An executive decision leads to over six deaths

“Don’t put all your eggs in the one basket”.  The first time we hear such a saying is likely to be from our parents or our grandparents but it could equally apply to all the applications of risk management.  Clearly someone at Sundance Resources forgot this wisdom when its board members boarded a plane in Africa to visit a mining site.  The plane crashed and all on board died.

The remaining Sundance executives quickly acknowledged the error in media conferences shortly after the incident even though the decision was understandable.  In safety and workplace parlance, the board took a “shortcut” in safety, an act that would have been soundly disciplined for most workers.

Everybody takes shortcuts at work and sometimes these shortcuts lead to injury or death.  It is easy to say that the cause of an incident is a specific decision, the shortcut but it was not only the Sundance executive’s decision that contributed to the death.  In this instance the board entered a plane that later fell from the sky.  If they had made the same shortcut but on a different plane the outcome would have been very different.

Deaths always have a context to them and present a variety of “what-ifs” when we investigate.  A specific combination of events/decisions/actions/shortcuts lead to a death.  The Sundance shortcut was clearly the wrong decision, at the wrong time, in the wrong place and with the wrong mode of transport but there are more contributory factors that will become evident when the wreckage is fully recovered. Continue reading “An executive decision leads to over six deaths”

Oil rig workers speak about BP/Deepwater incident

The worker impact of the BP/Deepwater incident in the Gulf Of Mexico has finally been provide a mainstream media airing in 60 Minutes.  Workers Comp Insider blog provides some commentary and embedded video of the show.

It is a curiosity of American television that everything is open for discussion even though an official inquiry is underway.  This may be to do with the fascination of all things television but may also be reflective of a country whose legal structure allows for greater and more immediate self-analysis than the United Kingdom and its Commonwealth colleagues.

From the information available about the events preceding the disaster and immediately after, there was an increased production pressure on the oil rig’s workers.  There was some confusion on the authority for decision-making on process matters.  Emergency procedures were not well-developed or the practicalities anticipated.

Clearly there were flaws in the safety management system regardless of any design issues.  The governmental inquiry will be able to provide a much more detailed and dispassionate report of these events but it is clear that at this one oil rig in the Gulf of Mexico, safety management was not clearly understood or applied by workers at the frontline.

The world is looking forward to the “big picture” report.

More OHS charges laid over insulation installer deaths

The OHS investigation process into the deaths of installers of insulation in Australia has led to charges being laid against Arrow Property Maintenance Pty Ltd.

On 28 June 2010, Queensland’s Department of Justice and Attorney-General has charged the company with breaches of both the  Electrical Safety Act 2002 and the Workplace Health and Safety Act 1995 following an extensive investigation into the fatal electrocution of a 16-year-old teenage insulation installer in Stanwell in 2009.

The charges relate to unsafe electrical work and unsafely working at height during the installation of fibreglass insulation.

Interestingly the Department has also mentioned in its media release (not yet available online) a separate prosecution under the Electrical Safety Act 2002 that is strengthened by it also being an

“… alleged breach of a Ministerial Notice issued on 1 November 2009 Continue reading “More OHS charges laid over insulation installer deaths”

New suicide report has something to say about workplace mental health

Work-related suicides have been in the press a lot in Australia over the last six months.  In June 2010, the Australian Government released a report into suicide called The Hidden Toll: Suicide in Australia.  It covers suicide as a social issue broadly but there are some mentions in the report about work-related suicides that are worth noting.

On social costs:

“Ms Dulcie Bird of the Dr Edward Koch Foundation argued that whole communities are often affected when a suicide occurs and described low estimates of the number of people effected by suicide as ‘a load of nonsense’. She gave the example of the suicide of a 16-year-old boy in a small town and noted her organisation had completed ’43 face-to-face interventions for that one suicide’. The Foundation commented that suicide results in the loss of the deceased person’s contribution to society as a whole. Continue reading “New suicide report has something to say about workplace mental health”

Explosive impacts from the Quin Investments prosecution still to be felt

The Quin Investment prosecution in South Australia is a good indication of the importance of workplace safety and equipment maintenance.

On 24 June 2010, Quin Investments and one of its directors Nikolai Kuzub were found guilty of breaches of OHS law in South Australia by Industrial Magistrate Ardlie.  The incident involved an explosion at an explosives factory in May 2006 that killed three workers, injured two others and flattened the factory.  Pieces of equipment were located over 600 metres away, houses a kilometre away were damaged and the explosion was heard 40 kilometres away according to one media report.

Grant Germein, the lawyer representing Quin Investments, has asserted a conspiracy from, at least, the start of the court case:

“He said the company was being used as a scapegoat and SafeWork SA’s investigation into the incident was “not directed at the cause of the explosion”, but to “see if they could find a culprit”. Continue reading “Explosive impacts from the Quin Investments prosecution still to be felt”

The Bhopal disaster should be remembered when considering what comes after the BP oil spill

As the BP/Gulf of Mexico oil spill dominates the American media, the rest of world has been noting a closure, of sorts, on the Bhopal disaster of 1984.  Seven former Union Carbide executives have been sentenced to 2 years jail each over the disaster.  The CEO, Warren Anderson, showed an appalling lack corporate leadership by leaving India and not facing the charges laid against him in India.

The disaster exposed half a million people to methyl isocyanate, killed almost 4,000 people, and changed the lives of millions.  These changes continue today with birth defects, health problems and contaminated land.

Some media have noted a similarity in corporate responses to initial investigations and inquiries but there are more important lessons involving safety, corporate responsibility and social policy from the Bhopal legacy that should resonate with those American communities affected by the Gulf of Mexico spill.  The mishandling of the aftermath of the Bhopal disaster has exacerbated the horror of that day which can accurately but heartlessly be described as a “process safety failure”.

These issues are tellingly described and reported in a highly-recommended series of radio programs produced by Radio Netherlands and broadcast on 19 June 2010.

Kevin Jones

Smoke-related heart attacks decline in England but how so for hotel workers?

The British Medical Journal has released a report into the effects of smoke-free workplaces on the rate of heart attacks in the English population.  The report finds that a ban on smoking in workplaces has resulted in a 2.4% fall in heart attacks which equates to 12,000 people.  This is good news but it could have been better, or more relevant to workplace safety issues.

The study conclusion acknowledges that

“The considerably smaller decline in admissions observed in England compared with many other jurisdictions probably reflects aspects of the study design and the relatively low levels of exposure to secondhand smoke in England before the legislation.” [emphasis added]

Low levels of cigarette smoke may have been the reality across all workplaces but this is unlikely to have been the case in English pubs, from personal experience.

Research, similar to that undertaken above, would be very useful if it was to assess the cardiovascular disorder rate in hotel workers where the smoke-free obligation has existed since July 2007.  Hotel workers are a readily defined group who could not avoid exposure to second-hand tobacco smoke and a study of the health impacts of this sector could reinforce the wisdom of smoke-free legislation and could show how quickly a common social and public health hazard can be turned around.

The above study is good news, particularly for the 12,000 who may now have the chance to die from old age, but analysing a smaller, more targeted population sample in high exposure environments might have more international significance and application.

Kevin Jones

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