We are nothing after our death. Let us donate our body organs for the poor.

Be not afraid of anything. You will do marvelous work The moment you fear, you are nobody - Swamy Vivekananda

If you think safety is expensive, try an accident... - O.P.Kharbanda

Preventable accidents, if they are not prevented due to our negligence, it is nothing short of a murder - Dr. Sarvepalli Radha Krishna, 2nd President of India

Zero accidents through zero unsafe behaviors. Do not be complacent that there are no accidents. There may be near miss accidents (NMAs). With luck/chance, somebody escaped knowingly or unknown to the person. But, we can't be safe, if we depend upon the luck.

Safety culture is how the organization behaves when no one is watching.

We make No compromise with respect to Morality, Ethics, or Safety. If a design or work practice is perceived to be unsafe, we do not proceed until the issue is resolved. - Mission statement by S&B Engineers & Consultants Ltd. http://www.sbec.com/safety/

Human meat gets least priority - A doctor's comment on accidents

CSB video excerpts from Dr.Trevor Kletz, http://www.youtube.com/watch?v=XQn5fL62KL8

Oct 29, 2009

Safety Legislations – History and Provisions

“Preventable accidents, if they are not prevented due to our negligence, it is nothing short of a murder” - Dr. S. Radhakrishnan, 1st Vice President and 2nd President of India.

Any factory that employs more than 10 persons and uses power for its operations is governed by Factories Act, 1948 and the Rules made there under. In addition, a factory has also to comply with other legislations for different activities in its premises. Many of us do not know about these legislations though with common sense we comply with some of the requirements of these legislations. Many managers, shop floor in-charges and even technicians feel that their productivity is hampered by legislations without which they would have produced much more.

However, it must be realized that laws are not formulated overnight. These are formulated based upon the experience of earlier accidents and its consequences, concern of all stake holders, concerted efforts by various persons, organizations some times even extending to decades. The legislations are compilation of lessons learnt from various past accidents in the world, not necessarily from the same country and thus a source of rich knowledge. By enactment in the parliament, compliance of provisions of legislations was made mandatory. I was told during my study of safety course by one faculty that "We have to learn the law in its letter and spirit to understand and apply to the work environment. Letter can be found in books for reading and spirit can be found from history".

Factory legislations in India are formulated by our pre-independence rulers i.e. Britishers and thus history is linked to development of legislations in the land our erstwhile rulers. The factories in UK during 18th century employed a number of people without basic amenities like water, clean air, ventilation, washing facility, illumination, toilets, etc and were forced to work in most dangerous conditions. Persons were forced to work for 12-16 hours without rest and even children were also employed in these conditions. At that time, most of the factories were cotton mills and many got injured, incapacitated, died due to lack of proper machine guards. With the advent of steam engine, the situation became worse. There were many steam leaks, burn injuries, boiler explosions, etc. Owners of these factories have no accountability for the loss of life and persons were removed if they got injured and not capable of doing the work. These incapacitated persons were not compensated and their lives were miserable. These conditions along with movement by workers and organizations lead to the enactment of first act in 1802 in UK and followed with many amendments by including many provisions for the betterment of working conditions. Factory inspectorates were also formed to monitor compliance with these legislations and were authorized to take necessary action.

Though similar pathetic conditions existed in Indian factories, it is not until 1881 that the Factories Act was passed in India and further in 1891, 1911, 1934 by including restricted hours of work for men and women, age of children to be employed, rest periods, hours of overtime in a week, employment of full time factory inspectors, paid holidays, etc. The Factories Act (FA) 1948 provides the minimum requirements with regards to i) obtaining licence for setting up of the factory, operating licence, need for authorization of changes in process; ii) health – cleanliness, disposal of wastes and effluents, ventilation, lighting, drinking water, toilets; iii) safety – machine guarding, maintenance and testing of hoists and lifts, pressure vessels, proper means of access, manual handling, work permit system, fire protection and fighting measures, guarding of openings, personal protective equipment, safety of buildings and machinery and iv) welfare – provision for washing, sitting, first aid, rest rooms, lunch rooms, canteen, etc. The amended FA, 1976 included safety of contract labour in the definition of workers and vested more powers with the factory inspectors.

The Bhopal accident in 1984 shook the entire world to relook into suitability of legislations in their land and provide for stringent requirements for compliance by industrial establishments.

Major amendments were made to the Indian Factories Act in 1987 by assigning the responsibilities for the occupier (Section 7-A), for the manufacturer (Sec 7-B), special provisions for hazardous processes (Chapter IV-A), onus of proving limits practicable (Sec 104-A) along with other provisions like safety policy, safe operating procedures, supervision, disclosure of information, medical examination, house keeping, training, emergency preparedness, accident reporting within the period and investigation, conduct of safety meetings, maintenance of permissible limits of chemicals, etc.

Similarly, penalties were made more stringent to force the establishments and its employees at all levels to ensure safe working conditions. The punishments for violation of each and any of the safety provisions of Factories Act and its Rules extended upto 2 years / fine and for special provisions (Chapter IV-A), upto 10 years. Even obstruction of factory inspector or failure to maintain / show registers or documents invites penalty upto 6 months and or fine.

Apart from the Factories Act, there are other legislations for handling of boilers, gas cylinders, chemicals, emissions / discharges, radioactive materials, electricity, disposal of effluents and wastes, noise, contract labour, etc. Penalties are also specified for violation of provisions under these legislations as well as under Indian Penal Code

Some of the best companies / manufacturing facilities issue safety regulations beyond what is required by Factories Act and others from time to time for various activities, sometimes even such a thing is not thought off by the government.

It must be noted that each and every activity in the work premises is governed by one regulation or other and employees at all levels are responsible for ensuring safety at the work place. Ignorance of law is not an excuse and law of the land is applicable.

We have to prevent accidents at the work place not only because of legislations but also because of also on humanitarian grounds and also the enormous economic impact of such accidents on the persons, organization and the country. It is our moral responsibility to prevent accidents so that at the end of the day, all of us reach our homes safely and take care of our beloved family members and smiles in their faces.

