June 1999
A young person was badly burnt following a refuelling accident. The stove wasn't out. The cause of the accident was acknowledged as a 'supervision error'. However, the provider concerned was prosecuted for not having a suitable and sufficient risk assessment.
There is a concern that this could have a detrimental effect on safety if other providers fail to note the real issue (the supervision) and concentrate on detailed operating instructions for individual stove types. HSE do not expect providers to produce operating procedures for every piece of equipment in their stores.
Do not confuse a failure to follow agreed procedures with a failure to have appropriate procedures. This incident spawned a number of solutions to the problem. Three are worthy of note: