Source · Prevention of Future Deaths

Stephen Buck

Date: 31 Oct 2018 Coroner: Darren Salter Area: Oxfordshire Responses identified: 1 / 1 View PDF

The common practice of operatives working in close proximity to reversing trucks for ticketing spoil removal increases safety risks, suggesting a need for technological solutions.

Date 31 Oct 2018
56-day deadline 26 Dec 2018 est.
Responses identified 1 of 1
Accident at Work and Health and Safety related deaths

Coroner's concerns

AI summary
The common practice of operatives working in close proximity to reversing trucks for ticketing spoil removal increases safety risks, suggesting a need for technological solutions.
View full coroner's concerns
In the circumstances it is my statutory to make this report to you: The MATTER OF CONCERN is in relation to the following: It is relatively narrow issue but one that is likely to be relevant to many construction and waste industry sites in the country. There are issues about the use of banksmen/traffic marshals when trucks and machines are reversing and realise that this is of course an activity involving a recognised risk The narrower issue wish to raise is in relation to spoil removallmuck away operations where there are potentially large number of trucks attending site and, in many instances, there is likely to be a requirement for the trucks to reverse thereby increasing the risk to others. heard evidence that it is common practice in the industry for a ground worker or other operative to be given the task of issuing tickets to the truck drivers understand there are at least two purposes. Firstly , so that there is a record of the number of loads for invoicing purposes_ Secondly, because the spoil is controlled waste and there is apparently a need for such a ticket: The result though is that an operative is often required to be in close proximity to the trucks. Clearly, it would be preferable if this was not the case_ The issue of concern therefore relates to the apparently common practice for an operative to work in close proximity to trucks to issue the ticket: One might have thought that a different system involving technology could remove the need for this to occur. It would be helpful if you could give consideration to this issue. the duty

Responses

1 respondent
Stephen Buck
18 Dec 2018 PDF
Action Taken

• The respondent stated that managing workplace transport risks has been a high priority for the WISH Forum since 2001. • The respondent noted that guidance document "Waste 09 – Safe transport at Waste and Recycling sites" was reviewed and reissued in 2015. • The respondent confirmed that WISH promotes the use of its guidance regularly through industry media, conferences, and events. (AI summary)

View full response
Dear Mr Salter Regulation 28 report I write in response to the regulation 28 report into the tragic circumstances of the death of Mr Stephen Buck. The Waste Industry Safety and Health (WISH) Forum exists to communicate and consult with key stakeholders, including local and national government bodies, equipment manufacturers, trade associations, professional associations and trade unions. Those working with, and within, WISH include members and representatives of the waste and recycling sector at all levels and across the full range of waste management, resource recovery, recycling and disposal activities. The aim of WISH is to identify, devise and promote activities that can improve industry health and safety performance. You invite WISH to give consideration to: “The issue of concern therefore relates to the apparently common practice for an operative to work in close proximity to trucks to issue the ticket. One might have thought that a different system involving technology could remove the need for this to occur.” I respond on behalf of WISH as follows: Workplace transport accounts for only about 4% of all accidents and incidents in the waste and recycling sector. The severity of them is such, however, that they are the biggest single cause of fatality and serious injury in the sector. Managing workplace transport risks has been high on the agenda of WISH since its inception in 2001 and forms a major part of the guidance and support materials that WISH have produced in that time. The guidance document most relevant to the circumstances that your report describes as associated with the death of Mr Buck is Waste 09 – Safe transport at Waste and Recycling sites, which I attach for information. This was most recently reviewed and reissued in 2015. Like all WISH guidance and resources, Waste 09 is free to download and WISH promotes the use of its guidance regularly in industry media, at conferences and events and through speeches and seminars. There are also links to the WISH guidance documents from the relevant parts of the HSE website. As Waste 09 shows, waste and recycling sites do not typically operate a system where an operative is required to operate close to trucks. Having consulted with our members, WISH has been unable to identify a single waste or recycling site where waste consignment notes are issued or received by an individual in circumstances similar to that described. At waste and recycling sites such matters are typically dealt with at weighbridges and gate houses located at the entrance to the site where both the driver and the operative are structurally protected from impact. A wide variety of technological systems are also widely used including ANPR (Automatic Number Plate Recognition) and electronic tags and fobs carried in the vehicles or by the drivers to identify individual loads and consignments. The statutorily required consignment notes can then be generated and even communicated to a receptor site electronically. Even where, due to electrical system, communications, or IT failure, manual (manuscript)

