UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
Western District
Metal and Nonmetal Mine Safety and Health
Accident Investigation Report
Surface Area of Underground Metal Mine
Fatal Powered Haulage Accident
McLaughlin Engineering and Mining Inc.
Contractor ID WPG
at
Golden Queen Mine
Golden Queen Mining Company, Inc.
ID No. 04-05292
Mojave, Kern County, California
March 13, 1997
by
Richard R. Laufenberg
Supervisory Mine Inspector
Originating Office
Mine Safety and Health Administration
Western District
3333 Vaca Valley Parkway, Suite 600
Vacaville, CA 95688
James M. Salois
District Manager
GENERAL INFORMATION
Robert L. Stone, contract foreman, age 60, was fatally injured at
about 3:00 p.m., on March 13, 1997, when the service truck he was
operating went off the roadway and overturned. Stone had a total
of 35 years of construction experience and had worked as a
foreman at this operation for three months. The passenger, drill
helper Michael W. Schad, age 43, sustained minor injuries. Schad
had a total of two weeks mining experience, all as a driller's
helper at this location. Stone and Schad had been trained in
accordance with Part 48.
Fred Perkins, owner of McLaughlin Engineering & Mining Company,
Inc., notified MSHA at 6:00 p.m., the day of the accident. An
investigation was started the following day.
The Golden Queen mine, an underground gold mine under development
by Golden Queen Mining Company, was located on Soledad Mountain,
five miles southwest of Mojave, Kern County, California.
Extensive surface and underground exploration activities were
being conducted by six different contractors on the Soledad
Mountain project. Development was expected to continue into mid-1997, with production commencing a year later.
The principal operating officials were Steven W. Banning,
president, Bernard F. Goodson, vice-president of administration,
and Richard W. Graeme, vice-president of operations. Twelve
persons were employed by Golden Queen Mining Company, Inc. and
they worked one, 8-hour shift a day, five days a week.
The company requested and was given an MSHA identification number
for the Golden Queen Mine on August 20, 1996, however, the mine
had not been inspected. A regular inspection was conducted after
the accident investigation.
McLaughlin Engineering & Mining, Inc. of Temecula, California,
was an independent contractor hired by Golden Queen Mining
Company, Inc. to construct about 25,000 ft. of bermed drill roads
and 200 exploration drill pads on the Soledad Mountain project at
Golden Queen Mine. Frederick E. Perkins, owner, was the
principal operating official and he employed six persons at the
mine who worked one 10-hour shift a day, five days a week. Five
of the contractor's employees were on the mine property at the
time of the accident.
PHYSICAL FACTORS INVOLVED
The truck involved in the accident was a 1985 Dodge, 3/4 ton,
four-wheel drive pickup, VIN 1B6KW34I1FS580517. It was equipped
with a 360 cubic inch, V-8 gasoline engine, four-speed manual
transmission, and was used to service and refuel the contractor's
equipment. After the accident, the transmission was found in
reverse gear, with the wheels engaged in four-wheel drive low
range. Functional seat belts with shoulder straps were provided
for both driver and passenger in the truck cab.
A 150-gallon diesel storage tank was mounted on the rear of the
truck's flatbed. The tank was rectangular in shape, measuring 5
ft. long, 2 ft. wide, and 2 ft. 6 in. high. About 10 gallons of
diesel fuel was in the tank at the time of the accident. The
truck was also carrying a plastic drum containing about 40
gallons of drill water. A fire extinguisher mounted on the bed
of the truck broke from its bracket during the rollover.
Compartments for tools and parts were located toward the front of
the bed.
An inspection of brake and steering systems on the service truck
was conducted during the accident investigation. There was no
evidence of power steering fluid leaking from the steering gear,
pump, or lines. The components of the steering linkage and
fasteners were intact.
The truck was equipped with self-adjusting, hydraulically-operated disc front brakes and drum rear brakes. The brakes were
functional with no evidence of fluid leaking from the master
cylinder, wheel cylinders, pistons, or brake lines. The front
discs and rear drums showed no sign of excessive wear or
grooving. All brake pads and shoes were dry and had adequate
lining remaining.
The parking brake, intended to mechanically operate the rear
brakes, was not functional and was cited during an inspection
conducted in conjunction with the accident investigation.
The elevated roadway where the accident occurred had been used
regularly for six weeks prior to the accident by the contractor
to reach exploration drill pads in the area. Company geologists
used the roadway when locating drill pad sites and checking on
pad specifications.
The accident occurred on the east side of Soledad Mountain,
approximately 400 ft. northwest of a vehicle and equipment
staging area. The staging area was at an elevation of 3700 feet,
and was located 1.7 miles from the contractor's mine office along
a switchback road.
The roadway was constructed of hard packed material and the grade
from the staging area in the direction of the accident site
varied from +12.1% to +13.5% for the first 250 ft. The roadway
then made a gradual curve to the right and was almost level for
150 feet.
The roadway width varied from 10 ft. to 12 ft. 6 in. where the
service truck over traveled. The left side of the roadway,
traveling from the staging area to the accident site, ran
adjacent to the side of the mountain. Adequate berms had not
been provided along the right side of the elevated roadway. The
contractor had been working in this area for the past six weeks
and there was no evidence that the roadway had been widened or
bermed in the recent past.
The weather at the time of the accident was clear and warm with
light winds.
DESCRIPTION OF THE ACCIDENT
On the day of the accident, Robert L. Stone (victim), and Michael
W. Schad (injured) reported for work at about 6:20 a.m., their
regular starting time. Stone was the foreman of the four man
contractor crew constructing exploration drill pad sites on mine
property. Schad's duties were to assist Stone as a driller's
helper, loading and stemming drill holes prior to blasting.
