|
Supporting the analysis of an incident that involved errors by a control room operator |
|
Experience by topic
|
|
2011 - Gas
The client had experienced an incident. Although the consequences had been relatively minor it was recognised that a number of failures had occurred, including errors by the control room operator, that could indicate deep set human factors problems. Because of his knowledge of the site, Andy was asked to assist in the analysis of the incident. He was able to point towards systemic weaknesses that had contributed to the errors. Also, he was able to show that warning signs had been visible for some time prior to the incident, but people had not appreciated their significance. The client is using the findings from the incident, including Andy's report, to develop plans to improve the management of human factors across the business. |
|
|
COMAH safety management system |
|
Experience by topic
|
|
2007 - Food and drink
The client was planning to significantly increase the quantity of highly flammable material being stored on site. This would make it a Top Tier establishment under the COMAH regulations.
Andy's role was to specify requirements for developing the company's safety management system required to demonstrate major hazard risks were as low as reasonably practicable. This involved discussions with the Competent Authority and analysis of the company's activities. Andy developed a specification that identified what systems and procedures the client needed to develop in order to satisfy the requirements of COMAH. This specification was written in a way that could be included in the COMAH safety report as a description of how the company manages its major hazard risks. |
|
Review of shift handover systems |
|
Experience by topic
|
|
2007 - Oil products distribution terminals
One of the conclusions from the inquiry into the Buncefield oil storage depot explosions and fire was that organisations must have effective shift handover arrangements.
Andy was asked to review arrangements at two of the client's sites to determine if they were suitable and sufficient. He was provided with copies of logs, handover procedures and audit findings; and had informal discussions with personnel. Comparing with available guidance he concluded that the existing system were too informal and ad hoc, and so needed improving. However, he recognised that no problems were identified with the way handovers were actually carried out in practice, and so was able to recommend that the action required was to largely formalise existing arrangements rather than generate a new system. |
|
Development of a safety management system |
|
Experience by topic
|
|
2006 - Retail, food
This was a small but rapidly expanding company. They recognised that they needed a safety management system, but wanted to ensure it was fit for purpose.
Andy carried out a number of risk assessments of their activities and collated key findings into a simple, user friendly system. The result was a management manual and separate staff handbook. The client was very impressed with how concise and 'to the point' the documents were. |
|
Development of a safety management system |
|
Experience by topic
|
|
2006 - Financial
The client had an existing management system that was overly bureaucratic and complex, given the modest risks associated with their business. Andy advised how the system could be slimmed down by focusing on significant risks and setting the objective of selling health and safety to managers and staff. He facilitated the development of a policy statement, safety organisation and risk control measures. |
|
Development of a methodology for the assessment of supervision in the chemical and allied industries |
|
Experience by topic
|
|
2004 - Health and safety executive
The Health and Safety Executive had recognised that many organisations had changed their team structures (e.g. downsizing, multi-skilling, self-managed teams), and this had affected the way supervision was being delivered. This project examined how these changes could affect health and safety, and developed a method that organisations can use to assess their supervisory arrangements and make improvements. Andy managed the project, and had a major role carrying out site visits, developing the methodology and writing the research report. He was assisted by a small team of consultants assisted performed literature searches and carried out some of the site visits. The practicality and value of the methodology was demonstrated in a series of site trials with eight process companies in the UK. The report was published as Research Report RR292. |
|
Development of a permit-to-work system |
|
Experience by topic
|
|
2004 - Oil
The site had recently become a COMAH establishment. This created the requirement for a formal permit-to-work system. Being a very small and simple operation, the client did not have the resources to develop, operate or maintain a complex system. Andy was asked to develop a system that was compliant with relevant regulations and guidance, but practical for the operations taking place and staffing levels present on the site. Andy developed a two-part permit-to-work system. The first part was used during the planning stage of a job to analyse the potential risks and specify the necessary controls. The second was used to control the work on the days it was being carried out. The client felt this was a very practical solution. |
|
Evaluation of the Safe and Healthy Working service (Scotland) |
|
Experience by topic
|
|
2004 - NHS Health Scotland
Safe and Healthy Working is a service aimed at small and medium sized enterprises to improve occupational health performance as a contribution to the overall health of the Scottish population. This project was a cohort study of awareness and understanding of occupational health, before and one year after the introduction of the service. The study involved telephone and postal surveys, site visits and focus groups. Andy's role was project manager and quality review of the output. Although not actively involved in the research, he made a significant contribution to the completion of the report and overall coordination |
|
Safety management system review |
|
Experience by topic
|
|
2004 - Gas power station
The client was in the process of commissioning a 750 MW combined heat and power (CHP) power station that was to supply electricity to the national grid and steam to nearby industrial facilities. Andy reviewed the newly developed safety management system to advise on whether it was fit for the needs of the operating plant and compliant with the Health and Safety Executive's guidance (HSG 65) and the Occupational Health and Safety Specification (OHSAS 18001). Andy's review confirmed the system was largely compliant, but that it was in danger of being unnecessarily bureaucratic. He made a number of recommendations to simplify the system by ensuring the true nature of hazards and risks were reflected by the system and its associated procedures. |
|
Assessment of occupational dust exposureign stage of a LNG storage and export facility |
|
Experience by topic
|
|
2003 - Waste Water
A very large sewage drying facility was located on the site. Problems with continual leaks had resulted in high levels of dust being experienced in the process buildings. The staff were concerned about the potential affects to their health, but little action had actually been taken to reduce dust levels. Andy's role in this project was to evaluate the risks posed by the dust exposure and communicate those risks to staff and management in a way they would understand so that effective action could be taken. Dust level monitoring was carried out by sub-contractors and an occupational hygiene company was employed to provide some analysis of the results. Andy worked with the staff to elicit their views and concerns, and to determine what practical solutions existed. Tasks were risk assessed (according to potential dust exposure) and those with the highest risk were analysed further. There was a significant cultural element to the situation, where high levels of dust were being tolerated, although everyone know this was a problem. The assessment showed that the risks from dust exposure were unacceptable and had to be reduced. Andy proposed some immediate behavioural changes that would reduce personnel exposure. Also, he advised the company that a wide ranging culture change was necessary to ensure dust releases were no longer tolerated, and when they did occur, dealt with efficiently and effectively. Andy presented the report to an action group tasked with addressing the problem, who accepted the findings and recognised the need to urgent action.
