HPI Alert #496
Date of Event: 31 August 2016
- Inadequate Management Systems - work order closed but job incomplete
- Lack of a formalised process for the review of safe job planning by technical experts.
- Procedure not followed (WC-OSH-109 Tagging and Isolation and S487 Safe Work on Low Voltage Electrical Equipment and Installations).
- Risk perception/management (District Electrical Technician [DET] risk perception)
- Complacency/cutting corners (by DET).
- Correct procedure not followed
- Inadequate Safe Job Planning (Step Back not JSEA)
- DET did not consider others’ tasks relating to the switchboard.
- Never work on equipment that is not isolated. The Safety Essentials exist to prevent fatalities in the workplace, and compliance with the procedures is not negotiable
- On a periodic basis a sample of high risk Safe Job Planning tools and work methodology should be reviewed by personnel who have technical expertise
- Where systems and processes are adapted for remote regions including offshore islands, we need to ensure robustness and compliance with mainland standards.
Questions for Leaders
- How do we confirm the effectiveness of review of safe job planning and work methods for specific high risk activities that require technical expertise?