ontario mine contractor’s safety association incident review september 18, 2014
TRANSCRIPT
Ontario Mine Contractor’s Safety Association
Incident ReviewSeptember 18, 2014
Description of Incident
• Crew of three was installing 20’ lengths of six inch, schedule 80 pipe for a discharge line
• Crew was utilizing scissorlift and was working towards a shaft station
• For the last length of pipe, the crew could not position the deck in same way as for the others because a tugger was in the way
Description of Incident
• Two employees on the deck manually lifted one end of the pipe on a hanger
• The employees attempted to slide the pipe to position the other end under the next hanger
• The pipe rolled off the side with the employee’s arm underneath it
• The pipe created a pinch point with the arm between it and railing
• Employee attempted to hang on to the pipe, but the weight of the pipe made it impossible
Actions Taken
• Work stopped and supervisor notified• Injured employee taken to surface for
assessment• Employee escorted to local hospital for x-rays• MOL notified when x-rays determined a
broken bone in the forearm, making the incident a critical injury
Contributing Factors
• Crew did not secure pipe– Area near station was shotcreted and bolts not
immediately in area• Not following procedure– JHA was conducted which stated to use
mechanical means for lifting, but was not followed• Failure to recognize that the change in
circumstances created new hazards– Limited experience on crew
Underlying Factors
• Allocation of manpower – change in plan• Internal responsibility – speaking about safety• Message sent vs. message received• Input from supervisor• Design of pipe lengths
Recommendations
• Create site specific procedures and train on them for installing heavy walled pipe
• Coach supervisors about dealing with changes to line up and utilization of training matrix– Create crew specific matrices
• Hazard recognition training for all site employees with emphasis on JHA’s
• Meeting with engineering department to consider shorter lengths of heavy wall pipe– Client has now provided some 10’ lengths
Questions?