Mining Incidents
Fatality · MSHA Record #220151890025

Bulldozer Operator

June 30, 2015 at 11:00 AM
CEC #4 · Surface · Metal/Non-Metal
Plymouth County, MA
Classification FALLING/SLIDING/ROLLING MATERIALS
Type Caught in, under or between collapsing material or buildings
Investigator narrative
The mine slope collapsed trapping our miner in his machine. The recovery effort was not successful and the employee expired at the mine site.
Final MSHA investigation
On June 30, 2015, Charles E. Pace, equipment operator, age 65, was killed while operating a front-end loader at the base of a sand bank. Pace was trapped in the operator’s cab when a portion of the bank collapsed and engulfed the front-end loader. The accident occurred due to mine management’s failure to utilize previously established mining methods to maintain wall, bank, and slope stability in the area. The victim was extracting material from the base of a 128 feet high bank that was not sloped to a safe angle. In addition, management failed to adequately examine the mining area prior to commencing work and periodically throughout the shift as changing ground conditions warranted.
Root causes
  1. Management failed to utilize previously established mining methods to maintain wall, bank, and slope stability in the area. The mine operator had used bulldozers in the past to push the bank material down to a flatter slope; however, this mining practice had not been employed during this phase of mining. The victim was extracting material from the base of a 128 feet high bank that was not sloped to a safe angle.

    Corrective action: Management established and implemented new policies and procedures to reclaim the existing phase 4 excavation (accident area). In addition, new policies and procedures were made to address future excavations at the mine. These new policies and procedures utilize bulldozers to push material down the slope toward the face of the excavation while maintaining a uniform slope gradient of 2.5:1 to 3:1. Future excavations will have a minimum working width of 300 feet, sloped on all three sides. The slope gradients will be monitored on a daily basis. Material pushed down the slope will be windrowed or stockpiled and will be loaded and transported to the screening plant. All mobile equipment operators were trained in these new policies and procedures.

  2. Management failed to adequately examine the mining area prior to commencing work and periodically throughout the shift as changing ground conditions warranted.

    Corrective action: Management established and implemented an examination plan for the mining area and designated an exam coordinator, responsible for ensuring adequate examinations and monitoring slope gradients. Examinations of the face of the slope and side slopes will be conducted each day prior to the start of excavation and as weather conditions dictate, particularly during and after precipitation events. The slope surfaces will be evaluated for bulging, cuts, seepage, and cracking. Any adverse conditions found will be corrected prior to the commencement of mining in the area. Mining will also cease at any time during the shift when adverse conditions are encountered until they can be evaluated and addressed. All mobile equipment operators were trained by the exam coordinator in the new examination plan relative to identifying adverse ground conditions, changing slope conditions, and remedial actions.

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

Record details
Activity at time of incident
Front-End Loader
Subunit / location
STRIP, QUARY, OPEN PIT
Accident type
Caught in, under or between collapsing material or buildings
Source of injury
SAND,GRAVEL,SHELL
Nature of injury
SUFFOC,SMOK INHILAT,DROWN
Body part affected
BODY SYSTEMS
Total mining experience
19 years
Experience at this mine
11 years
Experience in this job
19 years
Degree of injury
FATALITY
Verify on MSHA

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Source: US Mine Safety and Health Administration (MSHA) · Document 220151890025 · Mine ID 1901128 Trainer view →