Safety: Laceration Safety

Don’t Feel the Steel!

Root Cause: Background

How Operator grasped the diaphragm

Deep in the hand

Disclaimer: The photos taken were NOT individual diaphragms. They were full convolutions with chill rings inserted. No one was exposed to sharp edges during the preparation of this presentation.

Storing the Diaphragm

Operator was putting the diaphragm in a bag The bag was too tight and the diaphragm jammed

Disclaimer:The photos taken were NOT individual diaphragms. They were full convolutions with chill rings inserted. No one was exposed to sharp edges during

the preparation of this presentation.

Contributing factors – When Storing Diaphragms

Sharp edgeContainer (bag) Diaphragm size

Why Size of Diaphragm Was a Significant Contributing Factor

Fine Motor Skill Hierarchy Large diaphragms will be grasped as shown:

Or

Deep in the hand

Finger tips

Disclaimer:The photos taken were NOT individual diaphragms. They were full convolutions with chill rings inserted. No one was exposed to sharp edges during

the preparation of this presentation.

Why Size of Diaphragm Was a Significant Contributing Factor

Fine Motor Skill Hierarchy Large diaphragms will be grasped as shown

Finger tips

Too awkward (an operator wouldn’t

do this)

Disclaimer:The photos taken were NOT individual diaphragms. They were full convolutions with chill rings inserted. No one was exposed to sharp edges during the preparation of this presentation.

Root Cause / Corrective Action #1

Cut resistant gloves ASTM and CE level 2 cut resistance Seven different safety gloves evaluated Judged by the team of workers as the best

choice MaxiFlex Ultimate G-Tek

(Airgas supplier)

Safety Glove Operator Review

Root Cause / Corrective Action #2

New Container Design Holds an entire bellows section Clear break resistant polycarbonate Tapered to allow access NSF listed Clear lid

Corrective Actions #1 and #2 Working Together

Follow Up – Prevention / Training

Containers are on site and in production use

Gloves are on order Training session to occur after arrival

of gloves/ containers OMS updated to remind operators to

use gloves / containers

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