Oct 10, 2009

Accident Investigations - Recommendations - Implementation

In any factory, after any major accident takes place leading to loss of life or huge property damage, a committee is constituted to investigate to find the root cause and secondary causes. The committee investigates and makes some recommendations. It is observed in many investigations, a number of recommendations are of general in nature, like,

i) applicable statutory requirements to be followed
ii) house keeping to be improved
iii)training to be provided
iv) supervision to be ensured
v) safety studies to be carried, etc

The management faces the problem of finding what is to be done with these types of recommendations and they are blank about how to avoid recurrence of such accidents / incidents. It appears as though a separate committee is to be constituted for each of the recommendations to understand what it means and what should be done.

Instead, if the accident investigation committee that comprises persons from production, safety, maintenance, etc is able to make recommendations specific to the factors that are responsible for the cause of accident, then the direction for management will be straight forward. For example, say that earthing and bonding is not done for all piping as per so and so legislation (Petroleum Rules). Then, this should be stated and identify the procedure and persons to be responsible for doing and checking. Similarly, a checklist can be made what should be seen for the supervisor every day for the job so that instead of simply standing to supervise the job, he will be clear of what is expected of him to ensure that the job is carried out safely. Along with these, punishments like suspension of the increment / cut in pay also should be mentioned for each of the jobs so that when a person carries the work without following the written instructions, he will face these consequences. Once every thing is put in writing right from the nature of the job, methodology, checks and punsihment, then the system is established and will become independent of the individuals. There should be no mercy for failures of the persons responsible to do the given job. Only when leniency is shown, then the parasites will grow and favouritism starts.

After the implementation of recommendations, if again a similar accidents occurs, then the committee should introspect itself about its efficiency and what went wrong. Whether all recommendations are implemented to the satisfaction / stated intention of the committee or whether full information was obtained earlier or the investigation was only a face wash and the committee should be fixed for its failure to see all facts and handed out proper punishment. After implementation of recommendations, whether all concerned employees were informed about these and whether these were trained for resumption of work is also to be seen. There can be production pressures, but if work is resumed without corrective and preventive actions, then there is no meaning in investigation. Definitely such establishements should prepare to close their shops soon.

Safety becomes an obstacle or costly affair, when proper thought is not given for it during design stage itself and then not followed. If any person says that he does not care for safety as he pays the persons through salaries, then he is a criminal and whether he will accept such a thing if his own kith and kin work in such environment should be seen. If the answer is negative, then he should not ask for output without correcting the system.

Sep 19, 2009

Importance of Learning - II

Most discoveries are made regularly every fifteen years – George Bernard Shaw (1856-1950), in his play, The Doctor’s Dilemma, (1906)

When organizations put all their efforts, over a period of time,the number disabling accidents will come to single digit, but stagnate and not much progress is made beyond this (w.r.t. safety).

Some of the departments working for a long time without accidents may start having accidents again after some time. Like fortunes, safety record also undergoes different cyclical periods.

Man is an animal without education. We are educated animals. We make mistakes again and again, may not be at the same place / operation / plant or by same person; but similar mistakes are made, may be by different persons. Most of the mistakes are made not because of lack of knowledge or skill. Rather, it is because of an overdose of it.

When we join in the department or new to work, we have formal education but not the specific knowledge and skill about the job to be done. At this time, we are likely to get involved in accidents because of lack of knowledge and skill. After some time, we acquire both knowledge as well as skill and will be attentive. Once, we are used it, over a period of time, we try to find short cuts.

SHORT CUTS IN SAFETY CAN SHORT CIRCUIT OUR SAFETY AS WELL AS OF OTHERS

Once this mentality / attitude sets in, we are prone to accidents. Most of the accidents occur to persons who are either new or well experienced.

When an accident occurs, every body becomes emotional, may be, even take oath not to repeat such mistake(s). BUT soon, we forget or we assume that it will not happen to us and go back to our old ways of doing it. This is called NIMBY syndrome i.e Not In My Back Yard Syndrome. (A term used by Trevor A. Kletz - as I understood).

"Those who cannot remember the past are condemned to repeat it," (sometimes called Santayana's Law of Repetitive Consequences) – George Santayana (1863 – 1952), a philosopher

We have to UNLEARN the WRONG LEARNINGS and LEARN the safe ways of doing the job.

ORGANIZATIONS HAVE NO MEMORY. ONLY PEOPLE HAVE MEMORIES AND THEY MOVE ON – Trevor A Kletz, an internationally acclaimed safety professional, in his book, Lessons from Disaster.

Organization fail to learn the lessons from accidents. Even if the lessons are drawn, then remembering and following them subsequently is a question. How long they remember is another question. Lessons are forgotten, when persons attitude changes or persons are shifted / retired without passing the lessons to youngsters.

God gives us enough opportunities (near misses). The issue is that we should be ready to grab it (analyze the near misses for root causes and remedy the system). Else, the opportunity is lost (leading to accident).

Definitely, time will heal the wounds (of accidents and its pain), BUT we should not loose our sight of lessons from it. We should have an eye to observe the near misses that occur before an accident. Nothing will happen all of a sudden without warning.

Near misses and accidents, either in our plant or others, are the best sources of learning and correcting. If we are not bothered, or afraid to discuss these near misses, then some thing bigger awaits us and we have to pay for it. No body will be penalized or punished for noticing and discussing the near misses. Most of the employees have fears to face the queries raised during root cause analysis / discussions and therefore may not report it. By doing this, we are making self goal not bothering about long term benefits.

Seminars / workshops on case studies are a way of learning, particularly, when we hear from the persons who are actually involved in it.

It is well recognized that training helps to create awareness among the employees and thus reduce the accidents. Though, we can not attribute seminars as the only reason, however, safety statistics over a long period (including before and after training) lead to a downward trend in accidents and severity (man-days lost).

The benefit of such programmes can be seen only when the message (lesson) is carried and spread to all those who did not participate in these programmes.

Sep 16, 2009

Importance of careful reading

It is important for anybody to read any document that comes to his attention. Glancing the document or reading here and there and then coming to a decision or conclusion is not correct. If a person is intelligent, he can even understand the intention behind the writing also and will understand properly before taking a hasty decision.

