We are nothing after our death. Let us donate our body organs for the poor.

Be not afraid of anything. You will do marvelous work The moment you fear, you are nobody - Swamy Vivekananda

If you think safety is expensive, try an accident... - O.P.Kharbanda

Preventable accidents, if they are not prevented due to our negligence, it is nothing short of a murder - Dr. Sarvepalli Radha Krishna, 2nd President of India

Zero accidents through zero unsafe behaviors. Do not be complacent that there are no accidents. There may be near miss accidents (NMAs). With luck/chance, somebody escaped knowingly or unknown to the person. But, we can't be safe, if we depend upon the luck.

Safety culture is how the organization behaves when no one is watching.

We make No compromise with respect to Morality, Ethics, or Safety. If a design or work practice is perceived to be unsafe, we do not proceed until the issue is resolved. - Mission statement by S&B Engineers & Consultants Ltd. http://www.sbec.com/safety/

Human meat gets least priority - A doctor's comment on accidents

CSB video excerpts from Dr.Trevor Kletz, http://www.youtube.com/watch?v=XQn5fL62KL8

Showing posts with label asphyxiation. Show all posts
Showing posts with label asphyxiation. Show all posts

Dec 29, 2014

3 persons die of asphyxiation

As per reports, 3 persons died after nitrogen gas leak at a reactor construction site. Government closed two more sites under construction following this incident.

I feel that this reaction is not warranted, in this case. Persons overcome by inert gases is well known. Closure of the site where deaths took place is reasonable to isolate as well as enable investigation.

One need not be afraid that all accidents at a nuclear site involve nuclear material. If one thinks that all nuclear sites where nitrogen is used should be closed, then all industrial facilities (nuclear and others) handling nitrogen should be closed, which is not sensible.


http://rt.com/news/217967-korea-nuclear-deadly-leak/

Jul 31, 2012

Fire in Tamilnadu Express train on 30.07.2012 at 0420 hr

In a train fire incident on 30.07.2012 at about 0420 hr in Tamilnadu Express train that travels from New Delhi to Chennai, 32 passengers died and 28 received burn injuries, a few them in critical state. The incident took place immediately after the train crossed the Nellore railway station (the train after a stop at Vijayawada stops only at its terminal stop i.e. Chennai central, running nonstop for 7 hours between these two stations  covering 430 km distance). The station master or others at Nellore did not see any thing wrong while the train passed but an alert gateman of a level crossing at about a  kilometer from Nellore railway station saw flames from the toilet of S-11 coach and alerted the station. When someone pulled chain, the train stopped after travelling for about 5 minutes. 
Various news reports say the train travelling at 80-110 kmph and at the time of the incident, all four doors of the coach and windows are in closed condition due to rains. A loud sound was heard between berths 40 & 44 as told by survivors and the escape of passengers inside was restricted due to unauthorized passengers sleeping on aisle in the coach, fire in the vestibule connecting S-11 and S-10 coaches, jamming of the three doors out of four and one out of two emergency escape windows due to heat. (In every coach, generally side lower berths will be under reservation-against-cancellation (RAC) with two passengers sitting on the berth and it is likely that one of the two in every berth may sleep on the aisle or space between main berths). Few lucky escaped through S-12 coach. Piling of dead bodies near the door is an indication of inability of passengers to escape due to jamming of doors. At the time of the incident, a long goods train with two engines passed for five minutes and thus nobody could escape for that period from the emergency window by which time many succumbed due to asphyxiation and burns. It is reported that fire tenders reach by 0445 hour and used gas cutters to open the doors for fire fighting.

Various theories are reported for the reason as below.
  1. Finding of a kerosene can wrapped in a jute bag in the gutted coach, leading to sabotage theory.
  2. Short circuit in the battery power supply unit, with sparks flying to ceiling fan near the gate leading to spread of fire. It is reported that 110 V supply is used in the trains and this is unlikely to lead to short circuit.
Similar fire earlier on 31.07.2008 at 0000 hr in Goutami Express near Kesamudram in Warangal district with fire starting from the toilet of S-10 coach spreading the fire to S-11, S-12 caused 32 deaths.

