Cause & Consequence
- Contact with something fixed or stationary
- Trapped or crushed
- Moving vehicle or vessel
Contributing Factor
- Communication
- Complacency
- Competence
- Control of work
- Commitment
- Culture
Description of Process
A popular theme park ride was stopped due to high winds. 800 people were in a queue waiting for the ride to open.
Description of Incident
Once the ride was re-opened, a safety system was manually over-riden to allow a carriage of people to continue on the track. This resulted in the carriage with people crashing into a stationary empty carriage. Eleven people were left with life-changing injuries.
Good Practice Guidance
Robust systems should be in place to prevent manual over-rides of safety systems.
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