Source · Prevention of Future Deaths

Shaun Maslin

Ref: 2014-0277 Date: 19 Jun 2014 Coroner: Richard Travers Area: Surrey Responses identified: 1 / 2 View PDF

There are no specific qualifications for pressure testing gas pipelines and a lack of national requirements for regular retraining and re-testing of gas industry operatives.

Date 19 Jun 2014
56-day deadline 14 Aug 2014 est.
Responses identified 1 of 2
Accident at Work and Health and Safety related deaths

Coroner's concerns

AI summary
There are no specific qualifications for pressure testing gas pipelines and a lack of national requirements for regular retraining and re-testing of gas industry operatives.
View full coroner's concerns
During the course of the inquest the evidence revealed matters that gave  rise to a concern that circumstances creating a risk of other deaths will  continue to exist in the future unless action is taken.  

1. By reason of the dangers involved in pressure testing gas  pipelines, consideration should be given to making such tests the  subject of their own specific qualifications. 
2. There is no national requirement for operatives within the gas  industry to be retrained and tested once they have obtained their  initial qualifications. Consideration should be given to imposing a  national requirement that all operatives in the gas industry be  subject to a five yearly review and re‐testing of their qualifications.

Responses

1 respondent
Response
PDF
Action Planned

Energy & Utility Skills proposes a strategic industry standard approach to competence management, including demonstrating initial competence, registering on the EUSR database with a five-year expiry, and mandatory registration of the workforce by infrastructure asset owners. A total registration and competence management system is realistically achievable within two years. (AI summary)

View full response
Surrey Coroner' s Court Matter of Shaun MASLIN (Deceased) Regulation 28 Report - Action to Prevent Future Deaths Energy & Utility Skills Response Background Given the inherent risks associated with the transportation of gas across the whole of the UK, the need for competent workforce is clear and obvious to all: Established initially as a National Training Organisation (NTO) in 1998, and subsequently licensed as a Sector Skills Council when NTO's were replaced in 2003, Energv & Utility Skills (EU Skills) has worked collaboratively with employers to support this important objective: Circumstances of the Specific Incident The Coroner s report highlights the fact that the testing of medium pressure mains is a potentially dangerous activity, and should always be undertaken by competent person following clear procedures: The industry does have well defined procedures for all such activities which, if followed carefully, will mitigate all foreseeable risks for what is a standard procedure for all newly installed gas mains: Training and subsequent assessment of the competences needed to follow procedures and as safely undertake pressure testing is essential, and for many years, workers have been fully trained and assessed to complete these tasks From the report it appears likely that this was not carried out in this case, and so the actual competences held by were not recorded, or well known by those involved in the management of the project: Competence Management The gas industry involves complex range of organisations ranging from the asset infrastructure owners, large multi-utility contracting companies, smaller sub-contract businesses and specialist engineers: Managing the competences needed across this diverse industry in an effective way, requires a strategic industry standard approach that helps all employers ensure that their personnel are properly trained in the first place, and then maintain the necessary competences over time Legislation, Codes of Practice and methods of working do change on a fairly regular basis, sometimes due to improvements in technology, and s0 a mechanism that facilitates the reinforcement of competence on a periodic basis is likely to provide the most comprehensive solution. This approach is recognised in many industries as a robust and cost effective solution and has become the standard in industries where similar hazardous activities are carried out on regular basis. The Construction industry operates a comprehensive Skills Certification Scheme (affiliated with the EU Skills scheme) and similar management system requirements are standard in the Rail and Waste Management industries: In respect of the Gas Distribution Network industry, much ofthe necessary framework already exists to deliver comprehensive approach that could relatively easily be expanded to incorporate all of the requirements highlighted in the report. gas -

Occupational Standards and Qualifications A suite of industry National Occupational Standards (NOS) and vocational qualifications derived from them, has existed since the introduction of NVQs in 1987_ While these standards and qualifications are updated on a regular basis to reflect changes in technology and working practices, offer only a partial solution to the creation and maintenance of a continually competent workforce: perception that a qualification obtained many years ag0, may indicate competence forever, is clearly flawed: The establishment of initial competence, as assessed against clear performance and knowledge criteria, must be re-assessed on a periodic basis if competence is to be maintained on a sustainable basis. Since its creation, EU Skills has developed a number of initiatives that facilitate this. Existing Competence Management Solutions EU Skills operates a comprehensive, internet based, register that enables employers to record the skills, knowledge and authorisations of every operational worker, both directly employed and operating under a contract This register (EUSR Energy and Skills Register) is recognised asa robust and effective mechanism and currently holds over 157000 records from the Energy and Utility Sector. More information about EUSR and its operation may be found on WWW eusr COuk EUSR operates asan industry voluntary basis and has no statutory mandate. However, despite this, the number of employers using the EUSR continues to increase on an annual basis and indicates that many employers value the register and its capability to help them manage the competence of their, often mixed direct and indirect; employee workforce. Three types of "scheme" are hosted on the EUSR register (i) Safety, Health and Environmental Awareness (SHEA) across the range of specific industries both within the EU Skills sector and external to it (ii) Job Role specific Competences that require the evidence of a recognised qualification, and (iii) Permits and authorisations given by asset owners for individuals to carry out certain tasks, or enter specific sites A recent enhancement of EUSR has been the introduction of a "Reference Scheme" for Gas Distribution Network asset owners that facilitates the placement of a securely protected on an individual'$ record, should that individual operate in a manner that breaches established safety procedures: This mechanism, developed in collaboration with National Grid, is a radical and unique innovation and required significant careful planning to ensure legal compliance and the support of the Information Commissioner Certain employers (those subject to the Gas (Safety) Installation and Use Regulations
1998) are required to be Gas Safe Registered and their emplovees subject to re-assessment of their gas safety competences, on year While an external centre based assessment model has operated for many vears, a new Group Competence Scheme (GCS) recently been introduced that enables the employer, in line with their general obligations under the Health and Safety at Work Act (H&SWA) to demonstrate the ongoing competence of their workforce, via robust management system that is externally audited and certificated_ The advantage of this approach is that it enables employers that operate across a broader range of activities with some not covered by the Gas Safe Register requirements, to incorporate all the necessary competence requirements within single competence management system_ This GCS is fully aligned to the Gas Safe Register requirements and has been supported by the industry Management Board that includes the HSE, Gas Safe Register and UKAS Accredited Certification Bodies. gas they Any Utility "flag" gas five cycle. has

