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Struck by Falling Objects - Workplace Safety and Health Council

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PREFACE<br />

This compilation of case studies on fatalities in the construction industry<br />

is initiated <strong>by</strong> the <strong>Workplace</strong> <strong>Safety</strong> <strong>and</strong> <strong>Health</strong> <strong>Council</strong>, <strong>and</strong> put together<br />

<strong>by</strong> the WSH Construction Committee in collaboration with the Ministry<br />

of Manpower. This booklet depicts how the accidents occurred <strong>and</strong><br />

provides valuable learning points on how they may have been prevented.<br />

This is the first in a series of such booklets to be published.<br />

As much as the next few years promise to be exciting for the construction<br />

industry, they also pose a great challenge to the industry to maintain<br />

workplace safety <strong>and</strong> health. Construction sites have customarily been<br />

viewed as high-risk workplaces, which more often than not have a higher<br />

incidence of workplace fatalities. We must address this perception <strong>and</strong><br />

change the reality. While construction workers strive to complete a building<br />

or facility, it is important that they do not risk life <strong>and</strong> limb. It is crucial<br />

that these workers go home safely after work each day.<br />

This booklet of case studies offers insights to all in the industry on how<br />

these tragic accidents occurred, so that we may glean important, lifesaving<br />

lessons from the experience. In learning from our past mistakes,<br />

we can <strong>and</strong> must prevent these mishaps from happening again. Together<br />

with your help, we can transform construction sites into safe <strong>and</strong> healthy<br />

workplaces for our workers.<br />

Mr Lee Tzu Yang<br />

Chairman<br />

<strong>Workplace</strong> <strong>Safety</strong> <strong>and</strong> <strong>Health</strong> <strong>Council</strong>


<strong>Struck</strong> <strong>by</strong> <strong>Falling</strong> <strong>Objects</strong><br />

Case 1 Pinned <strong>by</strong> a brick wall 64<br />

Case 2 Pinned <strong>by</strong> a collapsed roof slab 67<br />

Case 3 <strong>Struck</strong> <strong>by</strong> falling beams 70<br />

Case 4 <strong>Struck</strong> <strong>by</strong> steel beams 73<br />

Case 5 <strong>Struck</strong> <strong>by</strong> falling material in a trench 76<br />

Case 6 <strong>Struck</strong> <strong>by</strong> a crane boom 78<br />

Case 7 Hit <strong>by</strong> a collapsed wall 81<br />

Case 8 Hit <strong>by</strong> steel rebars 84<br />

Case 9 Buried under collapsed soil 87<br />

Case 10 Crushed <strong>by</strong> a collapsing boom 90<br />

Case 11 <strong>Struck</strong> <strong>by</strong> falling timber 92<br />

Case 12 <strong>Struck</strong> <strong>by</strong> a falling crane boom 95<br />

Case 13 <strong>Struck</strong> <strong>by</strong> a collapsed wall 97<br />

Electrocution<br />

Case 1 Electrocution <strong>by</strong> a faulty residual circuit breaker 100<br />

Case 2 Killed <strong>by</strong> an exposed electrode holder 103<br />

<strong>Struck</strong> By or Against <strong>Objects</strong> / Machines<br />

Case 1 Hit <strong>by</strong> a scissors lift platform 108<br />

Case 2 Hit <strong>by</strong> a moving vehicle 111<br />

Case 3 Hit <strong>by</strong> a moving crane 114


STRUCK BY FALLING OBJECTS


CASE 1<br />

PINNED BY A BRICK WALL<br />

Description of Accident<br />

A worker was constructing a new<br />

drain inside an excavation in front<br />

of a building under construction.<br />

While he was leveling the concrete<br />

for the new drain, a brick wall<br />

(left behind from the old drain)<br />

collapsed from the side of the<br />

excavation <strong>and</strong> pinned him<br />

under it, killing him on the spot.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The brick walls were constructed<br />

on both banks of the old drain<br />

to retain the soil.<br />

• Before constructing the new<br />

drain, one bank of the old drain<br />

was removed <strong>and</strong> the area was<br />

excavated so as to facilitate<br />

the construction process. The<br />

other bank was not removed<br />

as it did not obstruct the<br />

construction of the new drain.<br />

1. A staircase in the worksite<br />

2. The section of brick wall that sank<br />

3. The excavation<br />

4. Formwork for the second section of the<br />

drain was to be constructed here<br />

5. The new retaining wall<br />

6. This side of the brick wall was removed<br />

7. Formwork for the first section of the drain<br />

1. Site of accident<br />

64<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


• Investigations revealed that the<br />

collapse of the brick wall was due<br />

to soil movement in the<br />

excavation compounded <strong>by</strong><br />

the heavy rain prior to the<br />

accident. The main contractor did<br />

not provide shoring for the<br />

existing brick wall to prevent<br />

it from collapsing into the<br />

excavation when the workers<br />

were working inside the<br />

excavation.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

• One worker killed<br />

• Caught between or under object<br />

Immediate cause(s) • Inadequate guards or barriers<br />

Basic cause(s)<br />

Failure of SMS<br />

• Inadequate assessment of loss exposure<br />

• Inadequate leadership <strong>and</strong>/or supervision<br />

• Inadequate work st<strong>and</strong>ards<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

