Improving Safety through Behavior and Gas Exposure Tracking
The instruments record observations that are leading indicators to potentially catastrophic situations, but most users don't take advantage of the data.
- By Dave D. Wagner
- May 09, 2008
The writing of this article follows on
the heels of a meeting between the
author and the chief deputy attorney
general of the Commonwealth of Pennsylvania.
The purpose of that meeting was
to investigate and discuss the circumstances
of a fatal Pennsylvania mining
accident. The attorney general’s office was
desperately trying to determine an answer
to the question of why the portable gas
monitor that was carried by the victim and
designed to detect the methane gas that
was inadvertently ignited into the fatal
explosion that took his life was turned off
at the time of the accident.
Industrial Scientific Corporation has
designed and manufactured portable gas
monitoring instruments for more than
25 years. There are countless testimonials
to how these instruments have
saved lives and improved the level of
safety in the workplace. Yet accidents
like the one described above still occur,
and workers are still injured and killed in
gas-related accidents. This has led to
one very clear realization: Manufacturers
can design and produce the most
reliable and best performing gas monitors
possible. They could be maintained
and cared for with the highest level of
integrity. But if they are not used properly
or not used at all, they cannot perform
the function for which they were
intended—saving lives.
It becomes clear how tracking behavior
patterns surrounding the use of gas monitoring
instruments and analyzing exposure
data collected from these instruments can
be used as leading indicators of potential
workplace safety problems.
Behavior and Safety
The term behavior can be defined as an
“observable action or activity” (accessed
March 5, 2007, from www.rotc.monroe
.army.mil/). Carrying this definition
through with regard to safety, it can be
said that behavior is an observable action
or series of actions or activities that result
in patterns that affect the safety of an individual
or a group of workers.
Individual behaviors are repeatable. If
you have done it once, you will likely do it
again. Whether it has been done consciously
or subconsciously, all of us have trained ourselves to perform in certain
ways. When unsafe behaviors start to
occur with increasing frequency, the likelihood
of accidents and injuries increases.
Safety behaviors can be viewed similarly
to the illustrious safety fire triangle.
When fuel and oxygen are present in the
correct proportions along with a source
of ignition, explosion occurs. When
unsafe behaviors (sources of ignition)
occur in the presence of significant hazards
(fuel and oxygen), accidents and
injuries do occur.
Now, back to the definition: Behaviors
are observable and are seen by others. As
such, they are recordable. Because they
are recordable, behaviors are leading indicators
that can be analyzed and subsequently
corrected to prevent accidents
and injuries.
Gas Monitors and Datalogging
Datalogging is a feature that has been
available in portable gas monitoring
instruments since the early ‘90s. However,
it is a feature that historically has been
used very infrequently. Through the first
decade of availability, less than 10 percent
of the portable gas monitors that were
sold were equipped with datalogging
functionality. Datalogging was considered
a premium function and provided as an
add-on at a premium price. The data
recording capability was generally limited
to storing average or peak gas readings
and did not encompass storing values for
other parameters. These “advanced” features
were primarily used by industrial
hygienists for performing air-quality surveys
or for monitoring gas levels in a
variety of process applications where personnel
gas exposures were not at issue.
Today’s portable gas monitors generally
have datalogging functionality as
standard equipment. Dataloggers are
capable of utilizing flexible recording
intervals and having periods of data
storage up to one year or more.
Beyond storing gas levels, instruments
also store a number of other parameters,
such as calibration dates, temperature
readings, on/off times, minutes of operation,
and user identification and location
information. Figure 1 is provided as an
example of a typical datalog file from a
portable gas monitor. Although many of
the instruments available today have these
features activated all of the time and
record this information continuously, the
data are rarely used for anything beyond
after-the-fact investigations following a
safety related incident. What is largely
missed is tha t all of these parameters are
useful for not only establishing what has
occurred in the past (lagging indicators),
but also they provide indicators for what potentially may occur in the future
(leading indicators).
Behavior and Gas Monitoring
Instruments
There are typically two types of behaviors
associated with gas monitoring instruments.
The first involves patterns of how
the instruments are maintained and the
condition in which they are kept. The
second relates to patterns of behavior surrounding
how the instruments are actually
used. The Industrial Scientific iNetTM
database provides insight into both types
of gas monitoring behaviors.
iNet is a system in which Industrial
Scientific Corporation collects data from
customers using portable gas monitoring
instruments in a variety of industries. The
data are retrieved from the instruments
via a system of instrument Docking StationsTM
and are uploaded to the iNet database
via the Internet. The data include
information on patterns of bump testing,
calibration, and diagnostic testing, as well
as gas exposure data. Although the primary
purpose for collecting these data is
to provide proactive instrument maintenance
services, the data also can be used
to provide insight into the behaviors surrounding
the instruments. iNet customers
can be provided reports indicating
the behaviors surrounding the calibration
and maintenance of their instruments, as
well as reports that summarize instrument
and employee exposures to gas hazards
and instrument alarming conditions.
