Reflecting on the 10-year anniversary of the Pike River Mine explosion
Ten years ago today the Pike River Mine exploded, killing 29 men working underground. This tragedy affected not just the victims but also their families, the array of businesses involved in the mine, and the broader West Coast community. At its widest, the explosion also had a lasting impact on New Zealand generally.
The Government of the day rapidly convened a Royal Commission of Inquiry led by retired High Court Judge Graham Panckhurst. The Royal Commission worked tirelessly for over a year, before presenting a comprehensive report in early 2012. The critical findings of the Royal Commission are well known but include:
- Poor governance and oversight by the Board and management of Pike River Coal Limited
- A culture of production over safety, with coal extraction occurring before all appropriate safety infrastructure was complete
- An inadequate legal framework to regulate underground coal mining
- An under resourced and ineffective regulator (the Department of Labour in those days) which accepted assurances from Pike River Coal and failed to take significant action despite ongoing breaches of relevant health and safety laws and mining regulations.
After the Royal Commission released its report, the Government commissioned an Independent Taskforce to make recommendations on how to improve the regulation of health and safety in New Zealand and reduce our rate of fatalities and serious injuries by 25% by 2020. The recommendations by this Taskforce included creating a new stand-alone health and safety regulator and repealing the Health and Safety in the Employment Act 1992 and replacing it with a new law based on the Australian Model Law.
The Government accepted these key recommendations and promptly moved to implement them. A new health and safety regulator, WorkSafe New Zealand, was created in December 2013 and a new law, ultimately passed as the Health and Safety at Work Act 2015 was introduced.
These actions created cautious optimism that New Zealand would learn the painful lessons from Pike River, and our poor health and safety record would improve.
Ten years on from that day, I question the progress we have made. When I look at the health and safety landscape in New Zealand, it seems to me that serious questions remain:
- Is WorkSafe sufficiently funded and resourced for its intended role as a dynamic, modern regulator?
- Do the leadership and front line inspectorate staff at WorkSafe have sufficient knowledge, resources and support to properly and fairly investigate workplace incidents and take appropriate and proportionate enforcement (or other) action when they identify problems?
- Is New Zealand's accident compensation regime, trumpeted since its introduction in the 1970s for the innovation of the "no blame" approach to personal injury by accident, still fit for purpose or is it inadvertently allowing duty holders to avoid fully meeting the financial and other consequences of poor health and safety practices?
- Are Boards and senior corporate leaders doing enough to deliver good health and safety in their organisations?
- Are workers themselves taking sufficient responsibility for their own actions and stepping up to lead, whether formally or informally in their workplaces, or is there something in New Zealand's diverse "she'll be right" culture that holds us back?
- What are we missing that can create the step change we need to deliver better health and safety outcomes?
Ultimately, our fatality rate remains stubbornly high (89 deaths in the year to 30 September 2020, compared to 77 deaths in the 2010 calendar year when Pike River occurred and 69 in 2012 when the Government set its target of a 25% reduction by 2020) and our serious injury rates are little better.
I don't have all the answers, and I'm clear that no one person or organisation can solve these challenges alone. Instead, it takes all of us involved in health and safety – and in the business community generally - to make a difference. My challenge for us all is to make sure we do not cut corners, or turn a blind eye, or rely on others to make the hard calls (or even to take the first step).
I have been fortunate to meet many amazing safety leaders over the years, and to see the passion for people that they share. Sadly, it appears this passion is not enough (although it's an excellent start). Improving health and safety outcomes requires a dedication and commitment to putting people first, with safety at the heart of design, planning, systems, and delivery of all work activities.
This takes a willingness to change and do things differently. Without a change in organisational philosophy to safety first all of the time, it is unrealistic for us to expect the future to deliver anything better than the past.
Businesses are unlikely to do this alone. Better support and encouragement (the metaphorical "carrot") is needed, including leadership from the Government in its operations and procurement with a focus on safety by design and encouraging good practices, not just the cheapest price.
