Accident Investigation report

Please see attachment showing what we had done over investigating a mock accident that took place in my school (I will attach more photo along with the order). Once looking at the power point and the document please develop a 5 pages analyzing the events of the accident. Before you start writing please inform me if there is anything unclear.
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presentation.pptx

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Wood Chipper Incident
BC700XL
•Design is based on operator feedback and focuses on
productivity advantage and ease-of-use.
•Brush chipper features a centrifugal clutch system, 25
horsepower (18.6 kW) Kohler EFI engine
•Bottom feed stop bar
•Vermeer exclusive SmartFeed feed-sensing control system.
•Member of the chippers line offers the compact size operators
are looking for and the performance they want to achieve a job
efficiently.
Photos
Interviews
Statement-Keaton Sullivan SupervisorTim’s Tree Service
? Was not on-site during the accident, left after equipment rental employee demonstrated that the wood
chipper was operational.
? Shorty (deceased worker) was a recent hire, in process of completing safety training.
? Workers receive no equipment specific safety training due to high turnover of employees and the fact
that they never know what brand or model of equipment the rental company will provide.
? He advises workers read the warning stickers on the equipment so they know what not to do.
? Workers are not issued PPE, are told to bring gloves from home.
? Workers are only screened for drug and alcohol pre-hire, and there is not a no tobacco use policy.
Statement-John Quincy
B-Quip Rental
? Met with workers and demonstrated how to operate the wood chipper.
? Pointed out the warning stickers and told them they need to read and follow the precautions.
? Observed the supervisor leave the work site before the crew began operating the wood chipper.
? Has no safety training (general or specific) to the operation of any equipment his employer rents. Also,
he has no first aid training.
? Was 15-20 feet away from the wood chipper and saw Shorty and another working feeding branches in.
? Looked away and heard a yell/cry and turned to see Shorty’s feet sticking out of the wood chipper.
? Ran over turned off the machine and called back to his office and notified them of the incident.
Statement-Cody Stubblefield SupervisorTim’s Tree Service
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?
?
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Received call about the incident at 11 a.m
He called 911 right away and notified OSHA of the incident shortly after
They put up caution tape to control the crowd
He has been working with the company for 5 years
Statement-Trey Lawrence Employee-Tim’s
Tree Service
?
?
?
?
?
?
Was working alongside Shorty when the incident occurred
A tree got stuck in the woodchipper, and when Shorty reached in to push it through, he
got sucked in
Trey immediately shut off the machine, and called his supervisor, Cody
He did not believe Shorty was under the influence of any drugs or alcohol
Stated that Shorty was not wearing any proper PPE
They had been laid off for 3 weeks and this was their first day back at work since.
There was no safety talk given before work began
Report
Causal Factors
?
?
?
?
?
?
?
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No PPE
Improper CLothing
No Tire Chocks
No Push Board
No Pre-work Check off
First Time Chewing
Inadequate training
Laid off work for a year prior
Corrective Actions
Corrective Actions
? Supervisors enforcement training
? Employees awareness of change
? New Hire Training audit
Taking Pictures
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?
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Start taking 360 pictures.
Taking pictures of all manufacturing instructions.
Less communicate with employees at the site.
Mentioned anything that is not right for my colleagues.
Try to cover everything’s, including materials and even the control box of the machine.
There was only one thing grabbed my attention, right under the discharge spout.
This is the information that goes on the report if you could all look at it and then add any other
information that may be needed. This is the rough draft. I will finalize this in the powerpoint and
the official report.
Location of incident
Northwest corner of campus
Northeast entrance of WC Morris
Description
Chewing Tobacco located near Shorty
In chipper expulsion blood and guts where found
Suspect wearing plaid shirt and blue jeans, working boots not steel toe
At around 11 am the safe team arrived to a taped off scene. The crew member in question was
located waist deep in side the wood chipper, deceased. Upon arrival there was one supervisor
on site, four crew members, and the husband of the deceased. The wood chipper was no longer
running and all crew members were stepped away from the chipper. The whole scene was on a
flat grade. The weather was 43 degrees fahrenheit and cloudy but there was no rain or moisture
that could have been a causal factor. The deceased crew member was wearing boots, blue
jeans, and a plaid shirt. About six feet away from the expelling port wood debra and chunks of
Shorty.
Analysis (what unsafe acts or conditions contributed to the incident)
There was multiple potential causal factors. All of the crew members stated Shorty was
not wearing any PPE. His clothing was loose fitting and no steel toes. The machine had no tire
chocks. With using a Wood Chipper a push board should be used to prevent reaching, there
was no push board in sight. All employees stated they don’t use them. For the start of the day
there is not any pre-work check off sheet to ensure everything works properly and all safety
procedures are put into place. Crew members believed he was using chewing tobacco for the
first time on scene. This will leave the user ill fit to function properly. The new found chewing
tobacco use was possibly caused by a peer pressure to fit in. The employee had only been
employed by the company for 3 months and may have had inadequate training. Based off of
information from the husband, Shorty had also been laid off from work for a year and had a lot
of pressure to bring home a paycheck.
Corrective action(s) (list correction action items, responsible person, scheduled completion
date)
Supervisors will be retrained on their duties, emphasizing in enforcement of all safety
procedures and their involvement in each scene. This should be done within the next week and
the head of the training division should initiate this.
Long term employees will be reminded that all safety precautions will be used and that
supervisors are being retrained. Communications should be incharge of this and it will be sent
out immediately after the supervisors retraining
New Hire Training will be re-evaluated and considered for re-wrote, to see if there are
any ways the program could be improved. This will be done by the new hire trainer and must be
done before anyone else is hired..
Witness Names and Contract Information
Cody Stubblefield (Floor supervisor) 555-5555. Has been working there for 5 years.
Indirect Causations
Off of work for a long time. Laid off first day back,
Actions taken, anticipated, or recommended to eliminate causes

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