Mining Incidents
Muerte · Registro MSHA n.º 220192110010

Mine Manager

17 de julio de 2019 a las 11:55 AM
BOURBEAU AGGREGATE LLC · Surface · Metal/Non-Metal
Franklin Condado, VT
Clasificación MAQUINARIA
Tipo Golpeado por objeto que cae
Narrativa del investigador
Workers removing a jaw crusher motor. As the hammer attachment was being positioned towards the crusher motor, the hydraulic hammer attachment fell from the excavator quick coupler. The hammer attachment struck the victim in the head pining them to the work platform.

Texto original en inglés de la MSHA

Investigación final de la MSHA
Ryan I. Charbonneau, a 32-year-old general manager with over 14 years of mining experience, died on July 17, 2019, at 12:13 p.m., when a hydraulic hammer attachment (hammer) fell on him. Charbonneau was preparing to replace the motor on a crusher using an excavator with the hammer attached. Charbonneau stood below the hammer and signaled the excavator operator into position over the old drive motor. The hammer fell from the excavator, struck Charbonneau, and pinned him on the crusher work platform. The accident occurred because: 1) The operator did not remove the excavator from service to repair damaged hydraulic components; and 2) The installed carrier attachment was incompatible with the Fleco 325B C-linkage quick coupler (quick coupler), rendering the secondary means of latching inoperative when the primary means of latching failed.
Causas fundamentales
  1. The accident occurred because the operator did not repair the disconnected and damaged hydraulic cylinder assembly for the quick coupler or remove it from service after discovering a hydraulic oil leak.

    Acción correctiva: The quick coupler involved in the accident was removed from service. Mine management and miners have been reinstructed on the provisions of 30 CFR § 56.14100 including the removal of unsafe equipment that affects the safety of miners.

  2. The accident occurred because the operator used an incompatible carrier attachment. The mismatched equipment components circumvented the secondary latching system allowing the hammer to disengage from the quick coupler when the primary means of latching failed.

    Acción correctiva: Management removed the quick coupler from the excavator and adopted a policy eliminating the use of quick coupling devices at this operation. The operator will ensure that all equipment is used within the design capacity of the manufacturer.

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

Detalles del registro
Actividad al momento del incidente
Supervise
Subunidad / ubicación
STRIP, QUARY, OPEN PIT
Tipo de accidente
Golpeado por objeto que cae
Fuente de la lesión
SURFACE MINING MACHINES
Naturaleza de la lesión
CRUSHING
Parte del cuerpo afectada
HEAD, MULTIPLE PARTS
Experiencia minera total
14 years
Experiencia en esta mina
14 years
Experiencia en este puesto
14 years
Grado de la lesión
FATALITY
Verificar en MSHA

Cada registro de esta página refleja lo que publica la MSHA en su programa de Datos Abiertos del Gobierno, actualizado semanalmente. La MSHA no publica URLs por accidente (los datos de Accidentes se distribuyen en un único archivo masivo), así que esta es la forma de recuperar la fuente del registro específico a continuación:

Fuente: Administración de Seguridad y Salud Minera de EE. UU. (MSHA) · Documento 220192110010 · ID de mina 4300585 Vista de capacitación →