkat 6 Dilanggar oleh jentolak semasa berada di bawah lori Dihempap batu ketika mengendalikan jengkaut. Jatuh dari bangunan Boom crawler crane jatuh dan talinya melibas kepala mangsa Jatuh dari tingkat 7 ke tingkat 1 Jack base jatuh dari tingkat atas menghempap kepala Terjatuh dari tebing tinggi semasa memandu compactor roller

11

27 Dis 06

Terjatuh dari tempat tinggi ketika menuruni tangga

Jatuh dari tempat tinggi

Nuri Allied Consultant (M) Sdn. Bhd.


OSH Accident Investigation Workshop

Rekod Kemalangan Maut di Tapak Bina di Selangor 06-07


Bil
12

Chapter 2
Perihal Kemalangan

Integrity Mastery Reliability

Tarikh
26 Dis 06

Sebab
Jatuh dari tempat tinggi

Jatuh dari bangunan semasa membuka form work

13
14 15 16 17 18 19 20 21

11 Jan 07

Jatuh dari bangunan semasa membuka form work

Jatuh dari tempat tinggi


Jatuh dari tempat tinggi Jatuh dari tempat tinggi Jatuh dari tempat tinggi Jatuh dari tempat tinggi Jatuh dari tempat tinggi Digilis Dilanggar Jatuh dari tempat tinggi

06 Mac 07 Jatuh dari tempat tinggi dalam kawasan pembinaan 09 Mac 07 Jatuh dari bangunan dalam pembinaan 02 Apr 07 03 Apr 07 14 Apr 07 16 Apr 07 Jatuh dari tingkat 2 ke tingkat 1 semasa kerja pemasangan form work Terjatuh dari tingkat 10 semasa penyediaan untuk kerja plaster luar dinding bangunan Jatuh semasa bekerja berhampiran tepian terbuka Terjatuh dari shovel dan tergilis oleh tayarnya

08 May 07 Dilanggar oleh bas yang terbabas semasa bekerja di tepi lebuhraya 02 Jun 07 Terjatuh semasa melakukan kerja-kerja formwork di tapak bina

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OSH Accident Investigation Workshop

Chapter 2

Integrity Mastery Reliability

Laluan & ramps Ruang terbuka Lubang/lurang Membentuk konkrit & rebar Mengorek tanah Atap Dinding terbuka Memasang bata dinding

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Keadaan dan amalan tidak selamat OSH Accident Investigation Workshop Chapter 2

Integrity Mastery Reliability

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OSH Accident Investigation Workshop

Chapter 2

Integrity Mastery Reliability

Kegagalan struktur kren menara dan tiada kekemasan

Kajian semula HIRARC OSH Accident Investigation Workshop

Nuri Allied Consultant (M) Sdn. Bhd.

Chapter 2

Integrity Mastery Reliability

HIRARC hendaklah dikaji semula dan diselenggara seperti berikut:


Sebagai sebahagian daripada proses kajian semula pengurusan Sebagai kesan daripada sebarang perubahan yang signifikan kepada aktiviti organisasi, produk atau perkhidmatan Sebagai kesan daripada perubahan yang relaven kepada peraturan yang berkaitan Sebagai kesan daripada maklumbalas audit dalaman/luaran

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OSH Accident Investigation Workshop

Chapter 2
Mula Mengkelaskan Aktiviti

Integrity Mastery Reliability

(Tugas, Produk, Perkhidmatan, Aktiviti)


Kenalpasti Hazard

Menilai Hazard
Kawal Risiko Semak Kawalan

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OSH Accident Investigation Workshop

Kesimpulan

Integrity Mastery Reliability

Pengenalpastian hazard, penilaian risiko, kawalan dan semakan semula bukanlah suatu tugas yang dibuat sekali sahaja dan dilupakan tetapi ianya suatu aktiviti yang berterusan. HIRARC hendaklah didokumentasikan walaupun seringkas mana sekalipun. HIRARC hendaklah jalankan dengan penilaian teliti ke atas kebarangkalian dan juga kesan akibat manakala langkah kawalan yang dicadangkan hendaklah menepati hirarki kawalan.

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