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Maintaining World Class Operations Nobody Gets Hurt Loading - APPLY 5 Keys - SDC Fill Up & Check Before Loading - Multiple Point, Tell & Touch with SDC - Connect Loading Arm and Do PTT again - Check Loading Arm Product Tag, Comp Tag, SFL & Sight Glass Empty - Do Not Rush; Do Not Hurry
Avoiding Spill Case for actions in 2011 An worrying trend having 9 spills in 2011 ( vs.1 in 2010) There are 3 main causes of 2011 spills 1.Truck Rollover 2.Lack of driver attention / concentra tion 3.Not following procedure (no ullage check) All of them are preventable. Examples for each case are followings.
Driver removing a sampling bucket, the grounding cable get caught on one of the sampling adapter ear lock causing it to get loose resulting in approximately 30 liters of product spill to the ground.
Spills due to lack of attention
Driver placed a pail on side bumper to drain dry mogas. He then connected unloading hose to ADO outlet/inlet while the common discharge outlet still open. When driver open the bottom valve to unload ADO, the product flow out into the pail and approx 20 liters of ADO were spilt onto the ground.
Spills due to not following procedure (failure to perform ullage check) On a routine delivery to an I&W site (property development), the single 20KL tank on site was filled until the overfill protection system was actioned. Acting alone and contrary to procedure, Driver attempted to transfer product left on board his TT into a small tank fitted on a siteâ€™s maintenance truck parked nearby, causing a spill of ADO of up to 150 litres.
Spills due to truck rollover
HOW CAN SPILL BE PREVENTED?
Thailand, Truck rollover resulting into driver MTI and 100L spill. A loaded hauler truck with 8,000 liters of UGR91 and 8,000 liters of ADO on board was on way to customer. On Mitraphap road KM72, hauler driver had micro-sleep and therefore truck moved off the road, driver was awaken and tried to head back the truck onto the road but did not success. TT rollover and spill about 100 liters of products (UGR91 & ADO) on the road.
On the road
• Why it is important to check for residual product in compartment before loading? • Why we are required to have our eyes on our task while loading or unloading? • Why we have to ensure loading meter is correctly set prior to start loading product? • What are the steps for preventing spill in top loading? Why? • How the practice of double check can help to prevent spill?
At customer site
• Why we are required to have our eyes on our task while unloading? • Why hose checking is important? What to look for when checking hoses, coupling and drop equipment? • During pump delivery, what is the procedure to prevent the camlock from loosening? • How using SDC can prevent spill? • How the practice of double check can help to prevent spill?
• Why pre-trip inspection is important? • Why applying defensive driving techniques all the time is important? • Why fatigue management and fit for duty is important? • Why distraction management is important?
Multi-tasking – A FALLACY Multi-tasking in motion is dangerous Multiple cases of city pedestrians walking and talking/texting: • Falling into manholes • Onto train tracks • Into fountains • Crossing streets in front of cars without noticing
Examples of distracted walking
• Distraction in our busy lives is more common than you may think! • Talking on cell phone • Typing/reading text or email • Reading a document (off the printer) • Storing receipts • Listening to iPod, mp3 player • Carrying hot/heavy/large item • Eating or drinking • Daydreaming/fatigue • Rushing for appointment • Reading directions • Disembarking plane/train (phone checking) • Preparing for meetings/intense thinking/planning
Multi-tasking – some stats • Walking and texting/talking • 30-39% of Pedestrians walk distracted • 48% on cell phone stepped into crossing while vehicle approached • Pedestrian injuries increased 25% in past 5 years • Estimated 14,000 injuries, and 900 deaths per year (National Highway Traffic Safety Admin) • Driving and texting/talking • 11% at any point are on cell phones, 81% admit to talking while driving • 18% admit to texting while driving (39% of GenY, 36% teens) • 28% of all crashes are attributable to cell phones (4x more likely to crash) • 1.6 million crashes, 645,000 injuries, estimated 11,00013,000 deaths • Driving and hands-free devices • Still causes cognitive distraction, does not decrease the risk
Multitasking: A Brain Drain • Multitasking for the brain is a myth • Human brains do not perform two tasks at the same time • Brain handles tasks sequentially • Brain switches between one complex task and another • Brain filters out info due to overload (2 complex tasks at same time) • Drivers/walkers miss critical information on potential hazards • Brain juggles tasks, focus and attention, switches between tasks
Driving alone Driving while using device
Multi-tasking – Impairs Performance • Listening on cell phone decreased parietal lobe activity 37% • Perception of movement, integrates sensory information, language • Listening and comprehension draws cognitive resources away from driving/ walking • Decreased activity of occipital lobe, processes visual information • Cognitively demanding tasks impair ability to walk/drive safely One task at a time! • Walking is working, so WORK SAFELY! • Focus on one complex task at a time • Look where you are going • Anticipate and scan for hazards • Maintain a hazard free work area • Be aware and pay attention!
