Category: New Zealand

Orewa College explosion update

The New Zealand Department of Labour has released a media statement about the prosecution reported on yesterday but

“The Department will not name either the parties or the specific charges until the charges reach court.”

This may be an indication of the political sensitivities of the prosecution.

A representative of the Orewa College Board of Trustees, Phil Pickford,was interviewed by New Zealand Radio on 21 December 2009.  The interview is available online.

Pickford states that he is proud of the OHS systems that are in place at Orewa College and places Orewa in the top 10% of schools for OHS performance.

It is difficult for anyone to make public statements on an OHS prosecution without knowing who has been charged and with what.

From SafetyAtWorkBlog’s perspective, regardless of any action taken by the DoL, it would have been expected that both the school and the Education Department would have undertaken their own investigations in to the death of one of their own employees, if for no other reason than to stop a similar occurrence in other schools.

A TV report of the explosion from mid-2009 is available online.

Kevin Jones

Boiler death puts OHS spotlight on New Zealand Education Department

Reports are coming out of New Zealand that representatives of the Education Department are uncomfortable with being charged under the country’s OHS legislation following a fatal boiler explosion at Orewa College.

On 24 June 2009, a boiler exploded at Orewa College in Northland, New Zealand. Initial media reports said that the boiler was being repaired the day after a malfunction. Rough phone video taken by one of the students during the evacuation is available online.

Richard Louis Nel received burns to 90 per cent of his body and later died.  A contractor, Robin Tubman, suffered a fractured skull and a shattered face.

The Department of Labour indicated shortly after the event that an investigation had begun but the Board of Trustees chairman Phil Pickford has questioned the delay in the prosecution.  According to one media report, Pickford said:

“On December 24 it will be six months since the tragedy and here we are at the 21st… They have to prosecute within six months and they have left it to the last minute.  Why?  I could surmise why, but I’m sure there’s another way they could have done it.”

SafetyAtWorkBlog contacted the NZ Department of Labour on 21 December 2009 for further information about the prosecution.   All the spokesperson would say is that “the outcome of the investigation is still being finalized”.

The belief that schools are not covered by OHS legislation is a common misperception in Australia and, from what one NZ SafetyAtWorkBlog reader says, New Zealand also.  Partly this is because the education of children is seen as the principal focus by teachers and educators, to the exclusion of all else. Modern businesses and institutions have slowly learnt that this is not the case and that there are a wealth of obligations, legislative and social, that apply. Educational institutions are often slow to acknowledge this reality.

Another reason, which may stem from the first, is that government departments have been very hesitant to prosecute each other. This may also be supported by the political conflicts that could arise by one politician’s department taking action against another politician’s department. Politicians should not take the credit for departmental achievements and then not be held accountability for failings (although this seems to happen frequently).

In August 2007, The Education Department in Victoria was fined $A8,000 for ignoring the directions of a WorkSafe inspector.   The media statement on the case illustrates a dismissive attitude to OHS issues.

Of more significance were issues at Merrilands College where “a Victorian principal accused of bullying has been removed from school and given a job in the Education Department after years of complaints by staff” according to The Age in July 2004.  The issues at Merrilands had been occurring for some time:

“It was also revealed that the Education Department – which confirmed there had been “Worksafe (sic) issues” at the school in the past – had known about the allegations since 2000, when 12 teachers wrote to the department after a staff member died of a heart attack that some believed was linked to workplace stress.”

According to the same media report

“WorkCover recently issued an improvement notice against the department following allegations of bullying and harassment at two other schools in the northern suburbs.”

To some extent the Orewa College explosion is a more straightforward prosecution because the incident came from an equipment failure and did not relate to the teaching staff or students.   The administrative staff are likely to be asked about maintenance schedules, particularly after other schools in the area had their boilers inspected with several found to be less than perfect.  It is likely that the  prosecution by NZ DoL will illuminate the plant maintenance procedures of secondary colleges but, perhaps of more long-lasting significance will be the attitudes of the education department and school representatives on show in court.

