Learning From Others (LFO) Pack Index Full title of slide Category - - PowerPoint PPT Presentation

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Mar 12, 2023 737 likes •815 views

Learning From Others (LFO) Pack Index Full title of slide Category LFO/LFI No. LFO Pack no. LFO Fatality UST Hot Work Fatality 2010 1 Injuries & fatalities 2010 1 1 LFO Fueller Motor Vehicle Crash Front Collision / Spill 2010 2

SLIDE 1

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. LFO Fatality UST Hot Work Fatality 2010‐1 Injuries & fatalities 2010‐1 1 LFO Fueller Motor Vehicle Crash Front Collision / Spill 2010‐2 Motor vehicle crash 2010‐2 1 LFO Vehicle Accident: Front Collision LFI 2010‐3 Motor vehicle crash 2010‐3 2 LFO Personal Injury 2010‐4 Injuries & fatalities 2010‐4 1 LFO Aircraft Damage ‐ Fueller Strikes Aircraft Wing 2010‐5 Aircraft 2010‐5 1 LFO Personal Injury ‐ Ankle Sprain on Uneven Surface 2010‐6 Injuries & fatalities 2010‐6 2 LFO Personal Injury ‐ Broken Step causes injury 2010‐7 Injuries & fatalities 2010‐7 2 LFO Personal Injury ‐ Hose on Steps causes injury 2010‐8 Injuries & fatalities 2010‐8 2 LFO Spill ‐ Fueller leak ‐ Apron spill 2010‐9 Spills 2010‐9 3 LFO Forklift Incident 2010‐10 Motor vehicle crash 2010‐10 3 Hydrant Spill LFI 2010‐11 Spills 2010‐11 3 LFO Engine Fire on Hydrant Servicer 2010‐12 Fires 2010‐12 3 LFO Personal Injury Defective Coupling 2010‐13 Injuries & fatalities 2010‐13 4 LFO Drive Away 2011‐01 Spills 2011‐01 4 LFO Aircraft Incident 2011‐02 Aircraft 2011‐02 4 LFO Spill ‐ Hydrant Leak inside valve chamber 2011‐04 Spills 2011‐04 5 LFO Platform drop due to chain breakage 2011‐05 Injuries & fatalities 2011‐05 5 LFO Overtaking Incident LFO 2011‐06 Motor vehicle crash 2011‐06 5 LFO Drive Away LFO 2011‐07 Aircraft 2011‐07 5 LFO Misfuelling 2011‐08 Misfuelling 2011‐08 4 LFO Aircraft strike LFO 2011‐09 Aircraft 2011‐09 5 LFO Aircraft Refuel Adaptor Failure 2011‐10 Aircraft 2011‐10 4 LFO LTI resulting from poor housekeeping LFO 2012‐01 Injuries & fatalities 2012‐01 6 LFO LTI resulting from tripping over hose LFO 2012‐02 Injuries & fatalities 2012‐02 6 LFO Aircraft Damage‐ Lifting platform hit wing LFO 2012‐04 Aircraft 2012‐04 9 LFO Personal injury ‐ Fall From Height LFO 2012‐05 Injuries & fatalities 2012‐05 7 LFO Drive Away due to overriding interlock LFO 2012‐06 Aircraft 2012‐06 7 & 8 LFO LTI from pulling fuelling hose LFO 2012‐07 Injuries & fatalities 2012‐07 6 LFO Damaged Aircraft Fuelling Adaptor LFO 2012‐10 Aircraft 2012‐10 7 LFO Fueller Collision LFO 2012‐11 Motor vehicle crash 2012‐11 7

