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Man Crushed in a Trommel Screen (PART C) (Result at the time (My feelings…
Man Crushed in a Trommel Screen
(PART C)
Model applied at the time
Taproot
(Human factors emphasis)
Result at the time
My feelings
in sheer disbelief
I was shocked
I was confused
I was angry
I was horrified
Site Safety
A fatality had to occur for changes to be made to the process and design
Current Model applied
Swiss Cheese Model
(Epidemiological/Systemic Approach)
Barriers
Latent Failures
Active Failures
Current Result
My improved understanding of causation
One person cannot be responsible for ensuring the safety and wellbeing of each individual worker
Liability befalls each worker
The activities that are pressuring each individual outside of the work environment cannot be fully understood.
Employee Assistance Programs are a good tool
Ensure that I did not feel bad for anyone else’s situation that I could not control
I would pay particular attention to what people's verbal and body language
if I felt uneasy or sensed hesitancy in the conversation, additional questions could be asked to ensure that I was happy with the outcome of the conversation prior to walking away
I will continue to be empathetic towards others, but not blame myself for their decisions.
Site Safety
employees became more concerned with their work mates and colleagues in addition to work priorities
The project site safety was improved dramatically