Analysis of Trips, Slips, and Falls in an Office Setup Using Risk Matrix Decision Tree Analysis, FMEA, and Bow Tie.
1. Risk Matrix Analysis
Severity | Likelihood | Risk Rating | Interpretation |
---|---|---|---|
Moderate Injury (e.g. sprain, minor fracture, head bump) | Likely (several times per year) | High (Orange Zone) | Needs immediate intervention |
Minor Injury (e.g. bruises, abrasions) | Very Likely (monthly incidents reported or near misses) | High (Orange Zone) | High frequency; requires systematic preventive measures |
Major Injury (e.g. head trauma, disability) | Possible (at least once a year) | Critical (Red Zone) | High potential consequence; office must act to mitigate hazards |
✔ Key Risks Identified:
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Wet floors, loose cables, uneven floor surfaces.
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Cluttered workspaces.
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Inadequate lighting in corridors and restrooms.
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Use of unstable chairs or ladders to reach high areas.
2. Decision Tree Analysis
Event Trigger: Near Miss Report of Trip, Slip, or Fall
Interpretation:
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Systematic investigation and action reduce risks.
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Ignoring or inadequate response increases exposure and liability.
3. Failure Mode and Effects Analysis (FMEA)
Failure Mode | Effect | Cause | Severity (S) | Occurrence (O) | Detection (D) | RPN (S×O×D) | Action Priority |
---|---|---|---|---|---|---|---|
Wet floor left unattended | Slip, fall | Cleaning not flagged or uncontrolled spill | 8 | 7 | 5 | 280 | Immediate signage and SOP enforcement |
Loose electrical cables | Trip, stumble | Poor cable management | 7 | 6 | 4 | 168 | Implement cable trays & awareness |
Clutter in walkways | Obstruction, trip | Poor housekeeping | 6 | 8 | 5 | 240 | Reinforce clean desk and walkway policy |
Poor lighting | Missed obstacles | Burnt bulbs, design flaw | 8 | 5 | 6 | 240 | Audit lighting levels and repair schedules |
✔ Note:
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RPN above 200 indicates urgent corrective action required.
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Key intervention areas: SOP improvement, housekeeping policy, awareness campaign.
4. Bowtie Model Analysis
Top Event: Near Miss Accident - Trip, Slip, or Fall
Threats (Left side - causes):
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Wet floors
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Loose cables
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Poor lighting
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Cluttered pathways
Preventive Barriers:
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Prompt cleaning & signage
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Cable trays and covers
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Regular maintenance audits
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Housekeeping policy enforcement
Consequences (Right side - outcomes):
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Minor to major injury
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Productivity loss
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Staff demoralization
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Legal claims or penalties
Mitigating Barriers:
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First aid and emergency response
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Incident reporting and investigation system
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Root cause analysis for continuous improvement
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E-learning and toolbox meetings on office safety
✔ Visual Summary:
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Proactive barriers prevent the event.
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Reactive barriers mitigate the impact if the event occurs.
Summary Insights Using Multiple Tools
Tool | Value Added |
---|---|
Risk Matrix | Provides urgency and prioritization of risks based on frequency and severity. |
Decision Tree | Highlights the decision points that escalate or mitigate the risk based on action or inaction. |
FMEA | Systematically identifies failure points and prioritizes corrective actions based on RPN. |
Bowtie Model | Visually illustrates cause-consequence relationships and identifies preventive and mitigative controls. |
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