APP_F(a) - NCR Log Rev 2
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2
21/03/2025
3
21/03/2025
4
27/03/2025
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2
Date Identified
21/03/2025
Raised By
Sean Ashton
Product/Service Affected
Severity
Procedure/Standard Reference
WI001
Containment Actions Taken
Disposition of Affected Items
Additional Notes
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APP_F(b) - CAPA Log Rev 2
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ICC2501
Site Operations - Plant Operation
ICC2503 CAPA
Production
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ICC2501
CAR Type
Process
Site Operations - Plant Operation
How was it identified?
Description of Findings
Telehandler window shattered when reversing and making contact with stationary digger arm. Operator (Edgar Grills) was reversing with window open and did not hear bankman's warning due to site noise. The telehandler's open window was pinched against the arm of a stationary digger, causing the window to shatter.
Immediate Hazard?
Regulatory Breach?
Repeat of Earlier Action?
Non-conformance Report Ref. (If applicable)
N/A
Root Cause
Multiple factors: 1) Operator error during reversing maneuver in restricted space 2) Environmental noise preventing effective communication 3) Inadequate bankman signaling in noisy environment 4) Open window creating pinch point and reducing visibility 5) Non-authorized bankman used 6) Absence of direct supervision 7) Unclear chain of command
Description of Corrective Action
1) Conduct toolbox talk on incident and interim safety measures 2) Implement buddy system for telehandler operations 3) Provide refresher training for operators and bankmen 4) Enhance communication protocols (standardized hand signals, two-way radios) 5) Review and revise site traffic management plan 6) Develop telehandler pre-operation checklist 7) Implement professional banksman certification
Hazard Risk Ranking
3
Date Assigned
27/02/2025
Owner
Dave Kelly (Site Supervisor)
Target Completion
21/03/2025
Closed-out (Yes/No)
How was Close-out Verified?
CAPA Complete
Date Closed-out Verified
14/03/2025
Status

Nonconformity Report
CAPA Report

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