January 26, 2012 Porcupine Northeastern Ontario Mines Safety Groups Mario Vottero KAPUSKASING PHOSPHATE OPERATIONS

December Lost Time Injury PNOMSG, January 26, 2012 KPO Surface Mine Contractor Flipped 100 Ton 777D Critically Injured Multiple fractures to right leg Fracture to neck Injuries to hip MOL is investigating this critical injury

December 22, :25 pm On December 22, 2012, 7:25 pm a Haul Truck Operator was in the process of dumping his first load of waste material in the centre pit dump area. As he backed up to the dump edge he failed to stop before the berm, drove through it backwards, down the embankment (angle of repose approximately 70 degrees, 15 meters high). PNOMSG, January 26, 2012

Pictures PNOMSG, January 26, 2012

Pictures PNOMSG, January 26, 2012

Pictures PNOMSG, January 26, 2012

Injuries PNOMSG, January 26, 2012 The momentum caused the 100 ton haul truck (777D Caterpillar dump truck) to flip over and land upside down on top of its load. The Emergency Response Team was immediately activated; the injured haul truck operator was lifted onto stretcher and transported by ambulance to the hospital. As a result of the impact forces and not wearing a seat belt the injured worker suffered fractured neck, multiple fractures to his upper right leg, and injuries to the right side of his hip.

Pictures PNOMSG, January 26, 2012

Pictures PNOMSG, January 26, 2012

Pictures PNOMSG, January 26, 2012

Causes PNOMSG, January 26, 2012 Poor visibility – Night time operation with insufficient illumination of dump area, and due to cold temperature (-27ºC) vehicle exhaust fumes blocking line of sight of intended path of travel.

Causes PNOMSG, January 26, 2012 Procedure not followed – The Contractor’s Dumping Procedures were not followed by the dozer operator, haul truck operator and supervisor; –Haul Truck Operator failed to stop when visibility was impaired. –Dozer Operator failed to spot haul truck operator. –Supervisor failed to ensure operational readiness and also allowed dumping operation to continue without proper illumination. –Seat belt was not worn, which aggravated the injury

Key Recommended Actions PNOMSG, January 26, 2012 Contractor Dumping Procedures will be revised to; –clearly define roles and responsibilities, –Implement a checklist to ensure requirements are met before dumping, –And communication directives between the Dozer Operator and Haul Truck Operator.

Key Recommended Actions PNOMSG, January 26, 2012 Seat belts will include a high visibility shoulder strap. When worn the high visibility strap will enable compliance monitoring. Modifying exhaust system on haul trucks to minimize poor visibility during cold conditions outside. Implementing procedure outlining responsibilities for light plant set up in dump areas. Haul truck involved in the incident will be inspected by the manufacturer for defects that may have caused or contributed to the incident.

Key Recommended Actions PNOMSG, January 26, 2012 Investigating the use of camera system to mitigate visibility issues. Evaluating berm construction standard with respect to mining material available at KPO Implement a routine planned inspection process for Contractor’s Supervisor, Management and EHS Personnel to assure compliance. Conduct a root cause analysis using cause mapping process to understand why procedures were not followed

Root Cause Analysis PNOMSG, January 26, 2012 For more information on Root Cause Analysis ThinkReliability office

PNOMSG, January 27, 2011 Questions ?