Podcast
Questions and Answers
In the incident described, what primary unsafe act directly led to the oiler's fall and subsequent head injury?
In the incident described, what primary unsafe act directly led to the oiler's fall and subsequent head injury?
- Failure to use appropriate personal protective equipment (PPE) for head protection.
- Using a pipe that was the correct length, but not inserted fully into the cylinder head hole.
- Neglecting to inform colleagues about the task being undertaken in the engine room.
- Working alone in an elevated area with his back to a lower level, while using a pipe to move a heavy cylinder head. (correct)
Which of the following factors indicates a failure in risk assessment prior to the task that resulted in the injury?
Which of the following factors indicates a failure in risk assessment prior to the task that resulted in the injury?
- The complexity and inherent risks of moving a heavy cylinder head alone in an elevated area were underestimated. (correct)
- The oiler substituted a chain block with a pipe, without evaluating the safety implications.
- The oiler's extensive experience with similar tasks led to an overestimation of his capabilities.
- The Toolbox Talk had been conducted, but the potential hazard of working at height wasn't addressed.
Besides preventing a fall from height, what is the MOST important reason for implementing a barrier when working in an elevated area?
Besides preventing a fall from height, what is the MOST important reason for implementing a barrier when working in an elevated area?
- To avoid any distractions from other workers present in the area.
- To comply with company regulations regarding working at height.
- To create a designated safe zone for the worker, preventing accidental movement beyond the edge. (correct)
- To ensure tools and equipment cannot fall and potentially injure someone below.
The report emphasizes the importance of Toolbox Talks. What is the primary purpose of conducting an on-site Toolbox Talk before commencing a task?
The report emphasizes the importance of Toolbox Talks. What is the primary purpose of conducting an on-site Toolbox Talk before commencing a task?
Based on the lessons learned from this incident, what is the MOST effective strategy a company could implement to prevent similar occurrences?
Based on the lessons learned from this incident, what is the MOST effective strategy a company could implement to prevent similar occurrences?
Flashcards
Root cause of the incident
Root cause of the incident
Underestimating task complexity and potential injury when working alone.
Preventing Complacency
Preventing Complacency
Always adhere to safety protocols, regardless of task familiarity.
Working with a Buddy
Working with a Buddy
Perform tasks with a buddy whenever possible in order to help prevent injury.
Toolbox Talk
Toolbox Talk
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Fall Prevention
Fall Prevention
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Study Notes
- An oiler suffered head injuries while working alone in the engine room.
- The incident happened on March 6, 2025.
What Happened
- The oiler was moving a heavy cylinder head.
- The goal was to position the head for lifting with a chain block.
- A pipe was used to pivot the cylinder head.
- The oiler was standing in an elevated area with his back to a lower area.
- The pipe slipped while he was moving the cylinder.
- The oiler fell backwards and sustained head injuries.
What Went Wrong
- The complexity, seriousness, and potential for injury of the task were underestimated, especially when done alone.
- The person felt capable of doing the job alone due to prior experience with similar tasks.
- There was no barrier behind him, and he was working in an unprotected elevated area.
- The pipe used to lever the cylinder head was too small and not fully inserted into the cylinder head hole.
- An on-site toolbox talk was not conducted to identify potential hazards.
Lessons and Actions
- Always follow safety protocols, even for routine tasks, to avoid complacency.
- Avoid working alone when possible.
- Elevated areas should be barricaded to prevent falls.
- Crews were reminded of the importance of toolbox talks, which should be taken seriously for both routine and non-routine tasks.
Additional Information
- IMCA Safety Flashes summarize key safety matters and incidents for the benefit of the offshore industry.
- The effectiveness of the IMCA Safety Flash system relies on the industry sharing information to prevent repeat incidents classified according to IOGP's Life Saving Rules.
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