Joint Inspection Group Limited

SLIDE 2

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. LFO Personal injury ‐ High potential LTI LFO 2012‐12 Injuries & fatalities 2012‐12 7 LFO Spill ‐ Pit coupling hit by water vehicle LFO 2012‐13 Spills 2012‐13 8 LFO Personal injury ‐ Operator struck by Baggage Cart LFO 2013‐01 Injuries & fatalities 2013‐01 8 LFO Personal injury ‐ Ankle Sprain from fall on fuelling steps LFO 2013‐02 Injuries & fatalities 2013‐02 9 LFO Personal injury ‐ Electrical burn from working on live equipment LFO 2013‐03 Injuries & fatalities 2013‐03 9 LFO Personal Injury ‐ Ladder blown over by jet blast hitting operator LFO 2013‐04 Injuries & fatalities 2013‐04 9 LFO Misfuelling LFO 2013‐05 Misfuelling 2013‐05 10 LFO Manual Handling Personal Injury – Shoulder LFO 2013‐06 Injuries & fatalities 2013‐06 10 LFO Personal Injury ‐ Not watching Step Causes Injury LFO 2013‐07 Injuries & fatalities 2013‐07 10 LFO First Aid Case –Trip on Fuelling Hose LFO 2013‐09 Injuries & fatalities 2013‐09 10 LFO Vehicle hits hydrant servicer intake coupler LFO 2014 ‐01 Motor vehicle crash 2014 ‐01 11 LFO Personal Injury ‐ Pump Compartment Door LFO 2014 ‐02 Injuries & fatalities 2014 ‐02 11 LFO Personal injury ‐ Fall down access ladder into valve chamber LFO 2014‐03 Injuries & fatalities 2014‐03 11 LFO Loose vehicle wheel LFO 2014 ‐04 Near misses 2014 ‐04 11 LFO Fuelling vehicle roll‐away (runaway) LFO 2014‐05 Near misses 2014‐05 12 LFO Aircraft Damage ‐ Fuelling vehicle hits B777 left wing engine cowling LFO 2014‐ 06 Aircraft 2014‐06 12 LFO Spill ‐ Jet A‐1 Rail Tank Car spill LFO 2014‐07 Spills 2014‐07 12 LFO Spill ‐ Jet A‐1 Tank farm LFO 2014‐08 Spills 2014‐08 12 LFO Near Miss ‐ Operator narrowly missed hitting leg on edge of vent cap LFO 2014‐ 09 Near misses 2014‐09 12 LFO Emergency Response LFO 2014‐10 Fires 2014‐10 13 LFO Personal Injury – Reversing a refueller ‐ backwards fall LFO 2014‐11 Injuries & fatalities 2014‐11 13 LFO Aircraft Incident – Damage to Aircraft LFO 2014‐12 Aircraft 2014‐12 13 LFO Personal Injury ‐ shoulder injury resulting from lifting Road Traffic Cones LFO 2014‐13 Injuries & fatalities 2014‐13 13 LFO Electrical failure in components and fires LFO 2014‐14 Fires 2014‐14 13 LFO Spill ‐ Loss of containment 10,000 litres Jet A‐1 LFO 2015‐01 Spills 2015‐01 14

Joint Inspection Group Limited

SLIDE 3

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. LFO Misfuelling prevention ‐ Near Miss LFO 2015‐02 Misfuelling 2015‐02 14 LFO Drive Away ‐ From aircraft LFO 2015‐03 Spills 2015‐03 14 LFO Personal injury ‐ LTI from Stepping off platform LFO 2015‐04 Injuries & fatalities 2015‐04 14 LFO Discharge of Fire Extinguisher LFO 2015‐05 Other incidents 2015‐05 14 LFO Fire – Control of Work Hydrant Line LFO 2015‐06 Fires 2015‐06 15 LFO Aircraft Damage ‐ During fuelling operations LFO 2015‐07 Aircraft 2015‐07 15 LFO Personal injury ‐ Trip LFO 2015‐08 Injuries & fatalities 2015‐08 15 LFO Personal injury ‐ Lost time injury LFO 2015‐09 Injuries & fatalities 2015‐09 16 LFO High Potential Incident – Overwing Fuelling LFO 2015‐10 Product quality 2015‐10 16 LFO Spill ‐ Loss of primary containment LFO 2015‐11 Spills 2015‐11 16 LFO Personal Injury ‐ Manual Handling LFO 2015‐12 Injuries & fatalities 2015‐12 16 LFO Spill ‐ During Bridger discharge activity LFO 2015‐13 Spills 2015‐13 16 LFO Hot Brakes when Bonded during refuel of B787 LFO 2015‐14 Near misses 2015‐14 16 LFO First Aid ‐ Fall From Fuelling Step Ladder LFO 2016‐1 Injuries & fatalities 2016‐1 17 LFO Medical Treatment ‐Fall During Aircraft Refuelling LFO 2016‐2 Injuries & fatalities 2016‐2 17 LFO Aircraft Damage ‐ Adaptor Break‐Away LFO 2016‐3 Aircraft 2016‐3 17 LFO Spill ‐ From fuelling vehicle on the apron LFO 2016‐4 Spills 2016‐4 17 LFO Spill ‐ Tank overfill LFO 2016‐5 Spills 2016‐5 17 LFO Spill ‐ Disconnecting Fuelling Nozzle on B747 LFO 2016‐6 Spills 2016‐6 17 LFO Spill ‐ Whilst sampling LFO 2016‐7 Spills 2016‐7 18 LFO Spill ‐ Within hydrant valve chamber LFO 2016‐8 Spills 2016‐8 18 LFO Drive Away LFO 2016‐9 Near misses 2016‐9 18 LFO Misfuelling LFO 2016‐10 Misfuelling 2016‐10 18 LFO Misfuelling LFO 2016‐11 Misfuelling 2016‐11 18 LFO Spill ‐ Roll away LFO 2016‐12 Spills 2016‐12 18 LFO Personal injury ‐ LTI from Motor Vehicle Incident 2016‐13 Injuries & fatalities 2016‐13 18 LFO Spill ‐ Due to flange gasket failure 2016‐14 Spills 2016‐14 19 LFO Operator faces hostility from pilot 2016‐15 Other incidents 2016‐15 19 LFO Aircraft Damage ‐ Raising elevating platform 2016‐16 Aircraft 2016‐16 19 LFO Spill & AC damage while raising elevating platform LFI 2016‐17 Spills 2016‐17 19

