• Published: 25 Jun 2012
  • Incident ID: 3433

Severed Finger while inspecting winch wire

Cause & Consequence

  • Moving machinery or material being machined
Incident Consequence

Incident Location

Any Location Type

Incident Activity

Lifting, crane, rigging, deck operations

Lessons Identified

  • Failure to perceive risk – neither of the team recognised the potential for accidental contact with the winch or the need to stop and consider the hazards prior to starting.
  • Normalisation of risk – Operation of winches was considered a low risk, routine task.
  • Ineffective planning – basic safe working practices (communication & positioning) were not discussed prior to the task.
  • Inadequate guard design – the guarding arrangement did not provide protection against moving parts.
  • Inadequate control of 3rd parties – regarding familiarisation & supervision.

Incident Recommendations

  • Think about how to control the risk at the planning stage and discuss this at onsite Tool Box Talks. Discuss physical barriers on the plant.
  • As well as scanning our work environment for hazards, ask others to do the same. There is no shame in pointing out what you think is obvious.
  • Consider how 3rd parties are controlled and supervised on your site. Raise any concerns to the responsible person.

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