Task 1
Task 1
The level of investigation appropriate for this accident is high, due to the combination of
serious injury and systemic failings in control measures and procedures.
HSG245 recommends that the likelihood and potential consequences of the event
guide the level of investigation, and this accident involved a realistic potential for fatality.
The actual outcome was a head injury, concussion, and facial lacerations, with
hospitalisation and absence from work, which places the consequence in the “moderate
to major” range.
Given that a fluorescent tube fell from a height and struck the supervisor’s head, the
incident could have resulted in a fatality had the angle or force of impact been slightly
different.
The scenario involved working at height, which is a high-risk activity under most health
and safety frameworks, thus increasing the consequence severity rating.
The event exposed a failure in implementing agreed control measures, such as the
absence of barrier placement during MEWP operation, which created a serious hazard.
There was a failure to follow the permit-to-work process completely, as the PTW
completion section was left blank, and the agreed controls were not enforced.
The supervisor’s hard hat fell off during the impact, raising questions about the
adequacy and proper use of PPE and whether head protection was correctly worn or
maintained.
Contractor selection and supervision were inadequate, contributing factors to the
accident and indicating deeper procedural issues in contractor management.
Emergency response was delayed; the injured person had to be helped by untrained
contractors, with no immediate onsite first aider present, revealing a gap in first-aid
arrangements.
The hazardous act of pulling the tube forcefully, especially when the worker was
unfamiliar with the equipment, signals both competence and training deficiencies.
No dynamic risk assessment was done when conditions changed—such as the delay
in arrival and warehouse occupancy—which could have prompted a work reassessment.
The event attracted a regulator investigation, which itself suggests that the incident
was significant enough to warrant a more comprehensive review.
A notice to improve the permit-to-work system was issued, highlighting systemic
weaknesses, which supports a high level of investigation to uncover root causes.
According to HSG245, incidents with high actual or potential severity, poor control
measures, and process failures require a high-level investigation to ensure effective
corrective and preventive actions.
4(a) Why must the accident be reported by the warehouse supervisor’s employer to the
competent authority?
4(b) How would the employer report this accident to the competent authority?
The employer would need to complete a formal report using the method required by
their national regulator (e.g., online reporting form, phone call, or email).
In the UK, this would be via the HSE RIDDOR online portal; other countries have
similar platforms or forms for notifiable incidents.
The report would include key information such as date, time, location, and a brief
description of the incident.
They would also need to include personal details of the injured person, such as
name, occupation (warehouse supervisor), and injury details.
The nature of the injury (concussion, bleeding, loss of consciousness) and how it
occurred (impact from a falling fluorescent tube during maintenance work) would be
outlined.
The employer would need to specify what activity was being carried out, including the
use of a MEWP for working at height, and involvement of a contractor.
The report must include details of what control measures were in place and how they
failed or were not implemented, such as the absence of barriers.
Once submitted, the employer should retain a copy of the report for their internal
records and as part of the accident investigation file.
Timely reporting ensures legal compliance, maintains transparency with the regulator,
and supports the employer’s credibility in managing workplace health and safety.
Here is a NEBOSH-style answer for Task 5: Assessing the Permit-to-Work (PTW) System
Arrangements, with 16 bullet points, approximately 400 words, directly referencing the
scenario and highlighting the poor practices:
The permit-to-work form was completed in an office without a joint site inspection,
relying solely on the maintenance manager’s memory, which ignored the importance of
real-time risk assessment.
The maintenance manager claimed to “have all the warehouse hazards memorised,”
which indicates a complacent attitude and a failure to verify current conditions,
particularly at the actual work location.
Although a MEWP was selected as a control measure, the stability of the floor was
not physically assessed, risking unsafe operating conditions.
The PTW stated that barriers would be used to cordon off the area, but this control was
not implemented, and there was no follow-up or monitoring to ensure it was.
The permit was issued a week in advance, and there was no mechanism in place to
revalidate or reassess the PTW on the day of the work, even though the conditions had
changed.
When the workers arrived late, the timing recorded in the PTW was no longer valid,
yet no one updated the document or considered whether the work should proceed.
The warehouse supervisor attached the PTW to a nearby racking, but did not verify
whether the listed control measures, such as barriers, were being followed.
The supervisor left the area immediately after placing the PTW, indicating a lack of
supervision and failure to ensure that the work started under safe conditions.
