How to Increase Near Miss Reporting

HOW to INCREASENEAR MISS REPORTING,[object Object],STEVE WISE,[object Object],DECEMBER 2010,[object Object]

Have you ever been involved in an Accident Investigation – where the contributing factors of the Accident happened before but weren’t reported?,[object Object],______________________________,[object Object],Do you find that your People are reluctant to report Near Misses? ,[object Object],HOW to INCREASE NEAR MISS REPORTING,[object Object]

Near Misses – Are Everywhere,[object Object],Shock over workplace close calls,[object Object],Posted Tue Sep 14, 2010 3:27 pm AEST,[object Object],Authorities are urging employers to ensure their workplaces are safe. (ABC News: Giulio Saggin).,[object Object],Tasmania's workplace safety authority is investigating a series of electrical explosions involving young workers.,[object Object],Workplace Standards is urging employers to ensure their workplaces are safe.,[object Object],All of the recent incidents involved unsafe work practices.,[object Object],In three of them, young tradesman were working on live switchboards.,[object Object],The explosions caused extensive damage and one forced the closure of a Hobart primary school for a day.,[object Object],Workplace Standards' general manager Roy Ormerod says the workers were lucky to escape serious injury.,[object Object],Near Misses can be very much a part of the Normal Work Day,[object Object],"They were very, very lucky indeed. There was a similar incident on the mainland where a person received severe burns to his face working on a live switchboard and that person has been in hospital for months and months and will probably never work again," he said.,[object Object],"That's how serious it could be.”,[object Object],http://www.abc.net.au/news/stories/2010/09/14/3011531.htm,[object Object]

How to Increase Near Miss Reporting,[object Object],This Safety Training Presentation – is directed to Safety Leaders of their Organization – whose mission is to Protect their People.,[object Object],The Information that is contained herein – ,[object Object],Is taken from the Safety Experience that I have accumulated along my way.,[object Object],Along with various and worthwhile sources on Near Miss Reporting from the Internet – which are so noted.,[object Object],The Goal of this Presentation – is to give all Safety Leaders ideas on how to increase Near Miss Reporting – in order to Help Keep our People Safe.,[object Object]

How to Increase Near Miss Reporting,[object Object],What is a Near Miss?,[object Object],Reasons Why Our People are Reluctant to Report,[object Object],Benefits of Reporting Near Misses,[object Object],How to Improve Near Miss Reporting,[object Object],Actions Needed to Address Near Miss Reporting’s,[object Object],Keeping the Process Flowing,[object Object]

If You were asked to define what a Near Miss is – What would You Say?,[object Object],WHAT IS A NEAR MISS?,[object Object]

What Is a Near Miss?,[object Object],A Near Miss –,[object Object],Simply put – is a Close Call,[object Object],Where the Individual(s) involved – were not Injured,[object Object],But may have resulted in Damage to T&E,[object Object],And if not attended to and corrected timely – ,[object Object],More than likely will result in one or more of your Employees being Injured possibly severely or acquiring an Illness from its cause. ,[object Object]

What is a Near Miss?,[object Object],Examples of Near Misses that I have been exposed to –,[object Object],Forklift tipped over while carrying a load that shifted on an uneven work surface – Driver escaped without a scratch by staying buckled inside the Cage.,[object Object],Mechanic working under Railcar had just stepped away when the Car was struck by another Railcar being positioned on an active Work Track.,[object Object],Forklift ran over Welder’s Foot which was protected by his Steel Toed Boots – when the Driver backed up and did not see him walking behind his Lift.,[object Object]

Examples of Escapes from Near MissesJICOSH - Japan International Center for Occupational Safety and Health,[object Object],In the work of replacing the bucket securing pin, a mechanic hit the pinhead with a sledgehammer forcibly. The pin was driven out of the hole in a high speed and came near to hitting a fellow mechanic on the opposite side. ,[object Object],http://www.jniosh.go.jp/icpro/jicosh-old/english/cases/sacl/saigai03e/saigai03e_19.htm,[object Object]

From OSHA FATAL FACTS,[object Object],BRIEF DESCRIPTION OF ACCIDENT,[object Object],[object Object]

The tool operator, while attempting to anchor a plywood form in preparation for pouring a concrete wall, fired the gun causing the nail to pass through the hollow wall.