Kevin Jones

Director accountability for OHS reinforced by NZ penalty

On April 5 2008, a cool store in New Zealand exploded killing one firefighter and injuring 7 others.  Icepak Coolstore Ltd, according to the fire services investigation report

“[had] very large quantities of combustible material contained in the expanded polystyrene construction panels and also in the foodstuffs stored.

“There were no compliant fire detection or protection systems or hydrants, and very limited firefighting water.”

In July 2008, the New Zealand Department of Labour (DoL) issued a media statement and fact sheet concerning the explosive potential of flammable hydrocarbon refrigerants.

Language warning on the video below

On 15 December 2009, a New Zealand Court penalised two companies and a director with fines totalling over $NZ390,000.  The DoL has issued a media statement about the prosecution results.

The many reports and inquiries into the explosion and fire are very informative but one element that the DoL wants to focus on is the penalty applied to the Director of Icepak Coolstore, Wayne Grattan.  He was

“fined $30,000 on one charge that he acquiesced in the failure of the company to take all practicable steps to ensure the safety of its employees while at work.”

The Department of Labour’s Chief Adviser for Workplace Health and Safety, Dr Geraint Emrys said (click HERE for audio):

“The prosecution against the director of Icepak should serve as a reminder to officers, agents and directors of organisations that they can be held personally accountable for the failures of their organisation.

“Mr Grattan was charged with acquiescing in Icepak’s failure in respect of obligations to its employees.  The outcome of the case against Mr Grattan reinforces the requirements of directors to be proactive in health and safety matters.”

As many Commonwealth countries have a strong commonality of law, the Icepak Coolstore case should be an important case study in many jurisdictions.

Kevin Jones

NZ quad bike fatality

On 26 November 2009, a contract worker on a New Zealand dairy farm was found seriously injured after his quad bike “flipped over on to him”.  The details of the incident according to the New Zealand Police statement are included below.

A Department of Labour spokesperson said he was unable to provide any information about the incident other than that they are investigating.

Our sympathies go to Mr Wilson’s family and all those involved in the incident

“A dairy farm worker was been killed this morning in what appears to be a tragic quad bike accident.

Police were contacted around 7.35 this morning (Thursday, 26 November) when 40-year-old Rhys Mark Wilson, from Alton who is a sharemilker at a farm in Manutahi, near Hawera, was found in a gully on the farm by a co-worker. The worker had gone looking for Mr Wilson because the cows had not been brought in for milking.

CPR was administered and this continued when emergency services arrived on scene but they were unable to revive him.

OSH and police have carried out an investigation and it is believed that the accident happened around 5am when Mr Wilson was rounding up the cows for milking. He had gone down into a gully, probably to retrieve some stray cows and it appears that as he attempted to traverse a steep slope the quad bike he was riding flipped over on to him.

OSH has recovered the bike as part of its investigation and the Police are investigating on behalf of the Coroner.”

ROPS and Quad Bikes – the failure of ATV manufacturers and OHS regulators

The Hierarchy of Controls has some questionable OHS applications to psychosocial hazards but it applies very well to “traditional” hazards, those involving plant.  The Hierarchy also emphasizes that the first step in any hazard control is to consider whether the hazard can be eliminated.  But what happens when the designers of equipment and plant know that a design can be made safer but do nothing to improve it?

For almost two decades some Australian OHS regulators have provided rebates to farmers to fit roll over protective structures (ROPS) to tractors to prevent deaths and injuries to the drivers from rollover or flips.  In 2009, one would be hard pressed to find a tractor that does not have its safety features emphasised as a sales benefit.  ROPS on tractors have been compulsory since 1998 in most States.

On 17 November 2009, Workplace Standards Tasmania issued a safety alert which, like the New Zealand ATV guidelines, advocates helmets and not ROPS even though OHS legislative principles say that elimination of hazards is the aim. The Tasmanian safety alert outlines the reasons for the safety alert

“Recent information shows there are, on average, 15 fatalities a year associated with using quad bikes in the Australian rural industry sector. Many more people are injured.