Stronger regulation and more frequent enforcement is needed too, for those unable or unwilling to change. Asking for more enforcement is an odd request for a defence lawyer like me, and it won't be something my clients want. Despite that, it seems to me that the current "stick" hasn't worked, and we need to look at the frequency of prosecution and greater penalties countries like Australia and the United Kingdom have adopted, especially in serious cases. As New Zealand has relatively less large businesses, and small and medium enterprises are already "pleading poverty" when faced with fines at current levels, increasing fines alone is not the solution.
Another thing we don't need is corporate manslaughter. History tells me that creating a new offence doesn't change behaviour (otherwise everything would have got better since 2015), and this risks important unintended consequences as Boards and senior management drown their organisations in bureaucracy and paperwork to protect themselves from the threat of personal liability.
As I sit back and think about those 29 men from Pike River today, I welcome your feedback and thoughts on what we can do differently and/or better to make our workplaces safer. My hope is that one day (and hopefully sooner rather than later) we can all look back and say New Zealand has finally made this happen.
Director at Leading Safety
3 个月A very insightful reflection that gives us much good for thought.
Speaker and Author of 'Stayin' Alive', 50 years of experience helping individuals and companies to clearly understand and use simple and proven principles to wisely manage risks and prevent costly and tragic incidents
4 年Excellent article Grant! I have investigated serious accidents for 47 years, starting my career with a large electrical company in Ontario, Canada. We averaged 4 worker deaths per year from 1960 to 1980 and considered this 'the cost of doing business.' We had many of the same issues you mention in your article. I joined the company in 1973 and we started on a path toward a factor of 10 improvement in 1978. Led by our H&S Director, I was part of that effort until I left the company in 1993. We had our first fatality free year in 1983, followed by '84, '85, '86 and '87. We did achieve a factor of 10 improvement and it has been sustainable. The company is now averaging 0.4 worker fatalities per year, a significant improvement over the previous 4.0 for 20 years. After I left, I sat down and asked myself the question: "how did we do that?" I identified 20 key factors or 'puzzle pieces' that I believe are as valid today as they were 40 years ago. Earlier this year, I developed a 3-1/2 hour webinar that I call the 'Secret Code' to describe what we did and how the 20 puzzle pieces all worked together to achieve the factor of 10 fatality improvement. Go to: https://sbsbusinesssolutions.com/ for a free download Grant. Happy to chat further!
SME Health, Safety and Wellness Business Partner, Accredited Mental Health First Aid Instructor, HASANZ registered
4 年Superb article Grant. Pike River remains vivid in so many minds and having had the opportunity to read Rebecca Macfie's book Tragedy at Pike River Mine: How and Why 29 Men Died, it concerns me that our workplace fatality and serious harm incidence rates have not improved. How do we change attitudes towards health and safety? There are those of us who are dedicated health and safety professionals who struggle to find employment and when we do find employment, we are viewed with distaste and suspicion. We are not law enforcement, our goal is to do our very best to ensure that people go home at the end of their work day in the same condition as they arrived in. Is this goal so hard to understand? We New Zealanders do so well in many different areas and we are being applauded for our response to Covid19 around the globe. It would be wonderful to be applauded for our achievements in health and safety too.
Experienced Business, People & Performance Leader* Associate at Hunter Adams * Director Ross-shire Women’s Aid * Experienced NED * Kindness Advocate.
4 年I remember the day so clearly. One can only hope the enormous loss of lives registered with all the people and bodies who have the influence and ability to ensure such a tragic waste of life never happens again. Mike Cosman and the team involved in shaking up the NZ safety attitude did an amazing job. However, there is still so much to be done. The Workplace safety journey doesn't have an end, just milestones along the route.
Building Excellence in Innovation Leadership
4 年True, poignant and powerful words Grant. My simple take on how to motivate better adoption of H&S practices and behaviors is to demonstrate the commercial value in implementing good systems. Its not just about compliance and avoiding painful and expensive penalties. Not about being good corporate citizens, although that should be a no brainer. Done properly, H&S systems can add value and deliver money to the bottom line. CxO understanding must move from a cost of compliance mindset to treating it like any other investment. You just have to be smart about how to extract the value.