UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
District 4
REPORT OF INVESTIGATION
(UNDERGROUND COAL MINE)
FATAL POWERED-HAULAGE ACCIDENT
Mine No. 1 (ID No. 46-07622)
Cedar Point Mining, Inc.
Kencole Energy, Inc. (ID No. VGK)
Meador, Mingo County, West Virginia
September 30, 1996
by
Ernie Ross
Coal Mine Safety and Health Inspector
Originating Office - Mine Safety and Health Administration
100 Bluestone Road, Mount Hope, West Virginia 25880
Earnest C. Teaster, District Manager
OVERVIEW
Abstract
On September 30, 1996, at about 1:30 p.m., a powered-haulage
accident on the 4th West Mains No. 1 Section (006-0 MMU), Mine
No. 1, Cedar Point Mining, Inc., resulted in fatal injuries to
Roger Glen Duncan. Duncan, age 21, with 11 months mining
experience, was operating the No. 2 left-drive shuttle car,
tramming from the continuous miner in the No. 2 working face to
the mechanical belt feeder in the No. 4 entry. Coal was being
mined from the face of the No. 2 entry and hauled to the belt
feeder in the No. 4 entry. A two-shuttle-car haulage system was
being used to transport coal from the faces to the belt feeder.
The No. 2 left-drive shuttle car was utilizing the last open
crosscut from the No. 2 entry before turning outby in the No. 4
entry. The No. 1 right-drive shuttle car was utilizing the first
crosscut outby the last open crosscut to travel from the
continuous miner in the No. 2 working face to the No. 4 entry.
As the No. 2 left-drive shuttle car was passing the first
crosscut outby the last open crosscut in No. 4 entry toward the
belt feeder, it was struck by the No. 1 right-drive shuttle car
entering the No. 4 entry from the crosscut (3 to 4), crushing the
victim.
Background
Mine No. 1 of Cedar Point Mining, Inc., is located at Meador,
Mingo County, West Virginia. The mine is developed into the
Lower Cedar Grove coalbed from the surface by four drift
openings. The Lower Cedar Grove coalbed averages 45 inches in
height. Cedar Point Mining, Inc., assumed operation of Mine No.
1 from K.Y.V. Coal Company, Inc., and began production on August
28, 1992. Employment is provided for 31 employees, 14 of which
are employed by Kencole Energy, Inc., Contractor ID No. VGK.
Employees of both companies work together on the 005-0 and 006-0
production sections. The mine produces an average of 1,800 tons
of raw coal daily on three production shifts utilizing two
continuous-miner sections. Coal is transported from the working
sections to the surface via belt conveyor. The immediate roof is
sandstone and is primarily supported with 36-inch resin bolts.
Supplemental supports are posts, cribs, and conventional bolts.
Ventilation is induced into the mine by a Fairchild 5-foot
exhausting fan which produces about 70,000 cubic feet of air per
minute. This mine does not liberate a measurable amount of
methane. The principal officers of Cedar Point Mining, Inc., are
Kennith Layne, President/Secretary/Treasurer/Safety Director,
and Thomas Duncan, Superintendent. The principal officer of
Kencole Energy, Inc., is Kennith Layne, President. Mr. Layne
obtained contractor I.D. No. VGK for Kencole Energy, Inc., on May
15, 1995.
The last Mine Safety and Health Administration (MSHA) complete
Safety and Health Inspection was completed on September 17, 1996.
STORY OF EVENT
On Monday, September 30, 1996, the day shift began at about 7:45
a.m. The 4th West Mains (006-0) crew, under the supervision of
Kevin Dotson, section foreman, arrived on the section about 8:05
a.m. Mining operations began in the No. 3 left crosscut working
face. Routine mining of the seven working faces continued across
the section. At about 1:30 p.m., mining of the No. 2 left
working face had been completed, and the continuous-mining
machine was moved to the No. 2 working face.
The section's belt feeder was located in the No. 4 entry, two
crosscuts outby the last open crosscut. The trailing cable for
the No. 1 right-drive shuttle car was anchored in the No. 3 entry
on the left outby corner in the second crosscut outby the face.
The No. 2 left-drive shuttle car was anchored on the right outby
corner in the last open crosscut in the No. 4 entry. The shuttle
car switch-out point to the belt feeder was at the No. 4 entry
intersection in the second crosscut outby the face.
Keith Norman, continuous-mining-machine helper, had worked on the
day-shift production crew for approximately 2 weeks. Norman had
previously worked on the midnight shift, general crew. Norman
stated that his duties included servicing and cleaning around the
section belt drive at the start of the shift and at 12:00 noon.
Upon returning to the section after the 12:00 noon section belt
drive check, he would relieve the shuttle-car operators out for
lunch.
Norman stated that he had traveled from the section belt drive
about three crosscuts outby the section tailpiece, back to the
continuous miner. He then relieved Roger Glen Duncan, No. 2
left-drive shuttle-car operator, out for lunch. At about 1:30
p.m., Norman relieved Kenneth Wolford, No. 1 right-drive shuttle-car operator, out for lunch. Duncan resumed the operation of the
No. 2 left-drive shuttle car.
