OFI Detail: Training Matrix Update – Our existing Training Matrix is a spreadsheet. Do we need to upgrade how we manage training and competencies? ZULU is used at YIF. Confirm how we manage going forward.

Related Business Input: BI-01D.01 Trained personnel who are supported by an appropriate and up-to-date training management system.

Credible Failure Mode:

• CFM.1CP-03 Operators unaware of right of way and other general requirements
• CFM.4TP-02 Vehicle operator does not check pathway after being parked

OFI Detail: Cross reference training with details from our SMS and Principal Hazard Management Plans (PHMP).

Related Business Input: BI-01D.01 Trained personnel who are supported by an appropriate and up-to-date training management system.

Credible Failure Mode:

• CFM.1CP-03 Operators unaware of right of way and other general requirements
• CFM.4TP-02 Vehicle operator does not check pathway after being parked

OFI Detail: Review requirements for refresher inductions, especially after long breaks. Establish clear criteria.

Related Business Input: BI-01D.02 Protocols for site induction and site and operating areas access.

Credible Failure Mode:

• CFM.4TD-01 Access control infrastructure is inadequate
• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate

OFI Detail: Review the on boarding process to confirm that it defines minimum requirements for accessing active working areas.

Related Business Input: BI-01D.02 Protocols for site induction and site and operating areas access.

Credible Failure Mode: 

• CFM.4TD-01 Access control infrastructure is inadequate
• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate

OFI Detail: Provide correct training and information on fatigue management including self-management that is appropriate for the audience.

Related Business Input: BI-01D.03 Fit for work processes with specific advice on self-management.

Credible Failure Mode: 

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated

OFI Detail: Improve telecommunications and Internet capability and camp to support communications with family. This ongoing frustration affects many employees and has impacts on the workplace and the mental health of individuals.

Related Business Input: BI-01D.03 Fit for work processes with specific advice on self-management.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated

OFI Detail: Introduce a process where there is a formal and regular distribution of updates and changes to the traffic management plan. This process would emphasise changes in conditions and include compliance reports on the state of road’s and et.

Related Business Input: BI-01P.06 Give way/Right of Way requirements information prepared for mobile equipment operators and pedestrians.

Credible Failure Mode:

• CFM.1CP-03 Operators unaware of right of way and other general requirements
• CFM.1CP-04 Operators unaware of give way requirements for vehicles
• CFM.4TP-08 Vehicle remains in heavy vehicle blind spot due to intersection approach speeds

OFI Detail: Revisit equipment alarm management and maintenance checks with operating crews.

Related Business Input: BI-01P.08 Alarm and Vehicle information panel expected response – information prepared for Operators.

Credible Failure Mode:

• CFM.1CD-02 Proximity alarms, area guards do not perform to specification (false negatives)
• CFM.1CD-03 Incorrect action on vehicle system alarm – not understood
• CFM.1CS-03 No action taken on over speed alarm
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CS-05 Proximity and other alarms do not assist operator
• CFM.1CT-02 Incorrect action taken on proximity alarm
• CFM.2EP-04 Speed limiting device compromised
• CFM.2ES-04 Overload warning system fails is incorrect or absent
• CFM.2ES-07 Multiple vehicles system alarms overwhelm and confuse the operator
• CFM.2ET-03 Routine false positive alarms
• CFM.5SS-05 Unit key system alarms are not monitored

OFI Detail: Review local rules for graders and light vehicles, confirm that field processes are consistent with the Tronox induction.

Related Business Input: BI-01P.14 Managing road works, including grader operations – information prepared for operators.

Credible Failure Mode:

• CFM.3VP-09 Excessive water (Dust Control) is applied to road surface

OFI Detail: Improve operator training for demarcation covering minimum requirements for sites.

Related Business Input: BI-01P.15 Minimum requirements for demarcation (guard rails, windrows, bunds) and warning devices (chains, cones, flagging) – information prepared for operators.

Credible Failure Mode:

• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning

OFI Detail: Consider the usefulness of standard medicals and confirm that they support good practice fatigue management.

