MEM 603 OCCUPATIONAL SAFETY AND HEALTH

INDIVIDUAL ASSIGNMENT

CASE STUDY
FALLING FROM HEIGHT

NAME : MUHAMMAD HADRAMI BIN HAMDAN

ID NO. : 2015135647
CLASS : EMD7M3A

SUBMIT TO : DR. ALIAS MOHD SAMAN

SUBMIT DATE : 25TH JUNE 2018

1
Abstract

Accidents in factories are common and take place loads in this modern age. Many cases
concerning death falling from top is pronounced. Additionally, accident research is essential,
and the steps taken are proven. Preventions from such cases are presented. To prevent such
accident takes place, professional ethics are broken and analyse to ensure the issues can be
solved. Therefore, the ethical principles, professional ethics, responsibilities, norms of
engineering practice accompanied and committed to make sure protection to all worker.

2
TABLE CONTENTS:
1 Introduction .................................................................................................................................... 5
2 PART A: ACCIDENT INVESTIGATION ................................................................................................ 7
2.1 Dealing with immediate risk ................................................................................................... 7
2.2 Select level of investigation .................................................................................................... 7
2.3 Investigation event ................................................................................................................. 7
2.3.1 Develop a plan ................................................................................................................ 8
2.3.2 Assemble an investigation kit ......................................................................................... 8
2.3.3 Investigate all incidents and accidents immediately ...................................................... 9
2.3.4 Collecting the facts ........................................................................................................ 10
2.3.5 Interview witnesses ...................................................................................................... 10
2.4 Record and analysis result .................................................................................................... 14
2.4.1 Analyse from the interview data ................................................................................... 15
2.4.2 Chronology of the accident from the witness story: ..................................................... 16
2.4.3 Result from the investigation ........................................................................................ 17
2.4.4 Completed report form of accident at the factory of PIPELINEZ .................................. 18
2.5 Review process...................................................................................................................... 22
3 PART B (SUGGESTION FOR PREVENTIVE ACTIONS) ...................................................................... 23
3.4 Administrative control to prevent height accident .............................................................. 23
3.4.4 Awareness ..................................................................................................................... 23
3.4.5 Safety instructor on working and observing the mobile crane..................................... 24
3.4.6 Alerting using siren and speaker ................................................................................... 24
3.5 Engineering hierarchy of control .......................................................................................... 25
3.5.4 Barrier ........................................................................................................................... 25
3.5.5 sperate flow path ........................................................................................................... 25
3.5.6 PPE for working on heights .......................................................................................... 25
4 PART C (ETHICAL PRINCIPLES AND PROFESSIONAL ETHICS) ......................................................... 27
4.1 No supervisor support on controlling the crane and legal license ....................................... 27
4.2 No proper Standard Operation Procedure (SOP) ................................................................. 27
4.3 The ignorance of preparing the PPE ..................................................................................... 27
4.4 bribery and corruption........................................................................................................... 27
5 Discussion...................................................................................................................................... 28
6 Conclusion ..................................................................................................................................... 29
7 Reference ...................................................................................................................................... 30

3
LIST OF FIGURES:

Figure 1: fatal accident case from DOSH ................................................................................. 5

Figure 2: investigation kit .......................................................................................................... 8

Figure 3: analyses from the interview data ............................................................................. 15

Figure 4: Shows the workers handle the beam steel while crane on performing lifting the

beam ......................................................................................................................................... 16

Figure 5: Workers are performing their job at height level. ................................................... 16

Figure 6: scene worker working near to crane moving steel pipe. ......................................... 16

Figure 7: Scene workers unbalance and fall ........................................................................... 16

Figure 8:JKKP6 form for report on occupational accident .................................................... 18

Figure 9: OSHA 300 form........................................................................................................ 19

Figure 10: OSHA 301 form...................................................................................................... 20

Figure 11: OSHA 300A form ................................................................................................. 21