A recent coronial inquest into seven fatal incidents involving quad bikes (two in Tasmania and five in Victoria) has sparked a renewed call for improved safety on quad bikes.

As a result, Workplace Standards Tasmania has adopted a policy of zero tolerance of breaches of duty of care responsibilities with quad bikes.”

“Zero tolerance of breaches of duty”?  The Tasmanian OHS Act places this duty on the designers of plant

(1) A person who designs, manufactures, imports or supplies any plant or structure for use at a workplace must so far as is reasonably practicable –

(a) ensure that the design and construction of the plant or structure is such that persons who use the plant or structure properly are not, in doing so, exposed to risks to their health and safety;…..

SafetyAtWorkBlog is awaiting comments from Workplace Standards Tasmania on the elimination of ATV rollover hazards.

As a terminological aside, there is a growing movement to rename All Terrain Vehicles as Quad Bikes because the fatality and injury data clearly shows that the vehicles cannot be driven in “all terrains”.

Five recent fatalities involving quad bikes, mentioned in the safety alert, should spark some investigation into whether the design of the plant contributed in any way to the fatalities.  Yet the safety alert makes no mention of design other than, tenuously, encouraging farmers to make sure

“…your quad bike is properly maintained and used according to the manufacturer’s specifications.”

This is a reasonable statement but if it was possible to make the vehicle safer, to save one’s own life and livelihood, by adding a ROPS, why wouldn’t you?

The manufacturer’s specifications are certain to be suitable to that quad bike but what if the quad bike design is itself not “fit for purpose”?  Plenty of other machines and vehicles are being redesigned to accommodate poor or inappropriate driver behaviour.  What makes quad bike so sacrosanct?

Victoria had a major opportunity for reform in this area through a parliamentary inquiry into farm deaths and injuries in August 2005.  Many farm safety advocates had high hopes for major change on ATV safety but design changes were not recommended.

According to the farm safety report

“Some witnesses suggested that roll over protection structures for ATVs should be made compulsory. Others, particularly representatives on behalf of the ATV industry, argued that fitting of a roll over protective structure to an ATV would adversely affect the handling and utility characteristics of these vehicles.”
Extensive research was undertaken by the Monash University Accident Research Centre which found
“…that, in the event of an ATV accident, “if the occupant is adequately restrained [with a suitable safety harness] within a protective roll over structure, the severity of [injuries caused during] the roll over event is dramatically reduced.”
Contrary evidence on ROPS was presented on behalf of the vehicle manufacturers.  The Parliamentary Committee understandably found
“To the Committee’s knowledge, there is no existing example of a roll over protective structure device that satisfies requirements for driver protection without substantially reducing the handling characteristics of ATVs. This report cannot, based on available evidence, make any recommendations concerning the fitting of roll over protective structures to ATVs.”
The UK’s Health & Safety Executive in 2002 undertook a detailed survey on the issue of ROPS and, among many recommendations said
“The use of the “safe cell” technology offers a number of imaginative approaches as alternatives to traditional structures, particularly for smaller machinery, and should not be overlooked.  Their contribution could be invaluable if relevant techniques were validated and became legally acceptable.”
Farmers, equipment manufacturers and OHS advocates are understandably confused when there is conflicting information (but then uncertainty breeds stagnation which is likely to advantage those who do not want change).
An investigation into ATV safety funded by the New Zealand Department of Labour in 2002 provided the following conclusion

“… it appears that the risk of using ATVs is significant, however there are some possible measures that could be put in place to reduce injuries, particularly those that are more severe and/or fatal. It seems that appropriate training is the most promising factor particularly because of the strong impact human behaviour has on the outcomes of the accidents.

In addition, the high risk for a fatal outcome when ATVs are rolled over, pinning the driver Reducing Fatalities in All-Terrain Vehicle Accidents in New Zealand underneath, suggests that further consideration and research is needed regarding the use of ROPS and/or any other measures that can prevent an ATV from rolling over.”

