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Learning Lessons from the Santika Nightclub Fire

For many years SafetyAtWorkBlog and its forerunner Safety At Work magazine reported on various tragic fires in crowded nightclubs around the world. Several in recent memory include the 2003 Rhode Island fire that killed 100 patrons and for which, according to an Associated Press report from the time,

Superior Court Judge Francis Darigan Jr sentenced 29-year-old Daniel

Biechele to 15 years, but suspended 11 years of that sentence, and

also ordered three years of probation.

“Superior Court Judge Francis Darigan Jr sentenced 29-year-old Daniel Biechele to 15 years, but suspended 11 years of that sentence, and also ordered three years of probation.”

A brief report on the Rhode Island fire is in the OSHA media archives.

In March 2006, Safety At Work included an AFP report saying

“The municipal council has impeached Buenos Aires Mayor Anibal Ibarra after finding him guilty of dereliction of duty following a December 30, 2004 nightclub fire that killed 194 people.”

An earlier report on the mayor’s response is include at the CrowdSafe website.

Engineering and design company ARUP have provided SafetyAtWorkBlog with an article that analyses recurring elements of nightclub fires using the Santika fire in Bangkok from 1 January 2009 as a most recent incident. Below is the introduction to the article which can be found in full in the pages listed above.

Our thanks to ARUP for the terrific article.

Kevin Jones

LEARNING LESSONS FROM THE SANTIKA NIGHTCLUB FIRE

by Dr Marianne Foley and Travis Stirling, Arup Fire, Sydney

In the early hours of New Years Day 2009, fire engulfed Bangkok’s Santika nightclub, killing 64 people and injuring more than 200. Our knowledge of the events of that night is based on media reports and publicly available information, and the precise cause of the fire is still unclear. However, we do know that there are strong correlations between this and many similar tragedies at entertainment venues dating back as far as the first half of the twentieth century. While we wait for the results of the official investigation and coronial enquiries, it’s timely to ask questions about these fires. Why do they happen over and over again? Why do so many people lose their lives? What lessons can be learnt? And what practical measures can be implemented to stop them happening?

RECURRING MISTAKES

Arup’s analysis of case studies has revealed six themes that commonly contribute to the severity of high-fatality nightclub fires: insufficient exits, the presence of highly flammable materials, a lack of good fire safety systems, confusing environments, pyrotechnics and open flames, and buildings used inappropriately and maintained poorly. By addressing each of these themes, we aim to provide design solutions that could mitigate the risk of future nightclub disasters.

[The themes in the full article are

Insufficient exits

Highly flammable materials

Fire safety systems

Confusing environments

Pyrotechnics and open flames

Buildings used inappropriately or maintained poorly]

New approach to risks of nanomaterials

US research scientists have released a new article about assessing the exposure risk of nanomaterial. Treye Thomas, Tina Bahadori, Nora Savage and Karluss Thomas have published “Moving toward exposure and risk evaluation of nanomaterials: challenges and future directions“.

Refreshingly they take a whole-of-cycle approach to the materials and, even though, the conclusion is that more research is required, that they are approaching the hazard in this fashion is a very positive move.

They say that nanomaterials will only become an acceptable technology if people understand the risks involved with the products.

“The long-term viability of nanomaterials and public acceptance of this new technology will depend on the ability to assess adequately the potential health risks from nanomaterial exposures throughout their lifecycle.”

This openness by manufacturers has not been evident up to now as the commercial application of the technology is early days.

The researchers advocate two elements to further investigation of nanomaterials.

The first is metrology and

developing tools to characterize and measure relevant

attributes of nanomaterials, including particle

size, number, and surface area. The second is lifecycle

analysis of nanomaterials in consumer goods

and their transformation and degradation in products

throughout the lifecycle of materials.

“The first is metrology and developing tools to characterize and measure relevant attributes of nanomaterials, including particle size, number, and surface area. The second is lifecycle analysis of nanomaterials in consumer goods and their transformation and degradation in products throughout the lifecycle of materials.”

There are several medical articles included on the Wiley Interscience website that may be of relevance but it is heartening to see some interdisciplinary thinking in this field.

Kevin Jones

Nanotechnology safety – literature review

Earlier in June 2009 The European Agency for Safety and Health at Work released a literature review entitled “Workplace exposure to nanoparticles”

The EU-OSHA says

“Nanomaterials possess various new properties and their industrial use creates new opportunities, but they also present new risks and uncertainties. Growing production and use of nanomaterials result in an increasing number of workers and consumers exposed to nanomaterials. This leads to a greater need for information on possible health and environmental effects of nanomaterials.”

The report is available for download by clicking on the image in this post.

Kevin Jones

Tasers as personal protective equipment

SafetyAtWorkBlog supports the use of tasers, or stun guns, as a control measure that eliminates or reduces the chances of a police officer being seriously injured but concerns continue around the world about the application of tasers. In 2008 the New South Wales government came to a decision of sorts on tasers. Following the recent death of a man in Queensland from a taser, the focus has shifted to that States.

