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SAFETY ALERT This is NOT an investigation report. It is a WARNING of a significant incident. The information below is a preliminary assessment and not a formal investigation. OPERATION: Incident Injury Property Process ISSUED BY: Damage Loss DATE: February 16, 2008 TIME: 4:25 pm Yes LOCATION/DEPARTMENT: Mine Shaft Rehab INCIDENT DESCRIPTION: A two man team working from the cage work deck platform in the Shaft having just completed their immediate tasks was preparing to join the other two members of their crew in order to finish the shift end procedures. The employee acting as Cager asked his partner if he was all clear and secured in order to move the conveyance, but neglected to check the second leg of his lanyard which was still secured to a steel member in the shaft. After notifying the Hoistman to move the conveyance up to the Next Station, he was jerked over the top rail when his lanyard came taut landing on the #1 & #5 dividers where he clung to the steel. His partner immediately radioed the Hoistman to stop. Both 6’ lanyards were extended to the full extent, the beam strap had 4’ of play, and the top rail of the work deck was deformed approximately 1’, so the total length was close to 24’ with the employee in the middle. His partner initiated emergency procedures and after evaluating him for injuries transported him to the collar where an ambulance was waiting. DETAILS OF INJURY TYPE: Damaged right knee and bruises to the middle of back and chest where harness was attached. Fatality Lost-Time Permanent Other Potential POTENTIAL FOR INJURY: Disability Potential High Potential for Fatality PROBABLE IMMEDIATE Failure to use Personal Protective Equipment Properly CAUSES: PROBABLE BASIC Mental Capability. Shift change was approaching at 5 pm and CAUSES: employee was looking ahead to next task. IMMEDIATE CORRECTIVE Procedure reviewed and upgraded with all crews to reflect partner ACTION TAKEN: checking cager. Investigation was initiated by Company. REQUIRED ACTIONS Review incident with all employees. Discussions are to take place FROM OTHER SITES: on all tasks involving 100% Tie-Off requirements.
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