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For instance:


                   •   Slippery surface due to oil spill on the floor
                   •   Uneven floor surfaces, damaged mats, potholes on the floor or steep surfaces.

               Underlying or Root Cause – Management failure


               If  you  focus  only  on  the  immediate  causes  –  i.e  unsafe  act  or  unsafe  condition,  there  are
               possibilities that the accident will happened again. Its indeed important that underlying or root
               causes must be investigated to ensure that right controls are put in place to prevent accidents in
               future.


               Underlying / root causes – often failure from the management system

               • Failure to monitor.
               • Failure to provide training to the workers
               • Inadequate risk assessment
               • Lack of provision of suitable PPE
               • No maintenance carried out for plant and machinery.
               • Inadequate inspections.


               For instance:

               We have to know the reasons for immediate cause, why there is an oil spill on the floor? Further
               identify the underlying or root causes for the oil spill, the introduction of new control measures
               must prevent accidents happening again.


               Step 3 – Identifying Suitable Control Measures


               Identifying suitable control measures to address the
               immediate and root-cause(s) of an incident are taken from
               the hierarchy of controls and may include the following
               remedial actions; eliminating hazards; substituting with less
               hazardous materials; redesigning or modifying equipment or
               tools; developing procedures; improving the competence of
               affected workers; changing the frequency of use; using
               personal protective equipment.

               The timing and priority of any corrective action should be
               based on the risk of reoccurrence involved. Consult with                  Marked walkway
               workers in determining the recommended actions and
               solutions wherever required.


               In deciding which risk control measures to recommend and their priority, choose measures in
               the following order, where possible:









                 ENSIGN |                      Unit IG1 – Element 4 – Health and Safety Monitoring and Measuring  14
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