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COSH 2011@KLCC

The Importance of Risk Assessment
     in Preparing ERP for SMEs
             19.07.2011
      Dr. Mohd Rafee Baharudin
The government aims to reduce the workplace
accident rate to THREE (3) cases for each 1,000
workers by 2020 compared to the (SIX (6) cases
per 1,000 workers at present (2010).

             DG of DOSH: Datuk Dr Johari Basri.
50000

                             43,885
                     45000
                                      40,617
                     40000                     38,657

                                                        35,092   34,394
                     35000
Number of accident




                     30000


                     25000
                                                                 20814    commuting
                                                        19041
                     20000   17297    17704    17682                      industrial


                     15000


                     10000


                     5000


                        0
                             2005     2006     2007     2008     2009
                                               Year




                                                                                       3
CAUSE OF ACCIDENTS
UNSAFE ACTS & UNSAFE CONDITIONS
              80%
          UNSAFE ACTS
              14%
      UNSAFE CONDITIONS
               4%
              AOG
               2%
Emergency (NFPA)
• A serious situation or occurrence that happens
  unexpectedly and demands immediate action.

• A fire, explosion, or hazardous condition that poses
  an immediate threat to the safety of life or damage
  to property.
Major accident
• means an occurrence including a major
  emission, fire, or explosion resulting from an
  uncontrolled development in an industrial activity
  that leads to serious danger to persons (immediate
  or delayed) inside or outside of the facility, to the
  environment, and involving one or more hazardous
  substances.

                OSH(Control of Industrial Major Accident Hazards) Reg. 1996
BRIGHT
SPARKLES
  Sungai Buloh
  7th MAY 1991
Port Klang
  1992
BINTULU 1997
Disaster
• an incident that occurs in a sudden
  manner, complex in nature, resulting in the loss
  of lives, damages to property or the environment
  as well as affecting the daily activities of the local
  community

• requires the handling of
  resources, equipment, frequency and extensive
  manpower from various agencies as well as
  effective coordination
                           adapted: Directive No. 20
Known Disaster in Malaysia
Year           Location                     Event Type           Fatality Injury     Evacuated
1988          Butterworth, Penang                  Jetty collapse 32       1674          -
1991         Sungai Buloh, Selangor               Fire/Explosion    22     103            -
1992           Port Klang, Selangor               Fire/Explosion    10      -             -
1993          Hulu Kelang, Selangor             Building collapse   48      -             -
1995               Genting, Pahang                     Landslide    20     22             -
1996               Genting, Pahang                Road Accident     17      -             -
1996             Pos Dipang, Perak                     Mud slide    44      -             -
                                                                                    4925 homes
1996             West Coast, Sabah    Tropical storm/ Ribut GREG    230     -
                                                                                     destroyed-
1997                 Sibu, Sarawak     Virus Outbreak/Coxsackie     25      -             -
1998         Nation wide, Malaysia                          Haze     ?      ?            ?
2004     Northern Coastal, Malaysia                     Tsunami     68      -        13 villages
2006         Nation wide, Malaysia                          Haze     ?      ?            ?

2008   Bukit Antarabangsa, Selangor                    Landslide    5      13      3000 residents
HIGHLAND
 TOWERS
  11th DECEMBER 1993
Bukit Antarabangsa
Emergency                             Disaster




            Emergency or Disaster ?
Objectives Of ERP

• MINIMIZE personal
  injury, property & environment
  DAMAGE
• Provide immediate resumption of
  NORMAL OPERATIONS
• Provide a basis for TRAINING &
  increasing PREPAREDNESS ability
  for all personnel and community
  affected by the event
• Meet LEGISLATIVE requirement.
Purpose of ERP

• The purpose:
   – To LOCALIZE the emergency within
     the site
   – To MINIMIZE the effects of the
     incidence on people, community
     and property within the site
   – To ensure effective and efficient
     COOPERATION AND COORDINATION
     amongst Authority Having
     Jurisdiction (AHJ), community and
     the affected site.
Advantages of ERP

