2019 Fatality #25 / MNM #14

Francis E. Tatro, a 69-year-old front-end loader operator with over 37 years of total mining experience, died from aspiration pneumonia on January 8, 2020.  Tatro suffered injuries and hospitalization as a result of an accident on July 30, 2019.  Tatro was operating a front-end loader when the front-end loader’s bucket contacted the ground, causing the front-end loader to abruptly stop. The force of the impact resulted in Tatro, who was not wearing a seat belt, striking the front window, which caused serious injury, including paralysis to the arms and legs. 

Best Practices: 

1. Always wear seat belts when operating mobile equipment.
2. Maintain control and stay alert when operating mobile equipment.
3. Know the hazards. Be certain anyone operating front-end loaders is aware of safe operating practices and potential hazards.

Click here for: Final Report (pdf).

Electro-Hydraulic Lifts Alert

Damaged or defective welds on aerial lifts have caused several fatalities in the mining industry.

  1. A mechanic died while being lowered in an electro-hydraulic aerial lift. A weld splice fractured on a recently repaired arm of the lift, causing the arm to strike the victim in the head (Figure 1). The weld failed because of poor weld quality from an improper repair.
  2. A welder died while being lowered in an electro-hydraulic aerial lift when the lift arm catastrophically fractured at a critical weld connecting the arm support to its lift cylinder (Figure 2). Undetected cracks existed in the weld and the surrounding metal prior to failure.

Best Practices to Prevent the Mechanical Failure of Welded Connections
Prevent accidents by following proper welding procedures and performing regular inspections for damages or defects.

  • Only qualified welders should perform all welding.
  • Determine the service/fatigue life of mechanical systems or parts by consulting with the manufacturer.Inspect welds following installation and repairs, and periodically during service life.Train users in the proper operation of lifts – including not exceeding their design capacity.
  • Routinely examine metal components for signs of weakness, corrosion, fatigue cracks, bends, buckling, deflection, missing connectors, etc.
  • Use nondestructive test methods to detect cracks that may be indistinguishable to the eye.
  • Take cracked mechanical components out of service immediately. Small cracks can quickly grow and lead to catastrophic fracture.

Download a pdf of the alert Here.

MNM Fatality – 2/27/20

On February 27, 2020, a miner died when an unsecured 20’x8’x1″ steel plate standing on edge fell and struck him. The steel plate was being used to cover the end of a feeder to allow an equipment operator to build an earthen ramp to the feeder.

Best Practices: 

  • Establish and discuss safe work procedures before beginning work.
  • Identify and control all hazards.
  • Task train everyone on safe job procedures and to stay clear of suspended loads.
  • Require all workers to stay out of the fall path of heavy objects/materials that have the potential of becoming off-balance while in a raised position.
  • Monitor routinely to confirm safe work procedures are followed.
  • Be aware of your environment. Factors such as wind, snow, and icy surfaces can affect the stability of an object.
  • When securing an object, identify the location of its center of gravity.

Click here for: MSHA Preliminary Report (pdf), final report (pdf).

Coal Fatality – 2/27/20

On February 27, 2020, a trucking company employee died while helping to position a low-boy trailer.  The victim was standing in front of the trailer wheels to assist the driver.  The truck driver moved the truck forward causing the wheels of the trailer to strike the victim.

Best Practices: 

  • Communicate your planned movements with the equipment operator before approaching mobile equipment and verify the information was received and understood.
  • Verify miners are clear before driving mobile equipment. Communicate your planned movements with miners and verify the information was received and understood.
  • Sound your horn to warn miners that you are about to move and wait to give them time to get to a safe location.
  • Establish policies and procedures for miners to stand in safe locations when directing mobile equipment.
  • Inspect backup alarms and collision warning/avoidance systems on mobile equipment to ensure they are maintained and operational.
  • Wear high visibility clothing when working around mobile equipment.

Click here for: MSHA Preliminary Report (pdf), Final Report (pdf).

MNM Fatality – 2/29/20

On February 29, 2020, a plant foreman was priming the main suction pump on a dredge when a two-inch coupling on the waterjet pipe failed, knocking the victim into the water. Divers retrieved his body several hours later. The victim was not wearing a life preserver.

Best Practices: 

  • Wear a life preserver where there is a risk of falling into the water.
  • Identify all possible hazards and ensure appropriate controls are in place to protect miners before beginning work.
  • Provide swimming training for everyone that works around water.

Click here for: MSHA Preliminary Report (pdf), Final Report (pdf).

Coal Fatality – 2/10/20 – Rescinded

On February 10, 2020, a mine examiner was operating a personnel carrier down a mine intake slope. Evidence indicates that the personnel carrier struck the left rib while traveling down the intake slope. The mine examiner was found unresponsive near the bottom of the slope, lying beside the personnel carrier.

Best Practices: 

  • Maintain control and stay alert. Be aware and stay in control when operating mobile equipment. Install mechanical devices that limit the maximum speed of the equipment.
  • Operate mobile equipment safely. Operate equipment at speeds that are consistent with the type of equipment, roadway conditions, grades, clearances, and visibility.
  • Test brakes, steering, and other safety devices. Correct safety defects before operating mobile equipment. Test mobile equipment before it is operated and before going up or down steep slopes.
  • Always wear seat belts.
  • Properly train miners. Ensure each operator of mobile equipment receives proper task training.
  • Remove unneeded materials. Keep personnel carriers free of unneeded materials.

Click here for: MSHA Preliminary Report (pdf)

Rescission Date:  August 5, 2020
MSHA’s Chargeability Review Committee reviewed the death certificate, autopsy report, medical information, and MSHA’s accident investigation findings and determined that the miner died from natural causes.  The  fatality is not chargeable to the mine operator.

2019 Fatality #11 / MNM #7

Image from Merck Manual

On July 15, 2019, a plant manager stumbled on a drill bench resulting in a compound heel fracture. While undergoing preoperative procedures for his injured heel on July 19, 2019, he became unresponsive and passed away the following day.

Best Practices: 

  • Identify and address hazards. Always be aware of your surroundings and any hazards that may be present. Establish and discuss safe work procedures.
  • Conduct workplace examinations and risk assessments to identify and correct hazards before working on any task. Examine work areas for hazards
  • Provide sufficient illumination in all work areas.
  • Train all miners, especially workplace examiners, to recognize and understand safe job procedures. Communicate and correct hazards in a timely manner.
  • Prevent slips and trips. Clear the area of tripping and stumbling hazards. Maintain traction by ensuring walkways and footwear are free of potential slipping hazards such as dirt, oil, and grease.
  • Stay focused on your work for your safety and the safety of your fellow workers.

Click here for: MSHA Preliminary Report (pdf), Final Report (pdf).