| Case Name |
The pipe came off, when a workman put the hand on the handrail, and he fell. |
| Pictograph |
|
| Date |
July 1981 |
| Place |
Aichi Prefecture. |
| Location |
The newly established water supply tube shaft. |
| Overview |
When working on the pass, a worker out his hand on the handrail, then it came off, he fell down to ground 6m below. |
| Incident |
The handrail pipe came off, when he put his hand on the handrail, and he fell down. |
| Sequence |
In the place of newly established water supply,a worker put his hand on the handrainl when he was walking on the pass. Then, someone let the clamp out and left it be, the pipe was not fixed.So the pipe came off and he fell down to the concrete ground 6m below. Casually, the day was rainy so there were water piled on the concrete, this case did not to be the death case. |
| Cause |
The pipe was left free, clamp was not fixed.
The lack of check of safety facilities such as handrails on the pass.
The basic role that "Who let the clamp free must fix it afterwards" is not obeyed. |
| Response |
By tightening and deviated clamp, the pipe was fixed. |
| Countermeasures |
Alley way and safety equipment must be checked thoroughly. The inspection rule of the safety equipment must be made. The information about who,where,when,what must be known throughly among the workers.
The basic role that "Who let the clamp free must fix it afterwards" must be educated again. |
| Knowledge Comment |
When work ended, the safety equipment must be checked. Safety ensuring of the post-process protects the companion. Yesterday's safety is not always the safety of today too. |
| Background |
The training is insufficient even about the basic rule. The safety inspection of safety equipment in the workplace, etc. has not been regularized. There was a worker who did not consider the human safety who works after him by finishing only the work of the self. |
| Scenario |
| Primary Scenario
|
Organizational Problems, Poor Management, Organizational Problems, Inflexible Management Structure, Poor Value Perception, Poor Safety Awareness, Ignorance of Procedure, Disregard of Procedure, Non-Regular Action, Change, Incorrect Reaction, Poor Communication, Failure, Fracture/Damage, Bodily Harm, Harm to Physical Well-being
|
|
| Sources |
Saved disaster case and KENSAIBOU Aichi.
|
| Field |
Civil Engineering
|
| Author |
IKAI, Seiji (ICHITEC CORPORATION)
BABA, Kanji (ICHITEC CORPORATION)
|