Figure 12: Barrier for height more than 3 meters ................................................................... 22

Figure 13: Full PPE for working at height ............................................................................. 22

Figure 14: worker given an awareness talk ............................................................................ 23

Figure 15: instructor observing the crane and monitoring the movement of steel pipe.......... 24

Figure 16: officer monitoring and alerting working environment .......................................... 24

Figure 17: sirens, speaker and camera to alert the workers ................................................... 24

Figure 18: barrier add at the second level of the factory ........................................................ 25

Figure 19: worker with proper PPE working on height .......................................................... 25

Figure 20: instruction how to wear the PPE and benefits....................................................... 26

4
1 Introduction
Accidents are an event that occur unplanned and unwantedly that disrupts the working process
and results in injuries and damage properties. Especially in sectors where a lot of machines and
human are crowded in a place like factories. In factories where many process and moving
objects and workers are involve accidents are waiting to happen. However, accidents are
predictable and preventable events if the activities and process flow of humans and machines
are organized in a proper and safety manner. This is where Department of occupational safety
and health comes in, providing rules and regulations that was published for employee or
employer in any occupation to follow. This minimize and prevent safety issues that is possible
in any sector of the occupation whether factory, shopping complex, hotels or workshops. In
addition, safety officer is crucial in any occupation to monitor and creating the safety of
working environment.

Hence, as a safety officer, the case study chosen is died falling from height. Victim died due
to a serious injury to the head from falling at a height of 33 feet. He was working on the mobile
scaffold during the time.

Figure 1: fatal accident case from DOSH

Accident information:

38-year-old man Muhammad bin Abdullah a was caught in a fatal accident at Johor Bharu
factory. The victim fell from the 3𝑟𝑑 floor in the factory of supplying pipes. Muhammad was
delivering tools to an engineer and suddenly a steel pipe lifted by a mobile crane accidently
structed the victim, which lead the man to unconsciously fell to the ground floor from the 3 rd
floor. He was treated in a hospital and died 2 days after unconsciousness.

The fall causes him severe injuries in his body and especially his head. This made him in an
unconscious state and died after 2 days. The case classified as serious accident which requires
a proper investigation to be carried out.

5
case Information

Title case : Died falling from height

Location : factory, Johor
Date : 14-05-2012
Summary case: died after falling from a height of 3 meters.
Worker was hit by a steel pipe lifted by
mobile crane and caused the falling of victim
Classification Case Serious injuries to the head and body

Contributing Factor: 1) No safe work procedure

2) Employer failed to prepare a safe working
place
3) Employee were not given appropriate
personal protective equipment
Observation tragedy site: weakness in factory operation procedure,
improper of workers personal
protective equipment

Victim profile
NAME Muhammad bin Abdullah

AGE 38

CITIZEN Malaysian

STATUS Married

COMPANY Pipelinez

POSITION Operator

6
2 PART A: ACCIDENT INVESTIGATION
Main steps of accident investigation

1. Dealing with immediate risk

2. Select level of investigation
3. Investigate event
4. Record and analysis result
5. Review process

In this case of accident planning whom to meet up with, from the factory and seek for
permission to operate an investigation.

2.1 Dealing with immediate risk

This stage purpose is to make situation of tragedy safe and prevent any further accident
repeating at the place where Muhammad was hit by a steel pipe and fell, and the mobile crane
struct him. Other than that, identify whether the victim needed help, treat or in need of rescuing.
Well, in this case Muhammad already died so it is only crucial to act at the place of Muhammad
was hit and fell. This is to ensure that no else is expose to same hazard that Muhammad had
faced.

2.2 Select level of investigation

Choosing which one victim should be treated and these severe injuries, ill health or death
should to put the effort on first. In this case the death of Muhammad after 2 days of falling is
chosen and looked at more closely. To find the underlying causes of the significant event due
to the event could occur again and harm others.

