No direct communication to anyone prior to leaving
No one to act on messages
Clean up of floor not done immediately
No “wet floor” signs placed
Leak not repaired for four months
1/2/16 – 5:33 am Mary leaves message for Tom (supervisor)
1/2/16 - 5:53am Bob found lying in pool of water
1/2/16 – 5:53 am Air horn sounds
1/2/16 – 5:34 am Sam notices leak and wet floor in valve dept.
1/2/16 – 5:41 am Sam leaves note for Mary to mop up wet floor
1/2/16 5:41 am
Sam goes home
1/2/16 – 5:33 am Tom leaves message for Mary
Emergency response was good
1/2/16 – 6:00 am Ambulance transports Bob to hospital
Key:
Condition
Event
Accident