Joint Inspection Group Limited

SLIDE 4

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. LFO Aircraft damage ‐ Raising elevating platform LFI 2016‐18 Aircraft 2016‐18 19 LFO Spill ‐ During pipeline pressure testing LFI 2016‐19 Spills 2016‐19 19 LFO Personal injury ‐ Manual Handling Injury LFI 2016‐20 Injuries & fatalities 2016‐20 19 LFO Spill ‐ FWS Seal Failure 2016‐21 Spills 2016‐21 19 LFO Aircraft Damage – Fueller hits aircraft LFI 2016‐22 Aircraft 2016‐22 19 LFO Motor Vehicle Crash LFI 2016 ‐ 23 Motor vehicle crash 2016 ‐ 23 19 Spill during loading a fueller LFO 2016‐24 Spills 2016‐24 20 Lost time injury ‐ Pit cover LFO 2016‐25 Injuries & fatalities 2016‐25 20 Splash of Jet A‐1 whilst sampling LFI 2016‐26 Injuries & fatalities 2016‐26 20 Lost time injury ‐ Valve handle LFI 2016‐27 Injuries & fatalities 2016‐27 20 Lost time injury ‐ Fall LFI 2016‐28 Injuries & fatalities 2016‐28 20 Lost Time Injury ‐ Operator struck by baggage tractor LFI 2016‐29 Injuries & fatalities 2016‐29 20 Aircraft Incident ‐ Fueller hits A320 LFO 2017‐01 Aircraft 2017‐01 21 Spill LFO 2017‐02 Spills 2017‐02 21 Aircraft Incident LFO 2017‐03 Aircraft 2017‐03 21 Non Fuelling Related Incident ‐ Fatality LFO 2017‐04 Injuries & fatalities 2017‐04 21 LTI ‐ Back strain whilst using fuelling step ladder LFO 2017‐05 Injuries & fatalities 2017‐05 21 Lost Time Injury ‐ Operator hit by fuel panel LFO 2017‐06 Injuries & fatalities 2017‐06 21 High Potential Near Miss LFO 2017‐07 Near misses 2017‐07 21 Safety Issue ‐ Fuelling B777 LFO 2017‐08 Incident prevention 2017‐08 21 Emergency Exercise Scenario ‐ Immobilised Fueller LFO 2017‐09 Incident prevention 2017‐09 21 High Potential Near Miss ‐ Taxiway Incursion LFO 2017‐10 Near misses 2017‐10 22 Lost Time Injury ‐ Fall from Height LFO 2017‐11 Injuries & fatalities 2017‐11 22 Lost Time Injury ‐ Fall from Height LFO 2017‐12 Injuries & fatalities 2017‐12 22 Refuelling Vehicle Accident ‐ Drive Away LFO 2017‐13 Motor vehicle crash 2017‐13 22 Aircraft Incident ‐ Personal Injury LFO 2017‐14 Injuries & fatalities 2017‐14 22 Hydrant Pit Fuel Spillage LFO 2017‐15 Spills 2017‐15 22 Raincoat ingested into aircraft inlet system LFO 2017‐16 Near misses 2017‐16 22 Refuelling ATR in 'Hotel Mode' ‐ Near Miss LFO 2017‐17 Near misses 2017‐17 22 Overwing Fuelling Nozzle Adaptors LFO 2017‐18 Incident prevention 2017‐18 22