However, most of the persons do not bother to read and instead will mark to their subordinates for briefing them. Then, it all depends on these assistants. If these persons are not intelligent / do not have experience / not in stable mind / have grudge against colleagues or superiors or the organization as whole, then it is not difficult to understand which way they guide their superiors.

Acts, Rules, Standards, Codes, Guidelines, etc made for safety, environment, etc are to be understood clearly. If we read only titles and drawn different meanings, then we can't escape from the arms of the law and oneday we may end up in custody, in a worst situation.

However, may persons even do not bother about punishments met by others because of their faults and assume that they are very intelligent and knowledgeable persons and others are fools. Or, they think that they got God Fathers to protect them and therefore do the things totally not acceptable to law.

When we fail to read between lines, we are trapped by those lines. Nothing can be taken for granted in this world. Today's famous persons may become tomorrow's most hated fellows by the society.

Make a wrong step, all your past good deeds are forgotten and you will be displayed everywhere. Particularly so, in this world of so many news channels, which employ all available means to find and discuss threadbare about the issues.

When we issue safety work permits with suggestions, procedures to be followed, registers to be maintained, etc, I doubt very much how many of the executing agencies really go through these lines. They file it as soon as it is received and does the work in the manner which they are doing for so many years, even if the nature of work is different. They think, they invented standard procedure that meets all situations.

Similarly, conduct any training programmes, the contents will be same, irrespective of the target group. Variations in delivery may come only when the audience are interested in asking questions and then our instructor got sufficient knowledge and experience in that field. Else, the standard replies like, "I will come back to you later, or, you find and tell me, or an intelligence question - any of you can answer - think it over and tell me tomorrow, etc" will come. This kills the interest of the audience and they may become rigid to training programmes.

So, it requires a careful reading for any person to succeed in his field. There is a old proverb, TALK LESS - LISTEN MORE.

On similar lines, we can say, READ THOROUGHLY - TAKE DECISION.

Aug 10, 2009

Deaths in confined spaces

Offlate, I started reading persons overcome by the atmosphere while working inside the septic tanks, underground water storage reservoirs / tanks, chemical storage tanks, etc. In some cases, persons while working in trenches, were buried alive by the soil heaps next to the trench. In one case a person was working only about at a meter depth, but he was buried when the soil was disturbed.

Some of the deaths were like this;

1. A Person want to see what is inside a tank from the top, to plan for the work. While looking down, he lost consciousness, fell down and died. Sometimes, to rescue the unconscious persons, others who tried for him also became victims.
2. A person went inside a rice brawn mill discharge storage tank. After some time, he became unconscious and was found dead.
3. A person went inside a water storage tank in the underground for cleaning and was found dead.
4. A person went inside a concrete mixing plant for cleaning. Not knowing this, soon after, the operator operated and the person inside died. Though in this case, it is not the hazardous atmosphere, but it is a confined space and a different type of hazard (Maintenance person's presence inside is not known to the operator).
5. Two persons were working in a trench and were buried alive by the loose soil heap that slid due to some disturbance.

There are many more such cases, mostly involving cleaning jobs inside waste storage tanks of rice brawn mills or septic tanks.

Earlier, while reading such news items, I used to think that my work place is safe and that I need not bother about confined space works. However, as I learn more and more deaths of people like above, whenever I get a work permit for work in a basement or tank, though it is fairly open to atmosphere, I get wild thoughts and sometimes I think whether I am thinking too much in visualizing the hazards. However, I stick to my wild thoughts and accordingly prepare precautions to be taken for the work.

Normally, the oxygen level in the work place will be checked before entry into such places. People say that it is fine if oxygen levels are between 19.5 % and 23.0%.

But in an article, the author advised to verify and find out the reasons for change in oxygen level from the normal levels. Though the general guideline says above 19.5% O2 levels are acceptable, but what are the other pollutant that brought down the O2 level from 21% to 19.5%? For example, if the pollutant is say CO, then we all know that CO is fatal at 0.5% (5,000 ppm) and it is not acceptable. Similarly, it may by H2S which is also a toxic gas.

Sometimes, our instrument may be wrong. In that case we can't depend on the values measured by it, because we do not know the error %. Sometimes, persons check O2 level at the entrance and then give clearance for the work. But, we should check O2 levels at the actual place of work and the measurement time should be reasonable. Instantaneous values may give us wrong picture. Again for checking O2 levels at work place, we should not enter and endanger our lives. Portable hand held instruments with suction pumps and connected hoses (even upto 100 ft) are availalbe at about Rs 30,000/- in the market.

We have to flush the work area continuously till we get O2 levels are as good as open atmposhere and should continue air supply till the work is over and all persons come out. If the work is to be carried for a long time with tea / lunch breaks, then the flushing and air supply should be continued during the breaks and before every entry, the O2 levels should be checked and ascertained that the work atmosphere is safe for work.

Sometimes, there may not be much head room available for free movement of the persons inside. In case of work inside chimneys or furnaces, the lining material may be loose and it may fall on the persons. There may be toxic gases (generated by the process) that are trapped in these lining material and if persons are working on these, they will be exposed to these toxic gases and may be overcome.

When persons work in open trenches, we know that the adjacent heaps of soil can be disturbed by heavy winds or from vibrations due to vehicular movement nearby. It is normally suggested to dispose the soil immediately to an earmarked place. Atleast, the soil should be kept atleast 1.5 m away from the trench and angle of repose should be considered for the soil. Again, as we go deep in the trenches, they should be supported on the sides to avoid collapse due to loads on the adjectent area by proper shoring. If long trenches are made, then for every 30 m, emergency escape ladders should be provided. Care should be taken that these trenches are not flooded by water / sewage lines and workers in it are taken by surprise. Earth moving equipment should be properly supported by outer rigs with proper base supports so that they do not topple due to loose soil and in the process endanger persons nearby.

With the availability of radio sets, workers inside should be in constant touch by the supervisor outside and buddy system should be followed on one-to-one basis i.e for every one person inside, there should be another person outside to monitor the condition and to provide immediate help. People may think it is waste of money, but in the event of some eventuality, the compensation claims and payments will put a big hole in the finances of the executors of the work and then they will regret for not taking protective measures.

