Please enable JavaScript.
Coggle requires JavaScript to display documents.
Worksafe BC Mind Map for (narration for incident & date) (People…
Worksafe BC Mind Map for (narration for incident & date)
People
Time/Productivity Pressures - internal pressures to complete task.
Mental Stress - work stress/performance anxiety to get job done.
Fatigue - task being undertaken in overtime hours and cognitive impacts from fatigue.
Operating Authority - worker unaware of risks of job/not trained; not authorised to work on plant.
Workplaces
LTA system to protect cab from falling.
LTA visible signage of dangers of not locking cab.
Management
Supervision
LTA supervision of task and adequate direction for safe operational completion.
LTA risk assessment and supervision of task.
Supervision - LTA Frontline Leadership/Supervision to manage task.
Hazard ID - LTA supervision to ensure task adequately planned, understood and managed.
LTA Mgmt of overtime, fitness for work and time pressure issues.
Job Design
LTA planning that impacts safety & production in workplace.
LTA planning of task due to lack of supervision, training & risk mgmt.
Non Routine Task - unfamiliar/rarely undertaken task
Systems Organisational Management
Management Decisions
LTA management of overtime shifts
Legal Requirements - absence of systems to identify, assess and document compliance obligations.
Communications - LTA communication to workforce from Front Line Leaders about safe production for task.
Poor/Inadequate Communications) - LTA communications from supervisors on requirements of task (operationally and safety).
Policies/Procedures
LTA training of worker for task.
Worker not following/trained in the ‘Tilt cylinder - replace’ procedure.
LTA quality control, communication, reporting & rectification of recurring faults with pressed nut (Maximo).
LTA Training of mechanic in process of cab bolt removal.
Work Method - incorrect process vs proper procedure (Tilt cylinder – replace).
Procedural compliance - worker not following/trained in the ‘Tilt cylinder - replace’ procedure.
LTA quality control system to negate continual recurrence of ineffective equipment being fed to production line.
Incident Reporting & Investigation - LTA reporting or follow up of recurring failures of equipment on production line.
LTA training of worker for task.
LTA quality control of defective equipment and reporting follow up.
LTA training & verified competency of worker for task.
Haz Recognition - LTA processes/systems to minimise exposure of known recurring faulty equipment being fed to prodn line.
In relation to procedure for (Tilt cylinder-replace) being unknown.
Information Transfer
Risk & Change Management
Lack of a risk assessment and risk mgmt process for task inclusive of fitness for work requirements (fatigue in working overtime).
LTA change mgmt for supply, install, mod, maint & commissioning of plant.
LTA Risk assessment of task/process flow.
LTA Quality control of defective equipment & reporting follow up.
LTA risk Assessment of task and process flow.
LTA risk mgmt of overtime workers re: fatigue and time pressures.