Face Laceration

 

What Happened?

June 21, 2013 An employee was operating a wire rope winding machine. As he finished up winding the spool he went to secure the end of the wire rope with a staple. The staple came loose allowing the spool to unwind. The end of the wire lacerated the employees temple and forehead.

Contributing Factors

A face shield was required while performing this task but was not worn.

What Can We Learn?

Tools

Using a Questioning Attitude would have helped the worker consider the worst thing that could happen and also driven him to obtain the appropriate PPE for the task.

The Procedure states a face shield is required while performing this task.

Traps

The employee was a tenured employee who had done  the job a hundred times before. His complacency allowed him to fall into the Overconfidence trap.

Ask the Right Questions

How does this relate to our work?

Where do we have similar traps?

What Tools can we use to avoid a similar incident?

Was a stop work point missed?