“The views, opinions and findings contained in this report are those of the authors(s) and should not be construed as an official Department of the Army position, policy or decision, unless so designated by other official documentation.”
ESPC SAFETY
Dawn DouglasSafety Energy Manager
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Purpose: Safety should be embedded into the contract process from beginning to end. During today’s session we will discuss using the DF system, lessons learned and changes in USACE mishap reporting.
Why:
Carefully reviewing AHA allow Safety to ensure the correct hazard controls and mitigations are embedded in the job steps associated with the DFOW. As we review these lessons learned we will begin to understand the importance of two leading indicators, inspections and observations. Leading indicators show potential gaps in what is written on paper for the submittal and what is actually taking place in the field during the safety inspection and/or observation. Closing the gap will reduce preventable accidents and injuries.
Remember: Safety is an a vital part of the PDT and working with safety to ensure submittals accurately reflect the job tasks is essential.
Feedback: If you have recommendations or ideas on how to improve safety within our PDT please contact, [email protected]
3HNC WORK REQUEST SYSTEM
BLUF:Submittals should be entered and assigned to “Douglas, Dawn.” An email notification will alert me of the request. Request will be processed within 3 days. Save submittal response(s) for CPARS.
4ROUTING SUBMITTALS
For ESPC reviews suggested POC “Douglas, Dawn”
If submittal has more than one review i.e. Engineering and Safety, use add.
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“The lack of mishaps is not an indication of a good safety program or safe workplace”
Two Leading Indicators of a Good Safety Program Inspections As inspections increase, mishaps go down The probability of having a mishap decreases as the number & diversity of people performing
inspections increase Observations Too many safety inspections are predictive of higher injury rate Too many at-risk observations are predictive of higher injury rates
WHAT GOOD LOOKS LIKE: MAKING A CASE FOR LEADING INDICATORS
Inspections confirm that safety controls are being utilized in the field. They determine the effectiveness of the training & implementation
of the requirements
6LAGGING VS LEADING
PROACTIVEAPP/AHA
REACTIVEMISHAPS
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LEADING INDICATORS*
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5
01.A.07 Bulletin Board
01.A.13 Inspections
01.A.12 APP – current, accepted & onsite
01.A.14 AHA
01.A.17 SSHO
01.B Indoctrination & Training
EM 385-1-1 not onsite
01.A.12 Deficiency Log
01.B.05 Safety Meetings
01.D Mishap Reporting Procedures
01.E Emergency Planning
06.B.01 HAZCOM
16 LHE
21.D Fall Protection Program
HNC SO Inspections of 4 ESPC Sites
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MISHAP DISCUSSIONACTIVITY: Installing metal plates on bldg. Tool used to prepare metal sections malfunctioned. Ironworker had
To prepare the metal piece in laydown area & walk it over to scaffolding. Metal strips were cumbersomebut not heavy.
MISHAP: Worker was electrocuted when boom lift, he was in got too close to overhead power line.
Power line
Laydown area
FINDINGS: Laydown area under energized power linesNo documentation that victim was trained in JLG operationsUtilized “spotter” in previous JLF ops under power linesJLG was new on arrival & was inspected. Function test afteraccident – JLG performed perfectlyAHA didn’t have method to control exposure to power linesJLC wasn’t needed for task & was raised higher than necessary
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ACTIVITY: HVAC Tech performing PM- changing a belt onAn AHU.
MISHAP: Hand slipped & was caught between the belt& pulley, causing lacerations to several fingers
Worker was pulling the belt with is hands to get it to “roll” ontothe sheave, the momentum of the belt forced worker’s handsbetween the belt & pulley – causing laceration.
AHA and Manufacturer’s instructions require the motor bolts to be loosened to ease the tension on thebelt.
Recurring mishap – each time workers stated it was commonpractice to “roll” the belt
Findings from several HNC investigations: Rolling the belt is general industry practice
MISHAP DISCUSSION
FINDINGS:
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ACTIVITY: Electric shock. Employee was in the vicinity of energized conductors while working onDe-energized section of 12,470 volt gear in a substation. DroppedA lug & went to lower level to retrieve. Lower unit was not de-energized& bumped head on hot bus
MISHAP: Electric shock– Worker severely injured with burns toRight side of back and head
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EM 385-1-1 Work AROUND energized equipment
MISHAP DISCUSSION
1 .Location of original employee work
3 .Wire lugs dropped from top and fell to bottom of equipment
4 .Location where employee was injuried after removing the panel and entering the equipment
No SSHO onsite during work (AHA) No equipment specific training for
Electrician (AHA) AHA not adequate Electrical safety equipment not in
the vicinity Working around energized equipment
FINDINGS:
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Ladder MishapACTIVITY: Contractor on a 8 ft ladder installing conduit. The ladder buckled and a leg collapsed causing the worker to fall to the ground.