In an OHS context tasers could almost be considered a piece of active personal protective equipment (PPE), if there can be such a thing.

Recently Dr Jared Strote of the Division of Emergency Medicine at the University of Washington Medical Center said

“It is fairly clear that the use of TASERs on healthy individuals is rarely dangerous (there are hundreds of thousands of uses in the US without serious outcomes). The question is whether there is a subset of people for whom there is a higher risk.

The problem is that the individuals who have died in custody temporally associated to TASER use are the same types who are at higher risk of death during police restraint no matter what type of force is used.”

Dr Strote also illustrates the cost/benefit issue that OHS professionals must deal with constantly

“The issue is probably less whether or not TASERs can cause death (they probably can but very infrequently); the better question is whether their net benefits (potential to avoid using more lethal weapons (like firearms), potential to decrease risk to officers, etc.) outweigh the potential costs.”

Two studies by Dr Strote – “Injuries Associated With Law Enforcement Use Of Conducted Electrical Weapons” and “Injuries Associated With Law Enforcement Use Of Force,” were presented at a forum in New Orleans in mid-May 2009.

A UK expert, Dr Anthony Bleetman, a consultant in emergency medicine says

“Tasers have been used on human subjects probably about a million times, some in training and a lot in operational deployment. With any use of force there is a risk of death. But when you look at the big picture the death rate after Taser is no higher than with other types of force. But what we do know is that there is a certain type of individual who is at greater risk of death after police intervention – the so-called excited delirium state where somebody, usually a male in their 20s or 30s, often with a psychiatric history, often on illicit drugs or psychotropic drugs, has been in a fight or pursuit, physically exhausted, not feeling pain, dehydrated and hypoxic. And then you add on top of that physical restraint by police. These are the ones that die and they die whether you Taser them or don’t Taser them.”

Bleetman explains the role of tasers in comparison with other active PPP:

“Police officers have a whole spectrum of options to use in force from talking to people to laying their hands on people to using capsicum sprays, batons and dogs. And then there’s a gap until you get to firearms when you shoot people. So between batons, dogs, sprays and guns, Tasers sit quite nicely to use against people who are so agitated and so dangerous to themselves and others that the only way to take them down is something as lethal as a gun or as dangerous as a police dog.”

Many American studies and statistics must be treated with caution as tasers are readily available to the general public and therefore operate unregulated. However in 2005 the American Civil Liberties Union undertook a study of law enforcement agencies. According to an Associated Press report from the time written by Kim Curtis:

“The ACLU surveyed 79 law enforcement agencies in Northern and central California, according to spokesman Mark Schlosberg. Of those, 56 use Tasers and 54 agencies provided the ACLU with copies of their training materials and policies regarding stun gun use. Among the organisation’s major concerns was that only four departments regulate the number of times an officer may shoot someone with a Taser gun.”

This last point has been one of the most contentious points of the recent case in Queensland where a police taser was discharged 28 times.

Taser use is a very complex issue, as are most PPE and OHS issues when dealing with emergency services. It may be possible to take some hope from the deterrent effect of tasers identified by the Delaware State Police in some recent budget papers:

“We have encountered numerous incidents where the mere presence of the Taser on the troopers’ belts has discouraged defendants from resisting arrest.”

Kevin Jones

How many Australians work from home?

SafetyAtWorkBlog is mostly produced from a home office. This is principally because the type of work undertaken can be done in a domestic setting. There are thousands of small – and micro-businesses in a similar situation. Thousands of people choose to run their businesses from home.

This has often been overlooked in the teleworking movement over the last decade or so. “Working from home” has more often than not been considered an addition to working in an office. The home workplace is seen as a back-up to a principal place of work.

In early may 2009, the Australian Bureau of Statistics released statistics on working from home, both as a main and second job. The media statement emphasises those who take work home and does have one paragraph on home-based businesses.

“People who were owner managers in their main job were much more likely to use their own home for their main location of work (27% of the 1.9 million owner managers) than employees (1.4% of the 8.2 million employees*). Women who were owner managers in their main job were more likely to use their own home for their main location of work than male owner managers (45% compared with 18%)”

The media statement went on :

“Around one in every 12 employed persons (764,700 persons or 8%) worked more hours at home than any other single location in their main or second job. Of these people:

The majority (83%) were aged 35 years or older

55% were women

39% were in families that had children aged under 15 years old

The main reason for working from home was ‘wanting an office at home/no overheads/no rent’ (37%), followed by ‘operating a farm’ (21%) and ‘flexible working arrangements’ (15%)

31% worked 35 hours or more at home in all jobs”

The OHS profession has never really been able to cope with a workplace that is also a domestic residence. To help, OHS professionals advise to have a dedicated home office so that the workplace has a defined area. This allows OHS obligations to fit the concept.

