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                        Health, Safety & Environmental Bulletin No 063

                                         S Martin – 16 November 2007

                                               Near Miss Reporting



           As previously reported, we are making  great progress in increasing vigilance, reporting near misses and
           sharing the lessons learnt. Some of our teams have expressed to me privately that they feel very
           uncomfortable  with “reporting” that they have done something  wrong, or “reporting” that they have
           noticed an unsafe act involving a colleague and addressing it to prevent a potential incident.

           Below is the response from one of our very proactive customers to a near miss that I reported that
           involved one of our teams. At the time of the incident, I identified that the barriers could have been
           used more effectively, delivered a toolbox talk to the team involved (who were doing everything else in
           a very safe manner) and built the findings into bulletin No 59.

           I hope the response endorses that we and our customers will not allocate blame, but will use your
           findings and suggestions  to help others learn.

           Excerpt from the e-mail as follows:-

           Steve,
           As part of the monthly  review of the ALERT BBS Web Solution, collectively carried out by M&R,
           Construction & Esso, one of the near misses selected for discussion was Near Miss no. 505. This near
           miss was reported by yourself and was a direct result of the Alert Observation no. 4190 which you
           carried out at Oxpens S/Stn on 25/07/07.

           On behalf of myself and all of whom participated on the call-in, I would like to congratulate you on the
           quality and content of both the near miss & the AO.  All participating members of the session were
           most impressed with the pro-active nature of the near miss.  The fact that this near miss involved your
           own engineers further demonstrates how the ALERT system is being embraced by yourselves and the
           other contractors as an invaluable learning tool and not as a means to lay blame or carry out a 'finger
           pointing exercise'.

           Many thanks for your contributions and keep up the good work!

           Regards.




           ABB Project Engineer
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