Source · Prevention of Future Deaths

Peter Richardson

Ref: 2017-0162 Date: 10 May 2017 Coroner: Simon Wickens Area: Surrey Responses identified: 2 / 7 View PDF

A lack of formal guidance on safe tolerances for critical elements of two-post vehicle lifts and insufficient torque specifications from suppliers creates an ongoing safety risk.

Date 10 May 2017
56-day deadline 12 Oct 2017 est.
Responses identified 2 of 7
Other related deaths

Coroner's concerns

AI summary
A lack of formal guidance on safe tolerances for critical elements of two-post vehicle lifts and insufficient torque specifications from suppliers creates an ongoing safety risk.
View full coroner's concerns
During the course of the inquest the evidence revealed that: a) No formal guidance exists as to safe tolerances of safety critical elements of two-post lifts. The Court heard from two HSE witnesses and a ‘Thorough examiner’ who examined the lift for the purposes of complying with LOLER 1988, who gave differing views on what was a safe tolerance or ‘play’ for an extended lift arm. Further, it was accepted this was an issue of concern to the HSE, but as yet remained to be dealt with. b) The supplier of the Bendpak Lift in the UK, Liftmaster, do not supply guidance as to the required torque for safety critical RT4563

elements of their two-post lifts and neither do they provide guidance on safe tolerance levels. c) Safe tolerance should be considered at a LOLER ‘Thorough Examination’ however there is no guidance to be followed and there is no requirement for such tolerance levels to be recorded and as such the levels are not available to any subsequent examiner. d) Mr Richardson who operated the lift only received training on the specific lift at the point it was installed in 2012. All other users were subsequently trained by him in its use, which was not recorded and all users of the lift were expected to maintain the lift properly. e) It is a known practice for a variety of different objects (for example a piece of wood) to be placed on top of the lift pads between the pad and the vehicle when it is lifted in order to provide clearance and to assist with difficult jobs such as removing a car under-shield.

That consideration be given by (1), (2), (3) and (4) [please see paragraph 1 above] to:

1) Issuing guidance as to safe tolerance levels of safety critical elements on two-post lifts.
2) Implementing a system of recording tolerance and torque levels of all safety critical elements during a ‘Thorough Examination’ of a vehicle lift.
3) Implementing a system for recording such levels for comparison at subsequent examinations.
4) Either advising the industry that the practice of placing foreign objects between the two-post lift pads and the vehicle to provide the necessary clearance should not continue, or advising the industry how to provide such clearance safely when, for example, removing a car under-shield on a Two-post lift.
5) Implementing a system to ensure and to record that those operating a lift have been appropriately trained in its use and its maintenance and that they are periodically retrained.

That consideration be given by (8) to -

1) Providing appropriate and safe torque levels and tolerance levels of safety critical elements on Bendpak two-post lifts and others supplied.

That consideration be given by (5) and (6) to -

1) Implementing a system of recording tolerance and torque levels of all safety critical elements during a ‘Thorough Examination’ of a vehicle lift. RT4563

2) Implementing a system for recording such levels for comparison at subsequent examinations.

That consideration be given by (7) to -

1) Ensuring any member of staff operating a vehicle lift has received sufficient and appropriate training in the use thereof.
2) Ensuring each vehicle lift is checked on a daily basis by an appropriately experienced/trained member of staff and that all such checks are adequately recorded in writing.
3) Ensuring all vehicle lift manuals are available to lift operators at all times whilst at work.
4) Ensuring all vehicle lift operators use the pads made specifically for the lift being used and are instructed not to use any other object between the lift’s pads and the vehicle.)

Responses

2 respondents
Peter Richardson
5 Jul 2017 PDF
Action Taken

HSB issued a technical document instructing surveyors to record pad wear on reports for vehicle lifting tables. They are also working with SAFed to establish a common approach to torque settings assessment, who are liaising with the HSE. (AI summary)

View full response
Dear Ms Church HSB Englneerlng Insurance Servlces Llmlted Chancery Place Re- Mr Peter William RICHARDSON (Deceased) 50 Brown Street Regulation 28 Report to Prevent Future Deaths Manchester M2 2JT wwwhsbellcom Further to your correspondence dated 15th May 2017 containing the Report Registered in England Wales: 03010292 to Prevent Future Deaths (PFD) , please find the response below for both Registered office: HSB Engineering Insurance Services Ltd (HSB) and New London House 6 London Streel with respect to the points raised in the report: London EC3R 7LP Following the recommendations made during the inquest; HSB issued a technical document on the 3rd May 2017 to its engineering surveyors which instructed them to record the pad wear (tolerance) on the report of thorough examination for two post vehicle lifting tables, as suggested in the PFD report: With respect to checking the torque settings, this procedure would normally be considered a maintenance activity and therefore not within the scope of a thorough examination. We have however considered as to whether assessing the torque settings should now be included in the scope of a thorough examination and we feel this should be a consideration for all inspection bodies As such we are working with SAFed, to establish a common approach who in turn are liaising with the HSE to ensure consistency throughout the industry: Therefore the method used by HSB for assessing the pad wear still aligns with that detailed in the HSE SIM 03/2010/02. We would also like to take this opportunity to inform you that Mr Hayward has now left HSB's employment and has a new position which does not involve the thorough examination of motor vehicle lifting tables _ 1866 HSB Engineerlng Insurance and