However, the story repeats in the next job. BECAUSE, OUR MEMORY IS SHORT AND WE THINK THAT THOSE INCIDENTS ARE OF ONCE IN LIFE TIME AND THEY WILL BE CAREFUL THIS TIME.

Such persons should be put behind bars, with all their propery seized and utilized for helping the families of the victims.

Road Rage - Control

For the last three months, I am commuting between office and residence on my vehicle. Before that I utilized department transport facility. Though the route is same, I am finding it difficult to control my anger at the way others on the road ride their vehicles. I may be getting every month Rs 4,000/- for coming on my own but I think this road rage of others is creating mental tension and is leading to health problems for me.

Most of the persons do not give directions, which way they will be turning. Some intelligent pillion riders keeping waving their hands in the air and we do not know whether to take it as a signal or he is talking. Other fellows, do not bother about the blinking indicators of their vehicles. They do not even bother to see that the indicator lamp is blinking. Then vehicle parking at the T joint roads. People park their vehicles right at the corners of T joints and those coming from side road to main road have to take a long turn with the possibility of collision with other vehicles plying on the main road.

Then, the cell world. With benk necks, keeping the mobile between the shoulder and the ear, it has become a fashion statement for the so called youth to start the vehicle after putting the mobile in above manner. It is unnerving to see such people on the road, particularly when they cross the road at 90 degrees from other roads. Then there are some people who slow down after joining the road from side roads and are undecided to go which way.

One day, when I was driving my bike, suddenly an elderly person (about 60 years, appears retired from service) started crossing the road, by waving the fingers in threatening manner. Not waiting for traffic to ease, he even wants to hold moving motorists responsible his safe road crossing.

Two days ago, I was going down the rail-over-bridge. I was driving the bike parallel to a bus, on its right side. I am not able to see what is on the other side of the bus. As I reached the end of the bridge and about to speed up the bike on the level road, suddenly a old man in his car appeared in front of me crossing the road at 90 degrees. I could not see the car as the bus on my left blocked my view on that side. Car driver could have seen the bus coming down the bridge. But he did not bother. My heart stopped a moment. But, as I observed, the old man was cool. I think he does not have any desire to live also, the way he appeared, the way he crossed the road though a bus was coming down at speed.

Then, there are other cool guys who drive their vehicle almost at the middle of the road at a slow speed. It is good that they are going at slow speed. But, by their action they are occupying the entire road. Common sense that we should drive at LEFT does not occur to them.

Then, the urgent masters. They seem to be in hurry always. Even when ambulances are coming behind with the siren, they do not want to give side. A life is at stake. But, if other motorists in their front are giving way for the ambulance behind to sped past, these hurry masters will use this and keep going forward.

Next come the cut masters. The road will be plain without obstructions or pits. Still, these fellows sometimes with more than one person in pillion, rush their vehicles with sharp cuts increasing B.P. of the other drivers on the road.

I find one of the solutions for these types of problems, is not to allow roads to intersect directly at 90 degrees. Side roads can join the road and then U turns should be provided 1/2 KM away from the point of joining of side road to main road, so that with some discipline, motorists can go along the road and take turn to the other road. This will avoid direct crossing of the road.

Similarly, there should not be any side roads at both ends of flyovers or road over bridges so that speeding vehicles do not hit those trying to cross to side roads at these places.

Then shops / business establishments / eateries at the corners of T joint should not be permitted if they do not have fenced parking place. If any vehicles is parked at the T joints where side roads join main roads, all these vehicles should be towed away and seized. Heavy penalties like Rs 5,000/- for first offence should be imposed so that they remember it for their life and may even spread the message among their friends and known persons. This will create awareness on road safety. It will start slowly, but I am sure, in a short time it will spread every where.

Similarly, penalties should be implemented strictly. Those who use mobiles on the roads, ride the vehicles without helmets / safety belts, go in wrong direction, go at excessive speed, do not stop at the signals, etc should be fined. The penalties should be excessive and targets should be given to the road traffic police. This will avoid corruption, else, with excessive penalties, violators will be willing to pay a fraction of the fine as bribe and escape. More people can be recruited in this regard and I am sure the penalties will be suffice to fund the salaries of these inspectors. If any body repeats his mistake, then, the vehicle / equipment (mobile) should be seized and should be sold by auction. This can be another income for the department.

Any body digging the road should be made to pay twice / thrice the cost of repairs to a road safety fund in addition to repairing the road immediately after his work is completed. This will avoid mindless digging of the roads for functions / cable laying one after another / etc.

If any person by his road movements causes injury / death, 10 - 50 % of his property value, with a minimum of Rs 5.0 lakhs should be collected from him towards the road safety fund. Apart from this, his licence should be cancelled forever, all vehicles under his possession should be seized and sold by auction. Such persons are not fit to drive the vehicles on the roads and it is better for them to use other transport methods.

Rules should be made such that, buyers of vehicles should watch road safety video and go through pamphlets and give under taking that they watched the road safety video and read the reading material and give under taking that they will not violate road safety rules (video and study material to be made specially for this purpose by transport department).

Though one may feel these types of penalties are stringent, reading the number of deaths every day because of road rage, I feel it is appropriate. Danda (stick) only will work in this world. Saama, Daana, Bhedha will not work.

I have some thing to say about road dividers also. With every relaying of the road, the height of the road divider comes down and after some time, the road divider is nothing but a small curb which is taken to their advantage by rule breakers by jumping over the roads on other side. The road divider should in fact be like a parapet wall of 1.5 m height so that road crossing becomes difficult illegally and then the high beam lights of opposite side coming vehicles will not cause momentary blindness to the drivers and thus will avoid accidents due to this cause.

Jun 8, 2009

Electrocutions - A Story that repeats

Of late, there were many news paper reports almost on every alternate day about the death of the persons and sometimes animals (mostly) and injuries due to contact of the living being with some cable or wire carrying electricity. The job in hand at the time of the incident involving victim were mostly, repair of a domestic water pump in the sump / repair of connections on the street light pole / touching an electric street light pole / moving near loosely hanging cables or wire / drawing electricity by illegal connection by a greedy person / etc.