The continuous-mining machine had just completed mining the
crosscut on the left side of No. 2 entry and had been moved to
the face of the No. 2 working place. The route of travel
utilized by the No. 1 right-drive shuttle car from the No. 2
working face to the belt feeder was outby in the No. 2 entry to
the second crosscut, then left across to the No. 4 entry. The
route of travel utilized by the No. 2 left-drive shuttle car from
the No. 2 working face was across the last open crosscut from
No. 2 entry to No. 4 entry. The No. 1 right-drive shuttle car
entered the No. 4 entry from the second crosscut, while the No. 2
left-drive shuttle car entered the No. 4 coal feeder entry from
the last open crosscut. The shuttle car switch-out point was at
the No. 4 entry intersection at the second crosscut outby the
face.
Norman had hauled one load of coal from the No. 2 working face to
the belt feeder. While tramming the second load of coal from the
No. 2 working face across the first crosscut outby the last open
crosscut, he noticed that his trailing cable was lying in the
haul road near his cable anchor in No. 3 entry. Norman stated
that he stopped the shuttle car to move the cable out of the
roadway.
Wolford had finished lunch and was at the continuous-mining
machine in the No. 2 entry. He observed the No. 2 left-drive
shuttle car, operated by Duncan, being loaded. Wolford noticed
that Norman had not returned for another load. Wolford stated
that he thought Norman may have had problems with the trailing
cable on the No. 1 right-drive shuttle car. Wolford then traveled
across to the No. 3 entry and observed Norman moving the trailing
cable out of the roadway. Wolford assisted Norman in moving the cable.
With the trailing cable out of the haul road, Norman boarded the
No. 1 right-drive shuttle car, utilizing the outby end seat, not
completely facing in the direction of travel, and began tramming
through the crosscut from No. 3 to No. 4 entry. Being seated in
the outby seat and tramming outby, with his back to the
operator's side rib and looking over the loaded shuttle car,
caused restricted vision and not being able to see properly in
the direction of travel. Norman stated that as he began to turn
outby from the corner of the crosscut to the entrance of No. 4
entry, the shuttle car stuck in high tram. The panic bar was
struck to avoid cutting the No. 1 right-drive shuttle car's
trailing cable, according to Norman. He then realized that he
had struck the No. 2 left-drive shuttle car, operated by Duncan,
as it was passing by the crosscut. Norman restarted the No. 1
right-drive shuttle car and backed away from the No. 2 left-drive
shuttle car.
Wolford observed Norman tramming the No. 1 right-drive shuttle
car from the intersection of No. 3 entry through the crosscut
from No. 3 to No. 4 entry when the accident occurred. Wolford
traveled from the intersection in No. 3 entry to the No. 2 left-drive shuttle car in the No. 4 entry intersection. Wolford spoke
to Duncan, who was in the operator's deck. Wolford saw that
Duncan was hurt and called for help.
Kevin Dotson, section foreman, and Elbert Steele, electrician,
arrived at the accident site. Dotson instructed Wolford to call
outside for an ambulance and to get transportation at the end of
the track. The first-aid box and stretcher were taken to the
accident site by Wolford. Steele began to administer first aid
to Duncan. Ray Mickey, continuous-mining-machine operator,
arrived at the scene and assisted Steele in administering first
aid and securing Duncan to the stretcher. Duncan was loaded onto
the Mac 8 personnel carrier and transported to the end of the
track. They then transported him to the surface via a
track-mounted personnel carrier operated by Nicky Browning, belt man.
Mickey and Thomas Duncan, superintendent and father of the
victim, attended to the victim during the ride to the surface.
The Mingo County Ambulance Service arrived at the mine site at
2:12 p.m. Emergency treatment was administered, and at 2:50 p.m.
Duncan was transported to the Matewan High School football field
and transferred to a Medivac helicopter. He was then flown to
St. Mary's Hospital, Huntington, West Virginia. Duncan arrived
at St. Mary's Hospital at 3:49 p.m. and was pronounced dead at
4:18 p.m. by Dr. John Frame, M.D.
INVESTIGATION OF THE ACCIDENT
The Mine Safety and Health Administration was notified at 2:50
p.m. on September 30, 1996, that a serious accident had occurred.
MSHA personnel arrived at the mine about 3:45 p.m. A 103(k)
Order was issued to ensure the safety of the miners.
MSHA and the West Virginia Office of Miners' Health, Safety and
Training jointly conducted an investigation with the assistance
of mine management personnel and the miners. The investigation
team requested assistance from MSHA's Technical Support Group.
This assistance was provided by members of the Approval and
Certification Center, Mine Equipment Branch and Electrical
Equipment Branch, Triadelphia, West Virginia.
All parties were briefed by mine personnel as to the
circumstances surrounding the accident. Representatives of all
parties traveled to the accident scene, where a thorough
examination was conducted. Photographs and relevant measurements
were taken and sketches were made at the accident site.
