Accident at Work and Health and Safety related deaths

Noted (AI summary) The RCRP Strategic Partnership Board acknowledges the concerns and explains that Right Care: Right Person (RC:RP) is an internal process for directing calls to the most appropriate service. They state that they will discuss call transfer and external communications with partner agencies. The Deputy Mayor will further consider with relevant agencies the options that will best meet the needs of the public, recognising that NWAS would not have powers of entry and would have to call GMFRS in the described scenario. They wish to take the time to consider the various options that will best meet the needs of the public. The College of Policing explains that Right Care Right Person (RCRP) focuses on internal triage processes between agencies, not on directing the public to specific services when calling for emergency assistance. They state they will continue to monitor emerging themes and risks with partner agencies.

Noted (AI summary) The Lift and Escalator Industry Association (LEIA) published a safety notice on their website on behalf of Phoenix Lifting Systems regarding lifting platforms with one-touch platform controls and emailed it to all their members. HSE will raise the matter of platform lifts without hold-to-run controls at the national Local Authority Health and Safety Practitioner Forum and in a technical LA bulletin, and will share the circumstances with CQC and the wider healthcare industry. They are also aware that LEIA has raised the concerns with their relevant committees. LEIA published a further safety notice addressing similar hazards in other lifting platforms from other manufacturers and has made proposals for inclusion of recommendations for the revision of BS 5655-11 to cover legacy lifts with similar hazards. DHSC acknowledges the concerns regarding platform lifts in care settings, but states the responsibility lies with the Health and Safety Executive, who have already responded and are monitoring similar incidents. DHSC shares concerns about the incident but states the matters do not fall within their responsibilities; they have written to the HSE to monitor for similar incidents and review if further action is needed.

Noted (AI summary) The CAA has adopted updates to Acceptable Means of Compliance to CS-27 and CS-29 relating to rolling contact fatigue in critical bearings and initiated rulemaking projects to clarify the airworthiness status and life limits of critical parts and ensure the removal of defective critical parts from service. They will also engage with international counterparts to harmonise approach to critical bearing design and certification. EASA acknowledges the concerns raised in the Prevention of Future Death Report, referring to their assistance in the AAIB safety investigation and internal procedures for addressing safety recommendations. They state that they are considering introducing new AMC to CS 29.927(a) (Additional tests) to clarify the need to support inspection intervals and retirement times with appropriate directly applicable data, but believe the existing framework is adequate.

Noted (AI summary) The Minister will write to Swim England to explore how awareness of the 'Beyond Swim' accreditation scheme and associated guidance can be increased. They will also continue to work with sports bodies to ensure safety is prioritised. HSE acknowledges the concerns, explains that existing regulations (HSWA and MHSWR) apply to open water swimming events, and that relevant guidance is available from other sources. HSE will not be publishing specific guidance at this time but will raise awareness with local authority enforcement officers.

Noted (AI summary) The HSE is publishing further guidance, aimed at installers, their managers and supervisors to remind them of the steps they must take to control the exposure risk. They are also working with the Worktop Fabricators Federation to support development of their own information leaflet which they can share amongst their networks. DHSC states that they have no comments or suggestions and that responsibility for the Coroner's concerns sits with HSE. The Agglomerated Stone Manufacturers Association highlights existing efforts to promote safety and calls for governmental involvement, suggesting clear rules and/or a licensing program for fabricators. MHCLG is requesting an extension and states that the concerns fall within the remit of the HSE, offering to provide a formal response explaining the limitations of MHCLG's policy remit. The Worktop Fabricators Federation provides a 'state of the art' positioning statement on silica dust risks associated with quartz worktops, highlighting the need for safe working environments and suggesting potential market controls.

Noted (AI summary) The HSE acknowledges the coroner's concerns regarding welfare provision and workplace transport safety on construction sites, but asserts that existing legislation and guidance are sufficient and well-known within the industry. They will continue to raise awareness through stakeholder engagement and inspections.

Noted (AI summary) The HSE states that current guidance on safe stacking, loading, and unloading of bales is sufficient and does not require further images or supporting material, but they will keep the report on record for consideration when it is next reviewed.

Noted (AI summary) IPAF proposes to bring the matter of rescue plans to the industry through its elected members at its board and council meeting to consider its current position on rescue plans and will hold the next IPAF Council meeting on 10th September 2024. RTITB confirms that their MEWP Basic Training course includes sessions on Emergency Escape and Rescue Plans, referencing excerpts from their trainer's guide. NPORS will convene a subcommittee to review rescue plan guidance by October 1, 2024, and will consult with industry bodies to explore improvements, but a timescale will be determined by the responses. AITT states that basket-to-basket rescue is a last resort and provides details of training in how to perform emergency lowering. Lantra will work with NPORS to determine if a specific MEWP Rescue Training Course has a place in the market by October 1, 2024 and will update training materials to highlight the use of a Personnel Platform as a method for rescue by November 1, 2024. IPAF provides guidance for planning and undertaking MEWP recovery and rescue, including platform-to-platform methods, and offers a certified training program. ITSSAR will update its course syllabus to include planning and organisation of work at height, specifically the hierarchy of control measures, and the importance of a company-specific rescue plan and safe systems of work for lone working.

Noted (AI summary) ALLMI provides background on their organization, existing safety measures, and training programs for lorry loader operators. They dispute the coroner's findings, arguing that existing standards and training should have been considered and request industry representation in future investigations.

Noted (AI summary) HSE explains its decision-making process regarding the investigation and clarifies its Incident Selection Criteria. While the suggestion to specifically name 'paraplegia' in the ISC will be considered, HSE states they are unable to take further action to change procedures, as their focus is shifting to risk-based selection.

Noted (AI summary) HSE acknowledges the concerns raised, notes the ongoing investigation, and explains the existing notification requirements for construction projects. They clarify that enforcement action, including requiring training, is proportional to the risks and seriousness of the breach and that previous poor performance is taken into account.