• WSH training <strong>and</strong> competence<br />

• WSH inspections<br />

Follow-up<br />

A Stop Work Order was issued to the main contractor, which required<br />

them to rectify the safety contraventions <strong>and</strong> to also engage a<br />

professional engineer to carry out detailed soil investigations<br />

<strong>and</strong> to develop a method statement for the construction of the<br />

new drain as well as shoring for the excavation.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong> 65


Recommendations<br />

Check the integrity <strong>and</strong> strength of any retaining structure prior<br />

to an excavation.<br />

Remove any brick wall, if present, prior to a reconstruction.<br />

During a downpour, cover <strong>and</strong> protect all uncompleted concreting<br />

work or brick-laying work with plastic or canvas sheets. The same<br />

practice should apply for excavated trench sides <strong>and</strong> stockpiles<br />

of excavated soil. No one should be allowed to be in the vicinity.<br />

66<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


CASE 2<br />

PINNED BY A COLLAPSED ROOF SLAB<br />

Description of Accident<br />

The accident occurred during the<br />

demolition of an automated teller<br />

machine (ATM) kiosk. After the<br />

supporting walls of the kiosk<br />

had been largely demolished,<br />

the roof slab collapsed under its<br />

own weight <strong>and</strong> a worker was<br />

pinned underneath it.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The roof slab was resting on <strong>and</strong><br />

supported <strong>by</strong> three brick walls<br />

of the ATM kiosk.<br />

1. The collapsed roof slab<br />

2. The remaining rear portion of the<br />

left brick wall<br />

• Demolition of the brick walls<br />

was carried out without providing<br />

any shoring to support the<br />

weight of the roof slab <strong>and</strong><br />

prevent it from collapsing.<br />

• After the brick walls were<br />

demolished, the roof slab was<br />

left without any support <strong>and</strong> it<br />

crashed down under its own<br />

weight.<br />

• The worker was st<strong>and</strong>ing under<br />

the roof slab when it collapsed<br />

on him.<br />

1. The roof slab of the ATM kiosk involved<br />

in the accident<br />

2. The deceased was pinned under the<br />

slab here<br />

3. The front end of the roof slab (marble<br />

cladding removed)<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

67


Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• Caught between or under object<br />

• Inadequate guards or barriers<br />

• Inadequate leadership <strong>and</strong>/or supervision<br />

• Inadequate work st<strong>and</strong>ards<br />

• Lack of knowledge<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

The main contractor has to engage a professional engineer to<br />

conduct a hazard analysis <strong>and</strong> develop a method statement for the<br />

outst<strong>and</strong>ing reinstatement work.<br />

The bank concerned indicated that they will engage a professional<br />

engineer to develop the method statement for all future demolition<br />

of ATM kiosks.<br />

A circular was sent to all banks with ATMs to alert them of the<br />

circumstances leading to this accident <strong>and</strong> to urge them to play a<br />

more proactive role to provide relevant information to their<br />

contractors before work commencement.<br />

68 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


Recommendations<br />

Shore the roof slab prior to the demolition of brick walls.<br />

Alternatively, demolish or remove the roof slab first before<br />

the walls.<br />

Carry out a thorough inspection <strong>by</strong> a competent person to determine<br />

the ATM kiosk’s structural arrangement prior to work commencement<br />

especially if there are no construction drawings of the ATM kiosk.<br />

Conduct continuous inspection <strong>by</strong> a competent person during the<br />

demolition of the ATM kiosk to detect the hazards of any collapsing<br />

structure (roof slab) resulting from weakened supporting brick walls.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