For genuine repairs, it is the minimum requirement to cut off power supply and also ensure line clearance from respective agenices and display CAUTION BOARD for not switching ON power supply. It is best to use locking arrangement and keep the key with the person carrying out the work. A supervisor is a must and hazards in the job should be assessed and safety measures for identified hazards should be in place before start of work. This is applicable for jobs executed by agencies.

For repair works at home, it is common practice for the resident to do him self and get shock. All this to save few rupees at the cost of risking life and thus endangering the livelihood of his dependents also. It is best to call experts in the field for repairs even if it appears a small and known job.

Reports say most of the time line clearance is not obtained and the person mostly engaged on the job will be a casual worker. He may be skilled in his work but the responsibility of ensuring isolation of power supply lies with the department person and as it appears from so many deaths, this supervisor simply washes off his responsibility by allocating the job and it is doubtful whether the job is supervised even for some time.

When we learn from these costly deaths, not in terms of money, but that of making the dependents of the deceased to struggle for their livelihood apart from mental agony and pain of losing their dear ones.

Enforcing strict penalties by settingup special fast track courts only to handle the cases of violations of industry related legislations like Factores Act, Environment Protection Act, Indian Electricty Act, Explosives Act, etc and Rules framed under these Acts will bring a sense of responsibility when responsible persons become aware of punishments. It is mostly the lack of application of stick that is making persons irresponsible and fail to ensure safety in their areas of control.

Though we say stick is useful only to some extent, the incidents recurring at regular frequency shows that still we have not yet developed out of this DANDOPAYAM.

Mar 7, 2009

Summer Fires

This year, it appears summer started in January itself. As the weeks progress, already less crowds are seen on the roads in the afternoon.

Wild vegetation on the roadside, around industrial plants, chemical storages, along the railway tracks, etc is a cause of concern as it becomes dry. In the beginning of this month, there was a news item that a rail compartment parked in a scrap yard caught fire and was totally burnt. The fire was attributed to the waste material stored around the area.

The source of fire can be anything, starting from cigarette butt. Even oil soaked cotton rags, when left as such, or wet grass under sun can be subjected to bacterial action and this results in slow heating of the matter and gradually with increase in day time temperature, it can catch fire.

Few (9-10) years back, there were a series of reports about fires in ammunition depots during summer. The reason attributed at that time was that many of the material are covered under tarpaulin cloth and the heat trapped inside caused increase in temperature and finally lead to fire.

Legislations also say to keep all plant / storage surroundings to be free from combustibles so that even if fire starts, it will not affect plant / storage areas. It is better, if atleast 6 m around these areas is maintained free of wild vegetation, trees, etc by paving the areas so that recurring work of grass cutting, etc can be avoided and no one needs to be reminded for these jobs.

Similarly, if HT wires are going above, the area below should be free from wild vegetation, as any spark can start fire below and this happened at many places. It is a common sight to see growth of creepers around HT towers. These also can catch fire during summer as they become dry.

Public also behave irresponsibly by dumping all the waste around the HT towers, transformers, street light poles. Even if municipal waste bins are available, people throw the matter near the bin, instead of dumping into the bin.

Thought there is talk of 'Behaviour Based Safety Processes (BBSP)', I am unable to think of what we can do to educate the persons, as everybody says that they know the hazard, when we explain them, but keep repeating it. We can compare this attitude with wearing of helmet. The reaction of the persons is, 'Yes, we know that we can break our head without helmet, but, oh, that nasty thing, it irritates'.

What type of movement is required to drive the persons to follow safe practices, without loosing our patience. If anybody sees this article, may kindly suggest.

Feb 14, 2009

Risk = Probability (???) x SEVERITY

Yesterday I read a news item that a US satellite Iridium-33 in use collided with a Russian satellite Cosmos 2251 that is no longer in use on Tuesday (10.02.2009) at 0455 GMT at 790 km height above Siberia. It seems that this type of accident happened for the first time. There are more than 17000 man-made objects at present in the space. I went through internet and found that the probability of such collision is once in tens of years and the debris now generated can reduce this probability to once in a year or so as there are some more satellites in the same altitude and the total debris may hinder space craft movement in the future.

Now, the question is not about space but on the events on the earth.

In any factory, accidents keep occurring. When somebody (normally safety officer / advisor) points out about unsafe acts / unsafe conditions in the shop floor / factory premises and asks for correction, the usual reaction is, a staring look and then the reply comes, "oh, we have been doing this for the last few years / we are doing like this from the beginning / who is expert -you are me - you safety people does not know any thing other than talking / I can't do - you come and do / so on...

How true are the words of the famous safety professional Trevor Kletz -

Corporates do not have memory.

We have done this way 100 times is not acceptable unless an accident on 101st time is acceptable.

We never imagined that satellite collision is possible. But, it happened. Where the chances are remote, still it happened and where the chances are high in our activities in the shop floor, we do not want to correct our selves.

If we see the accident history in any factory, after the accident, the usual sheepish answer from the injured or his colleagues or manager is that it happened for the first time, the person is experience, skilled, safety conscious, near retirement, he doesn't want to take official leave and will take personal leave for the period away from duty due to accident, so on.

In spite of all the above qualities, still accidents occurred, then imagine what can happen to others. It is the attitude that requires correction rather than any thing else.

When somebody narrates their own experience, people listen attentively, appreciate him that he came clean and after coming out from the room the listeners do the same old things. This is why accidents keep occurring again and again, if not to the same person / or same shop floor, they will be occurring somewhere else to some body else.

We love short cuts and feel that we are above all others, accident does not occur when we are working.

One of my colleague, who retired 4 years ago, used to tell in all his training classes, that we should leave the organization with same organs as we had when we joined.

Yes, it is true that no body wants to lose their organs and suffer. But, momentary decision without thought for consequences will lead to accidents.

