Podcast
Questions and Answers
What primary unsafe act directly led to the oiler's fall and subsequent head injuries?
What primary unsafe act directly led to the oiler's fall and subsequent head injuries?
- The oiler failed to wear appropriate PPE, such as a hard hat.
- The oiler was using a pipe that was an appropriate size to lever the cylinder head.
- The oiler was rushing to complete the task without proper planning.
- The oiler was working alone in an elevated area without a barrier. (correct)
In the described incident, what was a key factor that contributed to the underestimation of the task's complexity and potential for injury?
In the described incident, what was a key factor that contributed to the underestimation of the task's complexity and potential for injury?
- The oiler was pressured by their supervisor to complete the task quickly, disregarding safety protocols.
- The oiler had performed similar tasks many times before and became complacent. (correct)
- The oiler did not have the required tools to safely perform the task.
- The oiler had never performed this type of task before and was unaware of the risks.
What procedural deficiency was noted as a contributing factor to the incident?
What procedural deficiency was noted as a contributing factor to the incident?
- Failure to follow Lock-out/Tag-out procedures before starting the work.
- Lack of proper training for the oiler on how to move heavy equipment.
- Absence of an on-site toolbox talk to identify potential hazards. (correct)
- Failure to use the correct type of chain block for lifting the cylinder head.
Following this incident, what measure is MOST important in improving safety for routine tasks?
Following this incident, what measure is MOST important in improving safety for routine tasks?
Which action would be MOST effective in preventing similar incidents in the future?
Which action would be MOST effective in preventing similar incidents in the future?
Flashcards
Toolbox Talk
Toolbox Talk
A brief, on-site discussion before starting a task to identify potential hazards and safe work practices.
Avoid Complacency
Avoid Complacency
Always adhere to established safety guidelines, even for tasks that feel routine or familiar, to prevent accidents caused by overconfidence.
Buddy System
Buddy System
When performing potentially hazardous tasks, having another person present can provide assistance, prevent accidents, and ensure safety protocols are followed.
Barrier Awareness
Barrier Awareness
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Study Notes
- Safety Flash was published on March 6, 2025.
Incident Overview
- While working alone in the engine room, an oiler sustained head injuries.
- The oiler was moving a heavy cylinder head for lifting via chain block, using a pipe as a pivot while standing in an elevated area with their back to a lower area.
- The pipe slipped, causing the oiler to fall backward and hit their head.
Root Causes
- The complexity, seriousness, and potential danger of doing the task alone was underestimated.
- The oiler had performed similar tasks before and thought they could handle the job independently.
- There was no barrier to prevent a fall from the unprotected elevated area.
- The pipe used to move the cylinder head was not properly sized or inserted into the cylinder head hole.
- A toolbox talk was not conducted on-site to identify potential hazards.
Corrective Actions
- Never become complacent due to familiarity; always follow safety protocols, even for routine tasks.
- When possible, avoid working alone and use a buddy system for tasks that require it.
- Elevated areas should be barricaded to prevent falls.
- Crews should understand the importance of the Toolbox talk, taking them seriously for all tasks to improve safety.
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