69


CASE 3<br />

STRUCK BY FALLING BEAMS<br />

Description of Accident<br />

A stack of steel beams were<br />

placed near an excavated area.<br />

The beams toppled <strong>and</strong> l<strong>and</strong>ed<br />

into the excavated area where<br />

two workers were working.<br />

One worker was killed <strong>and</strong><br />

another was injured.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• Steel beams were to be installed<br />

as supporting structures for the<br />

excavation.<br />

1. The injured worker was tasked to clean<br />

mud on the sheet pile<br />

2. The deceased was tasked to weld a<br />

metal plate onto the sheet pile<br />

3. Sheet pile<br />

• The beams were placed about<br />

350mm away from the excavated<br />

area <strong>and</strong> each beam weighed<br />

about 500kg.<br />

• The steel beams were not placed<br />

in a stable manner <strong>and</strong> were<br />

very close to the edge of the<br />

excavated area.<br />

1. Excavation started from here<br />

2. The 24 ‘I’ beams that were stored<br />

directly above the place of work<br />

3. Place of accident<br />

4. Toppled beams<br />

5. Excavation ended here<br />

6. Excavator was shifting these metal<br />

plates prior to accident<br />

70 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


• Digging work within the<br />

excavated area might have<br />

destabilised the stack of steel<br />

beams <strong>and</strong> vibrations from the<br />

excavators further contributed<br />

to the instability.<br />

• The main contractor did not<br />

engage a site safety supervisor<br />

as required <strong>by</strong> regulation.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed <strong>and</strong> one injured<br />

• <strong>Struck</strong> <strong>by</strong> object<br />

• Improper placement<br />

• Failure to secure<br />

• Inadequate leadership <strong>and</strong>/or supervision<br />

• Lack of experience<br />

• Inadequate work st<strong>and</strong>ards<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

• WSH practices <strong>and</strong> procedures<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

71


Follow-up<br />

A Stop Work Order (SWO) was issued to the main contractor which<br />

required them to put in place a safety organisational structure <strong>and</strong><br />

management system to better manage the project as well as rectify<br />

the unsafe site condition.<br />

The SWO also required the project management staff of the main<br />

contractor to attend a safety training workshop organised <strong>by</strong> OSHD.<br />

Workers of the worksite were also required to attend the “<strong>Safety</strong><br />

Orientation Course for Construction Workers” conducted <strong>by</strong> OSHD.<br />

This was to increase their awareness <strong>and</strong> knowledge about site<br />

safety.<br />

Recommendations<br />

Conduct risk assessment prior to job commencement.<br />

Stack materials properly so as to prevent materials from falling <strong>and</strong><br />

practice good housekeeping to prevent accidents.<br />

Do not conduct multiple hazardous activities at the same time or<br />

in the same place. In this case, heavy materials were stored near<br />

a deep excavation.<br />

72 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

• It was also found that the boom<br />

hoist wire rope was not of the type<br />

that the manufacturer had specified.


CASE 4<br />

STRUCK BY STEEL BEAMS<br />

Description of Accident<br />

Two workers were st<strong>and</strong>ing on the<br />

deck of a lorry to unload steel<br />

beams. The lorry which was<br />

unmanned <strong>and</strong> parked on a slope,<br />

rolled down the slope.<br />

The steel beams swung off the<br />

moving lorry <strong>and</strong> hit the workers.<br />

One worker died while the other<br />

suffered some cuts.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The lorry loader driver had<br />

switched off the engine <strong>and</strong><br />

engaged the h<strong>and</strong> brake<br />

of the lorry. However, he did<br />

not place stoppers behind<br />

the wheels of the lorry which<br />

would have prevented the<br />

lorry from rolling down<br />

the slope.<br />

1. Crawler crane<br />

2. Lorry involved in the accident<br />

3. Slope<br />

4. Steel beams<br />

5. The deceased<br />

1. Crawler crane<br />

2. Lorry<br />

3. Steel beams<br />

• The slope was cut at a gradient of<br />

one to seven which is considered<br />

steep for a workplace. Despite its<br />

steepness, the occupier did not<br />

impose the necessary safety<br />

precautions before allowing lifting<br />

operations to be carried out.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong> 73


Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed <strong>and</strong> one injured<br />

• <strong>Struck</strong> <strong>by</strong> object<br />

• Failure to secure<br />

• Lack of experience<br />

• Inadequate work st<strong>and</strong>ards<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