A committee constituted by former railway minister with Dr.Anil Kakodkar as Chairman observed that most of the train fire incidents took place between 0200 and 0600 hr due to lack of proper detection, warning and fire fighting system and recommended many measures including fire detectors as smoke detectors can't be effective in running train, banning of use of gas cylinders for cooking in pantry cars, etc. Though, smoking is prohibited, still passenger smoke in the toilets or near the doors and this too can lead to fires. 

http://www.thehindu.com/opinion/editorial/article3704435.ece About Indian Railways guidelines on fire safety

Dec 12, 2011

Fire in a corporate hospital, Kolkata: 93 deaths, several injured

Fire in a corporate hospital, Kolkata: 93 deaths, several injured
There was a fire incident in the midnight/early morning hours in a 190-bed corporate hospital at Kolkata (West Bengal state) on 09.12.2011 (Friday). As per reports, as of now, 93 persons died, including 3 hospital staff and several others were injured. It is reported that all the deaths were due to suffocation/asphyxiation from poisonous gases like carbon monoxide liberated during the fire. One of the deaths reported is jumping from one of the top floors. The fire started from the area close to the pharmacy located in the basement. The basement originally meant to be a car parking area was modified to house a radiotherapy unit and a pharmacy which is part of central stores. But the area is also used without any authorization to store inflammable materials like, chemicals, spirti cans, wooden furniture, heaps of empty packing boxes, cotton, bandage, oxygen cylinders, etc.
The firefighting equipment in the basement like fire extinguishers, smoke alarms and sprinklers are not functional in the basement at the time of the fire.
Though the fire started at 0130 hr (in another report, it is 0330 hr), fire service was informed only after 40 minutes after attempts by hospital staff to extinguish the fire failed and the fire went out of control.
(A news report for this delay states that when a minor fire occurred a few months earlier, an alert security employee of the hospital informed fire services. But, before they arrived, hospital staff extinguished the fire. However, insisting for inquiry by fire services, as reported, angered the hospital authorities and the security employee was reprimanded and suspended for two weeks. )
The hospital staff informed that as per protocol, person identifying the fire has to inform night administrator who will alert all wings of the hospital and the same was done during this fire incident.
During the initial period of the fire, hospital staff asked the enquiring inpatients to close the doors and sleep. The smoke, carbon monoxide (CO) and other gases liberated during the fire spread to other floors of seven-floor hospital caused suffocation and slow death.  CO, a flammable, odorless and tasteless gas is fatal at 3200 ppm after few minutes’ exposure. Carboxyhemoglobin (HbCO) formed by combination of CO with hemoglobin in the blood reduces oxygen carrying capacity and affects the exposed persons with serious consequences. Apart from CO, hot gases inhalation also can create respiratory problems. http://en.wikipedia.org/wiki/Carbon_monoxide_poisoning
Exposed patients, unable to open, banged toughened glass window panes to breath fresh air and find means of escape. It is not clear why they did not open doors of the rooms in which they were staying.
Locals in the nearby areas saw the smoke and had burning lungs. These with kin of inpatients tried to enter the hospital to provide help but were stopped by hospital staff. Traffic on the roads led to late arrival of fire service vehicles. When fire service reached, they found the locked gates and getting hydraulic ladder/lift to cross these closed gates took some more time. They found difficulty in opening the toughened glass panes of the windows. Rescue operations were started in full swing only four hours after the incidents when commando teams with masks and hydraulic lift arrived. Chaos during VIP visits hampered some rescue operations.
 At the time of the incident, the staff strength was 130 including 70 nurses and 20 doctors. It is reported that many of these ran for shelter instead of taking part in rescue operations. However, two nurses tried to rescue as many as possible and in the process died due to asphyxiation and heat.
The fire department in their earlier routine inspection objected storage of combustible materials in the basement and hospital authorities promised to clear within three months by November. Though several questioned fire department for not ensuring implementation of their recommendations, it is virtually impossible for any agency when sufficient man power is not allocated. It is easy to say that work and manpower shortage are different and should not be linked. But, the ground reality is that without resources, ineffectiveness creeps in and finally leads to system collapse.
 It is reported after the incident that persons from other agencies will be drawn to conduct regular inspection of public institutions like schools, hotels, hospitals, etc . But, this will affect the work in the department when people are taken for the proposed inspections. Unless otherwise dedicated staff is available, the incidents will continue to occur.
The six directors of the hospital were charged with culpable homicide not amounting to murder and with causing death due to negligence.

What can be done?
Following are some of the measures that will help in preventing/mitigating such incidents.

