The reality of First Aid

Many employees undertake first aid training because it is a relatively easy training program to arrange, it is cheap and it provides skills that can be applied outside the workplace.  

But newly trained first aiders often leave training with an unrealistic feeling of empowerment.  Regularly, small businesses regret the disruption caused by the first aider’s evangelism for safety, particularly if the first aider was trained to provide some generalist safety presence in the company.  Similar disruption can result from health and safety representative training and perhaps that is why many small businesses are wary of this.

First aid trainers need to remind students regularly of the reality of first aid.  This reality is shown in the death of a truck driver in an isolated part of Australia on 9 January 2009.  First Aid is a terrific life-saving skill but the reality is that circumstances beyond one’s control may still result in a death.

In a class once, a student asked a first aid instructor what would happen if a farmer was bitten by a snake in an isolated part of the farm and the farmer  had no first aid skills or kit.  The trainer responded, “the farmer would die”.

The reality of living in a large country of isolated roads and small population is shown in the death of the truck driver.

The role of mobile telecommunications in the article is a distraction and relates more to the current political and commercial disputes between the Australian government and the telecommunication providers, than to the truck driver’s injuries.  

The article may lead to discussion on the poor emergency resources in rural and outback Australia.

First aid and emergency response has been revolutionised by mobile phone technology over the last 20 years.  Mobile phones have caused us to find lost bushwalkers and to get emergency ambulances to accident scenes much quicker.  Thankfully, a quicker emergency ambulance response shortens the time needed applying first aid.

It is a truism that no matter how much training we have, or how much technology we can access, death is a reality of life.

Safety challenges for English pantomime

Today, the UK Daily Mail published an example of the mish-mash of safety management problems that are confusing the public about what an OHS professional does.

An amateur Christmas pantomime is confused by the plethora of safetyand health obligations being placed on them by, it is assumed, a variety of regulators.  Let me speculate on what may be behind some of the issues.

“scenery is free from sharp edges” – a good set designer, even an amateur one, should already have this aim as part of their skills.  Backstage in theatrical productions is notoriously dark and often full of people, round the edges of scenery is not an unreasonable expectation.

The theatre company chairman says that the facility is not the best.

“Mr Smith, 59, a training manager, also claims that Brierley Hill Civic Hall’s backstage facilities are ‘poorer than Cinderella’s kitchen’ making it all the more difficult to meet the health and safety requirements.”

Ice cream and milk temperature is a matter of food safety.  These can easily be managed by the facility manager providing suitable refrigeration.  If the facility is a regular venue for theatrical productions it is not unreasonable to expect the venue to be fit-for-purpose.  Graeme Smith says that the company has already solved the issue to some degree:

“The 100-strong am-dram group, which was first formed 60 years ago, has also bought a freezer because it does not trust the reliability of the venue’s, Mr Smith said”

Clearly, Mr Smith has as many problems with the venue as he does with the safety needs of his production.

Climbing a beanstalk with a harness – many theatrical productions have incorporated harness into aerial effects or revised their sets and direction to depict climbing without physically climbing 30 feet.  This is a pantomime and it involves acting so act like you’re climbing a beanstalk.

Chaperoning children – mothers of stage children have been doing this for years.  The nature of backstage may require supervision of children to reduce the hazards of dozens of excited children causing problems and creating hazards for other stage workers.  Depending on the layout of the facility the dressing rooms may some way from the stage, perhaps through public areas, and supervision is not an unreasonable expectation.

“do not enter the props storage area” – all workplaces have areas that restrict unauthorised access for good reason.  Supervision may be the best available control measure for the circumstances.  The article refers to pyrotechnics.  If these were to be used in this production and the pyrotechnics were stored in the props area, entry restriction would be more than reasonable.

“inform the audience before the performance if pyrotechnics are to be used.”  It is peculiar that the audience is informed as pyrotechnics should be configured to operate with no risk to audience, actors, or stage staff.  If the reason for this advice is fire safety, then this relates again to the suitability of the facility itself, to fireproofing, fire exits etc.  Given the fires that have resulted from unsafe use indoors of pyrotechnics over the last few years, increased warnings seems appropriate.