The occupier reviewed <strong>and</strong> improved the lifting operations on<br />

the slope area.<br />

The lifting personnel were instructed that no lifting operation is<br />

to be carried out on the slope area.<br />

If lifting operations are to be carried out on the slope area due to<br />

an unavoidable situation, the following precautions are to be taken:<br />

• To reduce the amount of load to be unladed onto the lorry.<br />

• The lorry driver is to place stoppers to prevent the lorry from<br />

sliding down the slope.<br />

74 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


Recommendations<br />

Place stoppers behind the wheels of the lorry before any loading<br />

<strong>and</strong> unloading.<br />

Provide regular safety briefings to drivers on loading <strong>and</strong><br />

unloading procedures.<br />

Take extra care to ensure the safety of personnel working near<br />

crane operations.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

75


CASE 5<br />

STRUCK BY FALLING MATERIAL IN A TRENCH<br />

Description of Accident<br />

Worker A was supervising the<br />

excavation of a trench. The bank<br />

of the trench collapsed <strong>and</strong> Worker<br />

A was found inside the trench,<br />

partially covered with the granite<br />

rocks <strong>and</strong> quarry dust that slid<br />

from the bank. He had suffered<br />

severe head injury <strong>and</strong> was<br />

pronounced dead at the scene.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• Prior to the accident, the project<br />

manager checked the excavation<br />

work <strong>and</strong> saw that the depth<br />

of the trench had not met<br />

requirements.<br />

1. The deceased was found here<br />

2. The “changkol”<br />

3. The crow-bar<br />

4. The collapsed quarry dust <strong>and</strong><br />

granite rocks<br />

5. The tarmac<br />

6. The granite rocks<br />

7. The quarry dust<br />

• He told Worker A to install<br />

shoring for the trench before<br />

further excavation.<br />

• Worker A then tasked two other<br />

workers to carry out shoring<br />

work for the trench.<br />

• While the workers went to fetch<br />

the timbers, Worker A was seen<br />

going into the trench to check<br />

for any underground services<br />

that might be located near the<br />

1. The new substation<br />

2. The excavator used for excavating<br />

the trench<br />

3. The timbers to be used for shoring<br />

4. The trench was located here<br />

76 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


trench. This was to ensure the<br />

services would not be damaged<br />

when the timbers (shoring<br />

support) were inserted into<br />

the ground.<br />

• The trench collapsed <strong>and</strong><br />

granite rocks <strong>and</strong> quarry dust<br />

l<strong>and</strong>ed on Worker A.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• <strong>Struck</strong> <strong>by</strong> object<br />

• Inadequate guards or barriers<br />

• Inadequate work st<strong>and</strong>ards<br />

• Lack of experience<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

A Stop Work Order was issued.<br />

Recommendations<br />

Provide shoring prior to allowing entry into an excavation.<br />

Conduct risk assessment of hazards prior to work commencement.<br />

Conduct regular safety briefings/tool box meetings before entry<br />

into an excavation.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

77


CASE 6<br />

STRUCK BY A CRANE BOOM<br />

Description of Accident<br />

A crane operator was operating<br />

a crawler crane to install a pre-cast<br />

staircase. He hoisted the pre-cast<br />

staircase from the ground to a<br />

height just above the building<br />

that was still under construction.<br />

As his view of the unloading<br />

was partially obstructed <strong>by</strong> the<br />

building column, he inched the<br />

crane forward causing the crane<br />

to tilt forward <strong>and</strong> collapse.<br />

1. The pre-cast staircase<br />

The crane operator was trapped in<br />

the cabin but subsequently freed<br />

himself with the help of other<br />

workers.<br />

A worker who was working at<br />

about 33m away from the crane,<br />

was hit <strong>by</strong> the boom when the<br />

crane collapsed.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

1. Location where the deceased was hit<br />

<strong>by</strong> the falling boom<br />

2. The second piece of the pre-cast staircase<br />

• When the crane operator’s vision<br />

was partially obstructed, he did<br />

not wait for the signalman to<br />

get to the top of the building<br />

to give him further instructions<br />

78 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


<strong>and</strong> proceeded to move the<br />

crane forward with the<br />

suspended load in order to<br />

obtain an unobstructed view<br />

of the unloading position.<br />

This was not a safe practice.<br />

• Investigations concluded that<br />

the collapse of the crane was<br />

due to the crane moving<br />

beyond the steel plates which<br />

caused the crane’s crawler<br />

“track” to dip into the ground<br />

<strong>and</strong> tilt to an extent that the<br />

crane was unstable.<br />

• Investigations also revealed<br />

that the maximum safe working<br />

load of the collapsed crane<br />

(i.e. 5880kg) as certified <strong>by</strong><br />

the approved person was<br />

exceeded. The pre-cast<br />

staircase weighed 7200kg.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• Caught between or under object (crushed)<br />

• Improper lifting<br />

• Improper attempt to save time<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

The occupier was instructed not to exceed the maximum safe<br />

working load as verified <strong>by</strong> the approved person (authorised<br />

examiner) when operating the lifting machines (cranes).<br />

The occupier was also instructed to review <strong>and</strong> enhance the <strong>Safety</strong><br />