[Page 2] consignment notes have to be issued or received this would be done via a weighbridge, gatehouse or similar. I note that the site at which the tragic incident occurred was a construction site rather than a site operated under a waste permit or exemption. Since the introduction of the requirement to reduce the generation and movement of construction waste off site, there can be confusion between the activities of a permitted waste and recycling site and a construction site where site generated waste is being recycled or reused elsewhere in the construction. It is my understanding that in some cases the movement of construction waste around a site can give rise to the need for consignment notes to be raised. Some WISH guidance could be used and apply to waste activities on construction sites. Such activities are not, however, a focus for WISH, nor one which it has addressed previously. There is an equivalent body to WISH, namely the Construction Industry Advisory Committee (CONIAC), already in existence which provides detailed advice and guidance for the Construction Sector. Information about that body and the safety guidance it produces can be found at:

I am unsure as to whether you also intend to raise your concerns directly with CONIAC, but to ensure that they are aware of the details of this case, I shall provide them with a copy of this response (via the HSE, which is a member of the WISH Forum), so that they may consider our standard practices in conjunction with any advice that they provide within their guidance around the issuance of waste consignment notes. Notwithstanding that this matter has been raised in respect of a construction site, WISH will review the Waste 09 guidance on this point and see what improvement or clarification might be added. The importance of the segregation of pedestrians and vehicles is a key point throughout Waste 09 and a point which regularly features in WISH’s public communications and campaigns. In view of the circumstances of this tragic case, WISH will ask its members, and devolved associate organisations, to draw further attention to the dangers of vehicle/pedestrian interactions and, in particular, the dangers of the practice of a pedestrian handing out consignment notes to drivers. The main organisations being the Environmental Services Association (ESA), the Local Authority Waste Safety (LAWS) forum, the Chartered Institute of Waste Management (CIWM), the Scottish Waste Industry Training, Competence and Health forum (SWITCH), the Waste Industry Safety and Health Forum (Northern Ireland) (WISH(NI)) and the Trade Union Congress (represented at WISH by the GMB).

Report sections

Investigation and inquest
On 3,4 and 5 October 2018 concluded the inquest into the tragic death of Stephen Buck who was killed in Thame on 18 April 2017 . A number of witnesses provided oral evidence including co-workers and managers Given that this was a fatality in the work place, the case was heard before who returned a Conclusion of 'Accident' and made that At approximately 10.30am on 18 April 2017, Stephen Buck was working at the Bloor Hores Siie, Oxiord Road, Thare. He was stood with his back to & reversing vehicle filling in tickets. The vehicle struck him and pulled him underneath the wheels. Resulting in his death:
Circumstances of the death
Stephen Buck was 58 years old when he died: His home address was near Neath in Wales but he had previously lived and worked in Oxfordshire and had been working for several months on this particular site at Thame. It was a Bloor Homes site for new housing but Mr Buck worked for ECL Ltd who were the sub-contractors undertaking the ground works. Stephen was a ground worker and he had worked in the construction industry for many years. The driver of the which reversed over him was employed by different company called David Einig Ltd, construction haulage company: At the time, Bloor Homes were the principal contractor but the incident occurred on an area where ground works were carried out by ECL and therefore there was a degree of segregation with no works being carried out in the vicinity by Bloor: In the months leading up to this incident there had been about 3 operations t remove spoil from the site as part of the ground works_ The incident occurred near the end of the third 'muck away' operation at a time when the number of trucks on turnaround had reduced from about 20 to only 2_ There was evidential uncertainty about whether Mr Buck was working as banksman/traffic marshal and precisely what his role was and whether he should have been present at the location of the incident. It was established that during this third muck away operation he had previously been given the task of issuing tickets Jury finding lorry being to the David Einig Ltd drivers when they collected loads from the spoil heap, having been loaded by a machine. On the morning of the incident; he was not present when the trucks collected loads on some occasions but he was on others and issued tickets to drivers on occasions when he was present; There is CCTV footage from a rear camera on the truck of the tragic accident: It appears that Mr Buck walked onto the earth track whilst the truck was reversing and he stood stationary for a period of time but with his back to the reversing truck. It appeared he was writing out tickets. It appears he did not see or hear the truck (despite a reversing alarm) prior to the impact. have only provided you with a brief overview. attach however a copy of a brief Police Report dated August 2018, Collision Investigators Report with photographs and a Report from the HSE dated 29 August 2018.
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action

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Report details

Date of report
31 October 2018
Coroner
Darren Salter
Coroner area
Oxfordshire

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 26 Dec 2018 (estimated).

Sent to

Waste Industry Safety & Health Forum

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