Engine Room Incident: Head Injuries

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Questions and Answers

What primary unsafe condition directly led to the oiler's fall and subsequent head injuries?

  • The oiler was working alone despite the complexity of the task. (correct)
  • There was insufficient lighting in the engine room, impairing visibility.
  • The cylinder head was not properly secured before the oiler began moving it.
  • The oiler was not wearing appropriate head protection.

Which of the following actions would be most effective in preventing a recurrence of similar incidents involving heavy equipment movement?

  • Ensuring that on-site toolbox talks are conducted to identify potential hazards before commencing the task. (correct)
  • Mandating that all personnel involved in equipment handling receive annual physical fitness assessments.
  • Implementing a policy that all engine room tasks must be supervised by a designated safety officer.
  • Requiring the use of thicker pipes for levering heavy cylinder heads.

Why was the size difference between the pipe and the cylinder head hole a contributing factor to the incident?

  • It created excessive friction, increasing the force required to move the cylinder head.
  • It prevented the pipe from being fully inserted, causing it to slip. (correct)
  • It caused the cylinder head to overheat during the movement process.
  • It made the cylinder head heavier and more difficult to maneuver.

What measures could have been implemented to address the risk posed by the elevated work area?

<p>Barriers should have been placed to prevent personnel from falling from those elevated areas. (A)</p> Signup and view all the answers

In addition to toolbox talks, what proactive step can organizations take to prevent complacency from leading to safety lapses?

<p>Regularly reviewing and reinforcing safety protocols, emphasizing the importance of following them even for routine tasks. (A)</p> Signup and view all the answers

Flashcards

Root cause of the engine room incident?

Underestimating task complexity and potential injury when working alone.

Complacency in safety?

Always adhere to safety procedures, even if the task seems routine or familiar.

Working Alone?

Whenever feasible, perform tasks with a buddy to ensure safety and assistance.

Toolbox Talks?

Vital for improving safety, needing serious consideration for both routine and non-routine tasks.

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Elevated Area Safety?

To prevent falls from height by installing barriers in elevated work areas.

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Study Notes

  • An oiler suffered head injuries while working alone in the engine room.
  • This safety flash was published on March 6, 2025.

Incident Details

  • The oiler was positioning a heavy cylinder head to be lifted using a chain block.
  • A pipe was used as a lever to move the cylinder.
  • The oiler was standing in an elevated area with their back to a lower area.
  • The pipe slipped while the oiler was attempting to move the cylinder, leading to a backwards fall and head injuries.

Root Causes

  • The complexity/potential danger of the task was underestimated.
  • The oiler felt capable of performing the task alone due to prior experience.
  • There was no barrier in place to prevent a fall from the elevated area.
  • The pipe used for leverage was too small for the cylinder head hole; it was not fully inserted.
  • A toolbox talk was not conducted on-site to identify potential hazards.

Lessons and Actions

  • Never become complacent due to familiarity; always follow safety protocols
  • Conduct toolbox talks to address potential hazards
  • Avoid working alone; use a buddy for tasks that require assistance.
  • Elevated areas should be barricaded to prevent falls.
  • Toolbox talks are crucial for improving safety and should be taken seriously.

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