Management System (SMS).<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

79


Recommendations<br />

Check the crane base/foundation prior to lifting.<br />

Conduct proper risk assessment to ensure that the risk exposure is<br />

reduced to as low as reasonably practicable.<br />

Crane operators should not take ad-hoc decisions without<br />

assessing the overall situation.<br />

Ensure continuous supervision for all lifting operations.<br />

80 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


CASE 7<br />

HIT BY A COLLAPSED WALL<br />

Description of Accident<br />

A worker was demolishing a<br />

partition brick wall inside a toilet<br />

at the third floor of a building.<br />

He was hit <strong>by</strong> a wall that collapsed<br />

on him. He was subsequently<br />

sent to hospital where he passed<br />

away on the same day.<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

1. The 10-pound hammer that was used<br />

for the hacking operation<br />

• Investigations revealed that the<br />

worker had hacked the partition<br />

wall from the bottom section<br />

using a 10-pound hammer.<br />

The collapsed wall weighed<br />

about 300kg.<br />

• The partition wall was simply<br />

resting on the ground <strong>and</strong><br />

abutted against the adjacent<br />

main wall. There was no<br />

interlocking joint between<br />

the partition wall <strong>and</strong> the<br />

main wall.<br />

• Hacking of walls should start<br />

from the top section <strong>and</strong> should<br />

be extended down progressively<br />

so as to maintain its stability.<br />

1. Partition wall that had collapsed <strong>and</strong><br />

hit the deceased on the head<br />

2. The concrete breaker that was used<br />

for removing the wall tiles<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

81


In this case, a wrong sequence of<br />

demolishing the partition wall<br />

was employed (i.e. from bottom<br />

section first).<br />

• Coupled with the weak design<br />

of the partition wall, it resulted<br />

in the structural collapse of<br />

the wall.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• Caught between or under object (crushed)<br />

• Improper position for task<br />

• Lack of knowledge<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

The occupier was instructed to undertake the following<br />

improvements to the work practices/conditions at the site:<br />

• Prior to demolition work, the supervisor should check the<br />

site <strong>and</strong> brief the workers properly to ensure that they fully<br />

underst<strong>and</strong> the safe work procedures <strong>and</strong> sequencing of work.<br />

Interpretation from native workers should be employed<br />

when necessary.<br />

• Workers should be grouped into teams of two or more when<br />

carrying out demolition work.<br />

82 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


Recommendations<br />

Provide proper design <strong>and</strong> shoring of the wall.<br />

Follow proper sequence of demolition.<br />

Provide supervision during demolition to ensure that the worker<br />

works safely.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

83


CASE 8<br />

HIT BY STEEL REBARS<br />

Description of Accident<br />

A lorry driver had delivered two<br />

bundles of rebars to a worksite.<br />

Two other workers assisted him in<br />

the unloading of rebars.<br />

While the lorry driver <strong>and</strong> other<br />

workers were unloading a bundle<br />

of steel rebars from the lorry using<br />

the lorry crane, the bundle of<br />

rebars fell onto the lorry driver.<br />

1. Rebars bundles<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The rebars measured 12m long<br />

<strong>and</strong> 10mm in diameter.<br />

• One end of the bundle of rebars<br />

was lifted from the lorry <strong>and</strong><br />

placed on the ground.<br />

• The other end of the same<br />

bundle, which was placed on<br />

the top of a bracket above the<br />

front of the lorry, slid down<br />

from the lorry <strong>and</strong> hit the lorry<br />

driver who was operating the<br />

lorry crane at the time of<br />

accident.<br />

1. The deceased was operating the<br />

lorry crane in this position<br />

84 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


• Site investigations indicated<br />

that the boom length of the<br />

crane was about 7.5m in which<br />

the recommended safe<br />

working load was about<br />

1730kg. However, the weight<br />

of the bundle of rebars was<br />

more than 2000kg. Hence<br />

the workers had to lift the<br />

bundle of rebars at one end<br />

as the lorry crane could not<br />

withst<strong>and</strong> the full load of<br />

the bundle.<br />

• The lorry driver <strong>and</strong> the two<br />

workers had not undergone<br />

any training course in rigging<br />

operations. The lifting<br />

supervisor was also not<br />

informed of the lifting activity.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• <strong>Struck</strong> <strong>by</strong> moving object<br />

• Improper lifting<br />

• Lack of knowledge<br />

• Lack of skill<br />

• Inadequate supervision<br />

• WSH training <strong>and</strong> competence<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

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Follow-up<br />

The occupier was instructed to undertake the following<br />

improvements to the work practices/conditions at the site:<br />

• To review their lifting procedures <strong>and</strong> improve the communication<br />

channels between the lifting supervisor <strong>and</strong> the trade foremen.<br />