MISHAP: Worker bruised his right shoulder and right knee.
FINDINGS: Worker used a ladder that did not belong to him. Stickers were not legible (AHA) Ladder was not inspected prior to use (AHA) Train workers in ladder use & inspection (AHA)
MISHAP DISCUSSION
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SUMMARY
IncidentLEADING INDICATORS LAGGING INDICATORS
Training, APP, AHA, InspectionsMeetings, Near Miss Reports,
Implementation of requirements
Recordable Injuries, AccidentRate, EMR
Safety seeks to be proactive and preventative!
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SHAREPOINT
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https://team.usace.army.mil/sites/HNC/safety/
Safety Spot Check Form
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https://team.usace.army.mil/sites/HNC/safety/
Safety Spot Check – Wallet Card
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NEW APPROACH
Inspection ReportsInput onto Share PointSent to PM, CT & other PDT membersTrending of leading indicators by contractor&/or contractorRepository for all actions with actions taken and can validate CPARS
Performance Indicators
Based on leading indicators Predication Prevention
InspectionsSafety Office InspectionsPDT Spot ChecksLeadership involvementPartner with Contractor Corp Safety Mtg Discuss expectations Coach, Teach, Mentor
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END STATE 18
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0 1 2 3 4 5 6 7
01.E.06 -COMMUNICATIONS
11.B.01 - ARC FLASH
24.B.01 - LADDERS
05.G.03 - RESP PROT. PLAN
05.01.B - EYE PROTECTION
01.A.07 - BULLETIN BOARD
01.A.13 - INSPECTIONS
03.B - FA KITS
01.A.12 - APP TO SUBS
01.A.15 - AHA FOR TASKS
12.B - HECP
01.B - INDOC TRAINING
Deficiencies*
*Results of 7 site assessments
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Purpose: What if there is a mishap at one of my ESPC project sites? Would you know what to do? A brief overview of initial notification, reporting, investigation, preparation and submission of reports of U.S. Army Corps of Engineers (USACE) accidents will help lead you in the right direction.
Why:
It is our policy to investigate and report USACE accidents in order toprevent recurrences and to comply with OSHA, Department of Defense (DoD), Army and other regulatory requirements. All USACE accidents shall be reported (to include immediate notification), investigated, recorded and analyzed in accordance with the requirements of this regulation, 29 CFR 1960, DoDI 6055.7, AR 385-10, DA Pamphlet 385-40 and EM 385-1-1.
Remember: We all need to work together to ensure our mishaps are reported on time with clear descriptions and pictures when possible.
Feedback: If you have recommendations or ideas on how to improve mishap reporting with our PDT please contact, [email protected]
20GOVERNING REGULATIONS
DA PAM 385-40 – Army Accident Investigations & Reporting
ER 385-1-99 – Accident Investigation & Reporting
EM 385-1-1 – Safety and Health Requirements
AR 385-10 – The Army Safety Program
DoDI 6055.7 – Accident Investigation, Reporting, & Recordkeeping
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Mishaps are the result of adverse interactions of man, machine and environment.
A mishap is rarely the result of a single mistake or failure, rather a series of active and latent failures
aligning in such a way as to result in a mishap.
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Determine the facts and circumstances pertaining to the mishap in order to identify and describe the active (What happened) and latent (Why it happened) failures (causes) of the mishap.
PURPOSE OF INVESTIGATION
The investigator who identifies the failures and describes how each caused or contributed to the mishap is poised to develop realistic, actionable recommendations to prevent or reduce the probability of the mishap occurring again (What to do about it).
The techniques in this pamphlet are structured in such a way as to facilitate the identification of “What” happened, the description of “Why” it happened, and development of “What” to do about it.
