What is PEEPO?

PEEPO is the acronym given to the process of Data Collection. For want of a better way to
describe it, it provides a roadmap for the investigation team in terms of what they need to be
exploring, who they need to talk to and others things to do throughout the investigation.

The collection of this data can be divided in to five main areas:

 People
 Environment
 Equipment
 Procedures
 Organization

Conditions, actions or deficiencies in each of the five main areas may be identified as
contributing factors to the incident.

Case Study

In 2014, a Front End Loader (FEL) collided with a Forklift (FLT) that was being driven through a
bulk product storage shed. Although there was no injuries sustained and only minor damage to
the FLT, an investigation was undertaken to determine what went wrong and how the incident
could be prevented from occurring again.
By way of background the FEL was being driven by an experienced operator who was
performing a “floor blend” of various dry products which involved the FEL being driven back
and forth into the product pile and the scooping up the products and blending them together.
The operator would repeat this process multiple times, reversing in and out of the bay and the
product pile until the products were adequately blended.

During a particularly busy period in the day, a contract, labour hire employee entered the bulk
shed to get the FLT and assist with loading of customers outside.

The operator of the FLT proceeded to drive from the allocated parking space, past the bulk
product storage bays. As he proceeded towards the exit door, he observed the FEL
undertaking the floor blend however as he got closer, he realised the FEL was reversing out of
the bay, and not going back in to continue the blending operation.

The FLT operator sounded the horn to alert the FEL operator to his presence. The FEL operator
heard the horn, but could not see the FLT or operator due to significant blind spots from both
the design of the storage walls and the size of the FEL versus the FLT. The FEL operator
immediately applied the brakes however the FEL slid approximately 12 feet on the wet,
slippery floor and collided with the diagonal front and right hand side of the FLT, pushing the
FLT approximately 1 foot before stopping.

No injuries were sustained to either operator although the FLT did sustain minor structural
damage to the load backrest, however due to the high potential of the incident; an
investigation was commenced almost immediately.
17.5.3. Em todos os locais de trabalho deve haver iluminação adequada, natural ou artificial,
geral ou suplementar, apropriada à natureza da atividade.

17.5.3.1. A iluminação geral deve ser uniformemente distribuída e difusa.

17.5.3.2. A iluminação geral ou suplementar deve ser projetada e instalada de forma a evitar
ofuscamento, reflexos incômodos, sombras e contrastes excessivos.

17.5.3.3. Os níveis mínimos de iluminamento a serem observados nos locais de trabalho são os
valores de iluminâncias estabelecidos na NBR 5413 (nova ABNT NBR ISO/CIE 8995-1:2013),
norma brasileira registrada no INMETRO.

17.5.3.4. A medição dos níveis de iluminamento previstos no subitem 17.5.3.3 deve ser feita
no campo de trabalho onde se realiza a tarefa visual, utilizando-se de luxímetro com fotocélula
corrigida para a sensibilidade do olho humano e em função do ângulo de incidência.

17.5.3.5. Quando não puder ser definido o campo de trabalho previsto no subitem 17.5.3.4,
este será um plano horizontal a 0,75m (setenta e cinco centímetros) do piso.