UA Road Transport Safety Rollover Bowtie 1
Moving vehicle Bow-tie Example Hazard: Recovery Measures Wear a Seat Belt First Aid Training Vehicle Spec - Airbags Threat Bad Weather Top Event - Emergency Response Plans Consequence Death or Injury Speeding Vehicle Collision Vehicle Damage Stop and Rest Fatigue Barriers Drive time limits Fitness to Drive Financial Costs Journey Management Process 2
Moving vehicle ROLLOVER BOW TIE Hazard Threat Control Barriers Top Event Recovery Measures Consequence Unauthorized passenger policy Weather & Environment Poor Driving Habits (e.g. Speeding) Headlights Usage Subcontractor Management Hours of Service Fitness to Work Journey Management Process Driver Training Life Saving Rules Emergency Response Plans Local legislation Headrests Fitness to Work Seat Belt Death or Injury Vehicle Damage Fatigue & Distraction Driver Inexperience Driver Recruitment Vehicle Maintenance IVMS D&A Testing Local Risk Assessment Rollover Specs (Airbags, ABS, etc.) Maintenance Fall Protection JMP Comm. Plan Rollover Protection $ Costs Reputation Impacted 3 yrs driving experience Daily Vehicle Inspections Skilled Mechanics Rollover Prevention Incident Reporting & Follow-up Spill Load Securement Vehicle Selection 3
Moving vehicle ROLLOVER BOW TIE Hazard Threat Control Barriers Top Event Recovery Measures Consequence Unauthorized passenger policy Weather & Environment Poor Driving Habits (e.g. Speeding) Headlights Usage Subcontractor Management Hours of Service Fitness to Work Journey Management Process Driver Training Life Saving Rules Emergency Response Plans Local legislation Headrests Fitness to Work Seat Belt Death or Injury Vehicle Damage Fatigue & Distraction Driver Inexperience Driver Recruitment Vehicle Maintenance IVMS D&A Testing Local Risk Assessment Rollover Specs (Airbags, ABS, etc.) Maintenance Fall Protection JMP Comm. Plan Rollover Protection $ Costs Reputation Impacted 3 yrs driving experience Daily Vehicle Inspections Skilled Mechanics Rollover Prevention Incident Reporting & Follow-up Spill Load Securement Vehicle Selection 4
Moving vehicle 2013 BARRIER & RECOVERY MEASURE FAILURES Hazard Threat Control Barriers Top Event Recovery Measures Consequence Unauthorized passenger policy Weather & Environment Poor Driving Habits (e.g. Speeding) Headlights Usage Subcontractor Management Hours of Service Fitness to Work Journey Management Process Driver Training Life Saving Rules 86% 71% Emergency Response Plans Local legislation Headrests Fitness to Work Seat Belt Death or Injury Vehicle Damage Fatigue & Distraction Driver Inexperience Driver Recruitment Vehicle Maintenance IVMS D&A Testing Local Risk Assessment 3 yrs driving experience Daily Vehicle Inspections Skilled Mechanics Rollover 57% Specs (Airbags, ABS, etc.) Maintenance Fall Protection JMP Comm. Plan Rollover Protection Rollover Prevention Incident Reporting & Follow-up $ Costs Reputation Impacted Spill Load Securement Vehicle Selection 5
Control Barrier 1 - Journey Management Process Driver did not recognize the changing driving conditions (HAZID). Review weather/road conditions before shift and re-evaluate during shift. Drivers to Stop Work when conditions change. Communicate. Stop work training. Review seasonal hazards. Best Practice adopt Life Saving Rules for all activity. Drivers must understand the reason for a JMP. 6
Control Barrier 2 - Driver Training Is the training Fit for Purpose? Have lessons been internalized? Robust refresher training? Address the likelihood of rollovers. Address Driver s Role in handling a ditch or soft-shoulder entry. What If scenarios are discussed and shared. Manoeuvrability and handling characteristics (Center of Gravity). Share incident learning with other drivers. Behaviour Based Safety Management Program. 7
Control Barrier 3 - Driver Recruitment Lack of documented recruitment and retention processes. Lack of effective Short Service Employee programs. Lack of or ineffective mentoring program. Lack of refresher training. Develop & implement driver assessment program. Develop & implement driver mentoring program. 8
Control Barrier 4 IVMS IVMS equipment to capture minimum data, including seat belt usage. A Coaching Tool and not a Gotcha Tool. Regular (weekly) feedback, is required. Know the capabilities of IVMS options in the market and not wait for the Next Best Thing. Analyze and share results (Track, Rank & Publish). BBSM system don t focus on problem drivers ; ensure that attention is paid to those driver s that have not had a problem yet. IVMS should be upgraded to include In-Vehicle Event Recorders (cameras). The best time to update IVMS was before the incident the second best time is today. 9
Control Barrier 5 3 Years Driving Experience Recognition that demand for experienced drivers outpaces supply. Understand effects of a graying workforce. Effective Short Service Employee programs. Ongoing mentoring and refresher training. Strong training is leveraged to overcome lack of experience. Use electronic feedback devices (IVMS/IVER) to accelerate driver s learning positive coaching. Ensure the SSE mentoring program is robust and employees are tested to ensure they understand policies/procedures. SSE s must be signed-off by Shell OSR, as per Shell Policy. Develop safety culture in workforce new to the industry. 10
Recovery Barrier 1 - Rollover Prevention Rollover Prevention Device A device or system of devices installed on a motor vehicle to detect and reduce the risk of rollover by either: Monitored and coach drivers on system. Recognition that most Rollover Prevention Systems work best for over-correction and steady-state turn scenarios. Driver Training takes into account the importance of the Driver s Role in handling a ditch or soft-shoulder entry. 11
Recovery Barrier 2 Emergency Response Plan Lack of documented ERP ERP is not thorough ERP is not communicated to staff Yearly drills use a real life scenario not a fire drill at the office. October 12 1
Recovery Barrier 3 JMP Communication Plan Learning from Incidents was not distributed by the Business or Road Transport. Share learnings to re-enforce the desired behaviors 13
Recovery Barrier 4 Seat Belts Seatbelts on before tires move - ALWAYS. The act of putting on a seatbelt IS an in-cab distraction. IVMS units track seatbelt usage and non-conformance is properly handled. All occupants wear seatbelts. Prevailing culture is that Seatbelts are worn because they save lives not because it is the rule. Others intervene when seatbelt non-compliance is witnesses without hesitation. 14
Why Do You STOP WORK OR PAUSE? PAUSE Means That You re Using Your Brain. 15 15