Joint Inspection Group Limited

SLIDE 5

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. Hinged hydrants pit lids lay flat safety considerations LFO 2017‐19 Incident prevention 2017‐19 22 Injury ‐ Shoulder strain whilst connecting to aircraft LFO 2018‐01 Injuries & fatalities 2018‐01 23 Near Miss ‐ High high alarm activation LFO 2018‐02 Near misses 2018‐02 23 Spill ‐ Pit valve spill LFO 2018‐03 Spills 2018‐03 23 Spill ‐ Hydrant re‐commissioning LFO 2018‐04 Spills 2018‐04 23 Injury ‐ Apron collision LFO 2018‐05 Injuries & fatalities 2018‐05 23 Lost time incident ‐ Apron pot hole LFO 2018‐06 Injuries & fatalities 2018‐06 23 Spill ‐ Apron spillage LFO 2018‐07 Spills 2018‐07 23 Injury ‐ Restricted work injury (RWI) LFO 2018‐08 Injuries & fatalities 2018‐08 23 Near Miss ‐ AC Damage LFO 2018‐09 Near misses 2018‐09 23 Fuelling hazard ‐ A737 winglets LFO 2018‐10 Incident prevention 2018‐10 23 First aid ‐ Battery leaked LFO 2018‐11 Injuries & fatalities 2018‐11 23 Product Quality serious incident ‐ Fuelling from an out of service hyrant pit LFO 2018‐12 Product quality 2018‐12 23 Product Quality ‐ Delivery on untested Jet A‐1 LFO 2018‐13 Product quality 2018‐13 23 Injury ‐ Guide person crushed by reversing fueller LFO 2018‐14 Injuries & fatalities 2018‐14 24 Refueller vehicle incident ‐ drive away Motor vehicle crash 2018‐15 24 Spill ‐ Hydrant pit cap tether Spills 2018‐16 24 Aircraft damage Aircraft 2018‐17 24 Near Miss ‐ Violation of restricted apron parking Near misses 2018‐18 24 LTI ‐ Slip trip injury Injuries & fatalities 2018‐19 24 Refueller vehicle incident ‐ drive away whilst connected to aircraft Motor vehicle crash 2018‐20 24 LTI ‐ Sprained knee ligaments Injuries & fatalities 2018‐21 24 Product Quality ‐ Jet fuel contamination event Product quality 2018‐22 24 Other ‐ Damage to pit by others Other incidents 2018‐23 24 Other ‐ Tank vacuum equipment damage Other incidents 2018‐24 24 Aircraft Damage ‐ Wing damaged by fuelling platform Aircraft 2018‐25 24 Aircraft Damage ‐ Fueller hits engine cowling Aircraft 2018‐26 25 High potential Near Miss ‐ Aircraft Refuelling Accident Near Misses 2018‐27 25 Refuelling Vehicle Accident ‐ Collision Motor vehicle crash 2018‐28 25

Joint Inspection Group Limited

SLIDE 6

Learning From Others (LFO) Pack Index

Full title of slide Category LFO/LFI No. LFO Pack no. LTI ‐ Dislocated shoulder Injuries & fatalities 2018‐29 25 LTI ‐ Slip on ice/de‐icing fluid Injuries & fatalities 2018‐30 25 Refueller Vehicle Incident ‐ Parking brake forgotten Motor vehicle crash 2018‐31 25 Hydrant shutdown due to floating suction failure Other incidents 2018‐32 25 Near Miss ‐ Unsafe bonding point of B787 (Dreamliner) Near misses 2018‐33 25 Near Miss ‐ Fuelling operations during thunderstorms Near misses 2018‐34 25 Near Miss ‐ Fuel additive incorrect dosing Near misses 2019‐01 26 LTI ‐ Wrist fracture Injuries & fatalities 2019‐02 26 Spill & equipment damage Spills 2019‐03 26 First Aid Case ‐ hand injury Injuries & fatalities 2019‐04 26 Spill ‐ RVI trailer roll over Spills 2019‐05 26 LTI ‐ Medical treatment injury Injuries & fatalities 2019‐06 26 Spill ‐ Loss of containment Spills 2019‐07 26 Fire Other incidents 2019‐08 26 Good practice (Positive observation of aircraft damage during fuelling operation) Other incidents 2019‐09 26 Product spill during fuelling Spills 2019‐10 27 Passenger stair hit by dispenser Aircraft 2019‐11 27 Hydrant coupler hit by reversing vehicle Spills 2019‐12 27 Engine damaged by tank semi‐trailer Aircraft 2019‐13 27 Product Quality ‐ Water Contamination Near misses 2019‐14 27 First Aid – Back Pain While Opening Pit Lid Injuries & fatalities 2019‐15 27 Motor Vehicle Incident – Leading to a LOPC Motor vehicle crash 2020‐01 28 Medical Treatment – Lifting Hydrant Pit Lid Injuries & fatalities 2020‐02 28 Lost Time Injury – Handling Hose Injuries & fatalities 2020‐03 28 Near miss ‐ Unauthorized Parking Blocking ESB Near misses 2020‐04 28 Motor Vehicle Incident – LTI to third party Motor vehicle crash 2020‐05 28 Fire ‐ Electrical Fire in Driver’s Cab of Fueller Fires 2020‐06 28 Spill ‐ Fuel Fountain at Hydrant Pit Spills 2020‐07 28 Good Practice – Emergency Spill Control Incident prevention 2020‐08 28