Chuck Seyboldt
Principal
Weinstein
Associates
Standish,
Maine
Edited by Leland Teschler
Design engineers routinely make engineering
judgments about safety.
Often, these judgments are to comply
with a technical standard, as perhaps
from ANSI, or for a CE marking
requirement. But perhaps more
frequently, a safety-related design
decision is based on a feeling of common
sense, or adherence to historical
precedent, as in, “That’s how we’ve
always done that.”
Some engineering judgments
have the misfortune of being viewed
in the hindsight that comes with
litigation. It isn’t possible to have
hindsight in advance of any given
personal-injury or property-damage
case. But the analytical approach
used in court can also be used prospectively.
That is, designers can ask
the same questions that would arise
if an injury took place.
Take an example of a company
that uses a lever-operated limit switch
to prevent machine operation when
a guard door opens. The switch got
criticized as being easy to defeat during
a safety review for CE marking
purposes. So, “for CE marking purposes,”
the company opted for a more
expensive key-type switch.
This decision has at least two
important side effects. First, is the
key-switch design to be used only for
CE-marked machines? If the answer is yes, an injured party in the U.S. will
ask, “Why do Europeans get to keep
their fingers, but people in the U.S.
are put at risk?” There is no good answer
to this. The result is apt to be a
liability for the machine builder.
The second effect concerns historical
production. If the company
decides the key-switch design is appropriate
for all machines regardless
of their destination, what does it
do about existing machines with the
lever-operated limit switch?
Unfortunately, there is no clear
answer. Companies must evaluate
each case of design evolution on its
own merits.
The fact that the full range of
product design options can be used
to attack a given design can’t be used
as an excuse for resisting change. It’s
also a mistaken notion that liability
can be avoided by adhering to whatever
design is now in production.
The touchstone of the law is “reasonableness.”
This touchstone is malleable.
It tends to evolve with technology
and the times. The judge (or
jury) is confronted with one question:
How do we allocate responsibility
for THIS injury between the
machine designer and the injured
person? The designer is expected to
take all reasonable precautions to
prevent injury, and to be particularly
aware and mindful of hazards that
pose a risk of serious injury or death.
The law will look to three factors
as it assesses the reasonableness of a
design. The general principle is that
measuring a hazard, and addressing
it through design, is a multifaceted
inquiry. The first facet accounts for
the severity of injury. The second is
how often that “accident” or situation
is expected to exist. The third is the
ability of a person to avoid injury.
The law expects that the more
severe the harm, or more likely or
unavoidable an injury, the more
care and effort warranted at the design
stage to prevent a situation that
causes the injury.
Again consider the interlocked
guard example. The interlock function
is expected to be quite reliable
when the injury associated with a
hazard is serious and unavoidable,
in combination with frequent or
repetitive exposure to the hazard.
For a concrete example of frequent
exposure to a hazard that can cause
serious injury, consider a person
reaching into a die space on each and
every machine cycle.
The notion of “frequency” isn’t
always embodied in how often a
person reaches into a dangerous
space. A hazardous condition
could be considered “frequent” as a
matter of owners chronically failing
to notice safety-critical parts wearing
out, or failing to undertake an
arguably reasonable inspection or maintenance regime.
A designer looks to catalogs and standards to accommodate
many detail design decisions, but there are pitfalls
and traps hidden here as well. It’s generally true that conformity
with a technical standard is a minimum prudent
step. But sometimes a technical standard (or catalog),
which is written for the “generic” piece of equipment,
doesn’t probe all the relevant issues, or overlooks the intended
design approach.
A designer must think about the expected environments
and uses of the equipment. A standard may not
account for that range of use.
For example, the generic standard for household electrical
devices forces designers to think about the choice of insulation
on a power cord, in light of elevated temperatures.
(Thermoplastics aren’t suitable for use around hot appliances
like irons or deep fryers.) Similarly, it forces thought
about resistance to abrasion and expected chemicals.
But the standard does not prompt the designer to
think about how the insulation performs in the cold;
highly important for an appliance to be used outdoors
in the winter. Some (but not all) thermoplastic insulating
materials are flexible at temperatures below 20°F.
Neither the technical standard nor wire catalogs can be
counted on to probe the particular design requirement
of flexibility at low temperatures.
Beware, too, of approaching a design problem with
an unconventional solution, then justifying the approach
on the grounds that the relevant standards don’t forbid it.
Standards can’t possibly express all the inappropriate ways
components can be combined. A three-phase disconnect
switch is nominally intended to be a stationary, but can
certainly be reliably secured to the hinged door of an electrical
control cabinet. The standards that describe power
and control circuits don’t forbid it. Is the on-door location
of a disconnect unreasonably dangerous?
The answer requires knowing at least: whether or not
the attached supply cord is rated for flexing; whether or
not the grounding circuit can handle full-power shorts to
the door; and whether or not the power cord is retained in
a way to prevent direct human contact with live power.