Related Business Input: BI-01S.02 Pre-commencement and periodic medicals for mobile equipment operators.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-06 Operator fails to see signage installed to standard
• CFM.5ST-10 Regulator prosecution

OFI Detail: Research how the health status of people in our workplace can be checked. Note that there are medical checks at employment, but these are not ongoing. Consider the management of general health e.g. sleep management for fatigue, vision, hearing et cetera.

Related Business Input: BI-01S.02 Pre-commencement and periodic medicals for mobile equipment operators.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-06 Operator fails to see signage installed to standard
• CFM.5ST-10 Regulator prosecution

OFI Detail: Consider establishing temporary lookouts at pit edges to observe traffic flows or problems with the circuit.

Related Business Input: BI-01S.03 Consultation and communication on safety and health.

Credible Failure Mode:

• CFM.2ES-07 Multiple vehicles system alarms overwhelm and confuse the operator
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained
• CFM.5SS-02 Vehicle operator fails to comply with site requirements

OFI Detail: Confirm that health and safety consultation processes are business useful and meet regulator expectations.

Related Business Input: BI-01S.03 Consultation and communication on safety and health.

Credible Failure Mode:

• CFM.2ES-07 Multiple vehicles system alarms overwhelm and confuse the operator
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained
• CFM.5SS-02 Vehicle operator fails to comply with site requirements

OFI Detail: Benchmark against how other mining operations are using technology to improve their vehicle interaction controls before confirming Tronox next steps. The benchmark can consider technology use for:

• Geo fencing
• Equipment location
• Fatigue monitoring and alarms
• Visibility and sightlines
• Speed monitoring
• Others e.g. for wet and rear facing cameras
  

Related Business Input: BI-02D.01 Fit-for-purpose equipment selection and site use approval processes.

Credible Failure Mode:

• CFM.2ED-01 Equipment or Component Design is not error tolerant
• CFM.2ED-03 Steering and brake alarms not fitted
• CFM.2ED-04 Failing to adequately consider site requirements when specifying technology for mobile equipment
• CFM.2ED-05 Fatigue alarms not matched to CAS/PDS user requirements
• CFM.2EP-05 Restraints or load securing devices fail causing an incident
• CFM.2EP-10 Work environment conditions impeded operation of technologies
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SP-01 Inadequate management of change

OFI Detail: Introduce periodic testing of lockout systems for equipment top speeds to confirm that the integrity has not been compromised.

Related Business Input: BI-02D.21 Mobile Equipment is speed limited.

Credible Failure Mode:

• CFM.2EP-04 Speed limiting device compromised

OFI Detail: Review and refine the pre-start sheets to include fault categories ( e.g. A, B, C) covering; do not operate, repair as soon as possible, including scheduled maintenance.

Related Business Input: BI-02P.01 All safety and operational systems on mobile equipment are maintained.

Credible Failure Mode:

• CFM.2EP-02 Equipment or component failure during operations e.g. brakes or steering or controlled functions
• CFM.2EP-03 Communication equipment absence, failure or poor reception
• CFM.2EP-09 CAS/PDS fails to notify the operator
• CFM.2ES-02 Installed equipment system status alarms do not operate
• CFM.2ET-01 OEM supplied seat belts are disabled or removed
• CFM.5SS-04 Equipment faults arising from poor standard of maintenance

OFI Detail: Capture and analyse data on cabin integrity checks. Note checks are in place but the data is not analysed adequately.

Related Business Input: BI-02P.02 Regular checking and maintenance for cabin integrity, restraints, access and escape, auto shutdowns and other relevant protective systems.

Credible Failure Mode:

• CFM.2ES-01 Compromised vehicle cabin no longer meets OEM or site specific specifications
• CFM.2ET-02 Fitted airbags fail to deploy
• CFM.5SS-04 Equipment faults arising from poor standard of maintenance

OFI Detail: Improve equipment alarm management to capture alarm type and number. Review if data analysis programs that run the plant can be applied for mining operations stop.

Related Business Input: BI-02P.04 Regular checking and maintenance of alarms, monitors, cameras and other warning devices.

Credible Failure Mode: 

• CFM.1CS-05 Proximity and other alarms do not assist operator
• CFM.2EP-10 Work environment conditions impeded operation of technologies
• CFM.2ES-03 Seat belt use indicators disabled or compromised
• CFM.2ET-03 Routine false positive alarms
• CFM.5SS-05 Unit key system alarms are not monitored

OFI Detail: Update equipment pre-starts so they capture details about that status of deployed and new technology.