Portable gas monitoring instruments
should be tested and calibrated on a routine
basis. Manufacturer and industry best
practices recommend that portable gas
monitors are bump tested daily or prior to
each use. The bump test is a critical act,
providing direct feedback to the user
regarding the operational integrity of the
instrument, and it is the only method of
ensuring that the instrument is functioning
properly and safely.
Data collected from 95 customers
using 2,300 portable gas monitors reveals
that the instruments are bump tested on
frequency intervals from 2 to 651 days.
The data shows that the instruments are
tested on average every 51 days while they
are being used on average every three
days. Clearly, these data reveal a pattern of
unsafe behavior that is likely to lead to a
negative outcome. Examining the data
more closely will uncover what individuals,
groups, or specific functional areas
neglect the recommendations or requirements
to perform the regular instrument
bump testing, leaving them vulnerable to
future accidents.
Gas exposure data recovered from
approximately 10,000 instruments used by
approximately 120 customers revealed
more than 45,000 toxic and combustible
gas alarm conditions where exposures
exceeded recommended safety guidelines
during the two-month period of September
and October 2007. Add conditions
of low oxygen exposures to these data, and
an additional 2,400 dangerous conditions
were encountered. Without individual
analysis of each of these encounters, it is
difficult to determine whether or not
these exposures resulted in any significant
accident or injury. However, it can certainly
be deduced that these instances
could indicate behaviors that bring the
hazardous conditions and individual
workers much too close together.
Many of the alarm conditions
revealed in the data clearly show behaviors
of repeated exposures to dangerous
conditions. In the example shown in
Figure 2, a worker was repeatedly
exposed to elevated conditions of
hydrogen sulfide that were as much as
eight times higher than the recommended
safety limits. The worker
claimed—contrary to the medical evidence—
that no exposure occurred.
However, post-incident review of the
available data revealed that the worker
initially retreated from the dangerous
condition, only to repeatedly return for
several-minute periods before retreating
again from concentrations that were
continually increasing each time the area
was entered.
In another example revealed from
recorded data, a multi-gas instrument was
being used for atmospheric testing in
confined space entry applications. The
company’s procedures required that
atmospheric testing be performed continuously
during the period of entry. Data
collected from this instrument uncovered
that the instrument was being used for three- to five-minute intervals for preentry
testing and was then turned off
until it was used again for the next entry.
Summary Actions
In each of the examples cited, individual
behaviors led to or could have led to
serious exposures to dangerous conditions.
Without the use of datalogging and
subsequent analysis of the data,
employers and safety professionals would
typically be unaware that the conditions
or behaviors existed. In the limited data
set studied, 47,000 alarm conditions
would likely have gone unrevealed in just
a two-month period.
These recorded observations are all
leading indicators to potentially catastrophic
situations. With early and routine
analysis of the data, the catastrophic consequences
of the behaviors can be avoided.
Data can reveal the need and opportunities
for training. Repeated exposures will occur
when workers are not properly trained to
recognize the presence of gas hazards and
how to respond to them. Workers must
have an understanding of the situations
they may encounter in order to respond to
them in a comfortable, confident, and
positive manner. These situations can and
will be revealed through a careful analysis
of past data.
A long look into leading indicators in
recorded data also may reveal the need for
changes in processes that will enhance
worker safety. Repeated data patterns in
particular applications may indicate that a
process change is necessary or potentially
has the ability to mitigate exposure to hazardous
conditions. Repeated exposures in
particular applications or in particular locations
also may indicate that maintenance or
other corrective action is necessary to eliminate
potential hazard exposure.
Finally, safety can be ensured only if the
tools used to provide safety to workers are
in good, functional condition. Continuously
reviewing data related to the maintenance
of safety equipment such as portable
gas monitoring instruments will aid in
ensuring that best practices are being followed
and that workers are not needlessly
being exposed to hazardous conditions
because the tools designed to protect them
are not being kept in proper working order.
The gas monitor carried by the victim of
the explosion described in the introduction
to this paper had no datalogging capability.
There was no opportunity to analyze data
and/or see a pattern of behavior that may
have been a leading indicator that could
have predicted the potential for, and subsequently
prevented, that tragic explosion.
Nevertheless, it is unlikely that the day of
the explosion was the first time the victim
had carried the monitor in the off position.
Do not waste the opportunity to use
recorded information that reveals patterns
of behavior and offers opportunities
to prevent catastrophic incidents before
they occur.
This article originally appeared in the May 2008 issue of Occupational Health & Safety.