Rarely, does the type of accident will be new in any factory that is few years old. May be after the accident, corrective actions are taken. But after few years, the corrected systems will be replaced because people forget the reasons for safe guards in place and meddle with the systems. They want to prove to their bosses that they are inventors and soon after their will be accidents and shop floor persons will be suffered. But, the so called inventor would have got his promotion or pay rise and even would have left the organization.

So, every body should work seriously on the hazards at the shop floor, let the probability is however less. Nobody says there is no (zero) probability of occuring for an accident. In fact the word probability it self gives meaning of some uncertainty. Hence, if the severity / consequence from even from remote probable event is not acceptable, without looking for chance of occurrence, we should eliminate all those hazards and make our work place safer.

Risk assessment and actions should concentrate more on consequence rather than on probability and make life safer for persons.

Feb 12, 2009

Location of industrial plants - safe distances

Two days ago, there was a fire and explosion incident at about 2100 hrs in a chemical factory that makes some product and supplies to well known pharmaceutical companies. As per the news item, two reactors out of fifteen exploded and the blast could be heard even 5-6 km away (my colleague who stays at this distance heard the sound, another one said he felt like someone above his apartment dragged cots). Two persons were injured and the fire was brought under control by state fire department in about 6 hours. The factory also housed about 50 gas cylinders and the adjacent factory has about 50 reactors. If the fire / blast fragments entered this adjacent factory, the consequence would have been severe, as reported. The plant though located in industrial area, is surrounded by residential buildings.

There were questions immediately about the wisdom of granting licence for setting up of factories in residential areas. Similar questions were raised even after the Bhopal incident in 1984.

This and such similar incidents always bring out few questions, like, which is first ?
The factory was set up first or residential buildings came up first?
In philosophy, a similar question is, seed first or (biological) plant first? OR egg first or chick first?

It is difficult to answer the philosophical questions as above. However, not so difficult for our question of factory or residential buildings, which is first? Even in the case of Union Carbide factory at Bhopal, as per the information available in various books, web sites, factory came up first. Shanties, hutments came up adjacent to the factory fence later. These habitats were not removed when they came up. The reason as mentioned in a famous book is that the management was also happy as cheap labour is available nearby. Apart from these, it is quite natural for development to take place near industrial set ups and this will lead to better realization of land and other properties.

In the case of accident mentioned at the beginning also, as is seen, the factory was set up in an industrial area about 7 years ago. However, by that time already the entire area is surrounded with thousands of residential buildings. Apart from this factory, there were other factories that were set up much before. I do not know whether at those times, the residential buildings existed or not. However, I am sure from hearsay that 35-40 years ago, this area was totally isolated from the city and is like a jungle and persons were afraid to reach other factories in the area after the sun set. Few less courageous persons used stay in side those factories in the night after their second shift (ends around 2200-2300 hrs) and go home only in the morning.

Now, these areas are so developed that it is difficult to get land and the price is as good as in the heart of the city, though these are located at about 10-15 km away from the railway station.

Then, the questions about why permission was granted look silly though the question about how safe is a safe distance for a factory remains. For this, the Environment Protection Act 1986 and the rules made under it will help. One has to prepare safety report and has to revise it atleast once in three years or if any additional information is available, it has to be revised even earlier also. Once, the distance of impact is known from toxic releases / fire / explosion, then a safe zone has to be maintained considering the future expansion of the factory as well as population growth in the area. However, preparation of safety reports are mandatory only when the chemical inventory / handled exceeds a threshold quantity. I feel, these limitations should be removed and should be made compulsory for chemicals of any quantity. If a factory is proposed to be set up, then impact distances and safe distances have to be determined and maintained for the chemicals, whatever be the quantity to be handled. Due consideration should be given to the domino effect that is effect of incidents in the proposed factory on the factories that are already in existence and if an incident occurs in the neighbouring factory due to the incident in the proposed factory, then what is the impact.

I also blame the greediness of people in the neighbourhood of the industrial areas. It is not correct to say that they do not know about factories. People spend so much time about genuiness of a property before purchase but care little about other factors. People buy vacant lands when they sense that some development activity is going to occur in the area, the activity can be any thing - setting up of factory / colleges / highway / railway station / etc. Then definitely, the greed is to also to be blamed when persons in residential areas are affected due to industrial activity in the neighbourhood, though the main blame goes to the factory management. When factories have to be set up, land should be enough for plant building area and this should be surrounded by forest cover upto the safe distance. The fence of the factory should be at the safe distance outer boundary. No expansion of factory should take place unless these two aspects are covered. If any violation occurs, the concerned persons should be tried by special courts, whether such expansion caused injury or not or plant operations are carried out without valid permissions.

When the profits are more compared to penalties, then people always prefer penalty. Here, I mean penalty in terms of money. If the penalty includes imprisonment or seizing of the total property of owners and their spouses (apart from the factory), then persons will not dare to do such acts.

Similarly, somebody puts up residential buildings within the impact distance, they should be demolished and persons responsible for granting permission should be taken to task.

Now, what to do with establishments already came up and later residential buildings came up.

Talk to concerned establishments for shifting to safe area in a reasonable time or if it is not feasible, then remove encroachments / take possession of residential and other buildings up to the safe distance as is done for expansion of roads / railway tracks. OR live with it and repeat the blame game as and when accidents occur.

Jan 19, 2009

Safety Thoughts, News & Information: Why Gas cylinders should be kept in sun shade?

Safety Thoughts, News & Information: Why Gas cylinders should be kept in sun shade?

Why Gas cylinders should be kept in sun shade?

I read in Rules for gas cylinders that gas cylinders should be kept under sun shade, should not be exposed to direct sun light, the storage area should have good ventilation, etc. Though the reasons are known, i.e to avoid over pressurization due to the exposure to sun, I saw practically how over pressurization takes place in the cylinder when exposed to sun light directly.

Recently, I was on a visit to one of our sites under construction. After my visit to the construction site, at about 1230 hrs in the noon, I was going back to the office where I normally sit. I don't have permanent table and chair as I visit the site occasionally and there are permanent safety officers already appointed at site. On the way, I saw some argon cylinders stored on the road side under direct sun light, without valve caps. I enquired with the contractor nearby about the cylinders and I was told that they are empty and are to be sent to the supplier. On close observation, I found that the valve discharge nozzle is having some water (there was rain on previous night) and small bubbles were being formed continuously.

