Task 03 Feb 2021 Nebosh IGC OBE 2k

 



TASK 3: DETERMINING ROOT CAUSES OF THE ACCIDENT

3)  You try to inform the supervisor that the root causes of unsafe behavior are usually management failures. 

Based on the scenario only, what management failures are likely to have contributed to this accident?                                                           (Marks 10)  

 

Answer: The Management failures that has been contributed to the accidents according the scenario are listed below:

The senior management delegates Supervisor and long serving Middle Managers carries casual attitude towards BSA program and they are not convinced from it therefore BSA program will need careful management for Supervisors and other managers to accept it. This a HSE negative indicator shown by the top management representatives.

According to the supervisor investigating an accident is a waste of time and any reasonable person would come to the same conclusion because he thinks incidents always occur die to the human error. He also thinks that most of the incidents and accidents are unavoidable, and this is because of the workers unsafe behavior and they should be blamed for it. Blaming individuals will also demoralize the workforce and made the workers feel insecure from the risks of health as the injured worker said “we live with the risks and accept the consequences without complaint”. This is because of the management negative attitude towards HSE.

There was no adequate training, TBT etc. provided to the worker for the task as he said only induction training was provided and site supervisor was not around later that day. While carrying out incident investigation it was found that the oil is leaked on the board and platform at incident spot. The incident spot was not physically examined and task was not carried under supervision.

Permit issuer thought the task is low risk and was also very busy as he issued 75 permits that day which lead them not do a physical check where the task was performed.

Employer failed to provide adequate safety equipment’s as the work slipped due to poor grip of safety shoes. This incidents also indicates that oil spill skits were not provided and poor housekeeping was also observed. 

 The investigation concluded that there were many organizational management failure and identified only one human error.

 

THE END……


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