Another example of an unconventional approach is
embodied in the use of a circuit breaker doubling as a
master control, master E-stop contact. Most E-stop functions
open power contacts when voltage is removed from
an operating coil. The unconventional approach relies on
delivering voltage to a circuit breaker trip coil to open the
circuit breaker power contacts. Now suppose standard
control-circuit design practices are otherwise followed.
Then the designer will include a fuse in the trip-coil circuit.
This design decision results in total loss of E-stop
function in the event a fuse blows or is removed.
When the designer doesn’t fully complete the construction
of an unconventional approach, the unconventional
installation requirement must be prominently and reasonably
imposed on the installer. Even then, the unconventional
approach makes a dangerous installation more
likely because others tend to follow “normal” practices.
The general point of these examples
is that designers are well served
by thinking through design decisions
in terms of engineering fundamentals
instead of in terms adopted by standards
bodies.
As the discussion moves away from
the technical and toward the legal,
the “reasonableness deck” is stacked,
ever so slightly, against the designer.
The equipment must be safe not only
when used as intended, but also when
misused in a reasonably foreseeable
way. The designer is expected to confront
the real-world users and uses of
the equipment. It is not a defense to
complain that the real world is always
unreasonable.
The strongest defense is one that
accurately and precisely confronts the
full extent of the hazards created by
the interaction of a machine with the
incredible range of real-world users.
Should the designer admit in writing,
as in a risk assessment, that the machine
creates hazards capable of causing
death or serious injury? Emphatically,
yes! In hindsight, it will be clear
to the jury that the equipment was
capable of causing a particular injury.
It behooves the designer to be one step
ahead of seeing the hazard, and into
the realm of dealing with it.
The strongest design defense builds
from the recognition of hazards. What
does the law expect a designer to do
with a hazard, once uncovered? First,
if possible, eliminate it. If a crush zone
can be eliminated by relocating a stop
or shortening a stroke, then eliminate
the crush zone.
Some hazards, like the in-running
nip between a belt and a sheave, can’t
be eliminated. When a hazard can’t be
eliminated, the designer is expected to
render the hazard inaccessible. This
usually reduces to guarding, but some
hazards are rendered safe by being out
of reach. The last resort, and ironically
the remedy most often suggested by
injured machine misusers, is to provide
a warning.
Why is the least preferable safety solution,
yet another warning label, the
most often claimed design deficiency?
There are several reasons. Warning labels
are inexpensive. An injured user
can contrast his loss, a debilitating injury, with the modest cost of a warning
label. But don’t be fooled. A company
that relies on warning labels, and
fails to describe why “design out” and
“guard against” are unreasonable, is at
risk of a loss in court.
Another reason injured plaintiffs
favor “add a warning label” is that they are required to offer an alternative
design that would have prevented
their injury. “Add a label” is easier than
performing mechanical or electrical
design, and avoids counter-arguments
of increased cost or diminished utility.
Assuming a hazard can’t be designed
out nor guarded against, the designer may be tempted to add a
warning label, as a rule. That temptation
should be tempered, because
society as a whole loses when warnings
become jokes. The fact that
somebody can (or will) argue that a
warning would prevent a particular
injury, does not automatically mean a warning is a good idea. Users will
remember a funny warning over an
important one. “Warning: Never
iron clothes on the body” sticks in
the mind because most people appreciate,
without being reminded,
that an iron is dangerously hot.
Not to say that a warning is never appropriate. Understand that warnings
are a last resort and, because the
designer is engaged in averting serious
personal injury, warnings deserve
serious deliberation. A warning is a
last-minute appeal to the only person
who can prevent a harm, and it’s in
everybody’s interest that the warning
be understood and heeded.
The second-most-often-claimed
design deficiency? The warning label
was inadequate. Either it sat
where the injured person (or the person
causing the injury of another)
couldn’t see it, or it didn’t have the
right message. An effective warning
message informs the reader of three
things: the nature of the hazard; the
extent of injury, the “downside risk”;
and exactly what to do to avoid the
injury. Furthermore, it must be understood
by the typical user.
Instructive language must be precise
and unequivocal. The words
of a well-done label do not admit
the injured person to substitute his
judgment for the designer’s. “Safe
distance,” “safe pressure” and similar
vagaries are whatever the reader
chooses as “safe.” And in the case of an
injured person, their interpretation
may be the very cause of their injury.
The words of a well-done label will
be understood in a way that produces
behavior modification. In
other words, avoid technical jargon.
Put less emphasis on being technically
correct, and more emphasis on
causing the reader to take appropriate
precautions.
There is only one way to insure
you’ll never lose in court, and that is to
never have the design tested in court. In
this regard, a designer and an injured
person have exactly the same objective,
that there be no injury.
Approach design and safety analysis
with that objective firmly in mind.
When a hazard results in the misfortune
of an injury, the best defense the
designer can have, in court, is awareness
of the hazard accompanied by a
credible explanation of the care and
thought that went into preventing
injury.
Make Contact
Weinstein Associates
walaw.com