Mining Incidents
Muerte · Registro MSHA n.º 220172160001

Bulldozer Operator

25 de julio de 2017 a las 9:50 AM
New St. Nicholas Breaker · Facility · Coal
Schuylkill Condado, PA
Clasificación MAQUINARIA
Tipo Atrapado en, bajo o entre un objeto en movimiento y uno fijo
Narrativa del investigador
A Cat D9L bulldozer ee had been operating ran over ee. The bulldozer ran over the edge of the refuse bank and came to rest at the bottom of the embankment. The victim was pronounce dead at the scene. The reason why the victim was outside the bulldozer when the accident occurred is under investigation.

Texto original en inglés de la MSHA

Investigación final de la MSHA
On Tuesday, July 25, 2017, Andrew J. Oxenrider, a 28-year-old equipment operator, with seven years and nine months of total mining experience was fatally injured while operating a Caterpillar D9L bulldozer on a refuse bank. The accident occurred when the victim, who was working alone, was run over by the bulldozer. Investigators believe that shortly before the accident, the victim exited the bulldozer onto the slope of the refuse bank and into the bulldozer’s push path near the edge of the refuse bank. Because the manufacturer’s parking procedure was not followed, the bulldozer moved downhill after the victim exited it. When the bulldozer hit the victim, he was positioned between the track and blade. The bulldozer did not stop but traveled over the edge of the refuse pile and came to rest at the bottom of the embankment. There were no witnesses to the accident. The fatal accident occurred because the manufacturer’s braking procedure was not followed. Also, the mine operator did not adequately task train the victim in accordance with its approved training plan, which included training on the safe operating procedures outlined in the CAT D9L operator's manual for parking the bulldozer on a grade. In addition, the mine operator did not maintain the braking system of the bulldozer in a safe operating condition.
Causas fundamentales
  1. The mine operator did not provide adequate task training to the victim. The operator’s approved training plan required training on the provisions in the bulldozer’s operating manual but the operator did not have a copy of the manual. In addition, investigators learned that the parking procedures for parking on a grade were not discussed and performed during task training.

    Acción correctiva: The mine operator adequately trained equipment operators on the safety aspects and safe operating procedures of their machines, according to the operating manuals and approved training plan. The task training included supervised practice during nonproduction or supervised operation during production.

  2. The mine operator did not develop a suitable ground control plan. The ground control plan did not address the hazards associated with mining a refuse bank.

    Acción correctiva: The mine operator has developed a ground control plan to address the hazards associated with mining on a refuse bank.

  3. The mine operator did not provide adequate experienced miner training, as outlined in its approved training plan. The training plan requires training on the ground control plan, which was inadequate at the time of the accident

    Acción correctiva: The mine operator trained all equipment operators on the provisions of the ground control plan that were added after the fatal accident.

Hallazgos del informe final de investigación de la MSHA, que sustituye la narrativa preliminar anterior.

Detalles del registro
Actividad al momento del incidente
Bulldozer
Subunidad / ubicación
CULM BANK/REFUSE PILE
Tipo de accidente
Atrapado en, bajo o entre un objeto en movimiento y uno fijo
Fuente de la lesión
SURFACE MINING MACHINES
Naturaleza de la lesión
CRUSHING
Parte del cuerpo afectada
MULTIPLE PARTS (MORE THAN ONE MAJOR)
Experiencia minera total
7 years
Experiencia en esta mina
0 years
Experiencia en este puesto
7 years
Grado de la lesión
FATALITY
Verificar en MSHA

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Fuente: Administración de Seguridad y Salud Minera de EE. UU. (MSHA) · Documento 220172160001 · ID de mina 3601966 Vista de capacitación →