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Colorado Rural Electric Association 2009 Loss Control Conference NEAR MISSES REPORT/LEARN/USE

Colorado Rural Electric Association 2009 Loss Control Conference NEAR MISSES REPORT/LEARN/USE Presented By: Eldon Humphers, CLCP-CUSA July 14, 2009. NEAR MISSES. A near miss can be an effective tool for management of safety, health and environmental programs. NEAR MISSES.

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Colorado Rural Electric Association 2009 Loss Control Conference NEAR MISSES REPORT/LEARN/USE

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  1. Colorado Rural Electric Association 2009 Loss Control Conference NEAR MISSES REPORT/LEARN/USE Presented By: Eldon Humphers, CLCP-CUSA July 14, 2009

  2. NEAR MISSES A near miss can be an effective tool for management of safety, health and environmental programs

  3. NEAR MISSES Each cooperative should have in place a management structure for the application of a near miss program

  4. NEAR MISSES • Current Trends in the areas of • Economic • Political • Regulatory

  5. NEAR MISSES • Current Trends Have Created The Necessity for • Development of Integrated EHS System & • Focus on Proactive Measures

  6. NEAR MISSES • Near Misses are one of the best indicators of future problems involving the health and safety of employees. • Detecting Near Misses and Addressing Them Can Improve The Overall Safety Program of A Cooperative.

  7. NEAR MISSES • Cooperative Safety Programs Are Being Recognized As An Important Reflection of the performance of the Cooperative. • RESAP Currently Using A Cooperative’s Injury Index As A Part of The Accreditation Process

  8. NEAR MISSES • Effective Management of EHS Programs • Improve Cooperative’s Operation • Reduce Operating Costs

  9. NEAR MISSES • Outside influence • Non-Governmental • RESAP • Expectations • Transparency of Cooperative’s Operation • New Demands

  10. NEAR MISSES • Outside Influence • Regulatory Agencies • OSHA • EPA • Pro-Active Practices

  11. NEAR MISSES • PROACTIVE PROTECTION • Accident Pyramid • Frank E. Byrd, JR • Widely Used • Widely Accepted

  12. NEAR MISSES • Accident Investigation • Adds New Data • One Bad Accident • Several Minor/Near Miss Incidents • Little or No Significant Damage

  13. NEAR MISSES • Accident Pyramid • Bottom of the Pyramid • Information Gained • On-Going Basis • Identify Potential Exposures

  14. NEAR MISSES • Address problems when they are identified • Reduce Probability • Minimize the Damage

  15. NEAR MISSES • Effective Management • Identify Weaknesses • Reduce Accident Rate • Provide Guidance For Improvement

  16. NEAR MISSES • Proactive Prevention • Utilize Minor Incident Information • Based on Analytical Approach • Systematic Procedure • Develop Prognosis • Opportunity To Improve Safety

  17. NEAR MISS • Near Miss Program • Analysis of Potential Problems • Identification of Causes • Find Solutions • Implement Solutions

  18. NEAR MISSES NEAR MISSES ARE THE INCIDENTS AND OBSERVATIONS AT THE BOTTOM OF THE PYRAMID.

  19. NEAR MISSES • Definition • Vary From System to System • Vary From Person to Person • Some Are Narrow • Some Are All Inclusive

  20. NEAR MISSES • Definition Broader Definitions Increase The Probability Of Identifying Potential Problems At Their Earliest Stages

  21. NEAR MISSES • DEFINITION • Example A Near Miss Is An Opportunity To Improve Safety, Health, Environmental and Security of An Operation Based On A Condition Of An Incident With Potential For More Serious Consequence.

  22. NEAR MISSES • Near Misses Always Reflect The Current Status Of A System. • Data Provided by Near Miss Program is Immediately Applicable • Near Miss Management Should Be a Key Component of EHS Program

  23. NEAR MISSES • Safety Programs Usually Only Address An Incident After It Happened. • Near Miss Programs Address Incidents and Observations With The Potential For Serious Consequences.

  24. NEAR MISSES • Consequence • Injury To An Employee • Property Damage • Damage To The Environment • Business Interruption

  25. NEAR MISSES • LOSS CONTROL INSPECTIONS • CREA LOSS CONTROL DEPARTMENT • INSURANCE COMPANY LOSS CONTROL • OSHA • EPA

  26. NEAR MISSES • INSPECTIONS • IDENTIFY POTENTIAL NEAR MISSES • REPORTS ARE PROVIDED • DO YOU TAKE ACTION

  27. OBSERVATION EXAMPLE

  28. SUBSTATIONS

  29. Electrical Tools • Guards should be in place on grinders. • Tool rest-1/8” • Tongue guard-1/4”

  30. NEAR MISSES • THE CONDITIONS REPRESENTED BY THE PREVIOUS SLIDES ARE NEAR MISSES. • IT IS ONLY A MATTER OF TIME UNTIL AN EMPLOYEE SUFFERS AN INJURY.

  31. NEAR MISSES • Feed Back • Initial Cooperative Report • Immediately After Investigation • Discussions With Management • Fine Tune Near Miss Program

  32. Eight Steps of Effective Near Miss Process • Identification • Disclosure • Priortization • Distribution • Identification of Causes • Solution Identification • Dissemination • Resolution

  33. NEAR MISSES • IDENTIFICATION • First Step • Recognition

  34. NEAR MISSES • DISCLOSURE • Written Form • Reporter • Supervisor • Procedure • Increase Probability

  35. NEAR MISSES • PRIORTIZATION • Critical Step • Depth of Analysis • Allocation of Resources • Extent of Dissemination

  36. NEAR MISSES • DISTRIBUTION • Those Who Will Analyze • Low Priority • High Potential • Often Occurring • Pre-Determined

  37. NEAR MISSES IDENTIFICATION OF CAUSES • Direct/Root Causes • Reporter • Committee • Priority Determines Extent

  38. NEAR MISSES • SOLUTION IDENTIFICATION • For Each Cause • No Effective Solution • Noted • Address Each Cause

  39. NEAR MISSES • DISSEMINATION • Communicate Solution • Stall The System • Manager Permission • Inform All Interested Parties • Distribution List

  40. NEAR MISSES • RESOLUTION (TRACKING) • Changes • Execution • Completion • Inform Reporter

  41. NEAR MISSES • Management System • Oversight Team • Local Team • Near Miss Process • Electronic Management • Check Effectiveness • Training Programs

  42. NEAR MISSES • Oversight Team Requirements • Define Objectives, Make-Up and Procedures • Guidance In Specific Issues • Monitor Performance

  43. NEAR MISSES • Oversight Team • First Step To Be Implemented • Composition • Managers • EHS Directors/Managers

  44. NEAR MISSES NEAR MISS MANAGEMENT TEAM • Responsibilities • Identify Rules/Responsibilities • Define Details • Design Format • Set Up Criteria • Conflict Resolution • Monitor Performance

  45. NEAR MISS • Auditing • Quality Control • Critical Step • Identify and Fix Problems • All Levels of Employees

  46. NEAR MISSES • Training • Two Types • Administrators • Those who will manage the program

  47. NEAR MISSES • Administrator Training • Guidelines • Tracking • Evaluation • Improvement

  48. NEAR MISSES • Employee Training Subjects • What Are Near Misses • Importance of Near Misses • Role of Those Involved • Near Miss Management System • Team Members

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