The nail travelled some twenty-seven feet before striking the victim.

The tool operator had never received training in the proper use of the tool, and none of the employees in the area were wearing personal protective equipment.A NEAR MISS – is often only an Inch or two away from a Tragedy.,[object Object],http://www.osha.gov/OshDoc/data_FatalFacts/f-facts02.html,[object Object]

What % of Near Misses do You think are actually reported?,[object Object],REASONS WHY OUR PEOPLE ARE RELUCTANT TO REPORT NEAR MISSES,[object Object]

Reasons Why Our People are Reluctant to Report,[object Object],NEAR MISSES,[object Object],I would venture ,[object Object],to say that ,[object Object],Near Miss Incidents ,[object Object],in any ,[object Object],Organization –,[object Object], outnumber ,[object Object],Actual Injuries,[object Object], between ,[object Object],2:1 to 4:1,[object Object],I would also ,[object Object],venture to ,[object Object],say that ,[object Object],Less than 20% of,[object Object],Near Miss Incidents ,[object Object],are actually ,[object Object],Reported,[object Object],What would You say?,[object Object]

Reasons Why Our People are Reluctant to Report,[object Object],NEAR MISSES,[object Object],There is No System for Near Miss Reporting.,[object Object],Workers believe that their Supervisors will hold such Near Miss Reporting against them.,[object Object],Generates Additional Work – i.e., paperwork, subsequent Investigation, etc.,[object Object],Supervisors and/or Workers have Not Been Instructed How to Report Near Misses.,[object Object],Once reported – Nothing is Done to Address or Correct what Caused the Near Miss.,[object Object]

Reasons Why Our People are Reluctant to Report,[object Object],NEAR MISSES,[object Object],Upon reporting – there is No Follow-up Communicated to the Individual(s) who so reported the Near Miss.,[object Object],Loss of Credibility for those that report such – may be viewed as a “Squealer.”,[object Object],There is No Motivation for Organizational Employees to report Near Miss Incidents – nothing is gain Individually or Organizationally.1,[object Object],Near Misses are so Frequent that they become common place and part of the everyday work life.,[object Object]

Reasons Why Our People are Reluctant to Report,[object Object],NEAR MISSES,[object Object],Employees may Fear a Possible Job Loss or be Penalized – if they are found to be a contributing factor of the Near Miss Incident. ,[object Object],Form(s) Used may be too Complicated for Near Miss Reporting.2,[object Object],There is No One Assigned to handle / direct the actions needed to correct what caused the Near Miss.,[object Object],Workers have the Mindset that being Safe in the Workplace also includes Being Lucky.,[object Object]

We MUST find Ways to Hear and Learn from our Near Misses,[object Object],BENEFITS of REPORTING NEAR MISSES,[object Object]

OSHA – Weekly Fatality / Catastrophe Report(Federal and State data tabulated week ending November 6, 2010),[object Object],Wouldn’t You have wanted to make a Difference here?,[object Object],http://www.osha.gov/dep/fatcat/fatcat_weekly_rpt_11062010.html,[object Object]

Benefits of Reporting Near Misses,[object Object],As a Safety Leader – ,[object Object],It is hard to argue with the fact that a Near Miss Safety Incident –is a “Do Over” without a Cost or Penalty or Injury. ,[object Object],It is also hard to argue that Near Misses must not only be attended to and corrected timely – but that they must be Used as a Learning Experience.,[object Object]