Related Business Input: BI-02P.06 Operator pre-start checks include work area, communication system, safety devices, brakes, steering, tyres and running gear.

Credible Failure Mode:

• CFM.2EP-01 Operator fails to conduct pre-start requirements
• CFM.2EP-02 Equipment or component failure during operations e.g. brakes or steering or controlled functions
• CFM.2EP-06 Loose objects in cabin remain unsecured
• CFM.2ET-01 OEM supplied seat belts are disabled or removed
• CFM.3VP-05 Vehicles are operated outside specified tyre conditions

OFI Detail: Review if a timeframe to return to fully operation is required for minor equipment faults.

Related Business Input: BI-02P.08 Regular checking and maintenance of key systems, brakes, steering, rims and tyres.

Credible Failure Mode:

• CFM.2EP-02 Equipment or component failure during operations e.g. brakes or steering or controlled functions
• CFM.3VP-05 Vehicles are operated outside specified tyre conditions

OFI Detail: Revisit the current training package and include visual information e.g. photographs and videos. Consider the audience.

Related Business Input: BI-02P.20 Tyre hazard awareness for equipment operators.

Credible Failure Mode:

• CFM.2EP-01 Operator fails to conduct pre-start requirements
• CFM.2EP-02 Equipment or component failure during operations e.g. brakes or steering or controlled functions
• CFM.3VD-04 Vehicle parking, including emergency parking is inadequately considered in mine design and routine work planning
• CFM.3VP-05 Vehicles are operated outside specified tyre conditions

OFI Detail: Carry out UHF blackspot testing to establish extent of site coverage.

Related Business Input: BI-02S.06 New communications or technology equipment, specification, test and commissioning process.

Credible Failure Mode:

• CFM.2EP-03 Communication equipment absence, failure or poor reception
• CFM.5SS-05 Unit key system alarms are not monitored

OFI Detail: Confirm process is in place at Atlas that will work as required e.g. adequate road drainage.

Related Business Input: BI-03D.01 Road design guidelines set minimum standards for the construction and maintenance of the road network.

Credible Failure Mode:

• CFM.3VD-07 Poorly designed intersection/break-away
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes
• CFM.4TP-08 Vehicle remains in heavy vehicle blind spot due to intersection approach speeds

OFI Detail: Implement surveys that confirm road construction is to specification. Currently surveys are not being completed.

Related Business Input: BI-03D.01 Road design guidelines set minimum standards for the construction and maintenance of the road network.

Credible Failure Mode:

• CFM.3VD-07 Poorly designed intersection/break-away
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes
• CFM.4TP-08 Vehicle remains in heavy vehicle blind spot due to intersection approach speeds

OFI Detail: Review the road design criteria to confirm that design matches operating speeds. Consider camber and corner arc radius.

Related Business Input: BI-03D.01 Road design guidelines set minimum standards for the construction and maintenance of the road network.

Credible Failure Mode:

• CFM.3VD-07 Poorly designed intersection/break-away
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes
• CFM.4TP-08 Vehicle remains in heavy vehicle blind spot due to intersection approach speeds

OFI Detail: Review SOPs for wet roads, consider road trains on clay roads and the road to Perseus.

Related Business Input: BI-03D.03 Competent and site experienced water cart operators.

Credible Failure Mode:

• CFM.3VP-09 Excessive water (Dust Control) is applied to road surface

OFI Detail: Investigate the impact of rainwater and dust suppression on salt hardened roads.

Related Business Input: BI-03D.03 Competent and site experienced water cart operators.

Credible Failure Mode:

• CFM.3VP-09 Excessive water (Dust Control) is applied to road surface

OFI Detail: Review and upgrade site signage considering guidelines and the pit, maintenance workshop, approaches to intersections e.g. CR haul road and OB intersection.

Related Business Input: BI-03P.02 Lighting, delineation and signs are installed and maintained to standards that meet minimum site road design requirements.