• To increase the manpower stationed at the entrance of the<br />

worksite to ensure that the cranes coming into their worksites<br />

are properly attended to.<br />

Recommendations<br />

Ensure that the capacity of crane is greater than the load to<br />

be lifted.<br />

Closely supervise a lifting operation.<br />

Improve lifting procedures <strong>and</strong> ensure that it is communicated to<br />

all lifting personnel.<br />

86 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


CASE 9<br />

BURIED UNDER COLLAPSED SOIL<br />

Description of Accident<br />

Worker A <strong>and</strong> his co-workers<br />

were working inside an excavation<br />

in a multistorey carpark. Worker A<br />

was trimming the side of the<br />

excavation when the soil suddenly<br />

collapsed <strong>and</strong> pinned him down<br />

up to his chest level.<br />

Worker A was rescued from<br />

the collapsed soil <strong>and</strong> sent to<br />

the hospital where he<br />

subsequently passed away.<br />

1. Collapsed soil<br />

2. Timber planks<br />

3. Ladder<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The depth of the excavation<br />

measured 2.9m.<br />

• The sides of the excavation<br />

were almost 90°. They were<br />

not shored. The adjacent<br />

excavations were also not even<br />

partially shored.<br />

1. Shovel<br />

2. Timber planks<br />

3. The deceased was found underneath<br />

this chunk of soil<br />

4. Pile heads<br />

5. Lean concrete<br />

• The senior resident engineer of<br />

the worksite confirmed that<br />

hacking <strong>and</strong> placing of lean<br />

concrete work were carried out<br />

inside the excavation before it<br />

was shored.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

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• The operator of the excavator<br />

confirmed that hacking work to<br />

the pile-caps was carried out <strong>by</strong><br />

a breaker deployed at the edge<br />

of the excavation before it<br />

was shored.<br />

• The accident occurred because<br />

the factory occupier did not<br />

provide shoring to the<br />

excavation before allowing<br />

the workers to work there.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• Caught between or under (crushed)<br />

• Inadequate guards or barriers<br />

• Inadequate work st<strong>and</strong>ards<br />

• WSH practices <strong>and</strong> procedures<br />

Follow-up<br />

The occupier was instructed to submit safe work procedures for<br />

all excavation work on site <strong>and</strong> ensure that all workers follow the<br />

safe practices.<br />

88 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


Recommendations<br />

Provide shoring prior to any work in an excavation exceeding 1.5m.<br />

Provide close supervision for any work in an excavation.<br />

Conduct regular checks on excavation side stability.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

89


CASE 10<br />

CRUSHED BY A COLLAPSING BOOM<br />

Description of Accident<br />

A crawler crane mounted on a<br />

crane barge was lifting two crates<br />

of acetylene <strong>and</strong> oxygen cylinders<br />

over to a jetty mooring dolphin.<br />

After the crane boom had swung<br />

over to the dolphin, the crane<br />

suddenly vibrated violently.<br />

The next moment, the crane<br />

boom came crashing down.<br />

A worker was crushed <strong>by</strong> the<br />

collapsing boom <strong>and</strong> died on<br />

the spot. Another worker<br />

suffered leg injury caused <strong>by</strong><br />

the falling crates of acetylene<br />

<strong>and</strong> oxygen cylinders.<br />

1. View of the dolphin <strong>and</strong> the Emergency<br />

<strong>Safety</strong> Access<br />

Overview of collapsed crane<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• Investigations revealed that<br />

the boom hoist wire that was<br />

supporting the boom had<br />

snapped, thus causing the<br />

crane boom to collapse on<br />

the workers.<br />

90 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


• The cause of the accident was<br />

most probably due to the poor<br />

maintenance of the boom<br />

hoist wire rope. Excessive<br />

wear/abrasion on the wire<br />

rope surfaces might have<br />

resulted in the sudden fracture<br />

of the boom hoist wire.<br />

• The boom wire rope used on<br />

the crane involved in the<br />

accident was of inadequate<br />

strength. The wire rope used<br />

had a breaking strength of<br />

37 tons but according to the<br />

manufacturer’s specification,<br />

it should be 41.9 tons.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• <strong>Struck</strong> <strong>by</strong> falling object<br />

• Defective tools, equipment or materials<br />

• Inadequate maintenance<br />

• WSH practices <strong>and</strong> procedures<br />

• WSH inspection<br />

Recommendations<br />

Ensure planned maintenance.<br />

Ensure regular inspection.<br />

Ensure the hoist wire of the crane is sufficiently strong with<br />

an appropriate factor of safety.<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

