Belt Foreman

Employee worked as lead maintenance mechanic. Believed on morning of accident, Employee went to area Kiln 2 Preheater, Ram 4 to respond to work order. Employee had two-way radio. No witness to accident. Unknown whether employee was inspecting work or performing work on the No 4 ram. Initial examination suggests Employee was injured when ram activated. Ram was not locked out.

1. Management did not ensure that the mine had appropriate established safe work procedures and that miners were trained in the procedures and the procedures were followed during maintenance activities on the Kiln #2 preheater, ram #4 unit. The energy source was not deenergized and the ram was not blocked against hazardous motion.

   Corrective action: Management revised the lockout, tag out, and blocking procedures and established policies to ensure that safe work procedures are followed when maintenance work is performed. Persons performing the task were trained in the new procedures and policies. Management will monitor maintenance work to ensure the procedures are being followed.

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

Activity at time of incident

Machine Maintenance

Subunit / location

MILL OPERATION/PREPARATION PLANT

Accident type

Caught in, under or between a moving and a stationary object

Source of injury

KILNS,MELT FURNACE,RETORT

Nature of injury

FRACTURE,CHIP

Body part affected

MULTIPLE PARTS (MORE THAN ONE MAJOR)

Total mining experience

6 years

Experience at this mine

6 years

Experience in this job

6 years

Degree of injury

FATALITY