SAFETY, HEALTH & ENVIRONMENT

ASSIGNMENT 1
CASE STUDY ANALYSIS
JULY 2017

Prepared by:
AMIRAH KHALISAH BINTI YAZELI
58220116007
CASE STUDY
 On 17/01/2008 at about 3.00pm, at Putra Square
in Kuantan, Pahang
 An unwritten report on a fatal accident case was
made concerning a 45 tonnes truck mounted
crane (Model: Tadano; PMA 9284).
 Prior to the accident, numerous workers were
relocating two units of transformers within the
building with the crane was placed outside of the
building for hoisting work.
 All its legs extended and rested on wooden
footings which were placed on the ground but one
of the four legs was found to be on top of a
 In lifting a 4,150 kgs transformer, the forensic
engineering investigation team discovered that
the culvert failed because it could not withstand
the burden from the crane.
 Thus, the abrupt inclination of the crane body
from the breakdown of the culvert caused the
hook block to swing and struck the dead who by
coincidence to be nearby.
 The deceased experienced severe injury as he
was trapped in between the swinging hook block
and the transformer to be hoisted.

 Extracted from;
(/index.php/en/resources/archive/archive-oshinfo/2009/440-safety-alert-
2009/102-accident-involving-mobile-crane)
 DEFINTION
 Safety is a sense of protection which makes
us feel contented without any worries of
injury or threat.
 Health refers to the condition of a person
physically or mentally.
 Environment is the ambience circumstances if
it is free of hazard or dangerous to
people/workers.
 Accident is defined as an unexpected incident
that cause injuries or damages.
 ACCIDENT
INVESTIGATION
 STEPS
1. Investigate
2. Analyze
3. Report
 INVESTIGATE
 Direct
cause of injury- One of the workers
died due to severe injuries sustained as
being hit by the hook block.
 Indirectcost- Cost of punctured crane legs,
cost of broken culvert, medical fees.
 Surface causes of the crash- The crane
legs on the culvert could not bear up the
loading hence it punctured.
 Root cause of the crash- The company did
not take into account the right procedure
and supervision of operating a crane.
 ANALYZE
1. What happened to the crane legs?
The crane could not withstand the burden causing one of the
crane legs to
puncture into the culvert.

2. Where was the accident takes place?

During the relocation of the transformer within the building.

3. When did the crane legs punctured?

During the process of lifting 4150kgs transformer.

4. Who was the victim of the accident?

One of the project workers.
5. Why did the crane legs were placed on the culvert?
The extension of the crane legs was not fit with the
spaces at the project
site hence it was being placed randomly.

6. How did the accident happened?

The sudden puncture of the crane legs into the
culvert caused the
hook block to swing and struck the dead.
REPORT
 HOW THE CRANE CRASH CAN BE
AVOIDED?
 Lectures on right procedure of operating
cranes
 Create a safety team comprises of members
that will check upon the safety of all during the
operation
 Risk assessment should be done before &
after an operation
 Crane operators should acquire valid
certificate of operating a crane and being
registered under DOSH
JOB HAZARD
ANALYSIS
(JHA)
 STEPS
1. Identification of hazards
 Review Records
 Talk to Personnel
 Accident Investigations
 Follow Process Flow
 Write a Job Safety Analysis
 Use Inspection Checklists
2. Assessment of hazards
 Probability
of the crash to happen. As one of the
crane legs is on the
culvert, it was risk-behaviours as logically a culvert
is not able to
withstand a heavy weight load.

 Severityof the impact from a crash. The severity

is serious injuries which cause death.

 Levels of Awareness is post-awareness. It is the

risk of the crash occurrence realized as the job is
carried out.
Referring to the case, the company should take the
risk of reducing
the length of the crane legs extension so that it will
not be placed
on the culvert.

Secondly, the company should ensure that during

the lifting
operation, none of its workers are scattering at the
area involved.

Lastly, reduce the weight of the transformer to be

4. Implementation of Controls

 Engineering controls
Design a safety feature of tools and equipments
being
Used.
 Administrative Controls
List safety rules, preventive maintenance, held
safety training
for bottom and upper management, etc
 Personal Protective Equipment
Wear the correct protection features like gloves,
helmets, jackets,
etc.
5. Supervise
Ensure risk control measures are
applied
Track progress
Feedback from employees
JOB SAFETY ANALYSIS
JSA FORM
 STEPS
STEPS HAZARD CAUSE PREVENTIVE
MEASURES

Extending Placement of Culvert could Adjust the

crane legs the crane legs not hold up the crane legs not
unstable burden from to be on the
the crane culvert

Workers Hook block The hook block Workers should

supervision might hit the is not fixed in be further from
near the crane workers motion, the crane
moving while lifting
randomly operation
STATISTICS
RISK ASSESSMENT
THE EXTENDED PART IN ASSIGNMENT 1 REDO
What are the Who might be What are you What further action is Action by Action by Completed Action
hazards? harmed and already doing? necessary? whom? when?
how?

The crane legs The workers Remind all workers Order the crane Fitter - -
are placed on might be hit if the to be alert with the controller to move the
wooden footings crane legs crane condition crane legs to a safer
punctured and and beware of the placement.
collapse onto crane movements
them. Replace the wooden
footings with a solid
metal culvert to bear
the burden of the
crane.

Hook block of the The workers or Remind the workers Extend the distance Fitter - -
crane lay person to be careful while between the
surrounding the nearer to the crane. construction area from
area as if there public spaces by putting
were to be signages.
strong wind, the
hook block might Prohibit any workers to
be swung and hit be nearer to the crane
any. except the crane
controller.
 CONCLUSION
Proactive action should be taken in
preventing accidents as we are being
aware of the consequences that might
happen.
Compared to reactive action which only
being taken as the accidents have
occurred.
 REFERENCES
 Centre, C. C. (n.d.). Certified Safety
Construction Business CB106. United States .
 Module 3. (n.d.). Hazard Identification and
Risk Assessment. Center for Dairy Farm
Safety. University of Wisconsin. River Falls &
Wisconsin Extension
 Frankenmuth Insurance on Sample Written
for Job Safety Analysis