Driving alone Driving while using device
during raining season in Thailand
â€œConsidering weather, drive safelyâ€? What kind of weather and road situations do driver have to consider? 1. Weather: Snow, Rain, Fog, Sandblast, Thunder and etc. 2. Time zone: Drive in night time, early morning 3. Traffic jam: Traffic speed 4. Road works: Traffic restraint
From Recent Incident The driver stopped TT near side of SS. After confirming the traffic, he started to move TT slowly. When TT was turning to the left and entering the SS, a cyclist, who was running without light on the sidewalk, slipped and toppled over as the sidewalk was covered with snow. The cyclist jumped off from the bicycle, but the bicycle itself slipped into the SS entrance and TT left tire ran over the front wheel of the bicycle.
Drawing of the site: 1. Passenger car was parking in front of unloading point. Driver asked staff of coffee shop to move the car. 2. After confirming following traffic of right lane, the driver ran over to right lane and intended to enter TT left tire ran over the front wheel of the bicycle.
Adverse Weather (Nobody gets hurt)
Emphasis to drivers that deliver under adverse weather conditions is not an accuse for them to ignore safety aspect. The expectation is drivers to delivery safely under all kind of weather conditions
Stress to drivers on the importance of paying attention to other road users who may not be trained to drive safely under adverse weather conditions - Not switch on head light under poor visibility - Drive too fast on wet or slippery road surface - Not maintain or increase safe following distance • Wet, hot, cold, slippery and poor visibility are conditions that may affect drivers on the road • Driving under adverse weather conditions need to be more cautious & careful • Applying your safety knowledge & defensive driving skills to avoid errors by other road users………………………How?
How adverse weathers can affect ourdriving performance
What should we do when driving under adverse weather –conditions
How adverse weathers could affect our performance during unloading.
- Wet and slippery road surface cause skidding - Poor visibility may cause drivers to make mistakes
- Increase the safe following distance. Bigger and heavier vehicle needs longer distance to stop - Adjust the speed accordingly - Poor visibility Switch on your light / use proper signal to ensure other road users are aware of your presence or what you are going to do
- Wet condition - post a slippery hazard while getting in and out of truck. - Extreme hot or cold weather - avoid rushing, take time to ensure all necessary checks are correctly done - Poor visibility - may affect tank dipping reading, wrong ATG reading, take time to ensure all are correct - Heavy rain - take time to wear rain coat or wait for rain to stop - Drivers have a higher tendency to short-cut / make mistake in these conditions. Therefore it is very important to follow on the agreed procedures
“Adjust Your Speed To Road Condition When Driving In Abnormal Weather”
Have a Safe FESTIVA Whether you're staying in and celebrating with friends and family, or you're traveling to a party or city bash, following a few safety tips will ensure that you're safe and sound
Be alert Be aware of your surroundings and how others are acting. Stay away from those who are out of control and might cause harm. Taking preventive measures is key. If someone is really intoxicated, prevent them from trying to drive or leaving with someone they do not know. It's important to keep an eye out for each other. DONâ€™T DRIVE If you don't have to go behind the wheel, avoid it. More people will be driving under the influence on this particular night, so avoid a potentially dangerous accident by staying off the road. Otherwise, be alert and drive defensively. Most importantly, wear your seatbelt! Also, using public transportation is a wise option. STICK TOGETHER This way we can look out for our friends and family. Going out to parties and nightclubs means a fast-paced, crazy night; so be sure to travel in groups. Having a safety net around you in this environment is imperative.
