case study

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Case Study

You are the health and safety manager at ABC Manufacturing located at 123 Kingsway Industrial Drive, Indianapolis, IN 46235. On June 17th at 8:00 am you are called out on a health and safety incident in department 284 Machine Tooling and Operation. Upon arrival, it appears that Janice Wittle, a first shift employee who starts work at 6:30am, has cut off her pinky finger from her left hand. Last week there was a similar incident where Bob Thomas cut off the tip of his middle finger on the same machine. He was off from work for 7 days. Janice, born in 1969 on Aug. 1st, has already been taken to Mother Marys Healing Hospital located at 777 Golden Rod Road, Indianapolis, IN 46777 via ambulance and doctors are assessing the situation. While the victim is being treated at the hospital, you start to interview the other employees to find out what exactly led up to Janices injury. One employee states that around 7:45 am, just before the accident, Janice was loading a new tray of parts into the machine. She looked away briefly as a loose part fell on the floor. Her finger slipped into the open blade and severed her finger. Upon inspection of the machine, you find that the guard for the rotating blade is missing. You immediately lock & tag out the machine pending further investigation.

When you receive the report from the hospital, you learn that Janice suffered a clean cut and was able to have her finger completely reattached. Doctors feel that she should have full mobility of the finger in three weeks, but they suggest that she stay home from work for at least four weeks for physical and mental healing and due to the medications she will be taking. She will be in the hospital for a week for monitoring and observation. The company has granted Janice 6 weeks of sick leave with pay. Janice was a 50-year-old employee who was hired 20 years ago when the plant opened in June.

QUESTIONS

1. Based on the information above, complete the attached OSHA forms (300, 300A, and 301).2. How many total incidents (including this one) has happened in this department?3. What is the root problem of this particular situation?4. Should you go deeper into your investigation to find out why the guard was taken down? Why or why not? 5. What action should be so that this incident doesnt happen again?

 

make sure to answer the questions posed underneath the case study and to fill out the OSHA forms. Please note you are to change totals, etc. on the OSHA forms. 

2

>OSHA Form

3 0

0 Attention: This form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes. OSHA’s Form 300 (Rev. 0

1

/

200 4) Year 2009 Log of Work-Related Injuries and Illnesses U.S. Department of Labor Occupational Safety and Health Administration

You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an injury and illness incident report (

OSHA Form 301

) or equivalent form for each injury or illness recorded on this form. If you’re not sure whether a case is recordable, call your local OSHA office for help.

Form approved OMB no. 1218-01

7 6 Establishment name ABC Manufacturing City Indianapolis State IN Identify the person Describe the case Classify the case CHECK ONLY ONE box for each case based on the most serious outcome for that case: Enter the number of days the injured or ill worker was: Check the “injury” column or choose one type of illness: (A) (B) (C) (D) (E) (F) Case

No

. Employee’s Name Job

Title

(e.g.,

Welder

) Date

of injury or onset of illness Where the event occurred (e.g. Loading dock north end) Describe injury or illness, parts of body affected, and object/substance that directly injured or made person ill (e.g. Second degree burns on right forearm from acetylene torch) (M) Skin Disorder Respiratory Condition Poisoning Hearing Loss All other illnesses Death Days away from work Remained at work Away From Work (days) On job transfer or restriction (days) Injury (mo./day) Job transfer or restriction Other record- able cases (G) (H) (I) (J) (K) (L) (

1) (

2) (

3) (4) (

5

) (

6) 100 Ned Flanders

Welder

1/12/09 soldering department melted fingers, ring & middle left hand X 75

X
200

Homer Simpson Fork Lift Driver 2/14/09 Loading Dock bodily injury due to fork truck driven off dock

X

— 300

Bill Flannigan MOS

2/14/09 Loading Dock

hit by fork truck, lower body injuries

X

60

X
400 Judy Priest MOC 4/17/09 main walkway front entrance injured knee due to trip & fall

X 2 X
500 Tina Fey Electrician 5/

27

/09 main circuit panel electricution of right hand

X 5 X
600 Tim Rodgers Pipefitter 5/28/09 Machine Tooling

& Operations crushed hand (left) due to guard slamming down

X 75

25

X
700 Bob Thomas

Machine Tooling

6/16/09 Machine Tooling & Operations tip of middle left middle finger severed

X 7 X
800 Page

totals

1 5 1 0

222

27 6 0 0 0 0 0
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.