From this I understood that though the cylinder is empty, it is not 100% empty and some leftover gas in the cylinder is getting expanded due to rise in ambient temperature. As the valve is not totally closed, the expanded gas is leaking out as bubbles through the water in the discharge nozzle.

This clearly demonstrates that though we assume empty cylinders are safe, they are not actually 100% empty and if the gas is toxic, then the little amount of gas leaking out due to sunlight exposure can harm the persons nearby. If the cylinders are full then they are hazardous and can endanger the persons around.

Similarly, being found on the roadside, any damage to the valve (breakage) can rocket the cylinder like missile and can hurt persons / damage equipment or property nearby or can have a domino effect. For this reason, the rules are specific that the unused cylinder valves should be protected with valve caps so that valves can't be exposed directly.

People talk about safety culture so much, but these small issues like valve caps, cylinder storage under sunshade, chaining the cylinders to prevent their fall, etc are not given due attention. Lip service alone will not improve safety culture. May be, talking about safety will bring admiration from listeners and even some appreciation by way of reward, but this will not help in improving the safety at ground level and all this admiration / appreciation / rewards will be washed off by any single accident and the same persons will admonish the in-charges of the area for not visualizing the hazards and not taking corrective measures for the safety of the people.

Jan 17, 2009

Gas cylinder Explosion

Yesterday (16.01.2009 Friday), I read a news items in a local news paper with the title, which is the title of this post. It states that four persons were seriously injured due to burns in this accident. It is reported in the news paper that when gas cylinder in use has become empty,  the house owner (a gold smith, may be with both shop and house together) informed and got refil cylinder from the LPG supplier at about 1430 hours. When the family members  of the house opened the gas (stove knob ? / cylinder cap ? / regulator knob ?), the gas leaked. Seeing this, the workers in the shop put the cylinder in a water tub. Still the leaked gas (obvious, as LPG does not dissolve in water) spread around and caught fire (there can always be an ignition source for a combustible material). The fire caused burn injuries to four persons who were working in the shop. After extinguishing the fire, the other workers admitted the injured in a private hospital and informed the police. The police went to the spot and shifted the injured to a government hospital for further treatment of the persons whose condition is serious.

The above news items and similar such news items earlier always raised so many questions in me.  A few of them are,

Whether the cylinder exploded (as per the title of the news item)
However, as per the news item mentioned below the title, it is understood that the cylinder did not explode but it is the leaked gas that exploded.

- Similarly, sometimes reports appear as gas stove explosion. This also gives impression that the stove (burners) exploded. But mostly it is the leaked gas explosion.

The reaction of the persons for arresting the leak is another question in my mind.
We can't blame the persons who have put the cylinder in a water tub in this case because of their knowledge / awareness. However, it is better if the gas cylinder suppliers put stickers on the cylinder containing information like, what to do in case of gas leak / leak and fire; whom to contact; the emergency contact numbers, what checks are to be done by the receiver i) when the cylinder is received (this is normally done by the supplier / delivery boy in some occasions) and also ii) during regular use; the cylinder test date and due date for next testing by the company; instructions for the user to inform with contact numbers  if receives a cylinder after expiry date / damaged condition of the cylinder,etc. Normally, this type of information is provided on the industrial gas cylinders and similar information with more details should be made available to the domestic users.

Eariler a few years ago, when I was in my office, I received a call that outside our organization a lorry (truck) with gas cylinders was stopped because of gas leak. My self with a colleague visited the spot and found that all gas cylinders were unloaded onto the road side and also observed some white powder on a few cylinders. On enquiry with the driver of the lorry, we found that as a precautionary measure, he used the portable fire extinguisher in the lorry.  This also shows the poor knowledge of the drivers of hazardous chemicals. Though he will get licence for hazardous chemical transportation and will be renewed every year, the employers should ensure that all their staff get required training and retrained again and again. Without training, they should not be engaged in transportation at all.  Sometimes, the material brought by the driver will be different from what is mentioned on HAZCHEM information on the containers. The trained driver will ensure that correct HAZCHEM stickers are displayed on the container and this will help the others on the road also, if the driver is not in a position to take proper measures. In the drivers cabin also, the tools and personal protective equipment list and location should be displayed prominently for the same reason.

Normally, the procedure in case of gas leak is take the lorry to a less inhabitated / less crowded place atleast and cordon the area by atleast 300 m around, simulatneously inform the police and their employer and wait for instructions. In case of gas leak of a domestic cylinder in a house, inform the supplier, take the cylinder outside in to a open area (not through lift), remove ignition sources in the nearby area to the extent possible and wait for the supplier to do the needful. In the news item reported above, it appears the cylinder was put in the water tub inside the house and may the confinement of the house lead to accumulation of gas and it is not able to disperse. The ignition source is obvious as it happened in the house that belongs to a goldsmith with shop in it. Goldsmith will have fire kiln  or of such arranagement for making the ornaments. Moreover, the refill was delivered at about 1430 hours and the cylinder was handled soon for replacement as per the news item. This shows that it happened during the working hours of the gold smith shop.

Had the cylinder was put in a water tub or covered with wet blanket / cloth outside, the leaked gas could have dispersed easily and cylinder will have cooling to prevent overpressurization in case of fire nearby.

The incident of gas leak happened in my house also once a few months ago. When I replaced the empty cylinder with a full cylinder and opened the regulator knob, I found gas leaking from the cylinder nozzle. I removed the knob and placed cylinder cap and it arrested the gas leak. I opened all windows ( I stay in an apartment) informed the supplier immediately about the leak. I could not get connection to the supplier as the phone line was busy (obvious as he will be getting calls for refill bookings). My wife went to the supplier's office located at about 3 - 4 km from my house. It took about 15 - 20 minutes to reach the office as the traffic was more on the roads and by the time we tried by phone and then informed personally, more than 45 minutes time elapsed. Then, the person came about 2 hours later, checked the cylinder nozzle and replaced the rubber gasket in it. 

