Safety issue
| Safety issue description |
Patrick Terminals’ safe work instructions for lashing/unlashing did not specifically cover the recognised safe practices of not working under containers or between moving containers and fixed objects. Consequently, there was a discontinuity between the level of awareness regarding these dangers and the training new employees received during their induction period. |
|---|---|
| Issue number | MO-2010-002-SI-01 |
| Issue owner | Patrick Terminals |
| Transport function | Shore operations |
| Date issue released | 19/12/2011 |
| Issue status justification |
Patricks have undertaken substantial review of the SWis including reference to the new RZP. |
Safety action
| Action type | Proactive action |
|---|---|
| Action number | MO-2010-002-NSA-032 |
| Organisation | Patrick Terminals |
| Action date | 19/12/2011 |
| Action description |
As discussed in section 2.6.4 of this report, the ATSB has been advised by Patrick Terminals that the safe work instructions for lashing/unlashing, and for the deck team leader, were extensively revised following the accident. Representatives from Patrick’s management, safety, stevedoring and training teams were represented in the revision of the safe work instructions. These revised safe work instructions now cover the recognised safe practices of not working under containers or between moving containers and fixed objects and make extensive reference to adherence to the restricted zone protocol. As a result, the revised safe work instructions have removed the discontinuity that existed before the accident and now reinforce the previously mentioned recognised safe practices for lashing and unlashing operations which are taught during induction training. |
| ATSB response |
The ATSB is satisfied that the action taken by Patrick Terminals adequately addresses this safety issue. |
| Action status | Closed |