• Provide “guidance” on        Is this person
  actions to be taken to          trained??
  organize personnel and
  resources during
  emergency
• Ensuring emergency
  equipment is
  maintained, ready for use.
• Personnel and community
  are TRAINED and prepared
Advantages of ERP (cont.)
• Provide:
   – Clear identification of the site
   – Potential hazard
   – Safe Entry and Exit route for Responding Agencies and evacuation of
      affected community
• Coordinate the responses of on-site and off-site emergency services
   – Multi-Jurisdictional cooperation and coordination
   – Community/local ERT support
Stages of an Emergency
                  1st Emergency Level
                        Trigger

                          escalation?        End of
 incident                                  emergency
  trigger
       minutes   hours        days          months

PRE-EMERGENCY            EMERGENCY

                                        RECOVERY
                         EMERGENCY
                     LEVELS
                                                   Time
Levels of Emergencies
Depends on severity of the incident and capability of the
 organisation
• Level 1
   If within the capabilities of the organisation


•    Level 2
    If external assistance is required: mutual aid, district or other
    agencies. MKN Arahan 20 may apply.


• Level 3
   State or National Disaster. MKN Arahan 20 takes over.
Effective ERP Preparedness
           High Response                Response Effort
    High      Success
S
                                              Consequences
E

V

E
                           OBJECTIVE
R

I

T
                                                  Low Response
Y
                                                     Success
    Low

                                                    Time Lapse
            Incident Begins
Lifeline service:
Maximum timeframe for loss of service
•   Electricity      8-10 hours
•   Gas              24 hours
•   Water            2-4 hours
•   Sewage           2-4 hours
•   Rail             24 hours
•   Road             2 hours
•   Communications   8-12 hours
Basic concepts

Hazard (MS 1722:2003)
  A source or a situation with a potential for harm
  in terms of human injury or ill health, damage to
  property, damage to the environment or a
  combination of these.

Danger
  Danger is the relative exposure to a hazard. A
  hazard may be present but there may be little
  danger because of control measures taken.
• Risk means a combination of the likelihood of
  an occurrence of a hazardous event with
  specified period or in specified circumstances
  and the severity of injury or damage to the
  health of people, property, environment or
  any combination of these caused by the event.
• Risk assessment means the process of
  evaluating the risks to safety and health
  arising from hazards at work.

• Risk management means the total procedure
  associated with identifying a hazard, assessing
  the risk, putting in place control
  measures, and reviewing the outcomes.
Risk life cycle
Risk is present in every aspect of the life cycle
of a facility. Therefore it requires us to identify
the risks in every phase of the life cycle and
develop methods to manage them.

.
Types of Risk Assessment
Quantitative                              Qualitative
Scientific studies & measurements         Semi-quantitative or non scientific
Comparison of results with limit values   Judgment decisions with technical
                                          knowledge
Occupational hygiene, noise, structural   Professional and personal
design, ergonomics etc.                   experiences/biases
                                          Extremely subjective
                                          Personal and individual variations
                                          May not be bought in to by any medium
                                          to large scale organization
                                          Probability and consequence model
Choose the correct R.A.M
Slightly harmful        Harmful           Extremely
                                                              harmful

Highly unlikely   Trivial Risk        Tolerable Risk     Moderate Risk

Unlikely          Tolerable Risk      Moderate Risk      Substantial Risk

Likely            Moderate Risk       Substantial Risk   Intolerable Risk




                                         British Standard BS 8800
Three categories of harm
• Slight Harm: Harm that is of a temporary
  nature, e.g. headache or muscle strain that
  dissipates.
• Harm : Harm that results in permanent minor
  disability, e.g. slight deafness, small reductions
  in lung function, minor back problems.
• Extreme harm : Premature death or
  permanent major disability.
Risk Level                           Description
Trivial       No action nor documentary records needed - but good
              practice to record the assessment
Tolerable     Improvement not mandatory, but record and monitoring
Risk          required to ensure controls are maintained. Go for cheap
              improvements where possible.
Moderate      Aim to reduce risk but costs of prevention may be limited.
Risk          Measures should be tied to a timetable
Substantial   Where the risk involves work in progress urgent action
Risk          should be taken otherwise work should not start until the
              risk has been reduced. Considerable resources may have
              to be allocated.
Intolerable   Work should not be started or continued until the risk has
Risk          been reduced. If it is not possible to reduce risk even with
              unlimited resources work has to remain prohibited.
Severity Index   Description
      4          Fatality & Permanent Disability
      3          > 4 days MC
      2          < 4 days MC
      1          First aid cases