2.3 Investigation event

This stage is for prevention of future incident, minimizing and identifying the hazard that are
expose in the working environment. It is stated that for an effective investigation should have
3 process which are; investigation, analyse and report. Therefor this investigation event process
is listed below:

1. Develop a plan
2. Assemble an investigation kit
3. Investigate all incidents and accidents immediately
4. Collect the facts
5. Interview witnesses
6. Write a report

7
2.3.1 Develop a plan
The purpose of planning is to address situations timely, reducing the chance for evidence to
be lost and witnesses to forget. All procedures, forms, notifications, etc. need to be listed out
as step-by-step procedures. A flow chart is developed to quickly show the major components
of program and can be inform and request an investigation to the head of the company’s
management.

2.3.2 Assemble an investigation kit

It is important for a safety office to bring all the investigation kit during at the site to ensure
all the available evidence is captured. This will enhance the built of prevention, elimination
and reducing of any hazard. Thus, automatically reduces any chances of future accident

Figure 2: investigation kit

1 Camera equipment 5 Tape measure 9 Scissors

2 First aid kit 6 Large envelopes 10 Graph paper
3 Tape recorder 7 High visibility tape
4 Gloves 8 Report forms

8
2.3.3 Investigate all incidents and accidents immediately
It’s crucial to collect evidence and interview witnesses as soon as possible because evidence
will disappear, and people will forget. To start a safety officer must acknowledge on whom is
involve and aware to them on the program held in the investigation. The first step is to notify
all personnel that will be involve such as the:
1. All witness.
2. the person driving the mobile crane.
3. the employer.
4. employee representative
5. immediate supervisor

Approach and observe the scene:

First, make sure you and others don’t become victims! Always check for still-present
dangerous situations. Then, help the injured is necessary. Secure the scene and initiate chains
of custody for physical evidence. Identify witnesses and physical evidence. Separate witnesses
from one another If physical evidence is stabilized, then the investigation begin as quickly as
possible with interviews.

 Check for danger

 Help the injured

 Secure and isolate the scene

 Identify and separate witnesses

 Gather the facts

One of critical steps is isolating the scene put the cross-line sign around the location of
accident. It is very important because to ensure the evident remain save and facilitate the
process of investigation run. Other than that, to restrict unauthorized people from
interrupting the investigation.

Inspection of the site scene and look for any hazardous working environment. In this case
it is found that the level 3 floor has no barrier.

9
2.3.4 Collecting the facts
Collect the maximum sources of information that relate to accident by taking photos, videos,
and writing notes about the condition of victim’s body and location of accident. Thus, do
investigation the path that victim went through before, during and after the accident. Action
when collecting the fact of the accident are:

 Take notes on environmental conditions, air quality

 Check the PPE
 Check data of equipment records
 Note general working environment
 Note floor or working surface condition
 Take many pictures
 Draw the scene
 Position of tools and equipment

2.3.5 Interview witnesses

Investigation can be more effective with available of witness at the location of accident.
Witness can give more factual data and tell on what happened that involve with accident
situation. Compile list of witness. Record and segregate names on the list in three category
such as primary witness, secondary witness, tertiary witness.

List of interview session guideline:

 Interview promptly after the incident

 Choose a private place to talk
 Keep conversations informal
 Talk to witnesses as equals
 Ask open ended questions
 Listen. Don’t blame, just get facts

Therefor below are all the interview form:

10
Safety Officer:

NAME MUHAMMAD HADRAMI HAMDAN

AGE 30 YEARS OLD

CITIZEN MALAYSIAN

POSITION SAFETY OFFICER

HOMETOWN PERAK, MALAYSIA

COMPANY PIPELINEZ SDN BHD

CONTACT NO. 0123644770

EMPLOYMENT DURATION 5 YEARS

11
Witness 1:

INTERVIEW FORM
NAME AHMED
AGE 33 YEARS OLD
CITIZEN MALAYSIAN
STATUS MARRIED
COMPANY PIPELINEZ SDN BHD
POSITION SUPERVISOR

NAME: KARIM Age: 33years old

Work activity: Inspecting machine
Can you tell me a little bit about the accident? What are you doing during the
accident? What time you notice the accident happen?
I was ordering the victim to grab some tools in the store at the third floor. Then suddenly
I heard a clapping sound and saw that the victim was lying flat on the ground of the first
1. floor.