91


CASE 11<br />

STRUCK BY FALLING TIMBER<br />

Description of Accident<br />

Worker A <strong>and</strong> his co-worker were<br />

to dismantle formwork for the wet<br />

joint at a lift lob<strong>by</strong> of a lift shaft,<br />

from the seventh to 12th storey.<br />

Worker A had loosened a<br />

horizontal prop that was used to<br />

secure two timber formwork<br />

pieces on both sides of the wall<br />

of the nineth storey lift lob<strong>by</strong>.<br />

The timber piece on one side fell<br />

into the lift shaft opening <strong>and</strong><br />

struck Worker A who was clearing<br />

debris at the bottom of the lift<br />

shaft. Worker A suffered serious<br />

head injuries <strong>and</strong> succumbed to<br />

his injuries on the same day.<br />

1. The new lift shaft under construction<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The timber formwork for the wet<br />

joint at the nineth storey‘s lift<br />

shaft lob<strong>by</strong> was supported <strong>and</strong><br />

held in position <strong>by</strong> two horizontal<br />

<strong>and</strong> two vertical metal props.<br />

1. This timber fell into the lift shaft<br />

opening<br />

2. The lift shaft opening<br />

3. The timber formwork for the<br />

wet joint<br />

4. The plywood fencing was put up<br />

after the accident<br />

5. The position of the lower<br />

horizontal prop<br />

6. Deceased was squatting here when<br />

loosening the horizontal metal prop<br />

92 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


• Prior to the accident, one worker<br />

had removed the two vertical<br />

props <strong>and</strong> the higher of the<br />

two horizontal props. The<br />

timber piece on one side fell<br />

into the lift shaft opening after<br />

he had loosened the lower<br />

horizontal prop, which was<br />

the last prop holding the timber<br />

formwork in position.<br />

• At the time of the accident<br />

the lift shaft opening was not<br />

fenced or covered with any<br />

plywood or other material.<br />

The falling timber fell into<br />

the lift shaft opening <strong>and</strong><br />

struck Worker A who was<br />

clearing debris at the bottom<br />

of the lift shaft.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• <strong>Struck</strong> <strong>by</strong> falling object<br />

• Inadequate guards or barriers<br />

• Inadequate work st<strong>and</strong>ards<br />

• Inadequate leadership <strong>and</strong>/or supervision<br />

• Hazard analysis <strong>and</strong> risk management<br />

• WSH practices <strong>and</strong> procedures<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

93


Follow-up<br />

The occupier was instructed to implement the following safety<br />

measures:<br />

• The foreman-in-charge is to check <strong>and</strong> ensure that lift shaft<br />

openings are securely fenced with timber prior to assigning<br />

workers to dismantle formwork at the lift lob<strong>by</strong>.<br />

• No worker is to be assigned to work in the lift pit if any work is<br />

carried out above.<br />

• Workers assigned to dismantle formwork are to be instructed to<br />

check for the presence of the fencing of the lift shaft openings<br />

prior to the commencement of work. They should stop work<br />

<strong>and</strong> report to their supervisor if the lift shaft opening is not<br />

securely barricaded.<br />

Recommendations<br />

Ensure proper supervision.<br />

Ensure that incompatible work is not carried out simultaneously<br />

at a particular location.<br />

94 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


CASE 12<br />

STRUCK BY A FALLING CRANE BOOM<br />

Description of Accident<br />

A crawler crane operated <strong>by</strong> a<br />

worker was lifting a bundle of<br />

rebars from the ground floor to the<br />

second storey of an uncompleted<br />

building.<br />

When the bundle of rebars was<br />

about to be unloaded, the crane<br />

boom suddenly collapsed.<br />

Two workers were killed <strong>and</strong><br />

another injured as a result of the<br />

collapsed boom.<br />

1. Rebars bundle<br />

2. Main hook block<br />

3. One of the deceased was hit <strong>and</strong> pinned<br />

under the fly jib here<br />

4. Auxiliary hook block<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• Investigations revealed that the<br />

boom hoist wire rope that was<br />

supporting the boom had<br />

snapped, causing the crane boom<br />

to collapse onto the workers.<br />

• Laboratory findings indicated<br />

that the wire rope had failed<br />

as a result of accelerated fatigue.<br />

This means that the failure had<br />

occurred in the internal areas of<br />

the wire rope which are hard<br />

to detect during a routine<br />

visual inspection.<br />

1. Gantry bridle<br />

2. Boom hoist wire rope<br />

3. A completely broken portion (about<br />

2.5m) of the boom hoist wire rope<br />

found on the ground<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

95


• It was also found that the boom<br />

hoist wire rope was not of<br />

the type that the manufacturer<br />

had specified. The breaking<br />

strength of the wire rope was<br />

also lower than what the<br />

manufacturer had specified.<br />

• The crane operator did not<br />

know how to read <strong>and</strong> interpret<br />

the load capacity chart.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• Two workers killed<br />