Credible Failure Mode:

• CFM.1CP-08 Operator does not drive on available segregated roads or nominated routes/locations
• CFM.3VD-07 Poorly designed intersection/break-away
• CFM.3VP-06 Obscured or missing signage
• CFM.4TS-01 Parked vehicles block view for pedestrians and other equipment operators

OFI Detail: Improve new starter inductions based on experiences of a 785 truck being driven on a light vehicle service road. Confirm that we are clearly communicating and reinforcing our operational expectations.

Related Business Input: BI-03P.03 Expected routes by vehicle type are effectively communicated. 

Credible Failure Mode:

• CFM.1CP-01 Operators of heavy and light vehicles (or pedestrians) fail to follow the designated travel path
• CFM.1CP-08 Operator does not drive on available segregated roads or nominated routes/locations
• CFM.4TP-08 Vehicle remains in heavy vehicle blind spot due to intersection approach speeds

OFI Detail: Review minimum heights to power lines under WHIMS, note the 7 m bucket can contact the overhead power line.

Related Business Input: BI-03P.04 Power line working distance management process.

Credible Failure Mode:

• CFM.1CP-02 Equipment operator or pedestrian mistake in estimating clearance distance
• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained

OFI Detail: Carry out situational awareness training for truck loading by diggers. Investigate the opportunity to provide better situational awareness and leadership for excavator and dozer operators.

Related Business Input: BI-03P.11 Clear requirements for loading of trucks by digger/loader.

Credible Failure Mode:

• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes

OFI Detail: Review roller door heights at the mine workshop and post height restriction information.

Related Business Input: BI-03S.05 Infrastructure protection – placement of barriers and/or warning devices to prevent unwanted vehicle interactions.

Credible Failure Mode:

• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VP-03 Operational personnel do not maintain minimum standards for berms, windrows and other zone protection.
• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained
• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate

OFI Detail: Confirm that personnel working at Atlas are aware of the process to stop the job if required. Provide clear messaging and support so they are confident and empowered to stop the job. Illustrate processes using real and defined triggers.

Related Business Input: BI-03T.01 Ceasing Operations Procedure – compromised operating environment.

Credible Failure Mode:

• CFM.1CS-08 Operator fails to identify and act on changes in conditions – reduced visibility, road narrowing, road surface etc.
• CFM.3VT-01 Operations continue when operating environment is significantly compromised

OFI Detail: Develop triggers for actions to assess if work should cease. Formalise the experience of knowledgeable personnel.

Related Business Input: BI-03T.01 Ceasing Operations Procedure – compromised operating environment.

Credible Failure Mode:

• CFM.1CS-08 Operator fails to identify and act on changes in conditions – reduced visibility, road narrowing, road surface etc.
• CFM.3VT-01 Operations continue when operating environment is significantly compromised

OFI Detail: Confirm the range of current TARPS that we have now and review which are needed. Be prepared to remove tarps and confirm that they are aligned with the safety management systems.

Related Business Input: BI-03T.10 TARPs prepared for unwanted conditions.

Credible Failure Mode:

• CFM.1CD-01 Operator unaware of correct speed
• CFM.1CS-08 Operator fails to identify and act on changes in conditions – reduced visibility, road narrowing, road surface etc.

OFI Detail: Review and consolidate site Trigger Action Response Plans for unwanted conditions. Note there is uncertainty about what TARPs are in place, how they are rolled out, and if we have all that we need.

Related Business Input: BI-03T.10 TARPs prepared for unwanted conditions.

Credible Failure Mode:

• CFM.1CD-01 Operator unaware of correct speed
• CFM.1CS-08 Operator fails to identify and act on changes in conditions – reduced visibility, road narrowing, road surface etc.

OFI Detail: Raise the profile of vehicle interaction intensity in short-term planning processes.

Related Business Input: BI-04P.01 Vehicle interactions are considered as part of the short-term planning processes.

Credible Failure Mode:

• CFM.1CP-01 Operators of heavy and light vehicles (or pedestrians) fail to follow the designated travel path
• CFM.2EP-08 CAS/PDS alarm failure to operate
• CFM.3VD-02 Reducing vehicle interactions through intersection design and traffic rules is inadequately considered in mine design and routine work planning
• CFM.3VD-03 Speed limits and over-speed management are inadequately considered in mine design and routine work planning
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.4TP-07 Reducing vehicle interactions by maintaining clearances is inadequately considered routine work planning

OFI Detail: Review truck queueing protocols and consider the applicability of offset practices and distance of the queues at the base of the ramp.

