Mining Incidents
Fatality · MSHA Record #220150070026

Warehouseman

December 29, 2014 at 3:00 PM
Tilden Plant · Surface · Metal/Non-Metal
Mcmullen County, TX
Classification POWERED HAULAGE
Type Caught in, under or between a moving and a stationary object
Investigator narrative
Employees A and B were using a forklift to dump bulk bags of waste product to rerun thru plant for reuse, when employee B got on forklift and turned forklift over on its side resulting in fatal injury.
Final MSHA investigation
On December 29, 2014, Adrian Moreno, Warehouse Bagger, age 21, was killed while operating a forklift carrying a bulk bag of dust. The forklift went out of control and overturned onto its left side. Moreno was a new miner and had only worked at the mine for six days prior to the day of the accident. He had not completed the 24 hours of required new miner training. The day of the accident was his seventh day on the job. The accident occurred due to management’s failure to provide Moreno task training for the safe operation of the forklift. The victim was a new miner and had not received task training in the possible hazards of operating a forklift, a task in which he had no previous experience.As a result, Moreno failed to maintain control of the forklift at all times while he was operating it. Moreno was not wearing a seat belt. Management also failed to provide Moreno all of the required new miner training. Management did not require Moreno to work where an experienced miner could observe that the work was being performed in a safe and healthful manner.
Root causes
  1. Management failed to establish policies or procedures to protect miners who utilize forklifts in their job assignments. Management failed to provide Moreno task training for the safe operation of the forklift. The victim was a new miner and had not received task training in the health and safety aspects of operating a forklift, a task in which he had no previous experience.

    Corrective action: Management established written standard operating procedures to be used by persons operating forklifts when moving and dumping the bulk bags of waste dust material. The procedures include forklift speed, height of the load being transported, and how to lift the load. The procedures also require that the operator wear a seat belt at all times when operating a fork lift. The operator has trained all miners who utilize forklifts on this new procedure.

  2. Management failed to ensure that the victim and another new miner, were working where an experienced miner could observe that the new miners were performing their work in a safe and healthful manner. Both miners were using a forklift to transport bulk bags of dust but had not completed the required 24 hours of new miner training.

    Corrective action: Management developed and implemented a revised training plan that requires all training to be provided according to the requirements of the revised training plan. All new miners that have not completed their training must work where they can be observed by experienced miners.

Findings from MSHA's final investigation report, which supersedes the preliminary narrative above.

Record details
Activity at time of incident
Fork Lift
Subunit / location
STRIP, QUARY, OPEN PIT
Accident type
Caught in, under or between a moving and a stationary object
Source of injury
FORKLIFTS,STACKERS,TRCTR
Nature of injury
CRUSHING
Body part affected
HEAD,NEC
Total mining experience
0 years
Experience at this mine
0 years
Experience in this job
0 years
Degree of injury
FATALITY
Verify on MSHA

Every record on this page mirrors what MSHA publishes under its Open Government Data program, refreshed weekly. MSHA does not publish per-accident URLs (the Accidents data is distributed as a single bulk file), so this is how to retrieve the source for the specific record below:

Source: US Mine Safety and Health Administration (MSHA) · Document 220150070026 · Mine ID 4103374 Trainer view →