What time do you see the accident?

2.
Around 10.10 am
What is your connection with the victim?
2.
Supervisor.
What did you do when the accident happens?
I immediately run towards him, but I noticed that he was unconscious. So, I tried to
3. wake him up, but he didn’t wake up. So, I called an ambulance.
.
When you arrived at him, what did you see?
4.
I saw him not moving anymore and his body is full of blood.
What is the cause of the accident?
5. From what I see, the victim did not wear proper PPE like safety helmet during doing
his job and no supervision by employer. There crane driver was not aware of the
victims present.
Interview by: Date:
Muhd hadrami bin hamdan 11/03/12
Safety Officer

Witness 2:

12
 INTERVIEW FORM
NAME YUSUF TAIYOB
AGE 37 YEARS OLD
CITIZEN MALAYSIA
STATUS MARRIED
COMPANY PIPELINEZ SDN BHD
POSITION Technician

NAME: KARIM Age: 33years old

Work activity: Carrying load
Can you tell me a little bit about the accident? What are you doing during the
accident? What time you notice the accident happen?
Before the accident happened, victim and I were grinding some pipeline. Then we were
ordered to get some tools upstairs at third floor. When we were heading back down
suddenly a long steel pipe was in front of us and hit the victim. Then I saw him feel from
1. the third floor. There was no barrier or rail to cover him.

What time do you see the accident?

2.
Around 10.10 am
What is your connection with the victim?
2.
Colleague at the factory.
3. What did you do when the accident happens?
I immediately run towards him, but I noticed that he was unconscious. So, I get the
site supervisor to inform about the accident.
When you arrived at him, what did you see?
4. I saw him not moving anymore and his body is full of blood.
What is the cause of the accident?
5. From what I see, the victim did not wear proper PPE like safety helmet during doing
his job and no supervision by employer and barrier to protect from the fall.
Interview by: Date:
Muhd hadrami bin hamdan 11/03/12
Safety Officer

Witness 3:

13
 INTERVIEW FORM
NAME YUSUF TAIYOB
AGE 37 YEARS OLD
CITIZEN MALAYSIA
STATUS MARRIED
COMPANY PIPELINEZ SDN BHD
POSITION Crane driver

NAME: KARIM Age: 33years old

Work activity: Controlling the crane
Can you tell me a little bit about the accident? What are you doing during the
accident? What time you notice the accident happen?
I was controlling to lift and move the steel pipe from point A to point B. I was able to
see clearly at the lifting site of any workers available. Then I heard a scream sound from
1. the victim, so I stop and went to the sound.
What time do you see the accident?
2.
Around 10.10 am
What is your connection with the victim?
2.
Colleague
What did you do when the accident happens?
I immediately run towards him, but I noticed that he was unconscious. So, I get the
3. factory supervisor to inform about the accident.

Do you have the license to drive the crane?

4.
No but I have drive the crane for a few months
What is the cause of the accident?
5. From what I see, the victim did not wear proper PPE like safety helmet during doing
his job and no supervision by employer. There is no safety barrier at the alley.
Interview by: Date:
Muhd hadrami bin hamdan 11/03/12
Safety Officer

2.4 Record and analysis result

14
 2.4.1 Analyse from the interview data

7.30 AM: Victim arrived at the

factory and the toolbox
briefing was conducted before
start the work.

8.00 AM: Victim got the task

10.10 AM: First witness
to grinding.Then He complete
saw the victim fell from the
the work given and went to
third floor.
get tools from store.

