MNM Fatal 2004-07 Machinery Accident Machinery Accident March 24, 2004 (Oklahoma) March 24, 2004 (Oklahoma) Crushed Stone Operation Crushed Stone Operation.

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Presentation transcript:

MNM Fatal Machinery Accident Machinery Accident March 24, 2004 (Oklahoma) March 24, 2004 (Oklahoma) Crushed Stone Operation Crushed Stone Operation Driller Driller 41 years old 41 years old 22 years experience 22 years experience

Overview The victim was using a track mounted drill to drill blast holes. The victim was using a track mounted drill to drill blast holes. He attempted to manually thread a new drill steel. He attempted to manually thread a new drill steel. The mast was vertical and the drill head was rotating. The mast was vertical and the drill head was rotating. The rotating steel entangled him. The rotating steel entangled him.

Location of Victim Counterclock rotation The drill operator was found lying next to the drill mast near the drill steel.

636 Furukawa HCR 12 ED Rock Drill A 14-foot starter steel and a 12-foot steel were found in the prior hole drilled. One used steel was found in the magazine. The victim was manually feeding a steel into the collar with the mast vertical and the drill head rotating when it cross threaded and entangled him.

Note the abrasion marks (indicating possible cross threading) on the top of drill steel and in the collar.

Why Did Accident Occur? Drill steel being added did not come from the storage magazine on the drill. Drill steel being added did not come from the storage magazine on the drill. Victim physically placed the drill steel on the rotating striker bar. Victim physically placed the drill steel on the rotating striker bar. Drill mats was in the vertical drilling position. Drill mats was in the vertical drilling position. Drill not turned off. Drill not turned off. Victim did not follow procedures. Two persons required to place steel in magazine with drill turned off and in lowered horizontal position. Victim did not follow procedures. Two persons required to place steel in magazine with drill turned off and in lowered horizontal position. Victim’s clothing became entangled in the drill steel. Victim’s clothing became entangled in the drill steel.

Drill mast in lowered horizontal position for correct way to manually place steel on collar and striker.

Causal Factor Drill operator did not follow the drill manufacturer’s procedures for adding drill steels. Drill operator did not follow the drill manufacturer’s procedures for adding drill steels.

Best Practices Train all personnel to help them recognize and understand procedures to safely perform tasks before beginning any work. Train all personnel to help them recognize and understand procedures to safely perform tasks before beginning any work. Ensure that personnel follow the manufacturer's procedures when adding drill steels. Ensure that personnel follow the manufacturer's procedures when adding drill steels. Never manually thread drill steels when the drill head is rotating. Never manually thread drill steels when the drill head is rotating. Do not wear loose fitting clothing when working around drilling machinery. Do not wear loose fitting clothing when working around drilling machinery. Monitor personnel routinely to determine that procedures are followed. Monitor personnel routinely to determine that procedures are followed.