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Archive for October 9th, 2007

Time for Sports Root Cause Analysis? One dead, 302 taken to hospitals, 49 hospitalized in Chicago Marathon

Tuesday, October 9th, 2007

See these stories:

http://www.indystar.com/apps/pbcs.dll/article?AID=2007710080356

http://www.chicagotribune.com/sports/chi-71007marathon-short-story,0,7788754.story?coll=chi-health-utl

Where Does the Accident Pyramid Come From?

Tuesday, October 9th, 2007

Earlier this year someone wrote me with the question, “Where does the accident pyramid come from?” I thought that others might be interested so I am posting the answer here.

H.W. Heinrich was the source. In his book, Industrial Accident Prevention, 3rd edition, 1950, he published the following figure:

 Images Heinrich Accident Triangle

As I understand it, this came from his experience in the insurance industry in the 1920 and early 1930s. (Not exactly a recent source of research.)

Note that the original pyramid from the 30’s has changed to the one we see today with “unsafe acts” at its base.

Here is an article that takes issue with Heinrich’s the accident pyramid:

http://concreteproducts.com/mag/concrete_reevaluating_incident_pyramid/

Once source actually had the following statement:

Heinrich reclassified 15% of the records originally classified as unsafe conditions to unsafe acts.  By adding that 15% to the 73% that were initially recorded as unsafe acts, he concluded that 88% of all industrial accidents were caused primarily by unsafe acts of persons. During the same period of time the National Safety Council published a study that indicated that 87% of the industrial accidents were caused by unsafe acts and 78% by mechanical hazards. (The National Safety Council study allowed cases to be classified with multiple causes.) One can conclude from the National Safety Council that many industrial accidents of this era involved recognized mechanical hazards.

I like the concept that the pyramid represents - small problems can cause big accidents. I’m not sure that the concept should totally drive a safety program.

What do you think?

In France, Two Companies & 8 People Face Manslaughter Charges Over 2003 Accident

Tuesday, October 9th, 2007

It was visitors day at the shipyard. People came to see the world’s largest oceanliner, the Queen Mary 2. The day ended in tragedy when 16 people were killed and 29 were injured when a walkway collapsed.

Now 8 people and the two companies involved in building the walkway are on trial for manslaughter. If convicted, the people face 3 years in prison and fines of up to $63,000 each. The companies face much larger fines.

I haven’t seen any details of the cause of the failure of the gangway, but this prosecution once again raises the question, do criminal charges improve safety?