Related Business Input: BI-04P.03 Same direction travelling and queuing separation protocols.

Credible Failure Mode:

• CFM.1CP-02 Equipment operator or pedestrian mistake in estimating clearance distance
• CFM.4TP-07 Reducing vehicle interactions by maintaining clearances is inadequately considered routine work planning

OFI Detail: Investigate if technology can offer an alternative to radio communications e.g. electronic handshakes between equipment.

Related Business Input: BI-04P.04 Vehicle entering a work area positive communications protocol.

Credible Failure Mode:

• CFM.4TP-03 Light vehicles stop or park in heavy vehicle blind spots
• CFM.4TP-04 Mobile equipment operator or pedestrian does not notify when entering a controlled work area
• CFM.4TP-06 Incorrect communication protocol

OFI Detail: Complete a review and re-establish protocols that heavy equipment fit is applied to access equipment in the pit, and in the workshop including:

• designated walkways
• moving equipment in the workshop central areas
• use of spotters
• use of barricades

Related Business Input: BI-04P.06 Protocols for approaching and accessing mobile equipment.

Credible Failure Mode:

• CFM.1CP-02 Equipment operator or pedestrian mistake in estimating clearance distance
• CFM.1CS-01 Personnel do not manage heavy vehicle blind spots

OFI Detail: Review the radio protocols to ensure that calls includes specific machine interaction covering:

• Dozers
• Graders
• Diggers
• Trucks

Related Business Input: BI-04P.06 Protocols for approaching and accessing mobile equipment.

Credible Failure Mode:

• CFM.1CP-02 Equipment operator or pedestrian mistake in estimating clearance distance
• CFM.1CS-01 Personnel do not manage heavy vehicle blind spots

OFI Detail: Investigate if technology can offer an alternative to radio communications e.g. electronic handshakes between equipment.

Related Business Input: BI-04P.14 Positive communication protocol for passing or moving close to a vehicle.

Credible Failure Mode:

• CFM.1CP-02 Equipment operator or pedestrian mistake in estimating clearance distance
• CFM.4TP-06 Incorrect communication protocol

OFI Detail: Review the management of No Dig Tape to assist with Bund Removal permits.

Related Business Input: BI-04S.04 Access barrier performance – regular inspection and maintenance of barriers for access – boundary fencing and work area barriers.

Credible Failure Mode:

• CFM.2EP-08 CAS/PDS alarm failure to operate
• CFM.4TD-01 Access control infrastructure is inadequate

OFI Detail: Consider establishing workshop exclusion zones to control 3rd parties entering areas where maintenance is being undertaken.

Related Business Input: BI-04S.04 Access barrier performance – regular inspection and maintenance of barriers for access – boundary fencing and work area barriers. 

Credible Failure Mode:

• CFM.2EP-08 CAS/PDS alarm failure to operate
• CFM.4TD-01 Access control infrastructure is inadequate

OFI Detail: Review requirement for additional signage or barriers to indicate active mine site. Hazard cones to establish the battery limits of work areas (internal and external extent of workings).

Related Business Input: BI-04S.04 Access barrier performance – regular inspection and maintenance of barriers for access – boundary fencing and work area barriers.

Credible Failure Mode: 

• CFM.2EP-08 CAS/PDS alarm failure to operate
• CFM.4TD-01 Access control infrastructure is inadequate

OFI Detail: Control access by using bunds when working on unserviceable equipment in the pit and in the workshop area.

Related Business Input: BI-04S.04 Access barrier performance – regular inspection and maintenance of barriers for access – boundary fencing and work area barriers.

Credible Failure Mode: 

• CFM.2EP-08 CAS/PDS alarm failure to operate
• CFM.4TD-01 Access control infrastructure is inadequate

OFI Detail: Develop triggers for actions to assess if work should cease. Formalise the experience of knowledgeable personnel.

Related Business Input: BI-04T.01 Ceasing Operations Procedure – significant interaction threats.

Credible Failure Mode: 

• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate
• CFM.4TT-01 Operations continue when there are significant interaction threats

OFI Detail: Identify the process for signing off on simultaneous operations – Identify and apply the process for signing off on simultaneous operations using SMEHCS.

