Task 4 Oct 2020 Final Exam Solution Nebosh OBE

 

Task 4: Why lessons should be learnt from incidents

Question 4 Other than a general improvement of health and safety, what specific reasons are there for this organization to learn lessons from incidents?  (Marks-10)

 

 

Summary from the Scenario:

·              NON-ROUTINE TANK MODIFICATION TOXIC CHEMICAL​

·              LEARNING LESSON FROM OWN MISTAKE IS VERY COSTLY(HUGE COST INVOLVED) AND CAN BE DISASTER AND un-AFFORDABLE​

·              LOSS OF LIFE AND IMPACT ON THE ADJACENT PEOPLE, BUSINESS,RESIDENCE SCHOOL​

·              COMPANY REPUTATION AND WORLD CLASS HSE CULTURE​

·              LEGAL ENFORCEMENT ACTIONS AND THIS WILL HELP COMPANY TO STAY LEGAL COMPLIANT​

·              ANALOGY/HISTORY TO BE DISCUSSED TO MAKE WORKERS MOTIVATED AND ALERT AND ACTIVELY PARTICIPATE IN HSE MANAGEMENT, DEDICATION ENHANCE WORKER COMPETENCY ​

·              THIS WILL HELP IN CONVINCING MANAGEMENT TO DIVERT THEIR ATTENTION TO HSE AND TO IMPLEMENT PRECAUTIONS AND ADDITIONAL CONTROL MEASURES. ​

·              SUITABLE & SUFFICIENT RISK ASSESSMENT ​

·              SAFETY INDUCTION, FIRE AND SAFETY TRAINING, TBT AND MAINTAINING RECORD​

·              WORK RELATED DOCUMENT UPDATE EMERGENCY ACTION PLAN, SOP, PTW AND SSOW ETC​

·              AUDITS WILL BE CONDUCTED ​

·              SAFETY CULTURE WILL BE IMPLEMENTED AND MAINTAINED

 

 

ANSWER:

THE LESSONS ARE LEARNT FORM THE FINDINGS AND INCIDENT INVESTIGATION OF ACCIDENT/INCIDENT WHICH HAS ALREADY OCCURRED IN PAST, THESE REPORTS ARE LATER PUBLISHED AS A LESSON LEARNT. THE SMARTEST WAY IS TO LEARN FROM OTHERS MISTAKES AND IT IS NOT POSSIBLE TO LEARN FROM OWN MISTAKES SINCE THERE ARE HUGE COST (DIRECT, INDIRECT, INSURED AND UN-INSURED) AND NUMEROUS LOSS OF LIFE IS INVOLVED.  AT THIS INSTANCE MANAGEMENT DECIDED TO NON-ROUTINE MODIFICATION OF TANK AND INVOLVE HIGH RISK BECAUSE THE MODIFICATION WILL HAPPENING WITHOUT PLANT SHUT DOWN. MOREOVER THE TOXIC SUBSTANCE RELEASE WILL BE CATASTROPHIC TO THE WORKERS AND DISASTER FOR THE VICINITY BUSINESS, SCHOOL AND RESIDENTS INCURS NUMEROUS LIFE LOSS AND ADVERSE AFFECT ON HEALTH WHICH CAN LASTING. THIS WILL IMPACT THE COMPANY REPUTATION BADLY AS WELL AND THE COMPANY WILL SUFFER IN VAIN CAN ALSO RESULT IN SHUTDOWN OF THE BUSINESS. THERE SHALL BE HUGE PENALTIES ENFORCED FROM THE LOCAL LEGISLATION BODIES AND HUGE COMPENSATION SHALL BE BEARD BY THE COMPANIES FOR THE PEOPLE AFFECTED. 

WHEN THIS ACCIDENT ANALOGY WILL BE SHARED AND DISCUSSED WITH THE WORKERS THIS WILL ENHANCE THEIR MOTIVATION AND THEY WILL BE DEDICATE, COMMITTED TO ABIDE THE HEALTH AND SAFETY LAWS AND RULE WITH IN THE ORGANISATION AND EVENTUALLY THE ACCIDENT RATES WILL GO DOWN. IT WILL ALSO HELP IN CONVINCING THE MANAGEMENT TO FOCUS MORE ON THE HSE SYSTEM AND TO ALLOW AND IMPLEMENT ADDITIONAL CONTROL AND PREVENTATIVE MEASURES IN THE COMPANY. ORGANIZATION WILL DEVELOP A HABIT OF CONDUCTING A SUITABLE AND SUFFICIENT RISK PROFILING AND ASSESSMENT BEFORE COMMENCING ANY TASK INVOLVING HIGH RISK. SAFETY TRAINING, TBT'S AND INDUCTIONS SHALL BE PROVIDED TO THE WORKERS AND THE RECORDS SHALL BE DOCUMENTED AND MAINTAINED. COMPANY WILL BE BOUND TO PREPARE, ASSESS AND UPDATE THE WORK RELATED DOCUMENTS SUCH AS EMERGENCY ACTION PLAN, SAFE OPERATING PROCEDURES , PERMIT TO WORK AND SAFE SYSTEM OF WORK ETC. TIMELY EXTERNAL AND INTERNAL AUDITS SHALL BE CONDUCTED AND WILL BE REVIEWED IN ORDER TO IMPROVE THE PERFORMANCE CONTINUOUSLY. SAFETY CULTURE SHALL BE IMPLEMENTED AND MAINTAINED IN THE ORGANISATION AND WILL RESULT IN LONG LASTING WORLD CLASS HSE REPUTATION THROUGHOUT.

 

THE END……