10.40 AM: The site 12.00 PM: The ambulance

supervisor call the arrived at the site but the
victim was died due to serious
ambulance from the injury on his body and
Penang Hospital. unconscious.

Figure 3: analyses from the interview data

15
2.4.2 Chronology of the accident from the witness story:
a mobile crane was lifting a steel pipe. A worker
at third floor was walking and carrying load not
aware of the pipe and the pipe hit him

Figure 4: Shows the workers handle the beam steel while

crane on performing lifting the beam

Source: https://en.wikipedia.org/wiki/Falling_(accident)

There is no warning about the present of the

mobile crane lift the steel pipe. The employee was
not aware of the surrounding.

Figure 5: Workers are performing their job at height level.

Sources: http://www.abc.net.au/news/2014-04-10/self-
regulation-failing-to-prevent-deaths-from-building-
falls/5382038

Victim was structed by a steel pipe controlled by a driver

driving a mobile crane
Figure 6: scene worker working near to crane moving steel pipe.

Sources:

http://www.globaltrademag.com/global-trade-daily/commerce-
submits-steel-imports-report-trump

After being hit by mobile crane the worker lost his balance
and conscious cause him to fall. The was around 3 storeys
high and falling unconsciously is very severe.
Figure 7: Scene workers unbalance and fall

Sources:
http://www.labour.gov.hk/eng/public/Fall_fr_Height_English_ta
g-FW.pdf

16
 2.4.3 Result from the investigation
1. The victim had not wear a safety helmet in the factory and a safety reflector bid as a
PPE during working hours in the factory

2. The victim accessed the 3rd floor that has no barrier without wearing fall protection to
carry tools. No policy had been in place requiring the need for fall protection when accessing
the high ground with no barrier.

3. No barriers or warning signs were provided at access points at the 3rd floor to warn
employees of possible hazards such as don’t step on the ledge or don’t walk near unfenced
floor edge.

4. Safe procedures had not been established relative to performing work on the high
ground.

5. No personal protective equipment was prepared by the employer

6. The crane driver has no license

As a conclusion the cause of the accident was on both side that is conjunction to fault of human
careless. The victim not wearing PPE which is safety helmet and reflector bid. Supervisor and
the company itself did not inform on the activity of mobile crane lifting the steel pipes. The
crane driver not alert and no one to monitor the area of lifting the steel pipe. Thus, they both
are the cause that lead to the collision and made the victim fell from third floor.

Other than that, it is an unsafe act for the company not creating any barriers on the third floor
due to it is more than 2 meters high and must put any signs and safety barriers. Addition there
are no separate path for the mobile crane activity area and other workers. Which lead to the
accident as the crane activity of lifting huge loads is a hazard itself.

17
2.4.4 Completed report form of accident at the factory of PIPELINEZ

Figure 8:JKKP6 form for report on occupational accident

18
 2012

Figure 9: OSHA 300 form

19
Figure 10: OSHA 301 form

20
Figure 11: OSHA 300A form

21
Figure 12: Barrier for height more than 3 meters Figure 13: Full PPE for working at height

Example of full PPE worker need to wear while

Example of barrier at a height in factory
Source:
http://www.steelpipes.org/pipes/DIN-1626-
DIN-1628-DIN-1615-sprial-pipes.html
working at height in factory
Source:
https://www.shutterstock.com/image-
photo/working-height-equipment-fall-arrestor-
device-532041343

2.5 Review process

A report of the accident based on the investigation that have been done. Therefore, a plan is
developed for corrective actions. Implementing corrective actions. Monitor and evaluate the
effectiveness of corrective actions. Adjust as necessary to ensure the cause of the accident has
been eliminated or terminated. Incorporate changes into Standard Operating Procedures (SOP)
for continual improvement of the workplace environment. This will be review in the next
chapter of part B.