Related Business Input: BI-04T.01 Ceasing Operations Procedure – significant interaction threats.

Credible Failure Mode:

• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate
• CFM.4TT-01 Operations continue when there are significant interaction threats

OFI Detail: Formalise mine design criteria, migrate information from a few key people so it is captured and formalised for ongoing application at Atlas.

Related Business Input: BI-05D.01 Clear accountabilities for managers, superintendents and supervisors are included in comprehensive, site relevant road design guidelines and traffic management plans.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VS-01 Inadequate Inspection of Operating Environment
• CFM.5ST-01 Emergency response is significantly delayed

OFI Detail: Prepare a training and awareness package for mine planners that confirms their roles and responsibilities.

Related Business Input: BI-05D.02 Clear accountabilities for planners are included in comprehensive and site relevant road design guidelines and traffic management plans.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes
• CFM.3VS-01 Inadequate Inspection of Operating Environment
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Integrate Yellow Iron and Tronox SMS, cross map and confirm the intent of documents, procedures, forms etc.

Related Business Input: BI-05D.03 Effective contractor management processes.

Credible Failure Mode:

• CFM.1CP-03 Operators unaware of right of way and other general requirements
• CFM.1CP-04 Operators unaware of give way requirements for vehicles
• CFM.2ED-02 Mobile Equipment does not meet standards for lighting, signage and identification markings
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained
• CFM.5SS-02 Vehicle operator fails to comply with site requirements

OFI Detail: Confirm that accountabilities sees for contractor Management have been assigned and people are aware of their responsibilities, including following the steps for contractor engagement.

Related Business Input: BI-05D.03 Effective contractor management processes.

Credible Failure Mode:

• CFM.1CP-03 Operators unaware of right of way and other general requirements
• CFM.1CP-04 Operators unaware of give way requirements for vehicles
• CFM.2ED-02 Mobile Equipment does not meet standards for lighting, signage and identification markings
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained
• CFM.5SS-02 Vehicle operator fails to comply with site requirements

OFI Detail: Confirm the processes and steps for appointing supervisors and their associated training and competency plans.

Related Business Input: BI-05D.04 Position descriptions that specify expected supervisor performance.

Credible Failure Mode:

• CFM.2EP-07 Routine overloading of vehicles
• CFM.3VP-05 Vehicles are operated outside specified tyre conditions
• CFM.5SP-02 Inconsistent application of performance management processes (Supervisors and Management)

OFI Detail: Start times for shifts, do we alter for dawn and dusk.

Related Business Input: BI-05D.05 Site fatigue management processes are comprehensive and optimise work rosters.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators

OFI Detail: Working times include travel on first and last shift.

Related Business Input: BI-05D.05 Site fatigue management processes are comprehensive and optimise work rosters.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators

OFI Detail: Processes for managing night shift work demands for maintenance personnel. Provide information to night shift production supervisor about task scheduling on nightshift based on task demand and complexity.

Related Business Input: BI-05D.05 Site fatigue management processes are comprehensive and optimise work rosters.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators

OFI Detail: Review the authority for mining activity checklist, does it adequately consider fatigue?

Related Business Input: BI-05D.05 Site fatigue management processes are comprehensive and optimise work rosters.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators

OFI Detail: Implement a comprehensive fatigue management process and adapt for site use. Consider climate extremes including hydration requirements, roster cycles travel to and from site with up to 5 hours drive from some employees, supervisor support, intervention processes and relationship with alcohol et cetera.

Related Business Input: BI-05D.05 Site fatigue management processes are comprehensive and optimise work rosters.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-04 Operators change behaviour after fatigue alerting system is fitted
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators

OFI Detail: Define the triggers for change management. The process is not well understood to further work at a forum to develop criteria and understanding.

Related Business Input: BI-05D.09 Change Management Process.

Credible Failure Mode:

• CFM.5SP-01 Inadequate management of change

OFI Detail: Confirm the resources required for effective change management processes including communication. Note this includes regular updates of the traffic management plan and communication from induction onwards on the triggers where change management processes are expected to be applied.

