IMCA reports an incident in which a seaman suffered a serious finger injury whilst lifting and moving heavy shackles. The incident occurred whilst he was working on deck with the Bosun, colour-code painting of the shackles and moving the shackles on to the rack after the job had been completed.
The injured person and the Bosun agreed that they would lift and replace the heavier shackles together, lowering them into positon before finally dropping them the last short distance – each person letting go “on the count of three”. They lifted a large shackle, weighing 44kg, into position and the Bosun begun the count – on reaching 3, he let go but the injured person did not, causing his finger tip to become crushed between the dropped shackle and another shackle already on the rack below. He received first aid treatment on-board, but after examination by the platform medic, he was sent ashore for further medical treatment. He returned later that day and was assigned to restricted duties, with a minor fracture, bruising and cuts to his finger.
The investigation revealed that despite a very detailed and discussed control of work process, some major items were missed:
- The risk assessment was very detailed and included specific awareness on pinch points (following positive learning
from a previous incident) and manual handling. However, no consideration was given to the use of additional,
mechanical control measures – chain blocks, strops. – for handling heavier shackles - A toolbox talk had been conducted and attended by everyone involved. However, despite the use of lifting equipment
and manual handling being identified here, the work progressed without the necessary equipment and control
measures in place - Despite the difficulties experienced in lifting the heavier shackles, no-one exercised the STOP WORK POLICY. The
Bosun and the injured person came up with an unplanned – and hazardous – solution, rather than stopping and reassessing
how the work could have been completed in a safer manner, using a dedicated safe lifting arrangement.
The following actions were taken:
- The injured person received immediate first aid on-board and was then sent ashore to hospital for medical treatment;
- An on-board “Time Out for Safety” was held to discuss the incident and failings, and to discuss corrective actions;
- The crew implemented corrective and preventative measures
- Changes were made to the safety management system documentation to enhance coverage of manual handling and pinch points.
Lessons learned
- Learn from previous mistakes – ensure that lessons learnt from other incidents are applied to your daily working duties, to make your tasks safer;
- Toolbox talks are not one-way conversations, but an opportunity for ALL team members to speak up and ask questions, discuss the task, ensure all control measures are in place and that everyone is clear on their duties and responsibilities during the job;
- Ensure all Control of Work requirements are in place – before starting the job, ensure that every safety and control measure required by the risk assessment, permit to work and toolbox talk is in place and is correct. If something is missing, or not implemented correctly – or even if you have some concerns about the measures that are in place – do not start the job until everything is in place and correct;
- Do not use unplanned work practices – exercise the STOP WORK POLICY if you need to, but step back and reassess the task to find a safer, easier alternative.
Source: IMCA Safety Flash