22
3 PART B (SUGGESTION FOR PREVENTIVE ACTIONS)

Working at height or work carried out from 2 metres or more in height, in places of work except
a staircase in a permanent workplace where a person could be injured by falling from it, even
if it is at below ground level. It is responsibilities under the Factories and Machinery Act 1967
(Act 139) and Occupational Safety and Health Act 1994 (Act 514) to prevent falls.

There are a lot prevention actions that can be taken for working at height but for this case study
it will be specific to certain level of prevention. It is important to save off employees fall from
height. Other than that, to prevent any more future accident is by using hierarchy of control.

3.4 Administrative control to prevent height accident

3.4.4 Awareness
Alerting worker about working at height and its hazard, workers are aware and prepare for any
incoming incidents. Awareness on moving mobile cranes that are carrying steel pipes stocks in the
factory.

Figure 14: worker given an awareness talk

http://www.dailymail.co.uk/news/article-3557310/Inside-secretive-Chinese-iPhone-factory.html

23
 3.4.5 Safety instructor on working and observing the mobile crane
When dealing with lifting using mobile cranes must have a safety instructor that observe the
area when lifting steel pipes. Preventing any incident of colliding with other workers

Figure 15: instructor observing the crane and monitoring the movement of steel pipe

http://www.heavyliftnews.com/heavy-lift-articles/5415

3.4.6 Alerting using siren and speaker

Alerting using alarm systems when lifting heavy steel pipes to alert the workers and avoid any
collision. With a safety officer hired to monitor the working environment it will enhance the
safety of the workers and minimize the hazards especially the mobile crane lifting heavy steel
pipes.

Figure 16: officer monitoring and alerting working Figure 17: sirens, speaker and camera to alert the workers
environment

A safety officer monitoring and alerting other workers to be cautious on a moving crane

Source: Source:

http://www.valishatech.com/Case-Study- https://www.completealarms.com.au/business-
Factory.html security/warehouse-security-package/

24
 3.5 Engineering hierarchy of control
3.5.4 Barrier
Creating barrier as an engineering safety controls that would isolate the path of the incident and
minimizing the hazard of the working in height. Even if hit by any obstacle the barrier will act as a
protector to the worker from falling.

Figure 18: barrier add at the second level of the factory

3.5.5 sperate flow path

creating a different flow path for workers to walk and a path for the mobile crane to do the
lifting. This is to ensure no collision between the crane lifting and workers walking inside the
factory. For more additionally safety the factory could isolate those paths.

3.5.6 PPE for working on heights

In this case it is reported that the company did not provide any Full body harness and fall arrest
system as PPE for the workers working in height. It is crucial to provide workers with PPE to
ensure their safety especially working in height.

Figure 19: worker with proper PPE working on height

25
Figure 20: instruction how to wear the PPE and benefits

26
4 PART C (ETHICAL PRINCIPLES AND PROFESSIONAL ETHICS)
4.1 No supervisor support on controlling the crane and legal license
The employer that is in charge of the operation of lifting steel pipes purposely did not put a
supervisor at the scene to monitor the moving crane due to shortage of staffs. Other than that,
the company want to cut budget on hiring more staff. It is wiser to hire more staffs to aid in
such hazardous occupation.

The factory does not have a required safety features that will help the worker to perform the
operation of lifting heavy loads using crane. More importantly the company hired a driver that
has no crane driver license. This unethical manner is illegal and is one of the major cause of
the accident. It is under the act of OSHA that employer must train and acquire driver of with
only with license for their workers.

4.2 No proper Standard Operation Procedure (SOP)

The company did not have a written proper SOP to guide the employees on how to perform
their job efficiently. This is very important in this line of work because it involves the life and
safety of the workers and the people nearby. Such as what to wear and act when working at a
height. Even if the working at height is only to grab a tool without the safety measure it’s a
high risk. SOP for working on mobile crane are not adapted

4.3 The ignorance of preparing the PPE

Proper Personal Protective Equipment (PPE) should be used for the job environment is highly
dangerous and the ignorance of preparing the PPE to the worker is highly unethical either. It is
under the act of osha that the employer should prepare a PPE to every employee during working
at height.