Related Business Input: BI-05D.09 Change Management Process.

Credible Failure Mode:

• CFM.5SP-01 Inadequate management of change

OFI Detail: Introduce a process where there is a formal and regular distribution of updates and changes to the traffic management plan. This process would emphasise changes in conditions and include compliance reports on the state of road’s and et.

Related Business Input: BI-05D.09 Change Management Process.

Credible Failure Mode:

• CFM.5SP-01 Inadequate management of change

OFI Detail: Consider a quick reference TARP resource to support consistent emergency response in defined situations.

Related Business Input: BI-05D.11 Emergency Preparedness.

Credible Failure Mode:

• CFM.5SD-01 Emergency response is inadequate through lack of skill or equipment
• CFM.5ST-01 Emergency response is significantly delayed

OFI Detail: Review the application of mine design requirements at BSL crib rooms. The Traffic Management Plan at Ginkgo mine does not have brought site coverage, it requires more regular updates the review to make it easier to follow, training and its application and the introduction of a sign off process in its deployment.

Related Business Input:  BI-05D.99 There is a documented site Traffic Management Plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VD-02 Reducing vehicle interactions through intersection design and traffic rules is inadequately considered in mine design and routine work planning
• CFM.3VD-03 Speed limits and over-speed management are inadequately considered in mine design and routine work planning
• CFM.3VD-04 Vehicle parking, including emergency parking is inadequately considered in mine design and routine work planning
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VD-06 Loading requirements for vehicles inadequately considered in mine design, equipment selection and work planning
• CFM.4TD-01 Access control infrastructure is inadequate
• CFM.4TP-07 Reducing vehicle interactions by maintaining clearances is inadequately considered routine work planning
• CFM.5SD-04 Insufficient resources applied to minimise unwanted vehicle interactions
• CFM.5SP-01 Inadequate management of change
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Review mine design road requirements. Our mine design considers grade but with dimensions can vary at ramp bottoms and on corners. Consider the use of a road design module.

Related Business Input: BI-05D.99 There is a documented site Traffic Management Plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VD-02 Reducing vehicle interactions through intersection design and traffic rules is inadequately considered in mine design and routine work planning
• CFM.3VD-03 Speed limits and over-speed management are inadequately considered in mine design and routine work planning
• CFM.3VD-04 Vehicle parking, including emergency parking is inadequately considered in mine design and routine work planning
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VD-06 Loading requirements for vehicles inadequately considered in mine design, equipment selection and work planning
• CFM.4TD-01 Access control infrastructure is inadequate
• CFM.4TP-07 Reducing vehicle interactions by maintaining clearances is inadequately considered routine work planning
• CFM.5SD-04 Insufficient resources applied to minimise unwanted vehicle interactions
• CFM.5SP-01 Inadequate management of change
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: There are a range of handover practices at Atlas, look for standardisation.

Related Business Input: BI-05P.01 Shift to shift communication.

Credible Failure Mode:

• CFM.1CP-01 Operators of heavy and light vehicles (or pedestrians) fail to follow the designated travel path
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VD-06 Loading requirements for vehicles inadequately considered in mine design, equipment selection and work planning
• CFM.5SP-01 Inadequate management of change
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Review sign off process for authorising mine roads.

Related Business Input: BI-05P.03 Consultation and communication on traffic management plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Introduce a formal process to review roads to the required standard.

Related Business Input: BI-05P.03 Consultation and communication on traffic management plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Review scheduled for issuing and reissuing traffic flow maps.

Related Business Input: BI-05P.03 Consultation and communication on traffic management plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Introduce a process where there is a formal and regular distribution of updates and changes to the traffic management plan. This process would emphasise changes in conditions and include compliance reports on the state of road’s and et.

Related Business Input: BI-05P.03 Consultation and communication on traffic management plan.

Credible Failure Mode: 

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Review the road design criteria to confirm that design matches operating speeds. Consider camber and corner arc radius.

Related Business Input: BI-05P.03 Consultation and communication on traffic management plan.

Credible Failure Mode:

• CFM.3VD-01 Inadequate mine traffic management plan (specification)
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-05 Failing to adequately communicate changes or consider impacts on site culture
• CFM.5SS-01 Inadequate monitoring that mine traffic management requirements have been implemented and are being maintained

OFI Detail: Review haul distances to Crayfish to confirm that tyre heating hazards are being well managed.

