Learning Moment 19 Jul 2017 Theme Park Ride Crash Once the ride was re-opened, a safety system was manually over-riden to allow a carriage of people to continue on the track. This resulted in the carriage with people crashing into a stationary empty carriage. Eleven people were left with life-changing injuries. View Learning Moment
Alert 10 Jul 2017 Fatality during unpacking of heavy electrical panel equipment During the unpacking of a 1.5t electrical VSD panel from its transit packaging, the unit fell forward, trapping and tragically killing one of the work party. The unit was contained within an export type storage package, with removable sides and ends and retaining batons on the long horizontal sides.… View Alert
Alert 26 Jun 2017 Fall in galley resulting in laceration to hand An individual was walking fairly quickly through the galley. Whilst turning a 90 degree corner, which she did by pivoting on her heel, she lost her footing and slipped resulting in a fall to the floor. During her decent, she put her right hand out in an attempt to break her fall. At this point she s… View Alert
Alert 6 Jun 2017 Did you see that? - Losing situational awareness because of new technology During the work scope, the inspection phase required pictures to be taken via an iPad. A technician was looking through the iPad trying to get the right image and was walking backwards to get all the elements into the picture. As the technician walked backwards the individual lost situational awaren… View Alert
Alert 30 May 2017 Burn to hand while working in laundry The injured party (IP) was working in the laundry when they put their hand into a dryer (prior to running the cooling cycle) to check if the garments were dry. Whilst doing so, the IP's hand contacted a base layer type garment that had melted inside the machine resulting in a burn that escalated to … View Alert
Alert 22 May 2017 Blown Control Valve Cover The pressure control valve was opened by connecting Pidgy tubing straight to the valve actuator from the platform instrument air supply. This was an unregulated air supply from the instrument air manifold direct to the valve bonnet air inlet which meant that the inline controls were bypassed. Once t… View Alert
Alert 15 May 2017 Gas leak from a manual ball valve (adjacent to a grease injection channel) During normal operations a gas leak was detected and traced to the failed valve. The plant was shut down and the valve was removed for further investigation. The investigation revealed that a leak had occurred on the flange adapter (see image 1). The leak site was adjacent to a grease injection chan… View Alert
Alert 8 May 2017 Near Miss - A "riveting" lessons learned During the process of applying side liners to the PVC reels, the pneumatic rivet gun used to fasten the liners in place failed when the Operator engaged the trigger. When the components failed the plunger, housing, etc. hit the operator in the thigh. No injuries or first aid was required. Investigat… View Alert
Learning Moment 3 May 2017 Deadlegs: not just a hazard in football The plant was made safe. An oil leak was traced to a ¼” diameter hole at the lower end of a pipework elbow. The line was rarely used and had been left stagnant with liquid creating a deadleg corrosion trap. Deadlegs can result in rapid corrosion and can arise as a result of: design errors the effect… View Learning Moment
Alert 10 Apr 2017 Dropped object during cargo handling operations During cargo handling operations a cargo carrying unit (CCU) was placed on the moving pipedeck where it was required to be unloaded. When opened, the CCU was found to be a shelved unit containing two palletised blower motors weighing 95kgs each, one on the lower level and the other on the shelf. The… View Alert
Alert 3 Apr 2017 Valve Handle Fell from Valve Stem During the movement of a manually operated valve the operator moved the valve handle from the horizontal to vertical position. At this point the handle slid from the valve stem and fell to the ground. There was no injury or asset damage as a result of this event. The handle is made of straight stain… View Alert
Alert 20 Mar 2017 Gas release from 1st stage separator during flushing During the flushing operations, the hose became detached at the instantaneous coupling connection point. The sudden depressurisation of vessel caused gas break out from the fluids, oily water, released to the atmosphere and activated multiple gas heads with the area. The gas heads cleared almost i… View Alert