I am not sure about the need to identify curtain users but the need to prevent people falling into the orchestra pit is obvious.  It is implied that this would only occur outside of productions and rehearsals and, in that case, this would be the responsibility of the facility manager.  Boarding up the pit may be an excessive control measure and alternative barriers may be appropriate.  Again this also relates to the initial design of the facility.

There are enough hints in the article to show that the suitability of the Brierley Hill Civic Centre for theatrical productions needs to be reviewed.  Many of the theatre company problems seem to be to accommodate design and layout deficiencies.

The Australian theatrical union issued safety guidelines for live theatre productions in 1999

The HSE and the Association of British Theatre Technicians has safety guidelines on pyrotechnics  and a range of other publications related to theatrical productions.

Clearly there is no “idiot’s guide to amateur productions” but there may be a need for such a publication.  The experience of the Brierley Hill Musical Theatre Company shows how one small event can be bombarded by attacks from all sides when all the company wants to do is put on a pantomime.  Theatrical productions have always been big management challenges and health and safety has always been part of this process. 

It was a fantasy sixty years ago when Judy Garland and Mickey Rooney could put an elaborate stage show together overnight in the movies. It remains a fantasy.

Kevin Jones

“Illegal” asbestos use in the Australian Navy

The defence forces operate with a different understanding of risk and safety.  In the past there are many instances where soldiers lives have purposely been sacrificed for the greater good.  This has been an integral part of many “heroic” battles. 

The Australian federal OHS authority, Comcare, is at the forefront of a clash between occupational safety and armed services culture.  The Age newspaper has revealed the Australian navy’s continued use of chrysotile asbestos in its ship and navy bases years after the substance was banned for use.  The newspaper says that a risk assessment report has found

..”the risk to personnel was significant, exposure to asbestos was almost certain and the consequences were “potentially catastrophic”.”

OHS standard practice is to identify the control of hazards in line with the Hierarchy of Controls which seems to have been done as the newspaper reports

“A ban on the use of and import of asbestos-containing materials in Australia came into force on January 1, 2004. But the ADF [Australian Defence Force] requested and won an exemption [page 5 of the SRCC 2005-06 Annual Report] to continue using chrysotile asbestos parts until 2007 on two strict provisos: that the parts were “mission-critical” – meaning their absence would ground equipment and jeopardise a mission – and that no non-asbestos replacement parts could be found.”

So the hazard can’t be eliminated or substitutes found.  That’s the first two levels of the hierarchy down.  The report goes on to assert that the (in)action of the Navy could be illegal and says the exemptions were renewed for another three years (page 81 of the SRCC Annual Report 2007-08)

The remaining levels of the control hierarchy are not addressed in recent media reports or documents available through Comcare’s website but the continuing cases of asbestos-related diseases reported by the lobby groups would indicate that personal protective equipment may not have been used or used appropriately. 

Most organisations are aware of the hazard of asbestos if not how the hazard relates to the specific circumstances.  The Navy cannot claim this as it has specifically claimed exemptions for the hazard. 

The current Defence Minister, Joel Fitzgibbon, took action on the defence force’s use of asbestos products almost 12 month’s ago and even though it was reported that he gave the Defence chiefs a “dressing down” over the issue, circumstances seem not to have improved. 

“But Defence Minister Joel Fitzgibbon, who first accused the Defence Force of lethargy in its efforts to remove asbestos in 2007, when he was in opposition, said despite the massive cost of ridding the ADF of asbestos, its continued use was unacceptable.”

For those who habitually argue that worker safety is not affordable, the Minister’s quote above shows commitment.  Sadly it is these types of comments that can come back and haunt politicians.

It is suspected that the Minister or the Navy is receiving letters about non-asbestos gaskets from keen equipment suppliers as you read this blog.  But that raises the problem of the labyrinthine issues of defence equipment procurement.  Perhaps the fact that anti-asbestos campaigner and former trade union leader, Greg Combet, is now the Parliamentary Secretary for Defence Procurement may fast-track the issue.  It is hoped that on the issue of asbestos in the defence forces, Greg speaks up soon.

Kevin Jones

Political argy-bargy on level crossing safety

Earlier this week Queensland MP Tim Nicholls, of the Liberal-National coalition gave the Queensland Transport Minister, John Mickel, a serve over the $10 million program on level crossing safety by calling the response “window dressing”. 

