Kentucky FACE Program The Role of Safety Professionals in Preventing Workplace Fatalities May 12, 2016
Fatality Assessment and Control Evaluation (FACE) Program Who/What is FACE? What does FACE do? How are FACE outputs used? What value do you have to the FACE program outputs? Team: Mark Chandler Nancy Hanner Dr. Terry Bunn De Anna McIntosh
University of Kentucky College of Public Health Kentucky Injury Prevention and Research Center Kentucky Occupational Safety and Health Surveillance Program National Institute for Occupational Safety and Health (NIOSH) Kentucky FACE Program Kentucky Department for Public Health
Currently Operating FACE States Funded since 1994
What does FACE do? Investigates workplace fatalities in key industries within KY Construction Manufacturing Transportation Energy Extraction and Production Also investigate cases involving: Foreign born workers Youth workers
What does FACE do? STEP 1: Surveillance and notification We are notified of a work related death: Web, TV Friends, relatives, co-workers Workers compensation, Vital Statistics, OSHA, MSHA, State Police Reports, CFOI Coroners *No personal identifiers are included in the written reports.*
What does FACE do? STEP 2: Initial Contact Contact Coroner, local police, Kentucky OSH to obtain overview of events leading up to, during and post fatality. Obtain names of company representatives, witnesses. Set a site visit date. *No personal identifiers are included in the written reports.*
What does FACE do? STEP 3: Site Visit Conduct interviews with company, coworkers, witnesses, family members, first responders, coroners, etc. Gather decedent s work history, history with company, safety practices and procedures. Take photographs, measurements. Sequence pre events, event and post events. *No personal identifiers are included in the written reports.*
What does FACE do? STEP 4: Research What type of equipment was used? What type of work processes and safety were used and could have been used? What was the company history? What were the contributing factors that caused the fatal event? *No personal identifiers are included in the written reports.*
What does FACE do? STEP 5: Write Recommendations and Finalize Report Summary with recommendations Investigation Cause of death Recommendations for how to prevent similar incidents, with discussion References Acknowledgements *No personal identifiers are included in the written reports.*
Who does FACE collaborate with? Key industry professionals FACE consults with include: OSHA safety and health inspectors Industrial hygienists Health and safety supervisors/instructors NIOSH affiliates A competent person (as defined by OSHA) Experienced workers
How is expertise utilized? Some of the safety issues are obvious right away.
How is expertise utilized?
How is expertise utilized?
How is expertise utilized?
How is expertise utilized? Other safety issues aren t so obvious right away Scaffolding construction Trench construction Varying from safe & proper procedures Fall arrest anchoring/setup Guarding of machinery Farm machinery & operations
How is expertise utilized? Industry professionals may be able to look at the following photo and note: No visible fall protection No guardrails for platform edges No safe access to and from platform
Who Receives FACE outputs? Employers in various industries Employees State-wide and national industry professional associations Ex: National Roofing Contractors Association, Association of General Contractors, Kentucky Trucking Association. Local, state, and national agencies Ex: OSHA, NIOSH, National Safety Council (NSC) Educators
Who Receives FACE outputs? National Safety Council Safety & Health Magazine
Who Receives FACE outputs? Environmental Health & Safety Today Magazine
Who Receives FACE outputs? Scrap Magazine
What are the impacts of FACE outputs? Serve as a starting point for a business safety training Supplement existing safety training programs Equipment redesign initiatives Policy & regulatory change Used as supporting literature for peer-reviewed publications
Why is FACE important? From 2008 2014, 622 Kentucky workers died on the job, an average of 89 per year. KY Worker Deaths 2008-2014 120 100 80 60 105 93 64 105 95 80 80 40 20 0 2008 2009 2010 2011 2012 2013 2014 Worker Deaths Linear (Worker Deaths)
Why is FACE important? 7 6 Worker Fatality Rate - KY vs US, 2008-2013 5 4 3 2 1 0 2008 2009 2010 2011 2012 2013 KY Rate US Rate Rate= number of fatal injuries per 100,000 full-time equivalent workers
Why is FACE important? 40 35 30 33.9 Fatality Rate by Select Industry, KY vs US, 2013 25 20 15 10 5 0 22.3 Agriculture, forestry, fishing, hunting 16.5 9.7 3 2.1 8.2 5.1 Construction Manufacturing Transportation and Utilities KY US Rate= number of fatal injuries per 100,000 full-time equivalent workers
Why is FACE important? Caught In Poisoning 2% 5% Suffocation 3% Explosion 3% Suicide 7% 62 DEATHS IN CONSTRUCTION, 2010-2014 Crushed By 3% Electrocution 10% * * Struck By 13% Fall 32% * * MVC 19% Other 3%
82 DEATHS IN AGRICULTURE, FORESTRY, FISHING, HUNTING, 2010-2014 Other, 4% Machine, 6% * MVC, 13% Ag Machine, 43% * * Struck By, 23%
Investigating workplace fatalities De Anna McIntosh
Notification Phone call from the Director s son about a distillery explosion.
Revenoor 300 gallon pot still
Apprentice Distiller Fatally Burned by Over Pressurized Pot Still Incident Number: 15KY019 Friday, April 24, 2015, a 40-year-old distiller and a 27-year-old distiller apprentice (victim) were producing a batch of moonshine when the Revenoor 300 gallon pot still unexpectedly ruptured. The distiller said he heard a noise like a car backfiring and he and the victim were knocked to the ground covered in 200 Fahrenheit mash (mixture of grain and water used in distilling). The distillery owner heard a loud pop from his home, ran to the distillery and found both employees outside and injured. After turning off the propane, the owner brought both employees to his home where his wife called emergency fire and medical services. The two employees were conscious and airlifted to the nearest trauma burn center. The victim died 17 days later on May 11, 2015, from complications due to infection resulting from the burns.
The State Fire Marshal s report stated that the setting on the pressure relief valve was different from the setting in the manufacturer specifications. The valve should have been set to ~15 psi but was equipped with a 150 psi pressure relief valve. With a 150 psi valve, the still could become over pressurized, causing the still to rupture and mash to erupt.
Cell Tower Technician Dies after Antenna Array Falls and Decapitates Him Incident Number: 14KY032
Impact
Kentucky Fatality Assessment and Control Evaluation (FACE) Program Incident Numer: 14KY001 Release Date: June 30, 2014 Subject: Auto Technician Mistakes Handicapped-Accessible Accelerator Pedal for Brake Pedal and Fatally Pins Co-Worker Summary On Monday, January 6, 2014, a 50-year-old master technician and married father was sitting at his desk in the service bay area of a dealership, with his back to the service area, when an auto technician mistook a handicapped-accessible accelerator pedal for the brake pedal causing a Lincoln MKX to travel forward. The vehicle struck the desk chair the victim was sitting in and knocked him into the desk. The co-worker driving the MKX tried to steer to the right when he realized what was occurring, but was unable to avoid striking the victim. The co-worker exited the vehicle and yelled for someone to call 911. A third employee who had prior EMT experience arrived at the scene and assessed the situation, calming the victim and covering him to keep him from going into shock until the ambulance arrived. The victim died from blunt force injuries en route to the hospital. Recommendation No. 1: Based on manufacture s recommendations service technicians should detach unfamiliar handicapped accessible equipment if untrained to use the special equipment before operating the vehicle. Recommendation No. 2: Administrative duties should be performed in an area away from or barricaded from contact with vehicles being serviced.