It may be routine call for the gas suppliers but the users will be under tremendous tension. In my case gas leaked only when connected and regulator knob is opened. If it is leaking even when the cylinder cap is not removed then imagine the plight of the people. Similarly if the leak occurs on a weekend or non-working hours of the gas supplier, then getting help is also very difficult.

Though emergency numbers are listed in the telephone directory, in emergency people will be panicky and may not remember what to do. Also, the the numbers in the directory may be old. Further, telephone directories are not published by all telephone companies. If the users are having only mobile phones, then they don't have any directory. Fortunately, now phone number 108 is available to contact in case help required when there is an emergency (fire/police/ambulance). But, how many people know this information is questionable. Only learned people with an eye on what is happening in their surroundings will know. Otherwise, there are many people who don't read news papers or look around billboards / stickers pasted at important places.

If this information and other important details as mentioned in the beginning of this article are displayed on the cylinder itself, it will be help for all the users. The information should be available in English, Hindi and the local language. Pasting of the sticker by the gas cylinder delivery agency should be made mandatory. If the agency is made responsible, then the sticker with instructions in local language along with English and Hindi can be ensured. The sticker may cost 2-3  rupees. But, this will definitely help the users. If stickers are not used and only pamphlets are distributed, users may lose them and utility can'g be guaranteed.

I will put some more information on this subject in my future posts.

Jan 11, 2009

Experience in Safety implementation

There is a saying that "Experience makes a man wise". Yes, this is true, but not in all respects. Sometimes, it is good if we do not get experience, for example, tasting a food item that is made by a first timer, or, learning 2-wheeler driving where there is every possibility of fall of person.

I like to taste a mango once again rather than getting injured first time or next time also.

The greatest safety professional, Mr. Kletz said in one of his books on industrial safety that, it is better to learn from others mistakes rather than experiencing all those by ourselves. By this, we can ensure a safe work for ourselves and our colleagues and public.

Information on accidents is available in various books, news papers, journals, websites. We should be interested in searching and getting all those information and then applying the lessons learnt to our work place.

Still, it is surprising to see that we do not learn from the accidents, leave those at other places, even from our own work place accidents, we refuse to learn. We are so lethargic and self centered that we do not want even to inform the people in our work place about accidents that are likely to occur. Every thing we leave it the wisdom of the shopfloor workers or Know Your Self way.

However, when an injury occurs, it is likely that the injured apart from pain has also be ready to receive admonishing from superiors by way of a memo / advise letter / explanation seeking letter for the injury. What the works manager or his supervisor does during regular plant visits is known only to the GOD, I suppose.

It is to be noted by all that apart from penalties (financial as well as sitting in a jail) listed in the Factories Act, there are provision listed even in the Constitution where by way of negligence, when failure to take protective measures is established, concerned in-charges are likely to be punished under constitution also.

Hence, one should not be relaxed that their work place does not come under Factories Act. Constitution contains all to see that persons are protected.

Sometimes, when safety supervisor / officer gives advise on safe acts / practices or stops an activity that is carried out in an unsafe manner, then the production in-charge asks the safety person to do the work or he will try to shift the safety person to that production activity or sees that he is removed. Of course, removal is not possible in a government organization, but it is always possible to shift safety person to production line as a punishment or teach a lesson for advising on safety.

The production fails to see why a safety person advises so. It is production in-charge who has to face questions, in case of an accident and he may have to be prepared even for a possible arrest by police. Instead of seeing or visualizing the situation, production in-charge questions safety department like, are you not belonging to the organization, don't you want a good name for the General Manger, etc.

Chief Executive / General Manger who is designated as Occupier should be careful against people like the above who want to get production somehow and want to claim for the production but not about the injuries. Such people should be thrown out of the organization or they should be sent to training programmes compulsorily on the statutory requirements with stress on penalties so that they MAY be able to see the implications. Even then if they do not learnt, better they are removed from the job itself so that workers will be protected and organization's name is not spoiled.

Mr Om P Kharbanda in one of his writings mentioned that SAFETY IS NOT ONLY FREE, BUT IT ALSO PAYS. Like quality brings down the cost of production, similarly safety also is cost reducing proposition. However, safety brings more tangible benefits when it is thought and implemented during the design stage itself. If it is implemented later as an ADD ON feature, then people may resist to follow unless until they see the reason clearly.

Though people say penalties do not have much effect in safety, I feel strongly that safety department should be given the authority to impose cash penalties where safety advisor can caution once and if the problem persists, then he can take evidence by photograph or other means and also impose penalty straight away. The penalty amount should be deducted from the concerned production department / agency Head of the Account to Safety Department which can be used as fund for safety promotion. Again, the facility in-charge should seek explanation from the concerned production department where penalty is recovered for the safety lapse.
When managers are questioned on penalties and is shown as a negative aspect, then only production mangers will realize the importance of safety.

Stopping the work by safety person will not have impact, because once the safety person leaves the shopfloor after advise / instruction, the work will be resumed in the same manner. This is true in most of the cases.

Sometimes, when shopfloor persons are questioned about unsafe practices, like doing maintenance on a running machine, or not wearing PPE, etc, they start complaining about the knowledge of the safety person or quality of PPE or need for getting an item of a particular brand, etc without justification so that safety person can be undermined and will be made to leave the place. It should be known that PPE of good quality meeting standards only will be recommended by safety person but not of brands. If there are more suppliers meeting the required standards, then supplier of the item meeting standards at lowest cost only will be recommended for purchase.

Sometimes, when workmen face problem with overtime, they they call safety persons on the pretext of unsafe conditions in the shopfloor. Once the manager agrees for giving overtime, then workmen forget about safety aspects and everybody disappears. At the end, you may see shopfloor in-charge and safety person arguing on the unsafe conditions, that may not be existing at all which were complained by workmen.

Workmen also should realize that if they do not follow safety, they can be punished under various provisions.

Finally, safety implementation requires commitment by shopfloor people and the production department. If they follow advise by Safety Department, then they can get benefited more. Else, it is they who have suffer the pain, not the safety persons.

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