Benefits of Reporting Near Misses,[object Object],A Real Life Example – ,[object Object],At one of our Facilities – a Mechanic was operating a Machine with a Rotary Mechanism.,[object Object],When the Machine got clogged – the Mechanic reached inside to clear it without turning off and Locking Out – catching his Arm Sleeve on the rotating mechanism.,[object Object],His initial reaction was to fall away from the Machine – resulting in his Arm Sleeve ripping from his Shirt.,[object Object],The Mechanic received No Injury – and was very lucky that his Hand / Arm was not pulled into the Machine. ,[object Object]

Benefits of Reporting Near Misses,[object Object],A Real Life Example (con’t) – ,[object Object],This Near Miss Incident was reported – and an Incident Investigation and Report were completed.,[object Object],Corrective Actions included reviewing the Incident with all Personnel that use such a Machine – and the need to Lock Out any such Machinery before servicing. ,[object Object],A Safety Bulletin was issued that included a Picture of an Individual that suffered Fatal Injuries from such an Incident that was pulled into a Machine.,[object Object],To see such – Google Image – “Machine Accidents”,[object Object]

Benefits of Reporting Near Misses,[object Object],Reporting of a Near Miss and the subsequent Investigation of – will more than likely reveal – acts, conditions, etc. that will need to be corrected. ,[object Object]

Benefits of Reporting Near Misses,[object Object],EXISTING CONDITIONS – Do not be surprised when investigating Near Misses – to find Unsafe Conditions that have been present for some time.,[object Object],NO STANDARD WORK PRACTICE – Near Miss Incidents are often caused by having no such standard practice or procedure in place – which results in having various and most likely unsafe ways to accomplish a task or responsibility.,[object Object],LACK OF TRAINING – Another condition that leads to Safety Incidents –is the lack of Training of the Workers involved – i.e., How to Safely use a Come-Along.,[object Object]

Benefits of Reporting Near Misses,[object Object],USING IMPROPER or UNSAFE TOOLS – Can a Near Miss Incident ever be caused by Management? ,[object Object],How about when a Tool is given to an Employee that is either improper or unsafe to use for the Job that that they are asked to perform.,[object Object],CUTTING CORNERS – Common place in the Work Place – will be Employees that “Cut Corners” – i.e., not following the steps that need to be performed in order.,[object Object],Such may be due to Complacency and the belief that they will not get hurt – or it may include simply trying to speed up their work process.,[object Object]

Benefits of Reporting Near Misses,[object Object],LACK of SAFETY AWARENESS – A leading cause within my Organization – is the lack of Safety Awareness by our People involved in Near Misses and Accidents.,[object Object],Such has included –not seeing Co-Workers in their immediate Work Area – to placing their Body Parts between Pinch Points – to not checking their work area prior to setting up or beginning their work.,[object Object],OUTDATED PROCEDURES – Organizations must ensure that when their Processes change – that they update their Procedures to reflect such changes.,[object Object]

It is essential for Safety Leaders – to hear and know about Near Misses,[object Object],HOW to IMPROVE NEAR MISS REPORTING,[object Object]

How to Improve Near Miss Reporting,[object Object],Safety Leaders must create an environment – where Near Misses are reported timely – so that events such as this are stopped before they occur.,[object Object],Rig worker dies in workplace accident near Fort McMurray,[object Object],Occupational Health and Safety investigating,[object Object],By Journal Staff, edmontonjournal.com November 10, 2010 ,[object Object],EDMONTON — A man is dead after a workplace accident in the Fort McMurray area on Tuesday. ,[object Object],A rig worker for Encore Coring and Drilling was killed during the assembly of an oil rig at a remote Devon Energy work site near Kirby Lake, about 350 kilometers northeast of Edmonton. Occupational Health and Safety is investigating. ,[object Object],"A piece of equipment fell and hit a worker in the head," said Occupational Health and Safety spokesman Chris Chodan. ,[object Object],The man was an experienced rig worker, said Rob Wilman, vice-president of health and safety for the parent company, Ensign Energy Services.,[object Object],© Copyright (c) The Edmonton Journal,[object Object],http://www.edmontonjournal.com/health/worker+dies+workplace+accident+near+Fort+McMurray/3800911/story.html,[object Object]

