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What’s happening out there?Industry safety performance

Reporting accidents and incidents

An accident must be reported: if it causes an injury that prevents the person from returning

the following day to the duties they were doing at the time of the accident

regardless of whether the person is rostered to work the following day or not

if the person has lost time from work, been assigned to alternate or light duties or been put on restricted hours

Reporting requirement applies to: employees self-employed persons contractors and their employees

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Injury notification

Manager must ensure that any injury is reported to: District Inspector if requested, trade union to which the injured person belongs

For serious injury: notification as soon as possible by fastest method subsequently confirmed in writing using occurrence report

form may require judgement call about whether person will be

disabled for 2 or more weeks

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Serious injury

An injury that: is disabling for 2 or more weeks

or involved unconsciousness from gas inhalation or

asphyxiation

or results from an accident, including fuming, arising from the

use of explosives or blasting agents

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Occurrences andpotentially serious occurrences

Occurrences – Section 78 of Act requires ten occurrence types to be reported to the District Inspector whether or not the incident caused an injury or damaged property

Potentially serious occurrences – Section 79 requires the reporting of any occurrence that, in the manager’s opinion, had the potential to cause serious injury or harm to health (i.e. near misses)

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Reporting categories onoccurrence form

Extensive subsidence, settlement or fall of ground or any major collapse

Earth movement caused by a seismic event

Outbreak of fire above or below ground Breakage of a rope, cable or other gear by

which persons are raised or lowered Inrush of water Dust ignition below ground Presence or outburst of potentially harmful

or asphyxiant gas

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Reporting categories for occurrences (continued)

Accidental, delayed or fast ignition or detonation of explosives

Explosion or bursting of compressed air receivers, boilers or pressure vessels

Electric shock or burn or dangerous occurrence involving electricity

Poisoning or exposure to toxic gas or fumes where persons are affected

Loss of control, failure of braking or steering of heavy earthmoving equipment

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Reporting categories for occurrences (continued)

Potentially serious occurrence – Section 79 of MSIA In manager’s opinion “Near misses” not covered by previous ten categories

Other categories on form Potentially serious injury – Section 76(2a) of MSIA

Where someone is injured and it appears likely to be serious

Incidents affecting registered plant – Regulation 6.36 of MSIR

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Importance of reporting

Why might reporting be neglected?

What are the consequences if incident reporting is: Not done? Not done well? Not followed up? Not recorded (regardless of regulatory requirements)? Followed-up but outcome not communicated to workforce?

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Consequences

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What sort of safety culture allows this?

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Safety culture spectrum

Type Vulnerable Rule followers Robust Enlightened Resilient

Characteristics In denial

Messengers ‘shot’

Whistleblowers dismissed or discredited

Protection of the powerful

Information hoarded

Responsibility shirked

Failure punished or covered up

New ideas crushed

Deal ‘by the book’

Conform to rules

Target = ‘zero’

Reactive

Repair not reform

Information neglected

Responsibility compartmentalised

New ideas = ‘problems’

Develop risk management capacity

Enhance systems

Improve suite of performance measures

Develop action plans

Monitor/review progress

Clarify/refine objectives

Active leadership

Safety management plan widely known

Competent people with experience

Accountabilities understood

Advanced performance measures

Regular reviews

Range of emergency responses catered for

Strive for resilience of systems

Reform rather than repair

Responsibility shared

Actively seek new ideas

Messengers rewarded

Proactive as well as reactive

Failures prompt far-reaching inquiries

Flexibility of operation

Consistent mindset = ‘wariness’

Descriptor‘in disarray’

pathological

‘organised’

reactive

‘credible’

calculative

‘trusting’

proactive

‘disciplined’

generative

Strategy Sanction Direct Encourage Partner Champion

Occurrences reported for 2009-10

~ 2,200 reports for > 70,000 FTEs

80 reports Drill/power shovel incident

631 reports Outbreak of fire

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Drilling injury statistics for last 5 years – body part

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Arm: 4

Hands/Wrists: 6

Head/Neck: 7

Eye: 2

Foot/Ankle:10

Fingers: 24

Back: 6

Leg:14

Shoulder :4

Abdomen: 1

Knee: 5

Toe: 1

Chest: 2

SIR 145

Mines Safety Significant Incident Report

No. 145 [2007]

Driller’s offsider struck by dust deflector box or “wear bend”

Fatal accident

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SIR 145

Incident

A driller’s offsider was fatally injured when struck by a "wear bend" that became detached from the cyclone at an exploration drilling site

Wear bend - steel attachment built for connecting the sample hose

to the cyclone reinforced with thick metal blocks to withstand abrasive

nature of drill cuttings on return side of reverse circulation (RC) drilling process

weighed about 40 kg16

SIR 145

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SIR 145

Causes and contributing factors

High pressure compressed air was used in an attempt to clear blockage

Employees were not standing clear of sample hose while the driller was attempting to unblock it

Wear bend became detached from cyclone as an insufficient number of bolts and nuts was installed

Bolts and nuts used to attach wear bend to cyclone were too small for intended application and were pulled through bolt holes on the cyclone

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SIR 145

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SIR 145

No safe working procedures for unblocking a sample hose installing a wear bend

Safety devices for securing wear bend to cyclone in case of a failure of the bolts and nuts were not connected at time of the accident

No proper engineering design for wear bend if subjected to high pressure compressed air during drilling process

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SIR 145

Some of the recommendations

Properly engineered design process for all components subjected to high pressures and forces during RC drilling and sampling process

Provide approved fabrication drawings to those carrying out the fabrication work, and check work to ensure it complies with the design

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SIR 145

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SIR 145

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SIR 145

Valuable tool for safe work procedures – consider actions recommended in following Mines Safety Significant Incident Reports

No. 3 Compressed air hose connection – fatal accident, issued 29 September 1989*

No. 92 R C drill rig 3” sample hose connection – serious accident, issued 23 February 1998

No. 109 Fitting of tile boxes on drilling rigs, issued 9 October 2001* No. 119 Driller’s offsider blasted with sample dust under pressure,

issued 4 November 2002

* See handout

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Inspectorate view

What has been happening in exploration over the past 12 months?

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Mining injury report forms for exploration activities

Western Australia

61 reports received 1 January to 30 November 2010

34 driller’s offsider

11 driller

12 field assistant

4 other (e.g. geologist, botanist)

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Mining injury report forms for exploration activities

Kalgoorlie Goldfields

22 reports received 1 January to 30 November 2010

14 driller’s offsider

5 driller

3 field assistant

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Mining injury report forms for exploration activities

Kalgoorlie Goldfields – Driller’s offsider

14 reports received 1 January to 30 November 2010

7 hand, including fingers

2 arm or elbow

1 back

1 head

1 shoulder

1 ankle

1 heat stress28

3 rod handling

1 cut hand on sharp rod

1 crushed hand lowering mast

1 crushed hand unhooking trailer

1 hammer bit fell on finger

Mining injury report forms for exploration activities

Kalgoorlie Goldfields – Driller

5 reports received 1 January to 30 November 2010

3 hand, including fingers

1 arm or elbow

1 back

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1 crushed finger lifting HQ barrel

1 crushed thumb breaking out rod

1 crushed finger unhooking trailer