Safety Flash
Caught between: Unplanned movement of equipment leads to severe injuries
Caught between: Unplanned movement of equipment leads to severe injuries
- IMCA
- Safety Flash
- IMCA SF 20/23
- Line of FireManagement of ChangePermit to WorkSimultaneous Operations
- Crushing and pinch pointsRisk management
- Inspection and maintenancePressure testing
- Hose
- Management of changePermit to workPositive retention and reliable securingSimultaneous operations coordination
Summary
A mechanic suffered severe injuries when moving hydraulic hoses tipped a three-tonne hose saddle towards a container door, trapping him. The flash examines instability, absent securing and shortcomings in change management and work coordination during maintenance. Actions address equipment stability, sea-fastening, work authorisation and toolbox participation.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Risk management; risk evaluation.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Pressure testing; hydrostatic testing; pneumatic testing.
Classifications: Hose; flexible hose.
Classifications: Management of change; MOC; change management.
Classifications: Permit to work; PTW; work permit.
Classifications: Positive retention and reliable securing.
Classifications: Simultaneous operations coordination; SIMOPS; simultaneous operations.
Summary
A mechanic was caught in the door of a freight container by a tipped-over hose saddle weighing 3 tonnes; he sustained severe injuries that required surgery and was off work for more than 6 months
IMCA SF 20/23. Themes: line of fire, management of change, permit to work, simultaneous operations.