Severity Index   Description
      4          Fatality
      3          Permanent Disability
      2          Temporary Disability
      1          First aid cases
Likelihood
Severity
Hazard(s)   Effect   Likelihood   Severity   Risk
             Fire        1           5
                         2           4
                         3           3
                         4           2
                         5           1
Some criteria for assessing risk
                treatment options
Criteria                Questions
Cost                    Is this option affordable? Is it the most cost-effective?
Timing                  Will the beneficial effects of this option be quickly
                        realised?
Leverage                Will the application of this option lead to further risk-
                        reducing actions by others?
Administrative          Can this option be easily administered or will its
efficiency              application be neglected because of difficulty of
                        administration or lack of expertise?
Continuity of effects   Will the effects of the application of this option be
                        continuous or merely short-term?
Criteria                     Questions
Compatibility                How compatible is this option with others that may be
                             adopted?
Jurisdictional authority     Does this level of government have the legislated
                             authority to apply this option? If not, can higher levels
                             be encouraged to do so?
Effects on the economy       What will be the economic impacts of this option?

Effects on the environment   What will be the environmental impacts of this option?

Risk creation                Will this option itself introduce new risks?

Equity                       Do those responsible for creating the risk pay for it’s
                             reduction?
                             When the risk is not man-made, is the cost fairly
                             distributed?
Criteria                    Questions
Risk reduction potential    What proportion of the losses due to this risk will
reaction                    this option prevent?
Political acceptability     Is this option likely to be endorsed by the relevant
                            governments?

Public and pressure group   Are there likely to be adverse reactions to
                            implementation of this option?

Individual freedom          Does this option deny basic rights?
Don 't have a spoon?
   I can fix that!
Seatbelt broken?
  I can fix that!
New TV too big for the old cabinet?
          I can fix that!
Room too dark using compact
 fluorescents? I can fix that!
Electrical problem?
   I can fix that!
Car stereo stolen?
  I can fix that!
Can't afford a real GPS?
     I can fix that!
Can't read the ATM screen?
        I can fix that!
Car imported from the wrong country?
            I can fix that!
Satellite go out in the rain? I can fix
    that! (TAKE THAT ASTRO!)
Electric stove broken & can't heat
        coffee? I fixed that
Wiper motor burned out?
     I can fix that!
Display rack falling over?
      I can fix that!
Tires worn out? I fixed that. Might be a
          little hard to steer.
Desk overloaded?
  I can fix that!
Car can't be ordered with the "Woody"
         option? I can fix that!
Exhaust pipe dragging?
    I can fix that!
Gotta feed the baby AND do the laundry
    at the same time? I can fix that!
Cables falling behind the desk?
         I can fix that!
No skate park in town?
    I can fix that!
BEST of ALL!
Out of diapers? I can fix that too!
Training Cost
    Course         Fee
1   SHO                   4,000.00
2   CHRA                  4,700.00
3   OFA                    850.00
4   Confined
    Space                  850.00
5   Scaffolding           5,000.00
6   ERP                    800.00
7   OSHA                   800.00
8   FMA                   1,200.00
                         18,200.00
Estimating Accident Cost
• Annual number of temporary disablement
  injuries ____ x RM1,431.62 =________
• Annual number of permanent disablement
  injuries ____ x RM21,473.75 = ________
• Annual number of fatality injuries ____ x
  RM446,440.01 = ________
Cost of fatality injuries
                  Daily       Age         Prod.       Amount
                  Rate        Died         Age         (RM)




     Mean (SD)        53.23       32.54       22.46      1112.06
                    (24.39)     (10.42)     (10.42)      (878.16)




