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Case 2: Severe post traumatic stress disorder following severe burns to hands trapped in machine

Organisation

A leading food producer in the UK and Ireland, with 19 operating sites across the UK and Ireland specialising in chilled, bakery and frozen food production, with a workforce of 11,500 people.

Accident

Accident occurred in May 2004 to a 32 year old male team leader at a food manufacturing site. While threading film onto a hot sealing machine the top head came down trapping both hands and causing full thickness burns.  He was taken to hospital by ambulance and admitted for 7 days.

Intervention

OHA were notified in June 2004. All physical treatment needs were met by the NHS following successful skin grafts.

OHA liaised with injured party’s representative over a period of weeks. The employee had limited grasp of English. Potential psychological injuries that might require further intervention/treatment were identified. In July 2004 OHA contacted the employee’s GP who confirmed psychological trauma and depression and had no objections to OHA arranging psychological input.

OHA sourced an appropriately qualified Urdu speaking practitioner and arranged assessment. Some delay experienced as the employee needed to return to Pakistan following the death of a family member. Assessment finally arranged for November 2004 at which a diagnosis was made of Post Traumatic Stress Disorder (PTSD) in the severe range.

Treatment commenced and continued over the next 12 months for the debilitating impact the PTSD had on the employee. All treatment for his burns continued via the NHS and he required several hospital attendances each week, again for over 12 months.

Cognitive behavioural therapy was finally completed in November 2005 by which time the employee had made sufficient progress to consider in re-integration back into the workplace, albeit at a considered pace.

Discussions held with Human Resources who advised they could not offer him a suitable position and therefore would have to dismiss him in line with company policy.  OHA argued the case in favour of the employee and the negative impact that this would have on his progress to date. HR re-considered their decision and he was able to return to work on a graduated basis in December 2005.

Cost of treatment and savings

£5170 for cognitive behavioural therapy.

The employee’s symptoms were so severe that without this intervention it is very doubtful whether he would have been be fit to resume any form of employment. Having returned to work after 18 months absence, all parties concerned viewed this as a positive result against the odds.

Link URLs in this page

  1. Food & drink manufacturehttps://www.hse.gov.uk/food/index.htm
  2. Common risks - in food and drink manufacturing industrieshttps://www.hse.gov.uk/food/industries.htm
  3. Meat, poultry and fishhttps://www.hse.gov.uk/food/slaughter.htm
  4. Milling, animal feedshttps://www.hse.gov.uk/food/grain.htm
  5. Bakery productshttps://www.hse.gov.uk/food/bakery.htm
  6. Dairy productshttps://www.hse.gov.uk/food/dairy.htm
  7. Fruit and vegetableshttps://www.hse.gov.uk/food/fruitveg.htm
  8. Alcoholic and soft drinkshttps://www.hse.gov.uk/food/drink.htm
  9. Chilled and frozen products https://www.hse.gov.uk/food/chilled.htm
  10. Supply chainhttps://www.hse.gov.uk/food/chain.htm
  11. Safety risks overviewhttps://www.hse.gov.uk/food/safety-hazards.htm
  12. Manual handlinghttps://www.hse.gov.uk/food/handling.htm
  13. Slips on wet or contaminated floorshttps://www.hse.gov.uk/food/slips.htm
  14. Falls from heighthttps://www.hse.gov.uk/food/falls.htm
  15. Workplace transporthttps://www.hse.gov.uk/food/transport.htm
  16. Struck by somethinghttps://www.hse.gov.uk/food/struckby.htm
  17. Overview - Food processing machineryhttps://www.hse.gov.uk/food/machinery.htm
  18. European CEN 'C' Standards for food processing machineshttps://www.hse.gov.uk/food/standards.htm
  19. Packaging machineryhttps://www.hse.gov.uk/food/package.htm
  20. Overview - Prevention of dust explosionshttps://www.hse.gov.uk/food/dustexplosion.htm
  21. Selection and use of vacuum cleanershttps://www.hse.gov.uk/food/dustexplosionapp1.htm
  22. Explosion relief for small bins and siloshttps://www.hse.gov.uk/food/dustexplosionapp2.htm
  23. Overview - Occupational health topicshttps://www.hse.gov.uk/food/healthtopics.htm
  24. Musculoskeletal disorders (MSDs)https://www.hse.gov.uk/food/musculoskeletal.htm
  25. Dermatitishttps://www.hse.gov.uk/food/dermatitis.htm
  26. Noise induced hearing losshttps://www.hse.gov.uk/food/noise.htm
  27. Overviewhttps://www.hse.gov.uk/food/asthma.htm
  28. Low dust flourhttps://www.hse.gov.uk/food/low-flour-dust.htm
  29. Exposure to disinfectantshttps://www.hse.gov.uk/food/disinfectants.htm
  30. Work-related stresshttps://www.hse.gov.uk/food/stress.htm
  31. Overview - Occupational rehabilitationhttps://www.hse.gov.uk/food/rehabilitation/index.htm
  32. OH Case studieshttps://www.hse.gov.uk/food/rehabilitation/casestudies.htm
  33. Overview - Resourceshttps://www.hse.gov.uk/food/information.htm
  34. Case studieshttps://www.hse.gov.uk/food/experience.htm
  35. Useful linkshttps://www.hse.gov.uk/food/links.htm
  36. Food and Drink Manufacture Health and Safety Forumhttps://www.hse.gov.uk/food/forum.htm
  37. Topics of interesthttps://www.hse.gov.uk/food/live.htm
  38. Case studies menuhttps://www.hse.gov.uk/food/rehabilitation/casestudies.htm
  39. Previous case studyhttps://www.hse.gov.uk/food/rehabilitation/case1.htm
  40. Next case studyhttps://www.hse.gov.uk/food/rehabilitation/case3.htm
  41. A recipe for safety: Occupational health and safety in food and drink manufacturehttps://www.hse.gov.uk/pubns/books/hsg252.htm
  42. Moving food and drink: Manual handling solutions for the food and drink industries https://www.hse.gov.uk/pubns/books/hsg196.htm
  43. Case studieshttps://www.hse.gov.uk/food/experience.htm
  44. Food Standards Agencyhttps://www.food.gov.uk/
  45. Slips and tripshttps://www.hse.gov.uk/slips/index.htm
  46. Fallshttps://www.hse.gov.uk/work-at-height/index.htm
  47. Musculoskeletal disordershttps://www.hse.gov.uk/msd/index.htm
  48. Workplace transport micrositehttps://www.hse.gov.uk/workplacetransport/index.htm
  49. Equipment at workhttps://www.hse.gov.uk/work-equipment-machinery/index.htm
  50. Back painhttps://www.hse.gov.uk/msd/backpain/index.htm
  51. Pushing and pullinghttps://www.hse.gov.uk/msd/pushpull/index.htm
  52. MAC toolhttps://www.hse.gov.uk/msd/mac/index.htm
  53. Food and Drink Manufacturing Forumhttps://www.hse.gov.uk/food/forum.htm
  54. Federation of Bakers (FoB)https://www.fob.uk.com/
  55. Craft Bakers Associationhttps://www.craftbakersassociation.co.uk/
  56. British Meat Processors Association (BMPA)https://britishmeatindustry.org/
  57. Dairy UKhttps://www.dairyuk.org/
  58. Chilled Foods Association (CFA)https://www.chilledfood.org/
  59. British Frozen Food Federation (BFFF)https://www.bfff.co.uk/
  60. Food Standards Agencyhttps://www.food.gov.uk/
  61. IOSH Food and Drink Grouphttps://www.iosh.co.uk/groups/food_and_drink_group.aspx

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Updated 2023-06-15