VAL! MONITOR YOUR ALCOHOL INTAKE A majority of people will be drinking on New Year's Eve, and there is nothing wrong with that. Just be sure to pay attention to how much you and others are consuming. Drinking too much alcohol can have lethal affects. Be responsible. DON'T FOGET ABOUT YOUR PETS! They are just as much a part of the family as everyone else. If you are using fireworks, anything with loud noises, or fire, be sure that pets are kept at a distance as well as children. None of these are a good mix. BE CAREFUL WITH OPEN FLAMES If you're burning candles, incense or oil burners, remember to extinguish them before you turn in or before you leave the room they are burning in. Pay extra attention to pets and children around open flames. BE EXTRA CAREFUL WITH FIREWORKS If you are letting off fireworks in a residential area, be sure to practice proper safety precautions when using them. Let off fireworks in a field or other open area where homes and power lines are out of site. Have a fire extinguisher nearby and never try to re-light a firework that did not go off when first lit. Also, be sure pets and children are at a safe distance from where fireworks are being ignited. Finally, always have an adult present when using any type of firework.
10 tips for managing driver distraction. Distracted drivers pose a deadly risk to everyone on the road. The National Highway Traffic Safety Administration (NHTSA) estimates that in 2011, the most recent year for which data is available, 3,331 people lost their lives and another 387,000 were injured in distraction-affected crashes.1 Drivers engage in a range of distracting activities from talking and texting on their phones, to eating, grooming and reading. Even the use of hands-free technologies isn’t without risk as dangerous mental distractions exist even when drivers keep their hands on the wheel and eyes on the road. Here are 10 tips for managing some of the most common distractions. 1. Turn it off and stow it. Turn your phone off or switch it to silent mode before you get in the car. Then stow it away so that it’s out of reach.
2. Spread the word. Record a message on your phone that tells callers you’re driving and will get back to them when you’re off the road, or sign up for a service that offers this feature.
3. Pull over. If you need to make a call, pull over to a safe area first. 4. Use your passengers. Ask a passenger to make the call or respond to a text for you.
5. X the Text. Don’t ever text and drive, surf the web or read your email while driving. It’s dangerous and against the law in most state. Even voice-to-text isn’t risk-free.3
9. Mind the kids. Pull over to a safe place to address situations involving children in the car.
10. Focus on driving. Multi-tasking behind the wheel is dangerous.4 Refrain from eating, drinking, reading, 6. Know the law. Familiarize grooming, smoking, and any other yourself with state and local laws activity that takes your mind and eyes before you get in the car. Some off the road. states and localities prohibit the use of hand-held cell phones in addition to texting. GHSA offers a handy state law chart at www.ghsa/org/html/ stateinfo/laws/cellphone_laws. html. 7. Prepare. If using a GPS device, enter your destination before you start to drive. If you prefer a map or written directions, review them in advance. If you need help while driving, ask a passenger to assist you or pull over to a safe location to change your GPS or review your map/directions.
8. Secure your pets. Unsecured pets can be a big distraction in the car.
Safety Tips During Sport Games Rest adequately. Avoid staying late for the games. Get enough sleep, at least 7 - 8 hours daily.
Put Priority To Your Job, Not The Games!
Pay extra cations while driving. Other road users may drive differently. Some may be rushing to go home and some may be driving under influence of fatigue.
Concentrate while working. Avoid from being distracted by Take time to finthe gamesâ€™ result. ish your work. Do not rush to finish your work Your Family Is to catch the Depending On games. YOU!
Basic Food Safety Guide Many people do not think about food safety until a food-related illness affects them or a family member.
There are approximately a million cases of acute diarrhea reported each year in Thailand, among which more than 120,000 are foodborne. Consumption of raw or undercooked food and contaminated water used to prepare food are important causes. ExxonMobil employees are not immune to this risk and have experienced incidents of food borne illness at work locations around the world. Even though reliance on reputable food
providers and strong contractual provisions usually ensures that this food is safe, ExxonMobil was motivated by a recent history of food borne illnesses to establish Food Safety Guidelines for global implementation.
The use of â€œBasic Food Safety Guidelinesâ€? below provides acceptable protection against food borne illnesses when arranging food service.
No. 1- Ensure that the food is ordered from a qualified vendor ./' The site has had a successful history with this vendor ./' The vendor is part of a nationally I regionally recognized chain ./' It has been verified that this vendor has a valid health certificate, or any other locally established means of qualification
No. 2 - Select a menu to avoid higher-risk foods Potentially higher-risk foods are: x Raw or rare meats x Undercooked poultry x Undercooked pork x Raw oysters and other uncooked seafood x Raw or under-cooked eggs No.3- Ensure that food is consumed within 2 hours of delivery time unless adequate refrigeration and heating control devices are used -This assumes that the food is delivered at the correct holding temperature. -The food is not allowed to go above room temperature during these two hours.