The PTW had a blank completion section, which implies that the system was not
properly closed out or reviewed once the work was completed, or in this case, halted
due to the accident.
There was no check or confirmation that the correct fluorescent tube type was
understood or handled safely, which led to Worker B using force and dropping the tube.
Worker B complained about the effort required to install barriers, but no one enforced
this critical safety measure, highlighting a culture of non-compliance and weak
supervision.
The PTW system lacked accountability, as responsibility was placed entirely on the
contractor without adequate involvement from the warehouse team after permit
issuance.
There was no evidence that emergency planning or first-aid arrangements were
discussed or recorded in the PTW, despite working at height being high risk.
The PTW did not trigger a briefing or toolbox talk, leaving the team unaware or
unconcerned about their responsibilities and the controls required.
The failure to record and act on changes such as delayed arrival and shift overlap
shows poor adaptability of the PTW system to real-time conditions.
The system was later criticised by the regulator for breaching authorisation
requirements, confirming that essential PTW protocols were not being followed
properly.
Here’s your NEBOSH-style answer for Task 7: Possible uninsured costs incurred from the
accident — in bullet point form with 16 well-developed points and close to 400 words:
Time lost due to the accident as normal operations were disrupted while the injured
person received first aid and awaited emergency services.
Productivity losses from the warehouse being temporarily out of operation during the
incident response and investigation.
Overtime costs for other workers covering the duties of the injured supervisor during
their absence from work.
Temporary recruitment or training of another worker to take over the supervisor’s
responsibilities while they recover.
Time spent by internal staff, such as the maintenance manager and health and safety
manager, investigating the accident instead of performing their regular duties.
Management time consumed during meetings to discuss the accident and corrective
actions, pulling focus from routine business activities.
Cost of implementing corrective and preventive actions, such as reviewing and updating
the permit-to-work system and purchasing additional safety equipment or signage.
Training costs to upskill workers and contractors in proper PTW procedures, working at
height safety, and emergency response.
Possible damage to reputation and credibility with clients, especially if the incident
becomes known externally or impacts service delivery.
Loss of employee morale or trust, which could lead to reduced engagement, increased
absenteeism, or difficulty retaining staff.
Administrative time and cost spent responding to regulatory investigations, completing
reports, and managing correspondence with authorities.
Costs related to legal consultations in preparing for regulator inspections or potential
prosecutions.
Potential fines or penalties not covered by insurance, if the regulator deems the breach
of health and safety laws significant.
Loss of future contracts if clients perceive the organisation as unsafe or non-compliant
with legal safety requirements.
Increased insurance premiums in the future, following the claim and report to the
regulator and insurance company.
Cost of replacing or repairing the MEWP or other equipment if minor damage occurred
during the incident but was not covered under standard insurance.
Task 8
Here’s your NEBOSH-style answer for Task 8: Administrative control measures — with 15
detailed bullet points, supported by the scenario where relevant, and written to fit the required
350-word count:
Introduce a mandatory pre-worksite inspection for all high-risk tasks, such as working at
height, to verify ground conditions, lighting, and other hazards instead of relying on
memory.
Require the presence of a competent person to supervise the entire job, ensuring
controls like barriers are used as planned and that the PTW remains valid throughout.
Establish clear procedures for when PTW timings are missed or delayed, including
reassessment and reauthorization before work begins.
Implement stricter contractor induction procedures to ensure all visiting workers
understand site-specific hazards, emergency procedures, and expectations around
safety controls.
Require that all personnel involved in PTW issuance and receipt, including maintenance
managers and contractors, receive formal training on the correct use of the permit
system.
Include a mandatory sign-off section on the PTW for job completion and closure, which
must be reviewed by a manager to confirm that work was done safely and the area
made safe.
Schedule high-risk work during clearly defined low-activity periods, ensuring that start
times are enforced and monitored to prevent overlap with routine warehouse operations.
Maintain a contractor performance record, documenting any deviations from agreed
safety procedures to inform future hiring decisions.
Introduce mandatory toolbox talks before any non-routine maintenance work, covering
job-specific risks, roles, emergency plans, and the importance of following agreed
controls.
Require pre-job safety briefings where all workers, including visiting contractors, review
the method statement and risk assessment before starting any task.
Implement a clear check-in and check-out system for contractors to ensure they are
supervised and that there is accountability for their presence and activities.
