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    Chennai Radha Engineering Works (P) LTD.: Near Miss / Incident Report & Investigation Form

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    sam
    1. An incident occurred at a ship unloader during cargo unloading operations involving two employees. 2. The main hoist ropes on the ship unloader broke due to a sudden impact load when the grab tripped from overloading. 3. An investigation found that safety devices had been disabled, operators were not properly trained, equipment was not properly calibrated, and unsafe work practices were being followed.

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    Chennai Radha Engineering Works (P) LTD.: Near Miss / Incident Report & Investigation Form

    Uploaded by

    sam
    82 views2 pages
    1. An incident occurred at a ship unloader during cargo unloading operations involving two employees. 2. The main hoist ropes on the ship unloader broke due to a sudden impact load when the grab tripped from overloading. 3. An investigation found that safety devices had been disabled, operators were not properly trained, equipment was not properly calibrated, and unsafe work practices were being followed.

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    SUL-3 Inciden on 30.03.2017.doc

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    1. An incident occurred at a ship unloader during cargo unloading operations involving two employees. 2. The main hoist ropes on the ship unloader broke due to a sudden impact load when the grab tripped from overloading. 3. An investigation found that safety devices had been disabled, operators were not properly trained, equipment was not properly calibrated, and unsafe work practices were being followed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    82 views2 pages

    Chennai Radha Engineering Works (P) LTD.: Near Miss / Incident Report & Investigation Form

    Uploaded by

    sam
    1. An incident occurred at a ship unloader during cargo unloading operations involving two employees. 2. The main hoist ropes on the ship unloader broke due to a sudden impact load when the grab tripped from overloading. 3. An investigation found that safety devices had been disabled, operators were not properly trained, equipment was not properly calibrated, and unsafe work practices were being followed.

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    CREW-OHSAS-FRM-040-

    CHENNAI RADHA ENGINEERING WORKS (P) LTD. DOC NO: IVR-001

    SITE: JSW/PORT
    NEAR MISS / INCIDENT
    REPORT & INVESTIGATION FORM DATE: 30/03/2017

    1. Person(s) Involved:

    Name: Mr.Nooki naidu & Mr.Mathan

    Contact No: 78887991172 & 9075048859 Department / Section: Mechanical & operation

    Employee: Visitor: Contractor: Other (Specify): Machine

    2. Details of near miss / incident :

    Site / Location: Ship Unloader No.3

    Date: 30.03.2017 Shift: A Time: 07:30AM

    3. Severity level of the Incident:

    Fatal Serious Harm Minor Harm No Harm Y

    4. Treatment Given:

    Nil First Aid MTI Hospitalized

    What treatment was given?

    By Whom N

    5. Description of what happened:-


    During unloading operation of MV. Q HOUSTON, In SUL-03, the main hoist rope ( LHO & RHO ) quick release links
    were broken due to sudden impact load on the hoist rope. Grab filled with excess cargo so tripped due to overload. Then
    operator tried to open the grab to release excess cargo, at that moment these incident was happened.

    6. Describe the cause /potential cause of the near miss / incident / accident: -
    1) Sudden jerks created during unloading could have caused main hoist LHO & RHO quick release link to split into two half

    2) The material constituting the quick release link may also be weak.

    3) There was a delay on showing overload warning/trip.

    Contributory Factors (refer to these when identifying the cause of the near miss / incident / accident)
    Immediate Causes Substandard Acts
    - Guarding - Operating without authority
    - Defective tools or equipment - Disabling safety devices [ Y ]
    - Hazardous arrangements - Using unsafe equipment
    - Unsafe conditions - Non-use of Personal Protective Equipment
    - Unsafe design - Non-use of PTW, lock out / isolation systems
    - Housekeeping - Unsafe positioning (Y)
    - Environmental conditions - Distraction / fooling about

    Please complete the other side of this form

    June 2005
    Has a significant hazard been identified? [No] Y/N
    If yes, please investigate this hazard and update the Hazard Register in your department or section accordingly

    7. Chance of the near miss, incident or accident recurring:

    One of Daily Weekly Monthly 6 Monthly +

    8. Corrective Action: (What will be done to minimise the risk of this happening again)
    Suggested Action Responsible

    1) SUL operator were advised for do not open the grab during
    Overload condition. Down the grab immediately. _ Operation
    2) Load cell calibration to be done. _ E&I
    3) Quick release coupling calibration to be done. _ MMD
    4) Training required from OEM for better operation _ Operation

    Person in control of the workplace: Name: Pankaj A Churi

    Signed: Position: Operation In\cCharge – CREW BERTH-3A & 6A

    9. Manager and Investigation team’s Comments:

    After investigation we found many observation points behind it which should be rectified immediately to avoid such type of
    incidents reoccurring in future. We also discussed about all the above observation points to our SUL operators and Attenders in tool
    box meeting & create awareness regarding this to avoid the same in future.
    Signed: Mr. K. Senthil Kumar Position: Resident Manager- CREW BERTH-3A & 6A
    Date: 25/03/2017

    June 2005

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