No.5 - Plan and arrange for leftovers disposal Arrange for left-over food to be stored in proper containers at the appropriate temperature, or discarded properly.
No 4. Ensure that the food temperature issues are managed. Acceptable temperatures are 140o F (60 o C) or higher for hot food and below 41o F (5o C) for cold food.
Safety in a flash Consequences of inappropriate emergency response What happened? May 20, 2013 - A contractor driver, with 1yr experience, entered by mistaken wrong receiving tank ullage of 15000L instead of 13500L in SDC. Driver failed to identify his error and proceeded to unload. After a while, driver noticed Why? that product flow had stopped but product was still left on board - Driver was not focus on job or disof his truck and in the hose. He tracted when doing his SDC closed truck API valve and start- - Driver failed to follow correct ed to evaluate the situation. He emergency response procedure. found a slight leak occurred at the After stopping product flow by shutADO pumpâ€™s degasser. In order to ting off the API valve, driver should quickly stop that leak, driver de- report to supervisor immediately. cided to disconnect the hose. As a Driver should not attempt to fix the result, some of the product (>1L) issue by himself - disconnecting an unloading hose which is full of in the hose was spilled to the driveway. Driver connected the product hose to the second tank to empty - Identified hazards were not fully product in the truck compartment addressed in RA â€“ Gallon is used (some 400 to 500L was delivered). (instead of liter) in this station and there is no overfill protection in this service station
What should you do as professional driver? World Class Operations - Keep mind on task and avoid being distracted - Ensure you are familiar with emergency response procedure (e.g. handling tank full situation) - Actively use SPSA / Take 5 to identify hazards Actively Caring - Actively report UDCR and near-miss on potential spill
Why? - Driver used 2 hoses in this unloading. When he completed unloading G91, he changed hose at truck side but failed to change hose at fill point - Driver did not refer to SDC when changing hose and allowed cross-hoses - Driver failed to perform multiple point touch and tell - Driver was possibly rushing and distracted due to 8 month pregnancy of his wife
Consequences of distraction & not following procedure
What should you do as professional driver? World Class Operations - Follow agreed procedures all the time. During unloading, always refer to SDC when connecting hoses and conduct “MPTT” before discharge Actively Caring – Discuss any issue which have the potential to cause distraction / not fit for duty with your supervisor
What happened? April 5, 2013 - A contractor driver, with 2 months experience, had dropped ~2.8KL of diesel into G91 tank in service station. The crossover was discovered when the station high level alarm was triggered. Driver responded by stopping all flows and report to station and supervisor. Luckily there was no spill and no customer was affected.
Consequences of failing to say â€œNoâ€?
Backing is not required as per site card.
What happened? June 12, 2013 - A contractor driver completed his delivery. The unloading area was surrounded by parked customer vehicles. Driver was unable to drive forward to exit unloading area as per site card. Driver attempted to ask assistance from station staff to remove parked customer vehicle but unsuccessful. Driver decided to leave unloading area by reversing with the assistance of station staff as spotter. During the backing maneuver, the tank truck made contact with stations vapor recovery pipe. The contact caused damage to both the vapor recovery pipe and the turn signal light on the hauler truck.
Station fails to keep unloading area clear.
Why? - Driver did not stop work when facing unsafe condition - Driver did not call back to depot per procedure - Inadequate LSM (Low speed maneuvering) techniques - Did not place cones (to indicate position of hazards) - Did not communicate with spotter regarding positioning and hazards - Station allowed customers to park and block truck egress but no driver had reported UDCR What should you do as professional driver? - World Class Operations - Follow instructions in site card, stop work and call back depot if unsafe (e.g. need excessive backing maneuver due to parked customer vehicle etc) - Follow LSM procedures if reversing is required per site card or agreed by supervisor - Actively Caring - Actively report UDCR and near miss on potential DVA
AP Observation day, 15th Nov.