One Australian manufacturer accepted the challenge and has designed a ROPS for ATVs that shows enormous promise. QB Industries has developed the Quadbar, a passive roll over protection structure.  A demonstration video is available to view online.
It is understood that the Australian distributors of ATVs are not supportive of the safety innovation of QB Industries.  Apparently the distributors believe that the Quadbar increases the risk to the rider and that the safety claims are misleading.  The distributors are also concerned that the Quadbar may jeopardise the manufacturer’s warranty.
These concerns may be valid but surely these need to be independently tested and, if the device saves the lives and limbs of farmers and other riders, incorporated into the design in such a way that the vehicles become safer, regardless of the actions of the individual.  After all, the safer design of motor vehicles has progressed substantial from the days of Ralph Nader’s investigations in the 1960’s to such an extent that safety is a major sales strategy.
One independent test conducted for QB Industries by the University of Southern Queensland reported this about the QuadBar:
  1. The Quad Bar did not impede rider operation of the quad bike during normal operation (based on limited riding by the Chief Investigator).
  2. In low speed sideways roll over, the Quad Bar arrests the roll over and prevents the ATV from resting in a position that could trap and asphyxiate the rider.
  3. In higher speed sideways rollover, the Quad Bar impedes the roll over and prevents the ATV from resting in a position that could trap and asphyxiate the rider. In all tests the Quad Bar provided some clearance between the ground surface and the ATV seat so the rider would be unlikely to be trapped in this space.
  4. In all back flip tests, the Quad Bar arrested the back flip and the quad bike fell to one side.
  5. There were no conditions where the ATV with the Quad Bar fitted rested in a position that was more detrimental to rider safety than the ATV without protection.
If this device did not exist, the advocacy of helmets as the best available safety device  may have been valid but this design has the potential to eliminate the hazard and not just minimise the harm.  Surely it is better to have a farmer walk away from an ATV rollover that to break a neck or have a leg crushed.
The battle that QB industries has had, and continues to have, with quad bike vehicle manufacturers is beginning to reveal tactics by the manufacturers that are reminiscent of those of James Hardie Industries with asbestos and the cigarette manufacturers over lung cancer.
The approach of the OHS regulators to ROPS for ATVs must be reviewed because the dominant position seems to be that helmets are good enough, that no one is striving to eliminate the hazard or and that the Hierarchy of Controls does not apply.
QB Industries has followed the OHS principles and has designed a ROPS that warrants investigation, and the support and encouragement of OHS regulators.  The longer this investigation is ignored, the more people will be killed and injured when using these vehicles.  To not investigate this design would be negligent.

The bad news and the good news of New Zealand agricultural safety

On 8 October 2009, New Zealand’s Department of Labour issued a press release that stated

“New research confirms the importance of work in agriculture safety and health. The research by Otago University’s Injury Prevention Research Unit found that the rate of serious injuries and fatalities on New Zealand farms has remained high in contrast to declines in other industries over the past two decades.”

The release states that DoL continues to place a high importance on preventative action in the agriculture sector, an undeniably important economic sector for New Zealand.

OR72 coverHowever, what was most noticeable was that

“the rate of serious injuries and fatalities on New Zealand farms has remained high in contrast to declines in other industries over the past two decades.”

Surely this is not a good news story.  Twenty years of preventative interventions in the agriculture sector have not been as successful as those in other industries.

SafetyAtWorkBlog contacted DoL for clarification.  The commitment of DoL to the agriculture sector was re-emphasized.  DoL responded very promptly to our enquiries and provided links to additional information including the original research report.