How to Improve Near Miss Reporting,[object Object],There are three (3) important factors that must be present to ensure that Near Misses are reported –,[object Object],There must be a Near Miss Reporting System in placethat tracks the status of. ,[object Object],The Near Miss System must be understood by All Employees.,[object Object],All Near Misses should be investigated and corrective actions takenif necessary to prevent their reoccurrence and/or more serious Injury.,[object Object]

How to Improve Near Miss Reporting,[object Object],In addition to these Factors – there are other important elements that should also be in place – ,[object Object],NO PENALTY – There should be No Penalty what-so-ever to any Employee that reports a Near Miss.,[object Object],As soon as such is experienced – all Near Misses will go underground.,[object Object],DRIVER OF THE SYSTEM – At each of your Locations–you need to have someone assigned to be the “Handler” of all Near Misses.,[object Object],Such duties will include Recording, leading the Near Miss Investigation, and helping to determine and complete Corrective Actions to prevent any reoccurrence.,[object Object]

How to Improve Near Miss Reporting,[object Object],In addition to these Factors (con’t) – ,[object Object],PUBLICIZE YOUR EFFORTS – In order to make Near Miss Reporting successful – you must Publicize Your Efforts.,[object Object],You need to find a way to report how corrective actions taken as a result of Near Misses – have helped the Organization and your People – by making their Workplace Safer.,[object Object],You will have People reluctant to report Near Misses – until they see that they have something to gain from so reporting.,[object Object],SHARE WITH OTHERS – Near Misses can and should be a Learning Tool for all applicable Organizational Employees.,[object Object],Make sure that you take time to not only share the Near Miss Incident – but also how it occurred and what actions were taken to prevent its reoccurrence.,[object Object]

How to Improve Near Miss Reporting,[object Object],In addition to these Factors (con’t) – ,[object Object],COMMUNICATE ACTIONS TAKEN – It is very important that you communicate any findings and actions taken to those involved with the Near Miss.,[object Object],This includes both the Individual(s) that reported the Near Miss – as well as any Individual(s) that were actually involved in the Near Miss.,[object Object],In addition, it would be beneficial to advise any Work Group Members that are involved in similar work actions. ,[object Object],USE AS A LEADING INDICATOR – Take time to track and record your Near Miss Incidents. Such can be used as an indicator of your Safety Performance to come. ,[object Object],Various factors can be interpreted from Near Misses including – are they major vs. minor in nature, is their primary cause from either lack of awareness or lack of training, etc. ,[object Object],Near Misses can point to what Safety Efforts are needed in the Workplace – to address what is causing them – and any negative trends in Performance,[object Object]

How to Improve Near Miss Reporting,[object Object],In addition to these Factors (con’t) – ,[object Object],SENIOR MANAGEMENT SUPPORT – Sr. Management must support Near Miss Reporting in three aspects –,[object Object],First – it must support the Process of Near Miss Reporting and expect it to be an integral part of the Company’s Safety Efforts.,[object Object],Second – it must understand Near Miss Reporting and not react negatively to a spike in Near Misses reported for a particular area.,[object Object],Third – they must know and accept that there is a Cost to Near Miss Reporting – such as the time needed to track and correct, incident investigation, etc.3,[object Object],Sr. Management must let the necessary actions play out that should address any need that may be creating Near Misses.,[object Object]

Once Near Misses are reported – what will You Do with them?,[object Object],ACTIONS NEEDED TO ADDRESS NEAR MISS REPORTING’s,[object Object]

Actions Needed to Address NMReporting’s,[object Object],The Actions that we take in response to Near Miss Reporting’s – will determine how successful this Process will be.,[object Object]

Actions Needed to Address NM Reporting’s,[object Object]