• <strong>Struck</strong> <strong>by</strong> crane boom<br />

• Defective tools, equipment or materials<br />

• Inadequate removal <strong>and</strong> replacement of<br />

unsuitable items<br />

• Inadequate maintenance<br />

• Maintenance regime<br />

Recommendations<br />

Ensure that the wire rope used is the type specified <strong>by</strong> manufacturer.<br />

Conduct regular checks before lifting operations.<br />

Continually train the crane operator on how to read <strong>and</strong> interpret<br />

the load capacity chart.<br />

Ensure that the lifting supervisor is present for all lifting operations.<br />

96 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


CASE 13<br />

STRUCK BY A COLLAPSED WALL<br />

Description of Accident<br />

Worker A <strong>and</strong> his co-worker were<br />

working in a trench at the worksite.<br />

They were laying <strong>and</strong> tightening<br />

reinforced steel wires at the<br />

bottom of the trench.<br />

The boundary wall of the adjacent<br />

house that was st<strong>and</strong>ing at the<br />

edge of the trench toppled into<br />

the trench. Worker A was pinned<br />

under the collapsed wall.<br />

1. The boundary wall was here before<br />

it toppled<br />

2. The deceased was pinned here under<br />

the wall<br />

3. The trench<br />

Causes <strong>and</strong> Contributing<br />

Factors<br />

• The boundary wall that toppled<br />

measured about 15.5cm in<br />

thickness, 160cm in height <strong>and</strong><br />

1680cm in length. It was a brick<br />

wall with plaster on its surface.<br />

• The trench where Worker A <strong>and</strong><br />

his co-worker worked was dug<br />

parallel to this boundary wall.<br />

• No support such as sheet piling,<br />

bracing, shoring, underpinning<br />

or other means to ensure the<br />

stability of the boundary wall<br />

beside the trench had been put<br />

up to prevent injury to workers<br />

working in the trench.<br />

1. The deceased was pinned here under<br />

the wall<br />

<strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong><br />

97


• Excavation of the trench had<br />

weakened the foundation of the<br />

boundary wall. As some of the<br />

earth below the cement slab on<br />

which the boundary wall was<br />

erected had fallen off into the<br />

trench, the cement slab’s<br />

strength to support the<br />

boundary wall was reduced.<br />

• The cement slab gave way <strong>and</strong><br />

resulted in the wall toppling into<br />

the trench.<br />

Root Cause Analysis<br />

Evaluation of loss<br />

Type of contact<br />

Immediate cause(s)<br />

Basic cause(s)<br />

Failure of SMS<br />

• One worker killed<br />

• <strong>Struck</strong> <strong>by</strong> object<br />

• Failure to secure<br />

• Inadequate work st<strong>and</strong>ards<br />

• Hazard analysis <strong>and</strong> risk assessment<br />

Follow-up<br />

The occupier was instructed to erect supports according to the<br />

design of a professional engineer for structures adjoining any<br />

trench to prevent injury to any person working in the trench.<br />

Recommendations<br />

Provide supports such as sheet piling, bracing, shoring, underpinning<br />

or other means to ensure the stability of a boundary wall beside a<br />

trench to prevent injury to workers working in the trench.<br />

Ensure that the integrity of the wall is checked regularly <strong>by</strong> a<br />

competent person.<br />

98 <strong>Struck</strong> By <strong>Falling</strong> <strong>Objects</strong>


Published in June 2008 <strong>by</strong> the<br />

<strong>Workplace</strong> <strong>Safety</strong> <strong>and</strong> <strong>Health</strong><br />

<strong>Council</strong> in collaboration with<br />

the Ministry of Manpower.<br />

All rights reserved. This<br />

publication may not be<br />

reproduced or transmitted in<br />

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in whole or in part, without prior<br />

written permission. The<br />

information provided in this<br />

publication is accurate as at time<br />

of printing. All cases shared in this<br />

publication are meant for learning<br />

purposes only. The learning points<br />

for each case are not exhaustive<br />

<strong>and</strong> should not be taken to<br />

encapsulate all the responsibilities<br />

<strong>and</strong> obligations of the user of this<br />

publication under the law. The<br />

<strong>Workplace</strong> <strong>Safety</strong> <strong>and</strong> <strong>Health</strong><br />

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