2014 SEA/HK Fleet Hauler Forum SG 6-7 Feb, 2014s
Operational Excellence Logo Launch
Operational Excellence require us to effectively apply our Management Systems based on a platform of Actively Caring To support achieving Operational Excellence we must effectively apply our management systems across all areas of the business, namely LPS (Safety behavior, Am I Safe), OIMS for our safe operations, CIMS in our controls and GPQMS to ensure our product quality to customers
â€˘Everywhere! - Presentations - Documentation - Posters - Brochures - Promotions â€˘Where do I get an copy? - The image files are in the AP SSHE Team Site - Links have been circulated
NEWS laptop/House fire A little after midnight heavy towel from his battery remnants had on May 28, 2013, my bathroom but the towel melted/fallen onto the family and I were awak- quickly began to burn. floor. Fire department ened by our home fire/ I then grabbed two ad- responded and checked smoke detection system. ditional heavy towels, to ensure no hot spots Immediately after being wrapped the laptop and remained and gave the awakened, I heard a shout removed it from the all clear around 0100. from my oldest son so I house. I then went back Pictures below show ran to his room. Upon upstairs with one of our the bedroom, computentering his room (both home fire extinguisher ers (my middle sonâ€™s my teenagers sleep with (my wife had already laptop was sitting on their doors shut), I was pulled the pin and my desk, shut down and confronted with heavy middle son had called not plugged in) and smoke and his Apple 911 as I had instructed bucket contains whatâ€™s MacBook laptop on fire during these first min- left of battery and towel on top of his desk. I in- utes) and discharged it Although I had some structed my wife and 3 to extinguish his desk temporary symptoms boys to take the dogs and and area of carpet in his from inhaling smoke evacuate the house (our room and in the play- and dry chemicals, bedroom are upstairs). I room that were burning there were no injuries smothered the fire with a where the laptop and everyone reacted calmly and did exactly as we have discussed in case of this type of event.
PROBABLE CAUSAL FACTORS:
Incident Description • On Sep 25, 2013, an employLaptop battery failure ee slipped & fell on wet floor in a - Laptop had been shut down and restaurant during dinner. Employwas being charged. Son had beee suffered from pain however ing using laptop most of afternoon could walk working on a school project so • The employee went to meetbattery was low. Laptop has been ings in hotel, and office for work shipped to a lab to try and identify the next day. Due to increased root cause of battery failure. discomfort the employee went to hospital 24 hours after the incident Slip & Fall Incident on Wet • Diagnosis from hospital suggested fracture of vertebra. DocFloor tor in emergency recommended 3 days’ rest • Employee reported incident to supervisor next morning ( +2 days ) • Supervisor informed OI, management & arranged for MOH consultancy • MOH/GHC suggested contusions at bottom vertebra of buttock and rest for 2 weeks, no medication prescribed
Investigation • MOH was not contacted at the time of incident or prior to first contact with the doctor • Employee reported the incident to supervisor > 24 hours • Employee did not notice wet marble floor in restaurant • No warning sign in restaurant for slippery floor hazard
Lessons Learnt • Being vigilant in seemingly mundane and routine tasks as safety hazards are ever present in such tasks • Recognition of potential conditions requiring medical care is lacking – urgency to seek further clarification / medical escalation needs to be distilled • Recognizing post-incident care management mindset as a critical aspect of an Actively Caring culture Findings / Root Causes • RCAF 1: Lack of skill and • Reporting process needs to be enhanced with a timely review process knowledge in number of areas • Recognizing potential safe- to enable management line-of-sight on incidents at bottom of pyramid ty hazards of a routine task • Incident care management • Sharing the case widely is a step • Timely escalation process to improve IP & supervisors’ sense of • RCAF 8 : External factors safety responsibility • Use SPSA mindset when in new • No warning sign for wet environment to identify potential hazfloor ards
Slip Incident on Wheeling Ramp
Incident Description Investigation Lessons Learnt • On the night of Oct • The employee did • Always use 8, 2013, employee while on not use the pedestrian handrails when walkher way home, descended staircase but chose to ing up and down down a pedestrian bridge, step on the side ramp stairs. If handrails are slipped and fell while step- which served bicycles not available, be extra ping on the side ramp to take a shortcut careful • The employee fell • The employee was • Need to be extra on her rear and felt pain. not holding the hand vigilant when surShe phoned her colleague rail rounding is dim whom she knew was still • It was night-time • Always conduct close by. Two colleagues and the area was not a thorough SPSA to immediately took her to well-lit assess all possible the hospital and she was at-Findings / Root Causes risks – what could go tended to by a duty doctor. • RCAF 3: Short- wrong and what is The employee informed cutting procedures or the worst thing that her supervisor in a timely acceptable practices is could happen, e.g. manner positively reinforced or when taking a short • The employee recut. Do not tolerate tolerated turned to the hospital the - Stepping on the the risk of any unsafe next day to get resulting ramp to take the short- act diagnosis which indicated cut a “sacral fracture”. Some • RCAF 4: Past traditional Chinese medi- deviations from procation was prescribed and cedures or acceptable the employee was advised practices produced no to rest negative results - Previous walk on the ramp did not result in a fall