1.       A pyramid type safety and fire administration should be established in every town/city.
2.       There should be an in-charge for safety and fire for every residential street containing about 10,000 dwelling units or business street containing establishments wherein the total persons employed in various business operations is about 500. These incharges should inspect the areas under their control atleast once in a week for compliance with safety regulations and stop activities in case of violations by issuing a letter with copy marked to their superior and also to local incharges of essential services required to for any dwelling/business like water, power, etc. If the activity continues inspite of notice even after a week, then water, power and other essential services should be stopped immediately by concerned authorities upon receipt of intimation from the safety incharge of the area.
3.       There should be a zonal officer for every 100 area incharges. Zonal officer should monitor activities of area incharges, review their reports, conduct meetings with them in small groups and inspect the areas as required. However, he should visit the areas atleast once in a year and send his report to his superiors.
4.       If there are more zonal officers, then suitably designated and empowered higher level officials should be appointed to monitor these zonal officers and have defined functions as above.
5.       It should be made mandatory to appoint safety and fire officials of required number in every public institution including multistory buildings of all sorts, hospitals, schools, hotels, administrative buildings, bus/rail/air terminals, warehouses, etc. If there are multiple business houses like shopping complexes, then the owner of the building who rented/leased should be held responsible to appoint these officials. These officials should spend atleast half of their working hours to inspect the areas for unsafe conditions and unsafe acts, checking for availability and functioning of specified number of fire detectors/extinguishers/ fire water, and send daily reports to the top man of the institution who should review it on the following day in his meetings with in-charges of various sections, safety and security and ensure necessary remedial measures. The safety officials of individual establishments apart from inspection should also provide training, prepare emergency plan and conduct mock drills every month.
6.       A compiled report of these inspections and other safety activities along with actions taken should be sent to the concerned direct area-incharge of the government who should review and take necessary action. Area incharge in turn should compile all these reports in his area along with his inspection reports and send a monthly report to zonal officer to whom he is reporting.
7.       All violations found by area incharges, comments/remarks of zonal officers and their superiors should be displayed in the town website for public viewing. The content should be specific to the residence/office/establishment. The website can be designed to enable easier navigation.
8.       The safety incharge of the town, call him as town/city safety director or some other designation should be responsible to coordinate with officials of safety, fire, health, transport, administration, etc; prepare an emergency plan for all types of events and ensure conduct of mock drills in all areas/zones, ensure investigation of all incidents and compliance with recommendations, etc. Town/city safety director should prepare an annual report of all safety activities, incidents, etc and publish the report in the town/city website that also contains inspection reports of various officials, details of essential and emergency services, emergency plan, layout of the town extending upto individual house and establishment, list of incidents and details of investigations, recommendations, actions taken, etc.
9.       Each of the emergency services of the town should have sufficient number trained personnel; tools like hammers that can be used even at a distance, flood lights, thermal imaging cameras, fire extinguishers, etc; vehicles for moving fire water, fire extinguishers, ladders, hydraulic lifts, generators, communication system, personal protective equipment, etc; ambulances with equipped with necessary equipment and paramedical staff; etc
10.   There should be dedicated training centers to train all essential service officials and local communities.
11.   Auditing of safety systems in every town/city by reputed agencies, display of audit findings along with action taken report in the website of the town. 

Some links on the incident:

Today (18.12.2011), Chief of Fire Service Department for Government of Andhra Pradesh during his address to a gathering of State Super Specialty Hospitals cautioned and told about
  • display of ‘Fire Unsafe Building' board in front of hospitals by Fire Department, for not taking fire safety measures,
  • prohibition of generators, transformers, canteens, etc in cellars of high rise hospitals,
  • preparation of emergency plan with roll clarity and conduct of monthly mock drills,
  • posting a Fire Safety Officer to look after fire prevention arrangements and conduct mock drills once a month.
  • a one-day workshop by Greater Hyderabad Municipal Corporation (GHMC) for fire safety officers.

Aug 25, 2011

Asphyxiation - death of persons

Today, in a lecture, I heard about asphyxiation deaths, in which two persons died in a manufacturing facility. The reason was that instead of air, nitrogen gas was admitted in the work space in which they were working. This happened due to lack of colour coding on pipelines carrying air and nitrogen. Effect of different oxygen levels on human beings is listed below.

     
     % of O2     Effect
20 – 21            Normal
12 – 15            Muscular coordination for skilled movement is lost
10 – 14            Conscious, but judgment is faulty and muscular effort leads to fatigue
  6 – 8              Collapse occurs rapidly, but quick treatment prevents fatal outcome
       ≤ 6            Death occurs in 6 – 8 minutes
   > 60             Inhalation for several days may cause lung damage
35 – 40            Permanent visual impairment / blindness

·         A common symptom at low levels of exposure is headache. 
·         Depletion of O2 by combustion in a confined space may cause adverse health effects Some metals burn intensely in oxygen rich atmosphere (ex: iron wires)
·         Lubricating oil undergoes exothermic reaction causing intense burning in the presence of liquid oxygen

People question the need for measuring oxygen levels with the routine reply that they worked like that in the last 10 years.The main reason for the accidents is not the lack of the knowledge in our work place activities. It is the lack of application of the knowledge we already have.

An activity is being done in a particular fashion without any accident for a few years does not mean that it is safe. We have to remember the words of renowned safety professional, Trevor Kletz, “We have done this way a 100 times without an accident is not acceptable, unless, an accident on the 101st occasion is acceptable to all of us”.

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