Working from a kitchen table with a dog, a hungry child and three baskets of washing to hang out, is not what the legislation anticipated but it can be the reality.

Another reality is that many media and professional people can work out of their car or local cafes almost 100% of their time. How does the advice from an OHS professional match those scenarios? Legislation based on the assumption of a fixed work location or site might not meet these particular working environments.

Another thing that is always annoying is the assumption that it is office workers who work from home, so the tasks are necessarily technologically based. Any OHS advice should apply to the issue of working from home in a broad sense and not just to specific work tasks.

As many professions become portable, OHS laws and legislation need to accommodate the flexibility. If not more so, so do company policies, job descriptions, claims assessments, workplace safety assessments and others.

Kevin Jones

Fearing the invisible – selling nanotechnology hazards

The community is not getting as concerned about nanotechnology as expected (or perhaps as needed). There is the occasional scare and the Australian unions have relaunched their campaign on the hazards of nanotechnology manufacturing. There have been several articles about the potential ecosystem damage of nanotechnology in our waterways. Frequently, it can be heard that nanotechnology is the new asbestos.

Nanotechnology is a new technology and all new things should be used with caution. It is odd that none of the nanotechnology protests seem to be gaining much traction.

Part of the problem is that nanotechnology is invisible and how do people become concerned about the invisible? This is a point of difference from the asbestos comparison. Asbestos was turned into asbestos products – from dust to roofing. But nanotechnology goes from invisible to items such as socks. The public see new improved versions of common items, nanotechnology is used in familiar items, but the public does not see the nanotechnology and therefore does not comprehend nanotechnology as a potential hazard.

It may be useful to jump back before asbestos to look for new communication techniques for warning consumers about the invisible.

In 1998 Nancy Tome published “The Gospel of Germs“. Tome looks at the slow realisation in the first half of last century by the public that germs and microbes exist and can cause harm. She is not interested in the germs themselves but how society accepted their existence and how they reacted. This reaction – improved hygiene, infection control, disinfectant, etc – can provide us with some clues as to how society embraces the invisible, particularly if the invisible can make us sick.

Nancy Tomes wrote the book in the time when AIDS was new. But since then SARS is new, Swine Flu is new and other pandemics will become new to a generation who have only known good health and good hygiene. Now we are creating invisible things that we know can have positive benefits but we don’t know the cost of the benefit.

It is perhaps time for the OHS lobbyists to take a page or two from the public health promotion manual (and Tome’s book) and begin to explain rather than warn. Nanotechnology is not asbestos and the comparison is unhelpful. The application of nanotechnology will be in far more products than was asbestos and the nanotechnology is smaller.

If the lobbyists can make the invisible visible then progress will be much quicker.

Kevin Jones

“Getting back on the (trauma) horse”

Mental health in the workplace is one of those recent manifestations of psychosocial hazards. It continues to evolve and during this process one is never quite sure where the best and most relevant information can be obtained.

Cnfusion for the safety professional can come from new, slightly off-topic, issues that can skew the public perception and understanding of exactly what it is one is trying to manage.

Is it reasonable to take inspiration (if that is the right term) from studies of Iraq War sufferers of post traumatic stress syndrome in providing clues to handling mental health issues at work?

During tertiary risk management courses the debt owed to the armed forces and their planning processes is acknowledged but soldiers operate in a unique culture of accountability, clearly defined duties and a rigid hierarchical structure. In most circumstances only the broadest of concepts could be translated to the real (non-militarised) workplace. In a similar way studies of Scandinavian workforce management are interesting but are highly unlikley to be transferable outside the cultural geography.

A very recent example of this problem of getting excited about innovation and then wondering about its genuine applicability, can be seen in the TV show, Catalyst, (video available online for a short time) broadcast by the Australian Broadcasting Corporation on 16 April 2009.

The program provides a profile on a computer simulation program that purports to aid the rehabilitation of war veterans by returning them to traumatic events of the war zone. It seems that the theory is the same as “getting back on the horse that threw you”.

In OHS terms, the applicability for firefighters, emergency response personnel etc is obvious but SafetyAtWorkBlog has reservations. The use of video simulations and games by the armed services before, during and after combat is discomforting.

Managers and health care professionals may need to carry some of the responsibility for the cloudiness of mental health and trauma by applying the hyperbole of trauma to relatively benign workplace issues. Many elements of work are being described as traumatic when they are not. They maybe disturbing, disconcerting or even harmful but there is a big difference between being punched in the face by a psych patient and driving over a car of civilians in an armoured vehicle.

In other industry sectors, such hyperbole would be described as spin. It is the responsibility of OHS professionals to cut through the spin and not be distracted by “exciting”, but indirect, innovative solutions. Let’s look for the evidence and operate from what we know works. At least until new evidence appears.

Kevin Jones

Category: technology

Learning Lessons from the Santika Nightclub Fire

LEARNING LESSONS FROM THE SANTIKA NIGHTCLUB FIRE

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