Slip / Fall in office
A4 poster that was displayed after incident on 17 June 2013. Message not bold enough. Reads: “When carrying drinks, avoid trips and slips by cleaning up any spills no matter how small”
A part time contractor was getting milk from the Seaview (terminal office space used by multiple functions) kitchen chiller for a coffee machine that is positioned in the F&L office area. As they were leaving the kitchen area they slipped and fell causing muscle damage to their left hamstring area. Due to the extreme pain the IP was experiencing an Ambulance was called to assist in the treatment. The Paramedics provided intra-venous Morphine prior to taking the IP to hospital for further
assessment. Nothing further was found. The IP was released from Hospital after the assessment and advised they could return to work. The Company approved Doctor is now monitoring the IP after attending the hospital after the incident occurred. The incident has been classified MTI as Morphine was administered.
Causal Factors • Heeled Boot tread was not sufficient to maintain a good contact with the floor Other Contributing Factors • Previously water has been spilt on the floor and people have neglected to clean it up • Previous incidents have not been communicated across functions well enough to all potentially affected personnel • Not all office staff aware of the reporting procedures
Lessons Learned/Follow The manual internal valve top operators are up actions: found on top of the • Conduct Safety tanker and are usually Stand-down with all located in between the MONZ Personnel hatches. There will be scheduled for 10 July one for each compart2013 • Check your per- ment and are designed sonal shoes are fit for the so you can manually open the internal valve workplace you are in • Provide basic LPS in the event that the bottraining to all non-dis- tom air control valves tribution staff in Seaviewcannot be operated due , Wellington on 10 July to a malfunction of the 2013, then Auckland by operating system. The top operator is con19 July 2013 • Provide cross func- nected to the internal tional lessons learned valve via a cable inside the compartment. Alfrom all incidents to potentially affected per- though it can be difficult to determine if a valve sonnel. is open or closed, the height of the valve handle will confirm valve status. If the valve handle is a raised position then the internal valve is Manual Internal being held open. When Valve Top Opera- the handle is down and almost flush with the tors base then the internal valve will be closed.
“DURING NORMAL OPERATIONS THE MANUAL TOP OPERATOR VALVES MUST REMAIN CLOSED.” 27
Slip and Fall Driver Pre-Trip Inspection, API Valves API Valve Visual Inspection Areas Leaks A visual leak on any part of the API valve e.g. (Nose adapter, handle, mounting flange, poppet or integral sight glass). Clearance If insufficient clearance exists between the API valve handle and the handle stop-pin. Proper clearance 3/16 inch 4.8mm
Wear If the API adapter does not fit tightly on the API valve e.g. (Adapter or dust cover has to be rotated to fit tightly)
â€œCall supervisor for instruction.â€?
Ergo Tips Repetitive Motion Injuries
Repetitive Motion injuries are injuries to the musculoskeletal and nervous systems that may be caused by: Repetitive task like stapling the papers in huge amounts at one time, typing for chatting via smart phone, pushing the button of game device Mechanical compression like placing the wrists on the sharp edge of desk, sitting lean to one side and placing one elbow on the hard surface to maintain such position Sustained or awkward positions like Turing the neck to one side to read documents for long time, watching the medias or playing with smart phone for an extended period of time Symptoms Treatment Tendinitis: The most common - Reducing or stopping the mosymptom associated with tendini- tions that cause symptoms tis is pain at the site involved. Ten- - Taking breaks to give the afdinitis is made worse by active mo- fected area time to rest tion of the inflamed tendon. The - Adopting stretching and relaxskin overlying the inflamed tendon ation exercises may be red and warm to the touch. - Applying ice to the affected Bursitis: Common symptoms in- area clude pain, tenderness, and de- Medications such as pain recreased range of motion over aflievers fected area. Redness, swelling, and a crunchy felling (crepitus) when the joint is moved may also be found.