   Median (IQR)       43.00       29.00       26.00        505.02
                    (46.75)     (17.50)     (17.50)     (1539.52)
                     23.50       18.00         6.00       288.10
      Minimum
                     88.50       49.00       37.00       2708.05
     Maximum
                     65.00       31.00       31.00       2419.95
         Range
Response
• Response encompasses the decisions and
  actions taken to deal with the immediate
  effects of an emergency.
• Response encompasses the effort to deal not
  only with the direct effects of the emergency
  itself (e.g. fighting fires, rescuing individuals)
  but also the indirect effects (e.g. disruption,
  media interest).
Fastest Response Time
• Effective use of resources
• Integrating transportation system and
  emergency management system
• Decide the type and number of response units
  to send to the scene
• Minimize delays in response time
• Maximize emergency response resources
Ambulance response time (ART)
• ART and emergency medical dispatcher
  program: a study in Kelantan, Malaysia
  – 913.2 +/- 276.5 seconds
  (J Trop Med Public Health. 2008 Nov;39(6):1150-4)
National Fire Protection Association's
              (NFPA) 1710
• On all EMS calls, the NFPA 1710 standard
  establishes a turnout time of one minute, and
  four minutes or less for the arrival of a unit
  with first responder or higher level capability
  at an emergency medical incident. This
  objective should be met 90% of the time.
Basic Elements of Emergency Preparedness
        and Response Management

1: Organise emergency management team
2: Identify the accident scenarios and emergency
   consequences
3: Identify resources, equipment and facilities
4: Develop plans and procedures
5: Train, drill and exercise
6: Review system
                                             128
Drill
• An exercise involving a credible simulated
  emergency that requires personnel to perform
  emergency response operations for the
  purpose of evaluating the effectiveness of the
  training and education programs and the
  competence of personnel in performing
  required response duties and functions.
ICS
Guiding Principles
An emergency will be determined by a range of
factors which will include:
• the nature and demands of the emergency,
  specifically context,
• geographical extent, duration, complexity and
  potential impacts;
• local experience and the designated lead agency;
• local circumstances, priorities and experience;
  and whether or not there is regional, national or
  international involvement in the response and
  recovery effort.
Framework for Understanding the
     Impact of Emergencies
Recovery
Structures and Organisations
The Management
      of the Emergency Response
• Concepts of Command, Control and Co-
  ordination

• Command is the exercise of vested authority
  that is associated with a role or rank within an
  organisation, to give direction in order to
  achieve defined objectives.
• Control is the application of authority,
  combined with the capability to manage
  resources, in order to achieve defined
  objectives. Some organisations define
  command and control together, but the key
  element of control is the combination of
  authority with the means to ensure command
  intent is communicated and results monitored
• Co-ordination is the integration of multi-
  agency efforts and available capabilities,
  which may be interdependent, in order to
  achieve defined objectives. The co-ordination
  function will be exercised through control
  arrangements, and requires that command of
  individual organisations’ personnel and assets
  is appropriately exercised in pursuit of the
  defined objectives.
IT’S ALL GOD’S WILL…
BUT EFFORT MUST BE DONE.
Thank You

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The Importance of Risk Assessment In Preparing ERP For SMEs by Dr Mohd Rafee Ibrahim

