INCIDENT LIBRARY: Vol 3

ECIA members frequently seek to freely share information about incidents that they have experienced and the lessons learned.

We have gathered together a range of this information on this page and hope you find it useful. It contains a wide range of experience from all over the world.

Each document deals with a particular issue. The pen portraits in the titles to the links tell you in rough terms what each one is about.

If you have anything that you would like to share please don't hesitate to send it to us. Email Richard Ash at richardash@ecia.co.uk  

We are particularly grateful to Foster Wheeler Energy who have made available much of the information.

[+] Deck crane failure

click to download (882 Kb) Abstract: The lifting hook assembly of a deck crane became detached during lifting operations. This incident highlights the need for attention to detail in maintenance and inspection regimes

Document size: (882 Kb) Download

[+] Fall through grating

click to download (237 Kb) Abstract: An engineer fell through a gap left by a grating that had been removed by painters. This incident highlights the need for access to dangerous areas to be carefully controlled

Document size: (237 Kb) Download

[+] Piling near miss

click to download (876 Kb) Abstract: During civils phase concrete piles narrowly missed severing a gas pipeline. This shows the importance of knowing where buried services really are, rather than where you think they are

Document size: (876 Kb) Download

[+] Pipeline re-routing fatal

click to download (136 Kb) Abstract: In this incident planning and PTW failures led to release of pressure (71 bar). High urgency of task appeared to be at the root of H&S management corner cutting

Document size: (136 Kb) Download

[+] Crushed by outrigger

click to download (1022 Kb) Abstract: In this fatal incident a man was crushed by a crane outrigger as it was being retracted into the transport position. Examples the need for lifting operations to be organised so that unnecessary staff are kept clear.

Document size: (1022 Kb) Download

[+] Main steam pipe failure

click to download (288 Kb) Abstract: A newly commissioned steam pipe failed catastrophically under pressure killing two people in China. This incident highlights the need for rigorous quality control in sourcing safety critical items

Document size: (288 Kb) Download

[+] Confined space disaster

click to download (66 Kb) Abstract: 5 people killed in a major Italian confined space incident. Apparent total disregard of the need to plan safe systems of work for such high risk work

Document size: (66 Kb) Download

[+] Harness buckle failure

click to download (1114 Kb) Abstract: Details of damage in use of a safety harness buckle that completely compromised the ability of the equipment to provide protection

Document size: (1114 Kb) Download

[+] Harness buckle failure 2

click to download (359 Kb) Abstract: More specific details of the nature of buckle failure and how to recognise it

Document size: (359 Kb) Download

[+] New York crane collapse

click to download (940 Kb) Abstract: Overview of major tower crane collapse, including explanation of immediate cause

Document size: (940 Kb) Download

[+] Argon asphyxiation

click to download (763 Kb) Abstract: Detailed account of a fatal incident inside a confined space

Document size: (763 Kb) Download

[+] Grinder incident

click to download (707 Kb) Abstract: Details of an incident where cloting became entangled with a hand held grinder

Document size: (707 Kb) Download

[+] Insecure work platform

click to download (63 Kb) Abstract: A serious fall caused by failure to properly secure a Kennedy grating section

Document size: (63 Kb) Download

[+] MEWP crushing incident

click to download (813 Kb) Abstract: Details of an incident where a worker crushed between a MEWP platform and the adjacent structure

Document size: (813 Kb) Download

[+] Safety gate failure

click to download (458 Kb) Abstract: An incident where securing bolts on a simple platform access safety gate detached

Document size: (458 Kb) Download

[+] Site traffic fatality

click to download (2094 Kb) Abstract: A worker was run over by a large wheeled excavator. Visibility and traffic risk management were key issues

Document size: (2094 Kb) Download

[+] Steam pipe failure

click to download (160 Kb) Abstract: A steam pipe failed under pressure. Management of change was identified as the key issue

Document size: (160 Kb) Download

[+] Telehandler overturn

click to download (444 Kb) Abstract: No injuries in this incident, but potential for catastrophic consequences had the machine damaged adjacent refinery plant.

Document size: (444 Kb) Download

[+] Trapped fingers

click to download (307 Kb) Abstract: A worker's fingers were caught between the drum and cable of a winch. Management of change was thought to be a key issue

Document size: (307 Kb) Download

[+] Trapped hand

click to download (228 Kb) Abstract: Workers hand seriously crushed during erection of a large crane. Time pressures were thought to be at the root of this incident

Document size: (228 Kb) Download

[+] Trapped pressure

click to download (221 Kb) Abstract: This incident occurred when a fitting was ejected under pressure contained in the system being worked on

Document size: (221 Kb) Download

[+] Unguarded holes

click to download (99 Kb) Abstract: A serious injury demonstarting the need for attention to detail in covering and protecting holes which people can fall through

Document size: (99 Kb) Download

[+] welding safety

click to download (248 Kb) Abstract: An example from the Far East of a safety information sheet.

Document size: (248 Kb) Download

[+] Using gas bottles on MEWPs

click to download (46 Kb) Abstract: Guidance from Australian authorities on using gas bottles in work at height access equipment such as cherry pickers and scissor lifts

Document size: (46 Kb) Download

File formats

Adobe PDF files - in order to view and print these files, you need an up-to date version of the Adobe Reader plug-in which can be obtained free-of-charge from Adobe.

Microsoft Word, Excel and Powerpoint files - in order to view, amend and print these files, you will need an up-to date version of Microsoft Office or Microsoft Word. If you only need to view documents, the following resource may be of use.

 

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