Injury Skin Disorder Respiratory Condition Poisoning Hearing Loss All other illnesses
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time to review the instruction, search and gather the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office. Page

1 of 1

(1) (2) (3) (4)

(

5)

(6)

OSHA Form 300A

Year

U.S. Department of Labor

Occupational Safety and Health Administration

City State

1 5 1 0 3 7 1 5
(G) (H) (I) (J)

3 3 6 2 1 2
222 27

(K) (L)
(M)

6

0

0

0

0

0

Title

Date

OSHA’s Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and Illnesses
	Form approved OMB no. 1218-0176
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses occurred during the year. Remember to review the Log to verify that the entries are complete and accurate before completing this summary.
Using the Log, count the individual entries you made for each category. Then write the totals below, making sure you’ve added the entries from every page of the log. If you had no cases write “0.”	Establishment information
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in OSHA’s Recordkeeping rule, for further details on the access provisions for these forms.	Your establishment name
		Street
Number of Cases			Zip
Industry description (e.g., Manufacture of motor truck trailers)
Total number of deaths	Total number of cases with days away from work	Total number of cases with job transfer or restriction	Total number of other recordable cases	Manufacture of machine tool parts
Standard Industrial Classification (SIC), if known (e.g., SIC 37	15)
OR	North American Industrial Classification (NAICS), if known (e.g., 3362	12)
Number of Days	Employment information
Total number of days away from work	Total number of days of job transfer or restriction
Annual average number of employees	57
Total hours worked by all employees last year	177,840
Injury and Illness Types
Sign here
Total number of…	Knowingly falsifying this document may result in a fine.
(1) Injury	(4) Poisoning
(2) Skin Disorder	(5) Hearing Loss	I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and complete.
(3) Respiratory Condition	(6) All Other Illnesses
Company executive
Post this Summary page from February 1 to April 30 of the year following the year covered by the form		Phone
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.

OSHA Form 301

Attention: This form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes.

U.S. Department of Labor

Occupational Safety and Health Administration
Form approved OMB no. 1218-0176

1)

2) Street

City State Zip 12)

3)

AM/PM

4)

5)

15)

6)

Street

City State Zip
No

Title

Phone Date Yes
No

OSHA’s Form 301
Injuries and Illnesses Incident Report
Information about the employee	Information about the case
This Injury and Illness Incident Report is one of the first forms you must fill out when a recordable work-related injury or illness has occurred. Together with the Log of Work-Related injuries and Illnesses and the accompanying Summary, these forms help the employer and OSHA develop a picture of the extent and severity of work-related incidents.
Full Name	10)	Case number from the Log	(Transfer the case number from the Log after you record the case.)
11)	Date of injury or illness
Time employee began work		AM/PM
Date of birth	13)	Time of event	Check if time cannot be determined
Within 7 calendar days after you receive information that a recordable work-related injury or illness has occurred, you must fill out this form or an equivalent. Some state workers’ compensation, insurance, or other reports may be acceptable substitutes. To be considered an equivalent form, any substitute must contain all the information asked for on this form.	Date hired	14)	What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment or material the employee was using. Be specific. Examples: “climbing a ladder while carrying roofing materials”; “spraying chlorine from hand sprayer”; “daily computer key-entry.”
Male
Female
Information about the physician or other health care professional
What happened? Tell us how the injury occurred. Examples: “When ladder slipped on wet floor, worker fell 20 feet”; “Worker was sprayed with chlorine when gasket broke during replacement”; “Worker developed soreness in wrist over time.”
According to Public Law 91-596 and 29 CFR 1904, OSHA’s recordkeeping rule, you must keep this form on file for 5 years following the year to which it pertains	Name of physician or other health care professional
If you need additional copies of this form, you may photocopy and use as many as you need.	7)	If treatment was given away from the worksite, where was it given?
Facility	16)	What was the injury or illness? Tell us the part of the body that was affected and how it was affected; be more specific than “hurt”, “pain”, or “sore.” Examples: “strained back”; “chemical burn, hand”; “carpal tunnel syndrome.”
8)	Was employee treated in an emergency room?
Completed by		Yes	17)	What object or substance directly harmed the employee? Examples: “concrete floor”; “chlorine”; “radial arm saw.” If this question does not apply to the incident, leave it blank.
9)	Was employee hospitalized overnight as an in-patient?
18)	If the employee died, when did death occur? Date of death
Public reporting burden for this collection of information is estimated to average 22 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Persons are not required to respond to the collection of information unless it displays a current valid OMB control number. If you have any comments about this estimate or any other aspects of this data collection, including suggestions for reducing this burden, contact: US Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.