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Risk-event reporting

Issue number: MO-2010-002-SI-07
Who it affects: All stevedores
Issue owner: Patrick Terminals
Operation affected: Marine: Shore-based operations
Background: Investigation Report 273-MO-2010-002
Date: 19 December 2011

Safety issue description

The culture which existed in the Patrick terminal did not encourage the reporting of non-compliances or unsafe acts. Consequently, two critical parts of an effective safety system, which had a direct impact upon its ability to effectively manage safety in the terminal, the ‘reporting’ culture and the ‘just’ culture, were either not present or were misunderstood in Patrick’s safety system.

Proactive Action

Action organisation: Patrick Terminals
Action number: MO-2010-002-NSA-039
Date: 19 December 2011
Action status: Closed

The ATSB has been advised by Patrick Terminals that the company has, in consultation with its workforce, continued to review, reassess and refresh protocols, training and relevant safe work instructions as necessary and where appropriate, to enhance safety at the Port Botany terminal.

It is intended and anticipated by Patrick Terminals that the initiatives discussed earlier in its response to the ATSB draft report will further increase the focus and understanding by employees of the importance of accurate and regular incident/hazard/near-miss reporting to the provision and maintenance of a safe workplace for all persons; and encourage employee participation in investigations moving forward.

ATSB response:

The ATSB is satisfied that these measures put forward by Patrick Terminals will, if properly persisted with over time, serve to address this safety issue.

   
Current issue status: Adequately addressed
Status justification:

Patrick Terminals has, in consultation with its workforce, continued to review, reassess and refresh protocols, training and relevant safe work instructions as necessary and where appropriate, to enhance safety at the Port Botany terminal.

 
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Last update 06 March 2014