Nicholls seems more interested in political point-scoring than safety but he asks

“What has happened to all their much vaunted safety studies over the last decade.  It’s about time this Government came clean and explained whether it would actually commit new funding, what ongoing rail safety programs, if any, it has and whether today’s announcement will mean money is redirected from other maintenance and safety programs.”

He points out that

“Railway level safety was included in the National Road Safety Action Plan in 2003 and the Australian Transport Council has previously described railway level crossing crashes as ‘one of the most serious safety issues faced by the rail system in Australia'”

Today, Shadow Transport Minister Fiona Simpson got the focus back to safety for political procrastination and funding arguments describing the Queensland Government’s staunch defence of its “risk model” for determining upgrades was “dangerous“.

The Transport Minister has responded with political bluster but within John Mickel’s bluster is some points worth noting.

“For example, she [Fiona Simpson] might want to familiarise herself with the research which shows that the overwhelming number of level crossing accidents are caused by road driver behaviour, and how more than half of the accidents happen at crossings where there are boom gates or flashing lights.”

Mickel goes on to say

“Under this [uniform national assessment] process a review of level crossing characteristics such as topography and visibility takes place, which is then combined with the volume of road and rail traffic. The assessed level of risk is then used to prioritise any work that needs to be done.

The approach developed by Queensland forms the basis of what is known as ALCAM – the Australian Level Crossing Assessment Model – which has now been accepted by all state Transport Ministers as the method to be used to evaluate railway level crossings across Australia.”

ALCAM is receiving a great deal of attention through the Victorian Parliamentary investigation into level crossing safety. 

The need for uniform assessment processes is worthy but decisions on upgrading government infrastructure always considers the political imperatives, some would just, just as strongly as independent scientific advice.

Over decades workplace safety has developed assessment processes based on a range of techniques from plain observation to QRA, FEMA and many others.  Only recently has OHS got to the point of realising that greater and longer-lasting safety can be achieved through designing workplaces safely from the beginning rather than trying to achieve safety through retrofitting.  Recently in Australia, there is a growing movement to apply safety case techniques to workplaces that are not high-risk organisations.

Level crossing incidents, as do workplace fatalities, indicate that there was something not right with the initial design or that necessary safety improvements were permitted to lag behind the status and technology of the users of the facilities.  The fact remains that there are too many unsafe level crossings in Australia and each fatality is generating a reactionary government response rather than instigating true leadership.

Defibrillators in public places

official20portrait_oct07_sm-brumbyThe Victorian Premier, John Brumby, “unveiled” publicly accessible defibrillators at the Southern Cross station in Melbourne on 6 January 2008.  Australia has been relatively slow in the take-up of defibrillators as part of the non-professional first aid role.  Partly this was due to the initial expense of each unit but also because workplace first aid legislation took some time to accommodate technology.

In most States of Australia, this was exacerbated by the emphasis on allocating first aid resources on the basis of need rather than a prescriptive basis and, anyway, how can you gauge where people will have heart attacks?

SafetyAtWorkBlog is wary about relying on technology to solve problems simply because it seems simpler.  In the long-term, technology can be become cumbersome, unnecessarily expensive to maintain and often increasingly unreliable.  It is suggested that a cost/benefit exercise of the new defibrillators in Southern Cross Station would show them to be an unnecessary expense.  Direct cause and effect in terms of first aid is difficult to quantify.  But then again, according to the Premier’s media statement:

“In the 2007/08 financial year, Ambulance Victoria responded to 133 emergency cases at Southern Cross Station, including five cardiac arrest incidents.”

Defibrillators were obviously not applied as quickly in those incidents as can be in the future but for those first aiders in this blog’s readership the following statistic can be quite useful.

“Victoria has the best cardiac arrest survival rate in Australia, with 52 per cent of patients arriving alive at hospital.”

Let’s hope that these defibrillators will stop the Southern Cross Station from being a “terminal”.

Kevin Jones

Australian 2008 workplace statistics

Every year newspapers and organisations undertake a “year in review”.  OHS regulators are no different.  As more statistics become available of the next few weeks, SafetyAtWorkBlog will provide the latest OHS statistics for 2008.  The most recent are below.