Enforce the use of physical controls like barriers as non-negotiable for work at height,
regardless of perceived site emptiness, and include this in contractor training.
Ensure PPE checks are carried out before work begins, with supervisors responsible for
verifying proper use and fit of equipment like hard hats and high-visibility jackets.
Include warehouse staff in hazard reporting processes to encourage observations
related to unsafe practices, such as contractors skipping barrier setup.
Establish post-job reviews to learn from each task and update risk assessments or
procedures when issues arise, especially after incidents or near-misses.
Task 9
Here’s your NEBOSH-style answer for Task 9: Individual human factors that might have
influenced Worker B’s behaviour — with 14 bullet points, integrated with scenario-specific
details, and around 300 words as requested:
Overconfidence in their own ability may have led Worker B to disregard the importance
of setting up barriers, assuming the area was safe because the warehouse was empty.
A poor attitude towards safety procedures is evident in their complaint about the time
and effort required to construct barriers, suggesting they viewed them as inconvenient
rather than essential.
Time pressure due to arriving late may have caused Worker B to rush the task, skipping
steps like proper area isolation to make up for lost time.
Frustration during the task, particularly with the unfamiliar fluorescent tube, may have
impaired their judgment and led to unsafe handling of the equipment.
Lack of familiarity with the specific type of fluorescent tube contributed to inappropriate
force being used, increasing the risk of the tube slipping and falling.
Complacency may have developed from doing similar jobs in the past without incidents,
leading Worker B to underestimate the risk involved in this task.
Worker B may have experienced physical fatigue from transporting and setting up the
MEWP or from earlier delays, which can reduce focus and increase error rates.
Poor communication with Worker A during setup may have limited opportunities to
double-check safety steps or confirm that the environment was secure before starting
work.
A lack of recent training on site-specific procedures or updated safety expectations could
have resulted in a misunderstanding of what was required.
Worker B may not have felt personally accountable for the PTW controls, relying instead
on the maintenance manager’s or Worker A’s earlier decisions.
Distraction due to environmental conditions or personal stress could have reduced
attention to detail while working at height.
Worker B’s negative emotional response to the task (annoyance and frustration) may
have overridden logical decision-making.
The absence of supervision at the time of setup reduced the likelihood that Worker B’s
unsafe behaviour would be corrected.
Possible misunderstanding or underestimation of the consequences of a dropped object
from height, especially in relation to people below, influenced their risky action.
Great! Now that I know you're referencing the RRC Study Text for Unit IG1, I’ll revise and
reproduce your earlier task responses (Tasks 7, 8, and 9) using insights and terminology
aligned with that book. I’ll keep the original formatting — bullet points, word count, and structure
— as per NEBOSH standards. Let’s start with Task 7.
✅ Task 7: Possible uninsured costs incurred from the accident (16 bullet points, ~400
words)
Lost production time due to disruption caused by the accident and emergency
response delays, affecting warehouse operations.
Overtime payments to cover the absence of the injured warehouse supervisor,
especially during critical shifts.
Temporary recruitment or training costs if a replacement supervisor is needed during
recovery.
Management time spent investigating the incident and engaging in corrective meetings,
diverting attention from core duties.
Accident investigation costs, including internal reporting, gathering evidence, and
coordinating with external regulators.
Loss of morale among staff, potentially reducing productivity and increasing
absenteeism or errors.
Reputation damage, leading to loss of customer trust or future contracts — this cannot
be insured.
Increased supervision or training costs for staff and contractors following the
incident, especially regarding PTW and working at height.
Administrative time spent on documentation, recordkeeping, and communications with
insurers and the regulator.
Legal consultation costs if external advice is needed to respond to the regulator or to
review future safety procedures.
Regulatory enforcement costs, including compliance with the notice to improve, which
may require resources and time.
Fines or penalties, which cannot be covered by insurance, as stated in IG1 Element 1
(1-6).
Higher insurance premiums in the future due to the incident being recorded and
reported.
Workforce disruption if workers refuse to cooperate or strike due to fear of unsafe
conditions.
Time spent updating policies and procedures, particularly around contractor control
and permit-to-work processes.
Delays in other planned activities as resources are diverted to handle the aftermath of
the accident.
This is consistent with IG1 Element 1 (1-4 to 1-6), which highlights how indirect, uninsured
costs — such as productivity loss, damaged reputation, and management time — can far
exceed insured losses.