Actions Needed to Address NM Reporting’s,[object Object],Suggested Flow Chart of Near Miss Actions Needed,[object Object]

Example of a Near Miss ReportWorkforce Safety & Insurance – www.WorkforceSafety.com,[object Object],NEAR MISS REPORT,[object Object],A near miss is a potential hazard or incident that has not resulted in any personal injury . Unsafe working conditions, unsafe employee work habits, improper use of equipment or use of malfunctioning equipment have the potential to cause work related injuries. It is everyone’s responsibility to report and /or correct these potential accidents/incidents immediately. Please complete this form as a means to report these near-miss situations.,[object Object],Department/Location ________________________ Date: ________________ Time __________ am / pm,[object Object],Please check all appropriate conditions:,[object Object],____ Unsafe Act ____ Unsafe Condition ,[object Object],____ Unsafe equipment ____ Unsafe use of equipment ,[object Object],Description of incident or potential hazard: ____________________________________________________,[object Object],__________________________________________________________________________________,[object Object],Employee Signature _____________________________ (optional) Date ___________________,[object Object],NEAR MISS INVESTIGATION - Description of the near-miss event / condition: ___________________________________________________________________________,[object Object],___________________________________________________________________________ Causes (primary & contributing) ___________________________________________________ ___________________________________________________________________________,[object Object],___________________________________________________________________________,[object Object],Corrective action(s) taken (i.e., Remove the hazard, replace, repair, or retrain in the proper procedures for the task) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________,[object Object],Signed _________________________________________ Date Completed __________________ ,[object Object],Not completed for the following reason: _____________________________________________________ ,[object Object],Management ________________________________________ Date ___________________________,[object Object],http://www.workforcesafety.com/safety/sops/NearMissReport.pdf,[object Object]

Actions taken in Response to Near Misses – will often dictate the type of Accidents Your Organization Incurs,[object Object],KEEP THE PROCESS FLOWING,[object Object]

Keep the Process Flowing,[object Object],The following Suggestions are offered to help ensure the Success of your Near Miss Reporting Program –,[object Object],Near Miss Reporting, Investigation, and Corrective Action – should be considered an INTEGRAL PARTof your Organization’s Safety Program.,[object Object],Be CONSISTENT with your response to and actions taken regarding Near Miss Incidents.,[object Object],Near Miss Incidents that are severe in nature – should receive as much ATTENTION and CORRECTIVE ACTION as an actual Accident / Injury.,[object Object]

Keep the Process Flowing,[object Object],The following Suggestions are offered (con’t) –,[object Object],Put out the Message to all of your People –that Near Miss NON-REPORTING is UNACCEPTABLE.,[object Object],COMMUNICATION of both Near Miss Events and the Corrective Actions taken – will be the key to its success.,[object Object],The Reporting of Near Misses – should NEVER BE INCENTIVEIZED. Let the Program prove its merit.,[object Object],Employees should NEVER BE PENALIZED for reporting Near Miss Incidents.,[object Object]

Keep the Process Flowing,[object Object],The following Suggestions are offered (con’t) –,[object Object],LEARN – LEARN – LEARN – from your Near Miss Incidents and be Safer because of them. ,[object Object],Any and all Near Miss Incidents should be SHARED WITH OTHERS. Let others Learn too.,[object Object],As with any Safety Effort – REVITALIZE from time to time to ensure such matches current Processes.,[object Object],Engage your ENTIRE ORGANIZATION in your Near Miss Reporting. Senior / Local Management should know about Near Misses as well.,[object Object]

How to Increase Near Miss Reporting,[object Object],As Safety Leaders – we must work with our People to see events, conditions, etc. – BEFORE they turn into Accidents & Injuries. ,[object Object],This Safety Training Presentation – was offered to give You Ideas on How to Increase Near Miss Reporting.,[object Object]

How to Increase Near Miss Reporting

How to Increase Near Miss Reporting

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