Western Australia

According to a media release by WorkSafe WA:

“In 2005/06, WA recorded 12 traumatic work-related deaths and 25 in 2006/07. There were 27 fatalities in 2007/08. In addition, every year around 19,000 Western Australians suffer an injury or illness serious enough to have to take time off work.”

Eleven of these fatalities have occurred since 1 July 2008

Victoria

According to information provided to SafetyAtWorkBlog by WorkSafe Victoria:
  • There were 21 work-related deaths in calendar 2008 compared with 22 in 2007 and 29 in 2006.
  • Deaths in 2008 occurred in building construction (four), transport and agriculture (three each), timber, electrical linesmen (two each). There were also fatalities involving forklifts, the meat industry, retail, firefighting, roadworks, warehousing and manufacturing (one each).
  • The 10 year average is 28.4 deaths/calendar year.  There were 39 fatalities in 1999, the highest in that period.  Lowest was 2004 with 18.
  • The 5 year average is 24 with a high of 30 in 2004, the highest in that period.
  • 29,087 [WorkCover] claims last financial year compared with 28,550 in the previous. There were 77 life threatening injuries in the last financial year compared with 66 in 06/07.

Kevin Jones

UPDATE – 7 January 2009

A spokesperson for WorkSafe WA has told SafetyAtWorkBlog that WorkSafe’s statistical experience varies from that in Victoria in the context of workplace injuries over the Summer break.  January is historically a month with a low rate of workplace injuries.  This may be due to the number and type of West Australian industries that close down for January or that workers are on leave for around two weeks in January.

Statistics on workplace injuries are notoriously difficult to compare from one Australian State to another and SafetyAtWorkBlog would argue OHS would be seen as more directly relevant by the community if statistics accurately reflected the level of work-related injuries and illnesses rather than being based on workers compensation claims and fatalities.   It certainly would change the strategic targets and enforcement processes if illness was accurately assessed.

Various Federal governments have promised to attend to statistical incompatibility over decades and it is hoped that the potential national consistency of OHS laws may also resolve the need for accurate and relevant workplace statistics.

 

 

 

 

Different political approaches to level crossing safety

In the Melanie Griffiths movie, Working Girl, her character gained inspiration by linking an article in the social pages of a newspaper with a business article in the paper, much to Sigourney Weaver’s professional embarrassment.  This week SafetyAtWorkBlog received a similar confluence of information.

Following a fatal level crossing collision in Queensland between a passenger train and a garbage truck, the latest in several crossing incidents, the Queensland Transport Minister, John Mickel, issued a media statement outlining his plans.

QR [Queensland Rail – a government-owned rail company] will target priority level crossings in North Queensland with $10 million approved today to start work immediately on implementing improvements identified by a joint QR Task Force involving train drivers and rail unions.
QR will also step up its community education and public awareness campaigns about the need for motorists to be vigilant when using level crossings.
Transport Minister John Mickel said the urgent funding allocation and expanded community education campaigns would put greater focus on the on-going issue of level crossing safety.

A similar type of announcement was made over 12 months ago by the Victorian Transport Lynne Kosky.  In The Age on 6 January 2009, an article reported that the government has agreed to provide the roads authority with a $700,000 grant to paint 

“new yellow markings at more than 50 intersections around the city.”

Connex [a private rail company whose contract is up for renewal] has reported a big increase in near misses at level crossings in 2008 at the same time it

“demanded the Government prevent cars queueing dangerously on roads at rail crossings after drivers and other Government agencies reported the rising problem.”

The yellow markings are to “indicate cars must not stop there”.  

Apparently the government believes that drivers who push through traffic and get stuck on a clearly signposted level crossing are more likely to change their behaviour because there are now yellow lines painted on the road.  The hierarchy of controls is not big in government policy thinking.

The New South Wales government (the State between Queensland and Victoria) instigated a program of grade separation in the 1930’s almost eliminating the problem of collisions.  This required a vision of the future that is no different from the current circumstances – more people, more vehicles, more demand for public transport.  That government chose to plan for the long-term benefit of the community that live beyond the next election cycles.

Let’s hope that the Queensland government looks for sensible safety planning from the State next door and not the one down South.

Kevin Jones

The following links on Victorian rail crossing incidents can be used as a starting point for a greater understanding of the safety and political issues:

St Albans

Ambulance Officer

Kerang

Kerang Investigation Report

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