Cause & Consequence
- Trapped or crushed
- Change management
- Control of work
Description of Process
Replacement of crane winch barrel boss.
Description of Incident
The crane winch drum barrel boss was being replaced.
The winch drum had been removed from the boom hoist winch and positioned on the deck.
There was a discrepancy between the drawings and what the team found at site.
Approximately 15mins after the barrel boss was removed, the drum collapsed.
An individual was trapped between the collapsed drum and the scaffold boards.
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Good Practice Guidance
- If you identify an issue, raise your concern
- Ensure drawings are reviewed and revised to reflect known discrepancies
- Ensure processes are in place to; identify, assess, record and communicate change