  • 1. COSH 2011@KLCC The Importance of Risk Assessment in Preparing ERP for SMEs 19.07.2011 Dr. Mohd Rafee Baharudin
  • 2. The government aims to reduce the workplace accident rate to THREE (3) cases for each 1,000 workers by 2020 compared to the (SIX (6) cases per 1,000 workers at present (2010). DG of DOSH: Datuk Dr Johari Basri.
  • 3. 50000 43,885 45000 40,617 40000 38,657 35,092 34,394 35000 Number of accident 30000 25000 20814 commuting 19041 20000 17297 17704 17682 industrial 15000 10000 5000 0 2005 2006 2007 2008 2009 Year 3
  • 4. CAUSE OF ACCIDENTS UNSAFE ACTS & UNSAFE CONDITIONS 80% UNSAFE ACTS 14% UNSAFE CONDITIONS 4% AOG 2%
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Emergency (NFPA) • A serious situation or occurrence that happens unexpectedly and demands immediate action. • A fire, explosion, or hazardous condition that poses an immediate threat to the safety of life or damage to property.
  • 12. Major accident • means an occurrence including a major emission, fire, or explosion resulting from an uncontrolled development in an industrial activity that leads to serious danger to persons (immediate or delayed) inside or outside of the facility, to the environment, and involving one or more hazardous substances. OSH(Control of Industrial Major Accident Hazards) Reg. 1996
  • 13. BRIGHT SPARKLES Sungai Buloh 7th MAY 1991
  • 14.
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  • 20. Port Klang 1992
  • 21.
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  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Disaster • an incident that occurs in a sudden manner, complex in nature, resulting in the loss of lives, damages to property or the environment as well as affecting the daily activities of the local community • requires the handling of resources, equipment, frequency and extensive manpower from various agencies as well as effective coordination adapted: Directive No. 20
  • 37.
  • 38. Known Disaster in Malaysia Year Location Event Type Fatality Injury Evacuated 1988 Butterworth, Penang Jetty collapse 32 1674 - 1991 Sungai Buloh, Selangor Fire/Explosion 22 103 - 1992 Port Klang, Selangor Fire/Explosion 10 - - 1993 Hulu Kelang, Selangor Building collapse 48 - - 1995 Genting, Pahang Landslide 20 22 - 1996 Genting, Pahang Road Accident 17 - - 1996 Pos Dipang, Perak Mud slide 44 - - 4925 homes 1996 West Coast, Sabah Tropical storm/ Ribut GREG 230 - destroyed- 1997 Sibu, Sarawak Virus Outbreak/Coxsackie 25 - - 1998 Nation wide, Malaysia Haze ? ? ? 2004 Northern Coastal, Malaysia Tsunami 68 - 13 villages 2006 Nation wide, Malaysia Haze ? ? ? 2008 Bukit Antarabangsa, Selangor Landslide 5 13 3000 residents
  • 39. HIGHLAND TOWERS 11th DECEMBER 1993
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53. Emergency Disaster Emergency or Disaster ?
  • 54. Objectives Of ERP • MINIMIZE personal injury, property & environment DAMAGE • Provide immediate resumption of NORMAL OPERATIONS • Provide a basis for TRAINING & increasing PREPAREDNESS ability for all personnel and community affected by the event • Meet LEGISLATIVE requirement.
  • 55. Purpose of ERP • The purpose: – To LOCALIZE the emergency within the site – To MINIMIZE the effects of the incidence on people, community and property within the site – To ensure effective and efficient COOPERATION AND COORDINATION amongst Authority Having Jurisdiction (AHJ), community and the affected site.
  • 56. Advantages of ERP • Provide “guidance” on Is this person actions to be taken to trained?? organize personnel and resources during emergency • Ensuring emergency equipment is maintained, ready for use. • Personnel and community are TRAINED and prepared
  • 57. Advantages of ERP (cont.) • Provide: – Clear identification of the site – Potential hazard – Safe Entry and Exit route for Responding Agencies and evacuation of affected community • Coordinate the responses of on-site and off-site emergency services – Multi-Jurisdictional cooperation and coordination – Community/local ERT support
  • 58. Stages of an Emergency 1st Emergency Level Trigger escalation? End of incident emergency trigger minutes hours days months PRE-EMERGENCY EMERGENCY RECOVERY EMERGENCY LEVELS Time
  • 59. Levels of Emergencies Depends on severity of the incident and capability of the organisation • Level 1 If within the capabilities of the organisation • Level 2 If external assistance is required: mutual aid, district or other agencies. MKN Arahan 20 may apply. • Level 3 State or National Disaster. MKN Arahan 20 takes over.
  • 60. Effective ERP Preparedness High Response Response Effort High Success S Consequences E V E OBJECTIVE R I T Low Response Y Success Low Time Lapse Incident Begins
  • 61. Lifeline service: Maximum timeframe for loss of service • Electricity 8-10 hours • Gas 24 hours • Water 2-4 hours • Sewage 2-4 hours • Rail 24 hours • Road 2 hours • Communications 8-12 hours