Page 2 05 2017 Gareth Bendelow Chief Engineer/Technical Director HSB Engineering Insurance We trust this now concludes both HSB and Mr Hayward's individual actions Tel:: +44 (0)845 345 5510 Fax; +44 (0J845 345 5610 with the exception of those now aligned with SAFed.
Health and Safety Executive Regulator / Inspectorate
17 Jul 2017 PDF
Action Planned

The HSE intends to issue additional guidance concerning the inspection of two post ramps by thorough examiners, highlighting the risks and checks needed for the locking mechanism and lateral movement. (AI summary)

View full response
Dear Mr Wickens, Ref: Mr Peter William RICHARDSON (Deceased): Regulation 28 Report In response to our letter dated 17 July 2017,You asked if we could consider further the evidence given by HSE Inspectors at the Inquest and the issues they raised wilh current guidance. We have discussed the concerns further in relation to the thorough examination of two post ramps of this type and note the following: The HSE intends to issue additional guidance concerning the inspection of two post ramps by thorough examiners to highlight the risks in relation to this type of equipment. This will be covered in HSE Operational Guidance, which will be brought to the attention of the various stakeholder groups, namely the inspection industry and will also be publically available on the HSE website The focus of this guidance will be to ensure that during thorough examinations, the examiner checks the main arm does not move inadvertently when the locking mechanism is engaged and checks that the lateral movement, of the fully extended arm's sliding elements, does not exceed the limit set by the version of BS EN 1493 in force at the time of Ihe lift's manufacture: This is in addition to the measures already set out in the letter of the 17lh July: hope this reply is helpful.

Report sections

Investigation and inquest
The inquest into the death of Peter William Richardson was opened on the 4th December 2015 and was resumed on the 24th April 2017 before a jury. It was concluded on 2nd May 2017.

The cause of death was: 1a. Head Injuries

The conclusion of the jury was; Accidental Death
Circumstances of the death
On the 27th September 2015 Mr Richardson was using a Bendpak Two-RT4563

Post vehicle lift on behalf of his employer, West End Garage in order to work underneath a car. Whilst under the car, Mr Richardson was seen on CCTV to be fitting an under-shield. He was towards the rear of the vehicle when the car became dislodged from the lift and fell. The Car fell onto Mr Richardson causing head injuries that were fatal.

The Court heard evidence that the Lift Arm locking mechanisms were either not working at all or were not working as intended so as to allow movement or ‘play’ at the time of the incident. The responsibility for maintaining the lift rested with the operator who received instruction on the lift in 2012 at the point it was fitted, but not subsequently. Instruction manuals relating to this specific lift do not assist with tolerance levels or torque settings for safety critical elements.

The Court heard that under-shields on the Mercedes CLK and other cars present a clearance problem when lifted on two-post lifts as the size of the pad means it can extend onto the under-shield hampering its removal. The Court was told other items such as pieces of wood are often placed on top of the lifting pads in order to gain the clearance that is needed. It was said in evidence that anything placed upon the pad may be held securely by the weight of the vehicle, but could create further instability. Mr Richardson had used rubber blocks from another model of lift on top of the lifting pads at the time of the incident.
Copies sent to
1. Penny Mordaunt, MP. Minister for Disabled People, Health and Work2. Health and Safety Executive3. Safety Assessment FederationSAFed4. The Garage Equipment Association5. West End Garage6. HSB Engineering Insurance Service Ltd8. Liftmaster Ltd

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Report details

Reference
2017-0162
Date of report
10 May 2017
Coroner
Simon Wickens
Coroner area
Surrey

Responses identified

Responses identified 2 of 7
5 responses not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 12 Oct 2017 (estimated).

Sent to

Garage Equipment Association
Health and Safety Executive
HSB Engineering Insurance Services Limited
Liftmaster Ltd
Minister of State for Disabled People, Health and Work
Safety Assessment Federation
West End Garage

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