Part of the Otago University project was a literature review in the sector from 2000 to 2008.  The major findings were

  • “The most common mechanisms for serious non-fatal injury and fatal injury include agricultural machinery (including vehicles –tractors, ATVs), livestock and falls for all age groups, in all three regions under review.
  • The exposures and risks of disease in the agricultural sector currently being researched and where researchers agree there is a need for further research include:
    • exposure to dust and organic materials and the relation to respiratory disorders;
    • exposure to pesticides, herbicides and insecticides and associations with various cancers including: non-Hodgkin’s lymphoma; prostate cancer, breast and ovarian cancer, leukaemia, multiple myeloma and brain cancers;
    • environmentally associated cancers (for example, skin cancer and cancer of the lip) and their association with production practice.
  • Occupational fatalities in agriculture remain high, despite decreases in occupational fatality rates for other industry groups, in all three regions over the last decade. The research demonstrates that there are various groups that are particularly at risk, these include:
    • men in all age groups;
    • older workers/farmers;
    • migrant and seasonal workers;
    • youths (particularly those aged between 11-15 years and male)
    • Children (particularly male children)
    • Farm-owners and managers, with respect to intentional fatal self harm injury) again predominantly men.”

Several other surveys were undertaken, one by telephone.  Those results are also telling.  Amongst the results was this paragraph concerning injuries:

“With respect to injury, thirteen percent (13%) of farmers from the AgriBase™ sample had had an injury, in the three months prior to interview, which had restricted their activity for a half a day or more and/or which required medical treatment from a health professional.  Generally these injuries were reasonably serious and respondents reported work capacity was poor following injury.  For two-thirds of those injured it was over a week before they could resume normal farming duties; yet only a third of these respondents made a claim to the Accident Compensation Corporation.”

Key findings of the report for governments include

“….there is no long term prevention strategy for injury and disease that specifically addresses the agricultural sector.”

“The dominant stereotype of the farmer as being rugged, independent and self-sufficient (and masculine) is also largely uncritically accepted by many stakeholders. These and associated stereotypes about the nature of rural life and notions of rural isolation are problematic and potentially can undermine effective health interventions in this sector.”

“…there is a tendency for initiatives to be ad-hoc and for there to be a lack of co-ordination and coherence, and in some instances, where there are some questions around the efficacy of various interventions, an unwillingness to accept that there are problems.”

There are many others that discuss a lack of resources, dubious targeting, a lack of coordination and inter-organisational politics.

For farmers and other individuals, some of the findings include:

“In connection to this evident stoicism was a vocational identification to the work they do; most could not imagine not farming, it was not just a job.  The implications here are that they would often keep on working with an injury (such as a back condition), as doing the work was more important, not just economically, but also in terms of their identity, and an underlying belief that it would heal itself if they just kept on going.”

“Many said they were too tired at the end of a working day to read about injury and disease or to go onto the internet to learn about it either.  When they opened the paper they wanted to know about local and international news, not health matters.  This presents some real challenges for the sector in terms of disseminating information.”

The University of Otago also issued a media release on the research project.  This release reflects the tone and results of the research project much more accurately.

The whole report reflects the current status of safety in the agricultural sector in New Zealand.  It reports on good intentions in the wrong areas, a need to look beyond the stereotypes and the need for sustained intervention.

What seems to be needed is a creative and effective response from the Government that acknowledges that past strategies have failed, or at least that some of them have.  All the existing strategies need reviewing to determine which have shown promise and could succeed if appropriate resources were allocated.  Inspiration needs to be sought from within the region and from around the world.  If this has already been sought and found wanting, the sad reality will be that it falls to New Zealand to make the change.

New Zealand’s DoL may already be facing this bleak reality.  In their media statement, the Department’s Chief Adviser, Safety and Health, Dr Geraint Emrys said:

“The Department will use the findings of the research to inform policy decisions and to better target operational interventions to make them more effective in reducing the injury and death toll in agriculture.”

New Zealand could lead the world in this important area.

Kevin Jones

Handedness is not considered when investigating a workplace incident

Ha01-012Robyn Parkin has completed her small survey of handedness in safety management.  Initial results are below:

  • “92% of respondents stated that their companies do not ask whether a person is left- or right-handed on their accident report form, and 77% do not consider handedness as a possible root cause of accidents.
  • 13 companies stated that they may consider handedness where ergonomics is a possible issue, eg with poor access to equipment controls.”

More details will be available in an upcoming edition of New Zealand’s Safeguard magazine.  Robyn Parkin can be contacted about her research at robyn@impac.co.nz

Kevin Jones

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