Related Business Input: BI-05P.05 Skilled and experienced personnel are accountable for determining the operating parameters for mobile equipment use.

Credible Failure Mode:

• CFM.2ED-04 Failing to adequately consider site requirements when specifying technology for mobile equipment
• CFM.3VD-06 Loading requirements for vehicles inadequately considered in mine design, equipment selection and work planning

OFI Detail: Establish processes including key performance indicators. Note performance management processes need to be sound before the implementation of technology.

Related Business Input: BI-05S.01 Regular and consistent application of performance management processes.

Credible Failure Mode:

• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained
• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate
• CFM.5SP-02 Inconsistent application of performance management processes (Supervisors and Management)

OFI Detail: Review current performance management processes and their application. Consider required improvements to deliver on performance expectations by role.

Related Business Input: BI-05S.01 Regular and consistent application of performance management processes.

Credible Failure Mode:

• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained
• CFM.4TP-01 Operational access control (pedestrian and vehicle) is inadequate
• CFM.5SP-02 Inconsistent application of performance management processes (Supervisors and Management)

OFI Detail: Improve access for BSL for incident reporting. Note CATS is hard to use and there is limited access for BSL.

Related Business Input: BI-05S.03 Hazard and incident reporting process that generates value adding corrective actions.

Credible Failure Mode:

• CFM.1CS-03 No action taken on over speed alarm
• CFM.1CS-06 Operator fails to see signage installed to standard
• CFM.3VD-03 Speed limits and over-speed management are inadequately considered in mine design and routine work planning
• CFM.3VP-07 Appropriate distances from fixed and overhead structures are not maintained
• CFM.3VP-09 Excessive water (Dust Control) is applied to road surface
• CFM.3VP-10 Inadequate work planning means that heavy vehicle operators approach fixed structures that are incidental to achieving operational outcomes

OFI Detail: Consider automated fitness for work testing, is this possible.

Related Business Input: BI-05S.06 Comprehensive fitness for work process includes alcohol and other drugs.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-06 Operator fails to see signage installed to standard
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate

OFI Detail: Provide support and training for supervisors to identify fit for duty issues such as fatigue at the morning meetings. Training should in include improving skills and applying processes including clear intervention processes.

Related Business Input: BI-05S.06 Comprehensive fitness for work process includes alcohol and other drugs.

Credible Failure Mode:

• CFM.1CP-05 Impaired or inattentive operator operates mobile equipment
• CFM.1CS-06 Operator fails to see signage installed to standard
• CFM.1CT-01 Supervisor does not identify or act when operator is fatigued or intoxicated
• CFM.5SD-02 Organisation Work Scheduling and Planning is inadequate

OFI Detail: Introduce a process where there is a formal and regular distribution of updates and changes to the traffic management plan. This process would emphasise changes in conditions and include compliance reports on the state of road’s and et.

Related Business Input: BI-05S.07 Senior management review, update, and confirm the Traffic Management Plan as being fit-for-purpose.

Credible Failure Mode:

• CFM.3VD-03 Speed limits and over-speed management are inadequately considered in mine design and routine work planning
• CFM.3VD-04 Vehicle parking, including emergency parking is inadequately considered in mine design and routine work planning
• CFM.3VD-05 Reducing vehicle interactions through segregation is inadequately considered in mine design and work planning
• CFM.3VD-06 Loading requirements for vehicles inadequately considered in mine design, equipment selection and work planning
• CFM.3VP-01 Inadequate implementation of site traffic management plan
• CFM.5SD-03 Work Environment and Work Demands result in Fatigued Mobile Equipment Operators
• CFM.5SD-04 Insufficient resources applied to minimise unwanted vehicle interactions

OFI Detail: Update the commissioning team and all external parties on emergency responses including for TARPs. Confirm their roles and accountabilities.

Related Business Input: BI-05T.11 Strategy for testing, reviewing and maintaining the currency of the emergency response plan.

Credible Failure Mode:

• CFM.5SD-01 Emergency response is inadequate through lack of skill or equipment
• CFM.5ST-01 Emergency response is significantly delayed