Interviews of individuals known to have direct knowledge of the
facts surrounding the accident were conducted at the Logan Field
Office conference room on October 2, 1996, at 9:00 a.m.
The physical portion of the investigation was completed on
October 4, 1996, and the 103(k) Order was terminated.
DISCUSSION
Training
Records indicated that all required training had been conducted
in accordance with Part 48, Title 30 CFR.
Examination
Records indicated that the required examinations were being
performed. The weekly examinations and all maintenance performed
on mine equipment is performed by Cedar Point Mining, Inc.,
employees.
Physical Factors
One common haul road was utilized to the mechanical coal feeder.
The shuttle car switch-out point was at the second crosscut
intersection outby the face in No. 4 entry. The coal feeder was
approximately 70 feet outby the switch-out point.
Norman had hauled one load of coal to the coal feeder while
operating the No. 1 right-drive shuttle car. While hauling the
second load, he was delayed at the No. 3 entry intersection. The
No. 1 right-drive shuttle car's trailing cable had to be moved
out of the haul road.
Duncan was in the process of hauling his second consecutive load
from the continuous miner while Norman was moving the No. 1
right-drive shuttle car's trailing cable out of the roadway.
Wolford assisted Norman in moving the trailing cable out of the
roadway and observed Norman tramming the No. 1 right-drive
shuttle car through the crosscut from No. 3 to No. 4 entry at the
time of the collision.
Norman stated that the tram lever on the No. 1 right-drive
shuttle car stuck in high tram as he began to make the turn outby
in the No. 4 entry. He then struck the panic bar on the No. 1
right-drive shuttle car.
Examination of the No. 1 right-drive and No. 2 left-drive shuttle
cars revealed that the emergency park brake systems would not
activate immediately. On the No. 1 right-drive shuttle car, an
examination determined that the vertical tram lever centering
spring was missing, and the tram switch centering spring was
broken. On the No. 2 left-drive shuttle car, an examination
determined that the tram switch centering spring was broken, and
the external spring was stretched to the point that it was
ineffective.
It was determined that both shuttle-car operators were seated in
the operator decks facing inby and were operating the shuttle
cars by looking over their shoulders while tramming outby.
Tramming the shuttle cars in this manner restricts visibility of
the operator's side of the shuttle car and causes the operator to
have his back turned to the operator's side coal rib.
Utilizing only one seat of the shuttle car at this mine appears
to be a practice.
Both shuttle cars were loaded at the time of the collision. The
coal height was from 48 to 55 inches at the scene of the
accident. The section was developing entries and crosscuts on
65-foot centers.
Cedar Point Mining, Inc., has overall responsibility to make
weekly examinations and to perform maintenance on all mining
equipment.
CONCLUSION
The accident and resultant fatal injury occurred when the No. 2
left-drive shuttle car was struck by the No. 1 right-drive
shuttle car as it entered the intersection of the No. 4 entry.
Contributing factors were:
- The shuttle-car operators had limited visibility because of
the manner in which the operators were seated.
- Both shuttle cars were not maintained in a safe operating
condition, in that the parking brake and tram were not
operating properly.
CONTRIBUTING VIOLATIONS
The following safeguard was issued to Cedar Point Mining, Inc.,
as required by Part 45, Title 30 CFR:
In accordance with Section 75.1403, Safeguard No. 3748812,
was issued because the operators of the Joy 21SC shuttle
cars, the No. 1 right-drive (Serial No. ET-12702) and No. 2
left-drive (Serial No. ET-12703), were not facing the
direction of travel.
The following citations were issued to Cedar Point Mining, Inc.:
- 104(a) Citation No. 3748813, which stated in part that the
No. 1 right-drive Joy 21SC shuttle car, Serial No. ET-12702,
was not being maintained in a safe operating condition. This
was a violation of Section 75.1725(a), 30 CFR.
- 104(a) Citation No. 3748814, which stated in part that the
emergency parking brake system installed on the No. 1
right-drive Joy 21SC shuttle car, Serial No. ET-12702,
would not immediately activate when the panic bar was struck.
This was a violation of Section 75.523-3(b)(1), 30 CFR.
- 104(a) Citation No. 3748815, which stated in part that the
No. 2 left-drive Joy 21SC shuttle car, Serial No. ET-12703,
was not being maintained in a safe operating condition. This
was a violation of Section 75.1725(a), 30 CFR.
- 104(a) Citation No. 3748816, which stated in part that the
emergency parking brake system installed on the No. 2 left-drive Joy 21SC shuttle car, Serial No. ET-12703, would not immediately activate when the panic bar was struck. This was a violation of Section 75.523-3(b)(1), 30 CFR.
Respectfully submitted by:
Ernie Ross, Jr.
Coal Mine Safety and Health Inspector
Approved by:
Richard Kline
Assistant District Manager
Earnest Teaster, Jr.
District Manager
Related Fatal Alert Bulletin: FAB96C25
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