| The client was planning to change from a 8-hour to 12-hour shift pattern. The main driver for this was that they were having problems arranging cover for holidays, sickness etc. This had resulted in frequent working of double shifts (i.e. 16 hours). Andy made extensive use of fatigue research documented in HSE Contract Research Report 254/1999, and the working time directive and UK regulations. Communication was key element in this project and research about shift handover described in HSE offshore report OTO 96003 was used. |
|
|
Development of a management of change policy |
|
Experience by topic
|
|
2003 - Chemical
The client had recognised that the way they were managing changes on the site did not guarantee sufficient control, and it was not possible to demonstrate after the event how changes had been managed. Andy, working with a colleague, assessed how changes were identified, assessed and implemented for process plant, procedures, materials and organisation. From this he was able to conclude that the same underlying process was present in all cases, but that this was not reflected in the existing procedures. He also identified that other systems played a part, especially permit-to-work where modifications to process plant were involved. From the assessment carried out, Andy developed an 'overarching change management policy' that documented the stages to be followed in implementing all types of change on site. This also formed the basis for specific procedures for different types of change and integrated other systems and procedures, including permit-to-work.
| The client was planning to change from a 8-hour to 12-hour shift pattern. The main driver for this was that they were having problems arranging cover for holidays, sickness etc. This had resulted in frequent working of double shifts (i.e. 16 hours). Andy made extensive use of fatigue research documented in HSE Contract Research Report 254/1999, and the working time directive and UK regulations. Communication was key element in this project and research about shift handover described in HSE offshore report OTO 96003 was used. |
|
|
Development of an emergency preparedness report for a LNG storage and export facility |
|
Experience by topic
|
|
2003 - Liquefied Natural Gas (LNG)
The client was the design contractor for a large Liquefied Natural Gas (LNG) facility to be located in Northern Norway. As part of the contract the client was required to provide an 'emergency preparedness report' that defined equipment and procedural requirements, that was to be used by the Operator to develop emergency systems for the facility. Andy developed the emergency preparedness report for the client. This involved reviewing the Operator's specifications and the plant design and risk assessments. Andy advised the client on the minimum requirements, and practical considerations given likely manning levels and environmental conditions (note the facility was to be operated in northern Norway). He attended meetings with the client and Operator to confirm the necessary arrangements.
| The client was planning to change from a 8-hour to 12-hour shift pattern. The main driver for this was that they were having problems arranging cover for holidays, sickness etc. This had resulted in frequent working of double shifts (i.e. 16 hours). Andy made extensive use of fatigue research documented in HSE Contract Research Report 254/1999, and the working time directive and UK regulations. Communication was key element in this project and research about shift handover described in HSE offshore report OTO 96003 was used. |
|
|
Occupational stress risk assessment |
|
Experience by topic
|
|
2003 - Health/Medical
This project involved the use of the 'Work Positive' methodology published by NHS Health Scotland to assess the risks to health of the client's staff from Stress. It involved a postal questionnaire and series of focus groups. The subsequent report identified the areas where stress was the greatest concern, and suggested methods to reduce the risk. Although not actively involved in the assessment, Andy made a significant contribution to the analysis of the results and completion of the report.
| The client was planning to change from a 8-hour to 12-hour shift pattern. The main driver for this was that they were having problems arranging cover for holidays, sickness etc. This had resulted in frequent working of double shifts (i.e. 16 hours). Andy made extensive use of fatigue research documented in HSE Contract Research Report 254/1999, and the working time directive and UK regulations. Communication was key element in this project and research about shift handover described in HSE offshore report OTO 96003 was used. |
|
|
|
|