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Hand almost caught in mill (Hand above rolls. General rule that hands…
Hand almost caught in mill
What-if scenarios not fully fleshed out
No formal JSA performed
Nobody on Monolith team had experience to question "expert"
rubber experts have not been hired
Nitrile glove stuck to rubber
Improper PPE. Should wear loose leather gloves so that the gloves can come off if necessary.
Monolith not ready for installation
Monolith in "Rush" Mode.
Trainer has this happen often
Not a significant near miss for trainer
Trainer does not have same safety emphasis that Monolith employees have
Monolith must make safety program clear to contractors coming onsite
No SOP in place for mill
Manual not fully read
Nobody on team had enough understanding to write SOP without mill demonstration first
rubber experts have not been hired
Hand above rolls. General rule that hands should never be above rolls
Trainer was rusty and not used to doing mill training
Trainer was complacent and free to take risks?
rubber was cold and stiff. caused trainer to use abnormal technique to get rubber into the mill
Trainer did not wait for final temperature of 150C
Trainer chose a workaround instead of waiting
Trainer was distracted and talking to too many people