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           POTENTIAL LOSS

           Serious injury to the crane operator assistant and/or to other people looking at the activity


           WHY?

           The possible cause of this incident is, very likely, in the fact that, with the final pull of the crane, the
           pole was definitely pulled out from its base, but this caused to the pole a fast ascensional movement.
           This movement  caused loss of tension of the chain, and the complete torsion of the hook.
           In one of these torsions the hook did a complete turn around itself and the safety device squeezed
           against the bee opening itself.
           In this situation, with the hook open, a light torsion was sufficient to cause fall of the pole The fall was
           due partly to the movement  of the crane and partly to the light swinging of the pole itself.
           In addition  at the base of pole, there was only one person attending  instead of two persons.
           Two people, at the base of crane, would have been able, with the aid of a rope, to limit the swinging of
           the pole.

           ROOT CAUSES

           Personal factor, it was never happened before.
           The crane operator was alone, because his scope was only to provide the crane, for the pulling
           operation.
           The maintenance  worker assisting him was alone, a second operator would have been necessary.


           RECOMMENDED ACTIONS

               1.  The Contractor should prepare and issue a detailed JSA regarding this activity
               2.  The Safety Alert arising from this incident should be distributed as a minimum  to all
                  Contractors involved in similar activities



           Prepared and issued by Osvaldo Ferraris ABB PS&S on 18-07-2007


           “let’s make sure that we continue to make our sites THE SAFEST by helping ourselves, our colleagues,
           our  customers  and  even  our  competitors  by  improving  training,  helping  where  necessary  and
           addressing any issues of concern there and then”

           If  you  have  any  queries  regarding  the  Safety  Bulletin  content  or  require  further  information  please
           contact any staff member of Xmo Strata Ltd.
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