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A USACE accident is defined as an unplanned event, or series of events, which results in one or more of the following:
USACE ACCIDENT
OCCUPATIONAL ILLNESS TO USACE MILITARY OR CIVILIAN
PERSONNEL
INJURY TO ON-DUTY USACE CIVILIAN PERSONNEL
INJURY TO USACE MILITARY PERSONNEL ON OR OFF-DUTY
INJURY TO VOLUNTEERS DAMAGE TO USACE PROPERTY DAMAGE TO PUBLIC OR PRIVATE PROPERTY OR INJURY TO PUBLIC
INJURY OR OH ILLNESS TO ON-DUTY CONTRACTOR EMPLOYEES
SUPERVISED BY USACE PERSONNEL
INJURY / OH TO ON-DUTY CONTRACTORS + WHERE REPORTING TO USACE IS
CONTRACTUALLY REQUIRED.
INJURY OR DEATH TO MEMBERS OF THE PUBLIC WHO ARE
RECREATING AT USACE-OWNED / OPERATED AREAS
24ACCIDENT TYPES
RECORDABLE ACCIDENT Reportable accident that meets the minimum criteria stated in the regulation for aviation and ground Class A through D accidents.
REPORTABLE ACCIDENT All occurrences that cause injury, occupational illness, or property damage of any kind must be reported to the Soldier’s/employees/unit’s servicing/supporting SOH office.
TAKEAWAY: All accidents are reportable, but not all accidents are recordable.
25ACCIDENT CLASSIFICATIONCLASS DEFINITION – AN ARMY ACCIDENT IN WHICH:
A1) The total cost of property damage of $2,500,000 or more; 2) An Army aircraft is destroyed, missing or abandoned; 3) An injury and/or occupational illness results in a fatality or permanent total disability.
B1) The total cost of property damage of $600,000 or more, but less than $2,500,000; 2) An injury and/or occupational illness that results in permanent partial disability; or3) When 3 or more personnel are hospitalized as inpatients as the result of a single occurrence.
C1) The resulting total cost of property damage is $60,000 or more but less than $600,000; 2) A nonfatal injury or occupational illness that causes 1 or more days away from work or training beyond the day or shift on
which it occurred; or 3) Disability at any time (that does not meet the definition of Class A or Class B and is a day(s)-away-from-work case).
D
1) The resulting total cost of property damage is $25,000 or more but less than $60,000; 2) A nonfatal injury or illness results in restricted work, transfer to another job, medical treatment greater than first aid, needle stick
injuries, and cuts from sharps that are contaminated from another person’s blood or other potentially infectious material, medical removal under medical surveillance requirements of an OSHA standard, occupational hearing loss; or
3) A work-related tuberculosis case.
E Total cost of property damage is $5,000 or more but less than $25,000.
FAviation Only
1) The resulting total cost of property damage is $5,000 or more but less than $20,000. 2) Recordable incidents are confined to aircraft turbine engine damage because of unavoidable internal or external foreign
object damage, where that is the only damage (does not include installed aircraft auxiliary power units).
Recordable Public Fatality
Results in the death of one or more members of the public who are recreating at USACE-owned or operated areas where CFR Title 36, Chapter III, Part 327, "Parks, Forests, and Public Property" is applicable. These accidents are recordable and require a Accident Notification and an accident investigation report.
SIB
SIB
26WHAT TO REPORT & INVESTIGATE
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Purpose: Discuss new ENG FORM 3394, AUG 2021 form and change in reporting incidents.
Why:
Incident reporting methods differed across USACE and different forms were used in the reporting process. To modernize and standardize USACE process for mishap reporting the ER/EP 385-1-1-99 were updated; the ENG Form 3394 is the sole form used for mishap reporting for all incidents from near misses to recordable, and all audiences, both USAC employees and Contractors.
Remember: A simpler process to report mishaps help increase efficiencies and develop better products for trend analysis.
Feedback: If you have recommendations or ideas on how to improve mishap reporting with our PDT please contact, [email protected]
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Go to https://www.publications.usace.army.mil/USACE-Publications/Engineer-Forms/u43543q/33333934/ and download the New ENG 3394 Form now.
NEW 3394 REVIEW
29NEW 3394 REVIEW
The form is broken into the following sections:
WHO Who is reporting the mishap?Who was involved in the mishap?
WhatWhat type of injury / illness occurred?What happened?What type of property / material was involved?
When When did the mishap occur?
Where Where did the mishap occur?
Why Why did the mishap occur?
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Used to report all accidentsand near misses
Used for Civilians and Contractors
Only signature on form isfor person reporting accident
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Used for initial notification & final report
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No instructions on form –utilize dropdowns
Several items are forUSACE employees only
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