  • 62. Basic concepts Hazard (MS 1722:2003) A source or a situation with a potential for harm in terms of human injury or ill health, damage to property, damage to the environment or a combination of these. Danger Danger is the relative exposure to a hazard. A hazard may be present but there may be little danger because of control measures taken.
  • 63.
  • 64.
  • 65. • Risk means a combination of the likelihood of an occurrence of a hazardous event with specified period or in specified circumstances and the severity of injury or damage to the health of people, property, environment or any combination of these caused by the event.
  • 66. • Risk assessment means the process of evaluating the risks to safety and health arising from hazards at work. • Risk management means the total procedure associated with identifying a hazard, assessing the risk, putting in place control measures, and reviewing the outcomes.
  • 67. Risk life cycle Risk is present in every aspect of the life cycle of a facility. Therefore it requires us to identify the risks in every phase of the life cycle and develop methods to manage them. .
  • 68. Types of Risk Assessment Quantitative Qualitative Scientific studies & measurements Semi-quantitative or non scientific Comparison of results with limit values Judgment decisions with technical knowledge Occupational hygiene, noise, structural Professional and personal design, ergonomics etc. experiences/biases Extremely subjective Personal and individual variations May not be bought in to by any medium to large scale organization Probability and consequence model
  • 70. Slightly harmful Harmful Extremely harmful Highly unlikely Trivial Risk Tolerable Risk Moderate Risk Unlikely Tolerable Risk Moderate Risk Substantial Risk Likely Moderate Risk Substantial Risk Intolerable Risk British Standard BS 8800
  • 71. Three categories of harm • Slight Harm: Harm that is of a temporary nature, e.g. headache or muscle strain that dissipates. • Harm : Harm that results in permanent minor disability, e.g. slight deafness, small reductions in lung function, minor back problems. • Extreme harm : Premature death or permanent major disability.
  • 72. Risk Level Description Trivial No action nor documentary records needed - but good practice to record the assessment Tolerable Improvement not mandatory, but record and monitoring Risk required to ensure controls are maintained. Go for cheap improvements where possible. Moderate Aim to reduce risk but costs of prevention may be limited. Risk Measures should be tied to a timetable Substantial Where the risk involves work in progress urgent action Risk should be taken otherwise work should not start until the risk has been reduced. Considerable resources may have to be allocated. Intolerable Work should not be started or continued until the risk has Risk been reduced. If it is not possible to reduce risk even with unlimited resources work has to remain prohibited.
  • 73. Severity Index Description 4 Fatality & Permanent Disability 3 > 4 days MC 2 < 4 days MC 1 First aid cases Severity Index Description 4 Fatality 3 Permanent Disability 2 Temporary Disability 1 First aid cases
  • 76. Hazard(s) Effect Likelihood Severity Risk Fire 1 5 2 4 3 3 4 2 5 1
  • 77.
  • 78. Some criteria for assessing risk treatment options Criteria Questions Cost Is this option affordable? Is it the most cost-effective? Timing Will the beneficial effects of this option be quickly realised? Leverage Will the application of this option lead to further risk- reducing actions by others? Administrative Can this option be easily administered or will its efficiency application be neglected because of difficulty of administration or lack of expertise? Continuity of effects Will the effects of the application of this option be continuous or merely short-term?
  • 79. Criteria Questions Compatibility How compatible is this option with others that may be adopted? Jurisdictional authority Does this level of government have the legislated authority to apply this option? If not, can higher levels be encouraged to do so? Effects on the economy What will be the economic impacts of this option? Effects on the environment What will be the environmental impacts of this option? Risk creation Will this option itself introduce new risks? Equity Do those responsible for creating the risk pay for it’s reduction? When the risk is not man-made, is the cost fairly distributed?
  • 80. Criteria Questions Risk reduction potential What proportion of the losses due to this risk will reaction this option prevent? Political acceptability Is this option likely to be endorsed by the relevant governments? Public and pressure group Are there likely to be adverse reactions to implementation of this option? Individual freedom Does this option deny basic rights?
  • 81. Don 't have a spoon? I can fix that!
  • 82. Seatbelt broken? I can fix that!
  • 83. New TV too big for the old cabinet? I can fix that!
  • 84. Room too dark using compact fluorescents? I can fix that!
  • 85. Electrical problem? I can fix that!
  • 86. Car stereo stolen? I can fix that!
  • 87. Can't afford a real GPS? I can fix that!
