UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
South Central District
Accident Investigation Report
Surface Nonmetal Mine
Fatal Powered Haulage Accident
Ogden Quarry and Plant
Gifford-Hill & Company
New Braunfels, Comal County, Texas
ID No. 41-00059
October 4, 1996
By
and
Alex Baca, Mine Safety & Health Inspector
Originating Office
South Central District Office
1100 Commerce Street, Room 4C50
Dallas, Texas 75242-0499
Doyle D. Fink
District Manager
GENERAL INFORMATION
Donald Rawls, weighmaster, age 31, was fatally injured about 11:30
a.m., on October 4, 1996, when he was run over by an empty railroad
car being coupled to a train. Rawls had 12 years and seven months
mining experience, all as a weighmaster at this mine. He had not
received training in accordance with 30 CFR Part 48.
John Faust, plant manager notified MSHA at 12:05 p.m., on the day
of the accident. An investigation was started on the same day.
The Ogden Quarry and Plant, an open pit crushed stone operation,
located near New Braunfels, Texas, was owned and operated by
Gifford-Hill & Company. Principal operating officials were Thomas
G. Ivey, vice president and John R. Faust, plant manager. The mine
operated one 10-hour shift, five days a week. A total of 105
persons was employed.
Limestone was extracted by drilling and blasting in the quarry.
Broken material was transported by off-road trucks to a primary
crusher where the material was crushed, screened and sized. The
mine produced an average of 15,000 tons of finish product per day.
Railroad cars transported the crushed material throughout the state
of Texas.
The last regular inspection at this operation was conducted on July
3, 1996. Another inspection was conducted in conjunction with the
accident investigation.
PHYSICAL FACTORS
The accident occurred on a dead-end spur east of the main plant
called the "Water Track Area." Railroad cars, waiting repair by
Union Pacific Railroad mechanics, were parked on the approximately
500-foot-long spur. The two cars involved in the accident were
parked about 100 feet from the end of the spur, on the 56-inch-wide
track. The track grade was 3 percent at the location where the two
rail cars were parked.
Gifford-Hill & Company owned the two 1500 Series GIHX 100-Ton Twin
Hopper railroad cars and identified them as No. 1517 and No. 1591.
The cars were about thirty-four feet long by ten and one half feet
wide and weighed approximately 33 tons. The distance between the
coupled cars was 35-inches. Each car had two truck assemblies
consisting of two axles and four 36-inch diameter wheels, mounted
34-inches apart at each end. The cars were equipped with air-actuated service brakes and wheel-actuated manual brakes. The
manual brake actuator was mounted approximately 10-feet above
ground on the ends of the cars.
The train locomotive used to move the rail cars was manufactured by
Montreal Locomotive Works, LTD. and was powered by a 600-HP Cummins
diesel engine.
The train operator and the brakeman used hand-held Motorola, Model
Radius P50 radios to communicate. Rawls was not carrying a radio
at the time of the accident.
DESCRIPTION OF THE ACCIDENT
On the day of the accident, Donald Rawls, (victim) reported to work
at 7:00 a.m., his normal starting time. Work progressed normally,
until about 11:15 a.m. At that time, Felix Castilleja, train
operator and Gregorio Perez, brakeman were in the process of moving
three empty railroad cars from the plant to track #2 with the
Montreal locomotive.
As the train passed the old scale house, Perez noticed Rawls
throwing the switch to the water track spur. It was not uncommon
for Rawls to throw switches and assist the train operator and the
brakeman in performance of their tasks. Perez called Castilleja on
the radio and had the train stopped. Rawls told Perez that two
1500 series railroad cars (1517 and 1591) located on the water
track spur had been repaired and to move them to track #2. They
coupled two empty Missouri Pacific railroad cars and another
locomotive to the train between the scale house and the 1500 series
cars.
As the train proceeded toward the 1500 series cars, Perez and Rawls
walked on opposite sides of the train. As they approached the
cars, Perez stated that he talked to Rawls through the space
between cars of the train. Rawls was going to inspect the new
wheels that had been installed by Union Pacific on the 1500 series
cars. Approximately 6 feet from the cars, Perez radioed Castilleja
and had him stop the train so he could align the couplers.
After Perez aligned the couplers, he shouted a warning to watch out
and radioed Castilleja to move the train up to make the "couple".
Castilleja sounded his horn, moved the train up and "coupled" to
the 1500 series cars, which moved about 30 inches down the track.
Perez continued walking along side of the 1500 cars and saw Rawls
lying on the ground between the two cars. As Perez approached
Rawls he realized one of the wheels of car 1591 was on top of him.
He radioed Castilleja and told him to move the train backwards.
Perez pulled Rawls from between the cars as the train moved
backwards, then he radioed for help. Perez administered CPR until
the ambulance arrived about 10 minutes later and the emergency
medical personnel took over the first-aid efforts. Rawls was air
lifted by helicopter to a local hospital where he was pronounced
dead upon arrival.
CONCLUSIONS
The primary causes of the accident were the failure to ensure that
persons were in the clear before coupling railroad cars and that
effective communication between the victim, brakeman and the train
operator existed.
As there were no witnesses to the accident, MSHA concluded the
victim was attempting to cross between the two 1500 series railroad
cars about the same time contact by the train occurred. The
brakeman knew the victim intended to inspect the cars, however, was
not aware he was between the cars.
VIOLATIONS
Order Number 4447101
Issued on October 4, 1996, under the
provisions of Section 103(k) of the Mine Act.
A slip and fall of a person has occurred at the railroad car yard
"Water Track Area" that resulted in a fatal injury. The order
prohibits the moving of the railroad cars to ensure the safety of
persons until MSHA deems the cars and the area safe to others
miners in the area.
This order was terminated on October 7, 1996, when all the railroad
equipment was deemed safe to use by the miners.
Citation Number 4444388
Issued on October 10, 1996 under the
provision of section 104(d)(1), for a violation of 30 CFR
56.9319(b).
A miner was fatally injured October 4, 1996, while attempting to
cross between two coupled rail cars. The weighmaster had not
notified the train operator and received acknowledgment before
stepping between the cars. At the time of the accident the train
was being coupled to two empty cars.
This citation was terminated on October 10, 1996, when all
employees involved in the rail loading process have been instructed
on the safety procedures for crossing over, between and under rail
cars.
/s/Ronald M. Mesa
Special Investigator
/s/Alex Baca
Mine Safety and Health Inspector
Approved by: Doyle D. Fink, District Manager
Related Fatal Alert Bulletin: [FAB96M38]
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