Comments on Actions to Prevent Future Deaths Having been involved in the drive to improve and maintain skills and competence across the energy and utility sector for many years the issues may, in my opinion, be summarised as follows_ The requirement for all employees to demonstrate initial competence to carry out job role activities, by assessment against an industry standard is essential. This achievement of Energy and industry recognised competence should be registered on the EUSR national database with an expiry date of no more than five years. An assessment of continued competence, based on objective evidence against an industry standard, should be carried out by the employer and used for re-registration upon the five year expiry It should be mandatory for all energy and sector infrastructure asset owners to register their workforce, both direct and indirect, on EUSR. when all workers are registered, can the full benefits of, for example, the Referencing Scheme be realised across the industries: Timescale A comprehensive outcome, in line with the comments above, could be introduced very quickly, given that most ofthe infrastructure and systems capability already exists. With many of the emplovers involved (but not all) already embracing both EUSR and the concept of increased "employer ownership of skills"_ a move to a total registration and competence management system is realistically achievable within two years. Conclusion Much of what is needed to prevent future incidents and deaths within the energy and utilities sector is already in place, but operates without statutory backing: As result, employer participation is optional and creates gaps in the potential information that could be made available to all employers and key agencies: Closing these gaps would reinforce the effectiveness of the register, and offer significant contribution to the management of competence EU Skills remains committed to providing solutions that help employers meet their skills and competence requirements, and would be happy to discuss the content of this response further with the Coroner, the Department for Business and Skills or other stakeholders as required: key Utility utility Only

Report sections

Investigation and inquest
The inquest into Shaun Maslin’s death was opened on the 25th October  2011 and was resumed on 12th June 2014 with a jury. It was concluded on  18th June 2014.  The jury found that the cause of death was:       1a: Multiple Injuries, including spinal cord laceration at the base of  the brain.  They concluded with the short form conclusion:  Accidental Death.
Circumstances of the death
On the morning of the 21st October 2011, Mr MASLIN was working with  his team of two men, on a gas main situated adjacent to the A30 between  the M25 and the Crooked Billet roundabout in Staines, Surrey. During the  course of the morning Mr Maslin proceeded to undertake a medium  pressure test on the part of the pipeline which crossed the river Colne, it  was known as the ‘River Crossing’. The works formed part of the NLGA  7600 project which was concerned with the replacement of the  RT4079 Twickenham medium pressure gas main. That project formed part of a  larger project being undertaken by the North London Gas Alliance which  was made up of National Grid Gas plc and Skanska plc. The Alliance had  subcontracted work to a company by the name of RBS Utilities and that  company had in turn sub‐contracted some of the work to Mr Maslin’s  company SM Plant Hire Ltd. The pressure test had not been authorised  under the NLGA’s Safe Control of Operations procedures and it was  conducted in a manner that did not comply with the NLGA’s practice  requirements. The jury concluded that, despite the above, there was  agreement that the pressure test should be undertaken. During the course  of the test and whilst the pipe was under pressure, the bracing which had  been fitted by Mr Maslin broke with the result that one of the one of the  end caps that had been fitted by Mr Maslin came away and struck Mr  Maslin causing him the injuries from which he subsequently died. He  was pronounced dead at the scene at about 12.00 hours that same day.  During the evidence it became apparent that Mr Maslin did not have the  necessary qualifications / competences to undertake this type of medium  pressure, but no one in the management chain were not aware of that.  Further, the evidence demonstrated that pressure testing a pipe at all  levels, including low and medium pressure, was in itself a very  dangerous task, particularly, if it was undertaken without proper safety  precautions being in place.
Copies sent to
Irwin MitchellNational Grid Gas plcSkanska UK plcKennedys LawRBS Utilities, Beachcroft SolicitorsAviva on behalf of SM Plant Hire Ltd‐ DWFHealth and safety ExecutiveSignedRichard TraversDATED this 19th day of June 2014

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Report details

Reference
2014-0277
Date of report
19 June 2014
Coroner
Richard Travers
Coroner area
Surrey

Responses identified

Responses identified 1 of 2
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 14 Aug 2014 (estimated).

Sent to

Department of Business, Innovations and Skills
Energy and Utilities Skills

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