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Coal Inspectorate | Bulletin | No.197 V 1 | 07 October 2021

High Potential Incident under reporting

What happened?

There has been a significant decrease in the number of High Potential Incidents (HPIs) reported by Queensland coal mines during the 2020/21 fiscal year. The number of HPIs reported in 2020/21 was 25.7 per cent less than the previous year, and in parallel to this, the reporting frequency rate (HPIs per million workhours) also dropped by 22 per cent. The graph below (figure 1) depicts the HPIs reported over the past five fiscal years and the reporting frequency rates.

How did it happen?

The Coal Mines Inspectorate is undertaking a project to audit mine incident reports against the HPI reporting requirements to ensure all HPIs are being reported to the Inspectorate, enabling learnings to be communicated to industry. This continuous learning from incidents is a key part of any High Reliability Organisation or industry. It is also a key finding in the 2019 Brady Review into fatal accidents in Queensland, and that of the 2021 Coal Mining Board of Inquiry. 

During the past six months the Coal Mines Inspectorate has requested and received from 20 per cent of mines, both underground and open cut coal mines, copies of their internal incident reporting data. The remaining 80 per cent of mines will be audited in a similar manner. An analysis of this data shows there have been incidents occurring that were not reported as HPIs, when evidence suggests they were HPIs as defined by section 17 of the Coal Mining Safety & Health Act 1999.

Meaning of HPI

A high potential incident at a coal mine is an event, or a series of events, that causes or has the potential to cause a significant adverse effect on the safety or health of a person.

Some event types not reported as HPIs include, but are not limited to the following:

Key issues

The following is an extract from Dr Sean Brady’s review of all fatal accidents in Queensland mines and quarries from 2000-19.

“In High Reliability Organisations there is no such thing as a safety culture, rather there is a reporting culture. Currently, the data suggests under-reporting of incidents is occurring, and steps to address this issue are required.”

Recommendations

References and further information

Section 17 of the Coal Mining Safety & Health Act 1999 “Meaning of a high potential incident”

Brady Heywood “Review of all fatal accidents in Queensland mines and quarries from 2000 to 2019”

Authorised by Peter Newman - Chief Inspector – Coal

Contact: Cres Bulger, Regional Inspector of Mines , 0427 288 663

Issued by Resources Safety & Health Queensland

Safety: This information is a guide only and is issued to promote safety through experience. It is not to be taken as a statement of law and must not be construed to waive or modify any legal obligation.
Placement: Place this announcement on noticeboards and ensure all relevant people in your organisation receive a copy.

All information on this page (High Potential Incident under reporting - https://www.rshq.qld.gov.au/safety-notices/mines/high-potential-incident-under-reporting) is correct as of time of printing (25 Oct 2021 1:13 pm).