Analysis of Fatality Incidents for Examiners - myassignmenthelp.com

Question: Discuss about theAnalysis of Fatality Incidents for Medical Examiners. Answer: Description of the incident The report is based on the analysis of an incident where the workers were engaged in troubleshooting of a clogged pipe. The method that was applied for this purpose was adding the water to feeder line and then heating with the help of steam so that the materials can be broken which blocked the pipe. The relief cap was removed on the feeder line during the process of draining and this caused the contact of heated water with the worker. The worker had to suffer from severe burns in more than 80% of his body and later he died after suffering for 41 days (Fatality investigation reports., 2018). Background information related to the incident The incident occurred in the facility of JBS Canada Incorporated (JBS Foods) which mainly specialises in the processing of beef. The facility where the processing takes place is located in Brooks, Alberta and around 2000 workers are employed in the unit. The works are employed in the processing and the distribution of various types of meat including the graded and ungraded variety. The incident took place in the rendering area of the facility. The superintendent of the rendering section has been working in the facility for 17 years in different roles (Carroll et al., 2017). He was in the position of rendering superintendent for 4 years during the time of the incident. Many training programs had been completed by the rendering superintendent which were related to the process of rendering in the facility of JBS Foods. The supervisor was injured fatally when the incident in the facility. The supervisor has gone through many training programs related to the process before he was employed in the position. The training programs were related safety and health related issues in the working process of the employees (Katsavouni Rosenberg, 2016). Evidence available from the incident The equipment which was related to the incident is the 30.5 cm wide steel pipe which was at a length of 115m from the raw materials area. The purpose of the feeder line was to transport the raw beef from the area of raw materials to the super cooker which was installed in the rendering area. The feeder pipe was installed in the year 1995 and the design was developed by the Dupps Co., which is a manufacturing organization machinery required for processing. The feeder line 1 was considered to be a critical part of the entire process and it has a back-up when problems occurred in the line. The installation of the pipe had taken place before the facility was acquired by JBS Foods. The relief cap was attached to the opening of the pipe which was installed so that the workers were able to access the section. The water line comprised of a ball valve with a Chicago style fitting which was enabled the standard hose to be attached to the feeder line (Kjellstrom et al., 2016). Causes of the incident The major cause behind the incident was the blockage that had been detected in the feeder line 1. The blockages were detected in the control room as the pumps were struggling to move the product. Two days after this blockage issue, same problems were faced by the operations department of the facility and it was determined that the blockage had occurred again. The steps that were taken by the management to solve this issue included, the installation of a camera in the line to help in determining the source of the blockage. An equipment named pig was installed into the feeder and the operations were resumed (Merrill et al. 2016). This further led to blockage in the feeder line and it was now required to be dismantled to solve the issue. However, the scheduled maintenance related operations were not performed. The operations in the facility started and the superintendent started his job. The incident took place after he tried to remove the blockage by adding heated water into feeder lin e. The direct cause of the incident is the negligence from the end of the organization regarding the completion of maintenance work of the machine that was due for many days. This had led to the further of blockage of the pipe which caused the accident (Scheibe Blackhurst, 2017). Actions taken after the incident The rendering superintendent had seen the incident and he took the supervisor to the emergency shower that was present in the facility. The medical staff were called to the facility and the supervisor was immediately taken to the Brooks hospital. The management needs to implement maintenance plans every week so that the blockages can be detected and the issue can be resolved instantly. The cameras installed in the feeder lines need to be monitored on a continuous basis. Plan to implement the actions The actions that are needed to be taken by the management of the organization includes, the regular maintenance work of the equipments. The delay of scheduled maintenance was a major reason behind the incident. The workers also need to be provided with regular training sessions so that they are aware of the issues that can occur due to the fault in machines. The weekly maintenance of machines and regular training sessions can be helpful in preventing the occurrence of these incidents (Pierce, 2016). The employer needs to make sure that the untrained employees are not exposed to the usage of such sensitive machines. Six months after the implementation of the actions, the facility needs to well maintained and the cameras installed in the various areas need to be working properly. References Carroll, E., Johnson, A., DePaolo, F., Adams, B. J., Mazone, D., Sampson, B. (2017). Trends in United States mass fatality incidents and recommendations for medical examiners and coroners.Academic forensic pathology,7(3), 318-329. Fatality investigation reports. (2018).Work.alberta.ca. Retrieved 24 March 2018, from https://work.alberta.ca/occupational-health-safety/fatality-investigation-reports.html Katsavouni, F., Rosenberg, T. (2016). Large-scale sporting events and mass fatality incidents.ARCHIVES OF HELLENIC MEDICINE,33(5), 618-623. Merrill, J. A., Orr, M., Chen, D. Y., Zhi, Q., Gershon, R. R. (2016). Are we ready for mass fatality incidents? Preparedness of the US mass fatality infrastructure.Disaster medicine and public health preparedness,10(1), 87-97. Pierce, B. (2016). How rare are large, multiple-fatality work-related incidents?.Accident Analysis Prevention,96, 88-100. Scheibe, K. P., Blackhurst, J. (2017). Supply chain disruption propagation: a systemic risk and normal accident theory perspective.International Journal of Production Research, 1-17.