Sunday, 29 January 2012

sharing the experiance


Safety
Sharing the experience
 
INCIDENT: - Non Dedicated - DAFWC / SVA accident near Kanpur
TYPE OF INCIDENT:  Head on Collision
BUSINESS UNIT:  Global Lubricants Supply Chain India
LOCATION OF INCIDENT: Allahabad By pass (about 40 Kms) - 450 Kms from Kolkata
DATE OF INCIDENT: 21st May, 2010
Incident time- 13.00 hours

BRIEF ACCOUNT OF INCIDENT:

A contractor truck (Non Dedicated - under influence) carrying finished goods from our Regional Warehouse at Kolkata to our Kanpur warehouse met with an incident near Allahabad.

The driver side of the contractor truck collided with oncoming truck.

Driver Assistant is safe while the contractor driver fractured his right foot. The driver is still in hospital at the time of this report thus classified as cat 3 DAFWC (severity level F).

The front cabin of the contractor truck was damaged. The contract vehicle had to be towed away from the incident spot.

No damage to the material or no spill reported. The material was transhipped to an other truck and reached the destination.

Oncoming truck driver had fled from the scene.
.




Driver:

Driver Name- Rajesh Prasad Yadav` (Module -3 trained drivers (29/03/2010))
Age- 32 years. Driver has been operating since August 2009.
From the records, it was observed that this driver has been frequent traveller on this route and have demonstrated adequate safe driving behaviour in his earlier trips. Driver has done at least 18 trips since its inception and completely in line with safe behavioural practices on 14 trips. The other 4 trips where few instances of deceleration were observed. The driver was engaged through training consultant on the same.
Driver had reached our depot on 18th of May, 2010 Night.
19th may – left from our Regional Distribution Centre (Kolkata) around 18.33 hrs, travelled 116 Kms and stopped around 21.24 hrs.
Resumed Journey on 20th May at 6.10 AM- travelled around 400 KMS in10 hours 30 minutes
Resumed journey on 21st may at 6.23 AM, travelled around192 kms in 4 hours 20 minutes before the incident had taken place.
Driver had multiple fractures on his right leg and under medical treatment till this report been furnished. He is still in the state of recovery and could not recall the incident.

Key facts

National Highway no 2 was concrete and well laid out two way dual lane with proper shoulders and dividers.

However for some repair work, one side of the dual lane (which was the lane suppose to have been taken by our contractor vehicle) was closed for the last two months. Hence all the vehicles that are travelling to Kanpur had to use the opposite lane (hence it is temporarily single lane dual carriage with no dividers).

The road has been blocked at least 3 kms ahead and has a traffic density of 40-50 vehicles per minute around incident time. Most of the vehicles are Heavy Vehicles and Light vehicles and with an average speed of trucks about 60KMS per /hr, while car are at 100 kms/hr and two wheelers are around 80 kms/per hr.. The road for the oncoming vehicle has a natural curve (toward left) about 300 metres from the incident spot.

Just about the curve on left for the oncoming vehicle has a dhaba( Highway Restaurants) where few heavy vehicles were always parked blocking the way of moving vehicles, which normally let the vehicles to move toward the centre or on the second lane ( which is currently meant for the vehicle of opposite direction)

Width of operational lane is 30 feet (98.4 metres). The width of the contractor truck is 8.25 feet (27.06 metres), while oncoming third party vehicle is 7.4 feet (24.27 metres).  About 2.5 feet each have been earmarked (with proper lines) for two wheelers movement on either side.

The incident occurred at least two metres within the lane of our contractor vehicle, while the collided oncoming vehicle was very much into the side of the contractor vehicle. The oncoming vehicle was a speed of 55 – 60 kms as per witness. No brake marks were observed at the incident spot.

The oncoming vehicle while overtaking another truck came on the lane of contractor truck and collided head on,

Post the incident the driver of the vehicle went into the tea shop near by and subsequently fled off.  Third party vehicle had also to be towed from the incident spot. However since it is a local vehicle could get moved from the spot immediately.

As per the information of tea shop owner (witness), the driver of the oncoming vehicle was inebriated condition.
The same has been conveyed in the local report with the police.

The oncoming vehicle was for local commutation between Government Food corporation centre and its retails outlets.

Post the incident, when the injured driver was taken for medical support, documents, cash, GPS which were kept on the vehicle was stolen. Hence last minute date could not be captured to corroborate the incident. The speed captured   around the time of incident was 55 kms per hour

WHAT WENT WELL

¨       Seat Belts were worn by the driver & his assistant
¨       Steel cabin of the truck ( protected the driver)
¨       Transport contractor ‘s active participation in providing assistance and collating the details

WHAT WENT WRONG (CRITICAL FACTORS):

CF1 – contractor vehicle travelling closer to the middle lane of the road.
CF2-   oncoming vehicle getting into the lane of contractor vehicle.

SUMMARY OF IMMEDIATE CAUSES:

CLC Ref No.
Description
Comment
2.5
Improper placement of equipment
Both contractor driver and third party driver had positioned their vehicle in potentially hazardous positions.
2.6
Operation of vehicle at improper speed
Both the vehicles were at an inappropriate speed to avert or mitigate the risk



SUMMARY OF IMMEDIATE CAUSES:


System Causes (Organisational factors that allowed the immediate cause to exist)
CLC Ref No.
Description
Comment
14.2
Practice of skill not effective
Although the contractor driver is well trained at the time of incident, he did not choose an appropriate course of action. ( appropriate side  of the road)
11.7
Incorrect judgement
The contractor driver did not perceive the risk and perhaps not taken any effort to mitigate the risks.

No comments:

Post a Comment