Num 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
Date 12/01/07 13/01/07 13/01/07 18/01/07 24/01/07 24/01/07 27/01/07 07/02/07 15/02/07 28/02/07 01/03/07 02/03/07 03/03/07 21/03/07 26/03/07 29/03/07 04/04/07 13/04/07 13/04/07 23/04/07 14/05/07 25/05/07 28/05/07 01/06/07 09/06/07 19/06/07 20/06/07 23/06/07 28/06/07 09/07/07 10/07/07 17/07/07 18/07/07 25/07/07 11/08/07 17/08/07 07/09/07 24/09/07 28/09/07 03/10/07 17/10/07 20/10/07 12/11/07 14/11/07 25/11/07
Department Brewing Packaging Warehouse Packaging Packaging Warehouse Warehouse Warehouse Staff Packaging Packaging Packaging Packaging Utilities Packaging Warehouse Warehouse Packaging Packaging Packaging Packaging Engineering Packaging Warehouse Engineering Brewing Utilities Packaging Warehouse Packaging Packaging Packaging Technological Department Warehouse Utilities Packaging Packaging Packaging Packaging Engineering Packaging Staff Packaging Brewing Packaging
Type of employment Fixed personnel Fixed personnel Agency personnel Contractor Fixed personnel Agency personnel Temporary personnel Fixed personnel Fixed personnel Temporary personnel Fixed personnel Contractor Fixed personnel Fixed personnel Fixed personnel Temporary personnel Contractor Contractor Agency personnel Contractor Temporary personnel Contractor Fixed personnel Fixed personnel Fixed personnel Contractor Fixed personnel Fixed personnel Contractor Fixed personnel Agency personnel Contractor Fixed personnel Contractor Fixed personnel Agency personnel Contractor Fixed personnel Contractor Fixed personnel Contractor Agency personnel Fixed personnel Contractor Fixed personnel
Location Brewhouse Company premises Store/workshop Bottling hall Bottling hall Store/workshop Store/workshop Client/horeca Other Bottling hall Bottling hall Bottling hall Bottling hall Company premises Bottling hall Store/workshop Other Bottling hall Bottling hall Bottling hall Bottling hall Other Bottling hall Store/workshop Bottling hall Brewhouse Utilities Bottling hall Other Bottling hall Bottling hall Bottling hall Other Store/workshop Public road Bottling hall Bottling hall Bottling hall Bottling hall Other Bottling hall Other Bottling hall Brewhouse Bottling hall
46 47 48 49 50
28/11/07 01/12/07 17/12/07 17/12/07 25/12/07
Packaging Packaging Warehouse Brewing Packaging
Contractor Temporary personnel Temporary personnel Fixed personnel Fixed personnel
Bottling hall Bottling hall Other Fermentation & services Bottling hall
Severity Incident Near miss Accident Incident Accident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Incident Permanent disability Incident Incident Incident Incident Incident Permanent disability Incident Incident Incident Incident Accident Incident Incident Incident Incident Permanent disability Accident Near miss Incident Incident Near miss
Body part Leg Not applicable Arm Arm Arm Finger(s) Head Head Finger(s) Finger(s) Finger(s) Hand Finger(s) Trunk Head Hand Finger(s) Eye Head Head Foot Finger(s) Hand Arm Finger(s) Head Leg Eye Neck Finger(s) Knee Foot Leg Head Shoulder Hand Hand Finger(s) Finger(s) Foot Finger(s) Not applicable Back Arm Not applicable
Failure type Poor personal protection Correct tools not available Other Other Technical failure Poor personal protection Technical failure Other Unsafe posture Other Technical failure Poor personal protection Poor personal protection Poor personal protection Poor personal protection Other Inadequate tools use Technical failure Poor/inadequate communication Unsafe posture Unsafe posture Other Poor personal protection Poor personal protection Other Unsafe posture Technical failure Poor personal protection Layout & design brewery Correct tools not available Correct tools not available Not entered Correct tools not available Poor personal protection Other Poor personal protection Poor personal protection Unsafe posture Correct tools not available Technical failure Inadequate tools use Other Technical failure Technical failure Poor personal protection
Incident Accident Accident Incident Incident
Hand Arm Leg Finger(s) Hand