  • 88. Can't read the ATM screen? I can fix that!
  • 89. Car imported from the wrong country? I can fix that!
  • 90. Satellite go out in the rain? I can fix that! (TAKE THAT ASTRO!)
  • 91. Electric stove broken & can't heat coffee? I fixed that
  • 92. Wiper motor burned out? I can fix that!
  • 93. Display rack falling over? I can fix that!
  • 94. Tires worn out? I fixed that. Might be a little hard to steer.
  • 95. Desk overloaded? I can fix that!
  • 96. Car can't be ordered with the "Woody" option? I can fix that!
  • 97. Exhaust pipe dragging? I can fix that!
  • 98. Gotta feed the baby AND do the laundry at the same time? I can fix that!
  • 99. Cables falling behind the desk? I can fix that!
  • 100. No skate park in town? I can fix that!
  • 101. BEST of ALL! Out of diapers? I can fix that too!
  • 102.
  • 103.
  • 104.
  • 105.
  • 106.
  • 107.
  • 108.
  • 109.
  • 110.
  • 111.
  • 112.
  • 113.
  • 114.
  • 115.
  • 116. Training Cost Course Fee 1 SHO 4,000.00 2 CHRA 4,700.00 3 OFA 850.00 4 Confined Space 850.00 5 Scaffolding 5,000.00 6 ERP 800.00 7 OSHA 800.00 8 FMA 1,200.00 18,200.00
  • 117. Estimating Accident Cost • Annual number of temporary disablement injuries ____ x RM1,431.62 =________ • Annual number of permanent disablement injuries ____ x RM21,473.75 = ________ • Annual number of fatality injuries ____ x RM446,440.01 = ________
  • 118.
  • 119. Cost of fatality injuries Daily Age Prod. Amount Rate Died Age (RM) Mean (SD) 53.23 32.54 22.46 1112.06 (24.39) (10.42) (10.42) (878.16) Median (IQR) 43.00 29.00 26.00 505.02 (46.75) (17.50) (17.50) (1539.52) 23.50 18.00 6.00 288.10 Minimum 88.50 49.00 37.00 2708.05 Maximum 65.00 31.00 31.00 2419.95 Range
  • 120.
  • 121.
  • 122. Response • Response encompasses the decisions and actions taken to deal with the immediate effects of an emergency. • Response encompasses the effort to deal not only with the direct effects of the emergency itself (e.g. fighting fires, rescuing individuals) but also the indirect effects (e.g. disruption, media interest).
  • 123. Fastest Response Time • Effective use of resources • Integrating transportation system and emergency management system • Decide the type and number of response units to send to the scene • Minimize delays in response time • Maximize emergency response resources
  • 124.
  • 125.
  • 126. Ambulance response time (ART) • ART and emergency medical dispatcher program: a study in Kelantan, Malaysia – 913.2 +/- 276.5 seconds (J Trop Med Public Health. 2008 Nov;39(6):1150-4)
  • 127. National Fire Protection Association's (NFPA) 1710 • On all EMS calls, the NFPA 1710 standard establishes a turnout time of one minute, and four minutes or less for the arrival of a unit with first responder or higher level capability at an emergency medical incident. This objective should be met 90% of the time.
  • 128. Basic Elements of Emergency Preparedness and Response Management 1: Organise emergency management team 2: Identify the accident scenarios and emergency consequences 3: Identify resources, equipment and facilities 4: Develop plans and procedures 5: Train, drill and exercise 6: Review system 128
  • 129. Drill • An exercise involving a credible simulated emergency that requires personnel to perform emergency response operations for the purpose of evaluating the effectiveness of the training and education programs and the competence of personnel in performing required response duties and functions.
  • 130. ICS
  • 131. Guiding Principles An emergency will be determined by a range of factors which will include: • the nature and demands of the emergency, specifically context, • geographical extent, duration, complexity and potential impacts; • local experience and the designated lead agency; • local circumstances, priorities and experience; and whether or not there is regional, national or international involvement in the response and recovery effort.
  • 132. Framework for Understanding the Impact of Emergencies
  • 134. The Management of the Emergency Response • Concepts of Command, Control and Co- ordination • Command is the exercise of vested authority that is associated with a role or rank within an organisation, to give direction in order to achieve defined objectives.
  • 135. • Control is the application of authority, combined with the capability to manage resources, in order to achieve defined objectives. Some organisations define command and control together, but the key element of control is the combination of authority with the means to ensure command intent is communicated and results monitored
  • 136. • Co-ordination is the integration of multi- agency efforts and available capabilities, which may be interdependent, in order to achieve defined objectives. The co-ordination function will be exercised through control arrangements, and requires that command of individual organisations’ personnel and assets is appropriately exercised in pursuit of the defined objectives.
  • 137.
  • 138.
  • 139.
  • 140. IT’S ALL GOD’S WILL… BUT EFFORT MUST BE DONE.
  • 141.