Investigation Eliminates Vehicle - Pedestrian Near Misses

Independent investigation revealed layout, communication and supervision gaps — and replaced them with engineered separation, visual controls and disciplined radio language.

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Overview

During a late shift, a pedestrian marshal stepped into a trailer bay area while a shunter unit was repositioning. A near miss occurred at low speed; no injuries, but clear potential for serious harm. CCTV suggested confusion around hand signals and bay allocation. The event triggered immediate scene control, notifications, and our rapid response.

Key Actions

  1. Fixed barriers + one‑way vehicle flow; removed conflict points.
  2. LED “bay live” beacons + high‑contrast floor stencils; mirrors at blind corners.
  3. Standardised hand signals + three radio call‑outs (“approach”, “in bay”, “clear”).
  4. Mandatory pause on adjacent bay moves while marshaling; simple checklist.
  5. Yard‑specific sign‑off + quarterly micro‑drills; lighting levels increased.

Results

  • Zero recurrences at 12‑week follow‑up; stable pedestrian–vehicle separation.
  • Consistent radio discipline observed in weekly leadership rounds.

Transferable Lesson: Standardise signs, pedestrians priority over workplace transport. 

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