Other Technical failure Poor personal protection Other Inappropriate housekeeping
Department
Type of employment
Location
Brewing Engineering Packaging Staff Technological Department Utilities Warehouse
Fixed personnel Temporary personnel Agency personnel Contractor
Bottling hall Brewhouse Client/horeca Company premises Fermentation & services Other Public road Store/workshop Utilities
Severity
Body part affected
Failure type
Fatality Permanent disability Accident Incident Near miss
Arm Back Eye Finger(s) Foot Hand Head Knee Leg Neck Not applicable Shoulder Trunk
Correct tools not available Inadequate tools use Inappropriate housekeeping Layout & design brewery Not entered Other Poor personal protection Poor/inadequate communication Technical failure Unsafe posture
Department
Packaging Warehouse Brewing Engineering Utilities Staff Technological Department
Type of employment
Total Events 27 10 4 3 3 2 1 Total Events 23 15 6 6
30 20 10 0
25 20 15 10 5 0 Fixed personnel Contractor
Fixed personnel Contractor Temporary personnel Agency personnel
Location
Bottling hall Other Store/workshop Brewhouse Company premises Client/horeca Fermentation & services Public road Utilities
Total Events 27 8 6 3 2 1 1 1 1
30 25 20 15 10 5 0
Severity
Incident Accident Permanent disability Near miss Fatality
Total Events 38 6 3 3 0
40
30
20 10
0
Incident
Accident
Permanent disability
Body part affected
Finger(s) Hand Head Arm Leg
Total Events 13 7 7 6 4
14 12 10 8 6 4 2
Foot Not applicable Eye Back Knee Neck Shoulder Trunk
Failure type
3 3 2 1 1 1 1 1 Total Events 14 11 9 5 5 2 1 1 1 1
4 2 0
Poor personal protection Other Technical failure Correct tools not available Unsafe posture Inadequate tools use Inappropriate housekeeping Layout & design brewery Not entered Poor/inadequate communication
16 14 12 10 8 6 4 2 0
Packaging Fixed personnel 12 15 Contractor 9 10 Agency personnel 3 Temporary personnel 3
5 0 Fixed personnel
30 25 20 15 10 5 0
Bottling Hall 26 Company premise 1
Incident Accident NM Perm. Disability
Contractor
Agency personnel
Temporary personnel
Contractor
Temporary personnel
Agency personnel
Bottling Hall
25 20 15 10 5 0 Incident
Company premise
Action # 2 & 4
# 6: near misses
Accident
NM
Perm. Disability
8 6 4 2 0
Permanent disability
Near miss
Fatality
#2: PM pillar to perform RCFA to get in deep causes
9 8 7 6 5 4 3 2 1 0
# 1: RBC team on bottling hall
#3: Assess what tools need & raise request
#3: Assess what tools need & raise request of purchase
# 7: Improve the record system on "Contractors" & "tempo staffs"
21 3 2 1
Finger(s) Hand Head Arm Foot Not applicable Eye Back Neck Leg Knee Shoulder Trunk
7 6 5 3 2 2 2 1 1 0 0 0 0
Poor personal protection 8 Technical failure 5 Correct tools not available 4 Other 3 Unsafe posture 3 Inadequate tools use1 Inappropriate housekeeping 1 Not entered 1 Poor/inadequate communication 1 Layout & design brewery 0
# 6: Promotion of near misses campaing Action # 3
1: RBC team on hall #4: PM , SA, Pack Manager to review all tools use by both operators
# 5: Ergonomic posters
# 9: Establish a "Visitor Procedure" # 8: launch 5S team in bottling hall
Safety Team KPIs
SN KPIs 1 Accidents 2 Incidents 3 Near Misses Unit Num Num Num Target Actual YTD 0 0 25 0 200 0 J F M A M
201
2010 J J A S O N D
Action Plan for Safety Team
SN 1 2 3 4 5 6 7 8 9 Action List Restore Basic Condition on bottling hall PM Pillar to get into deep analaysis on root cause of technical failure Perform an assessment what correct tools need and raise request for purchase PM, SA Pillar and Pack Manager to review all tools use by operators and make enough available Promote campaign on Ergonomic Risk focus on "Posture" Promote the near misses campaign Improve the record system from "Contractors" and "Temporary Staffs" Launch 5S team in bottling hall to get a good housekeeping + regular audit interval Esblish a "Visitors Procedure" Who Sitorus Haris Chan Dy Dietmar Haris Haris Sitorus Chan Dy Dietmar Planned Effective Planned Effective Planned Effective Planned Effective Planned Effective Planned Effective Planned Effective Planned Effective Planned Effective
W1
W2
W3
W4
W5
W6
W7
W8
W9