4.4 bribery and corruption

This is one of the ethical issue which is corruption where owners of company want to max their
net profit by cutting the safety budget such as sufficient number of workers, not given training
to employee, not hiring workers that have license, not preparing a share working environment.
All this action will reduce the cost however effect the safety of the worker. Other than that,
Bribery in the industry where workers could drive a mobile crane without the license is
allowing the driver maybe be doing bribery in order to acquire the job.

27
5 Discussion
Many accidents involving falls from height happen usually at construction site but in this case,
it is at a factory. Falls frequently occur because no precautions are taken, or any equipment that
is used is defective, not appropriate, or is used incorrectly. Often people about to do a job
believe it will 'only take a few minutes’ and take a risk in the hope that simply being careful
will be enough.

However, in this case it is caused by the unaware victim of the incoming steel pipe carried by
the crane. The victim Muhammad is not to blame even without wearing an PPE, as the company
it self not providing any PPE. Thus, he still chooses to work on the company and have a conflict
of interest either to report the matter to Department Of Safety And Health (DOSH).

The other issue is the company hiring an unlicensed person to control a crane with heavy pipe
load, the company really have safety issue in the factory and ethical professional issue.

As a safety officer, we need to take care of the workers and company safety and health. It is
in our hands to maintain the safety working environment. The collaboration between workers,
employers and safety officer is crucial in ensuring that company comply with their risk
assessments, policies and procedures so we protect each other’s as much as possible.

Prior to any work being undertaken, a jobsite evaluation should be performed by a competent
person. An OSHA "competent person" is defined as "one who is capable of identifying existing
and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective
measures to eliminate them such as the house wiring in proximity to the area where drilling
was being performed. Once potential hazards are identified, appropriate control measures must
be implemented, and corresponding employee training also must provide in order to avoid
hazardous.

28
6 Conclusion
In this project, as an safety officer at the PIPELINEZ SDN BHD ensure the safety, health and
welfare of person at working place against harm because of the work activities. Besides,
Occupational safety and health (OSHA) is the one of the organization that will protect persons
at a place of work other than persons at work against risk to safety or health arising out of the
activities of persons at works. Moreover, they also have become more mature and always
striving to improve the level of occupational health and safety in making a safe and healthy
work practices part of the Malaysian culture.

In conclusion as a safety officer have successfully achieved the objective of the project which
are identify ethical principles and commit to professional ethics and investigate on the reported
fatal accident and finding it causes which is the factory owners fault due to lack of safety in the
factory.

29
7 Reference

 http://www.dosh.gov.my/index.php/en/fatal-accident-case
 https://www.wshc.sg/files/wshc/upload/event/file/1(3).pdf
 http://www.lni.wa.gov/SAFETY/TRAININGPREVENTION/ONLINE/courseinfo.asp?P_ID
=145
 https://www.osha.gov/dcsp/products/topics/incidentinvestigation/index.html

 J. Balboa and E. M. Medalla, “Anti-Corruption and Governance: The Philippine

Experience,” APEC Study Cent. Consort. Conf., no. May, p. 1029, 2006.
 U.S. Department of Labor, “All About Occupational Safety and Health Administration
(OSHA),” p. 40, 2016.
 "Incident investigation," Occupational safety and Health Administration, [Online].
Available: https://www.osha.gov/dcsp/products/topics/incidentinvestigation/.
[Accessed 14 june 2018].

 "SCAFFOLD TOWER GUARD RAIL SYSTEM," Badger Companies, [Online]. Available:

https://www.badgerladder.com/scaffold-tower-guard-rail-system/. [Accessed 14
june 2018].

30