At about 8:15 a.m., Schad drove Kenneth Lentz, dozer operator, in
the service truck to their work site, which was an exploration
drill pad located on the east side of the mountain. Stone
arrived in the powder truck about 15 minutes later.
The three men worked at this location until 2:15 p.m., then Stone
instructed Schad to take the powder truck to the staging area and
wait there until he returned from a worksite on the west side of
the mountain. They would refuel the drill after he returned.
About 3:00 p.m., Stone picked up Schad at the staging area.
Schad got into the service truck and buckled his seat belt,
without noticing if Stone was wearing his seat belt. They left
the staging area and traveled up the road in the direction of the
drill pad where they had been working earlier in the day. The
truck, traveling about 5 miles an hour, went about 400 feet
before it gradually drifted to the unbermed right edge of the
roadway and went over. The truck overturned at least twice,
rolling about 70 feet down the mountain, where it stopped on the
switchback roadway below. The right rear wheel came to rest on
top of the diesel fuel storage tank which had dislodged from the
bed of the truck during the rollover. A fire engulfed the engine
compartment, penetrated the firewall, and completely melted the
passenger-side dash area.
Just prior to the final impact, Schad unfastened his seat belt
and attempted to exit the cab. The force of the vehicle striking
the roadway threw him out of the passenger side window. He got
up and went to the other side of the service truck to check on
Stone. He yelled to Stone, who initially did not respond. The
second time he yelled, Stone answered that he could not move.
Schad noticed a fire under the hood of the service truck. He
searched but was unable to find the fire extinguisher which had
been mounted on the bed of the truck. He ran up the bank to the
drill pad where Lentz was operating the dozer. Schad told Lentz
that Stone had rolled the service truck, was seriously injured,
and the service truck was on fire. They took the fire
extinguisher from the drill nearby and ran back to the accident
site where Lentz extinguished the fire.
Schad went to the powder truck parked at the staging area and
called 911 with the truck's cellular phone. He then called the
Golden Queen Mining Company mine office to report the accident.
He hung up without leaving a message when he was received by
voice mail.
Lentz found Stone laying inside the cab with his head below the
steering wheel, his right leg on the seat, and his left leg on
the floor, both pointed toward the passenger's door. Stone told
Lentz that he thought his back was broken. As Lentz assessed
Stone's injuries, the engine fire returned. He ran to the powder
truck, obtained a second fire extinguisher, and he and Schad
returned to the service truck and extinguished the fire again.
They decided Lentz would stay with Stone, since he was trained in
CPR and first-aid, and Schad would take the powder truck to get
help.
At about 3:35 p.m., Stone stopped breathing and Lentz could no
longer detect a pulse. He pulled Stone out of the service truck
and began CPR.
Rescue personnel arrived at the accident site at about 4:00 p.m.
and found Lentz performing CPR on Stone. They continued CPR and
performed other medical procedures without success. Stone was
pronounced dead at 4:34 p.m. and was transported to Bakersfield,
California where an autopsy was performed. The official cause of
death was cardiorespiratory arrest due to postural asphyxia.
CONCLUSION
The direct cause of the accident was the lack of a berm to
prevent the operator of the service truck from traveling over the
outer edge of the elevated roadway.
ORDERS/CITATIONS
Order number 7952658
Issued on March 13, 1997, under the
provisions of Section 103 (k):
This action is taken to insure the safety of persons in the area
around the Queen Ester drill site and the roadway leading to the
site. This action is also taken to secure the area around the
three quarter ton Dodge truck that was involved in a fatal
accident earlier this afternoon. These areas must remain in
their current condition until an investigation of the accident
can be conducted. No one is to be allowed into this area without
the permission of the Mine Safety and Health Administration.
This order was terminated after the service truck was removed
from the accident to a safe location near the contractor's mine
office for further inspection and a berm was installed across
both ends of the road involved in the fatal accident. The road
was abandoned and will not be used unless an adequate berm is
installed along the entire length.
Citation number 4673586
Issued to Golden Queen Mining Co. on
March 15, 1997, under the provisions of Section 104(d)(1), for
violation of CFR 30 Part 57.9300(a):
A fatal accident occurred at approximately 1500 hours on March
15, 1997, when a contract foreman operating a service truck over
traveled and overturned at least twice before coming to rest on a
road 70 ft. below. The contract foreman was fatally injured and
the passenger traveling with him sustained minor injuries. A
berm or guardrail was not provided to prevent the vehicle from
overturning. Mine management engaged in aggrevated conduct,
constituting more than ordinary negligence, by failing to ensure
that the contractor had provided a berm along the roadway. This
violation is an unwarrantable failure.
This citation was terminated when a berm was installed across
both ends of the road involved in the fatal accident. The road
was abandoned and will not be used unless an adequate berm is
installed along the entire length.
Citation number 4673587
Issued to McLaughlin Engineering and
Mining, Inc. on March 15, 1997, under the provisions of Section
104(d)(1), for violation of CFR 30 Part 57.9300(a):
A fatal accident occurred at approximately 1500 hours on March
15, 1997, when a contract foreman operating a service truck over
traveled and overturned at least twice before coming to rest on a
road 70 ft. below. The contract foreman was fatally injured and
the passenger traveling with him sustained minor injuries. A
berm or guardrail was not provided to prevent the vehicle from
overturning. Management engaged in aggregated conduct,
constituting more than ordinary negligence, by not providing a
berm along the roadway. This violation is an unwarrantable
failure.
This citation was terminated when a berm was installed across
both ends of the road involved in the fatal accident. The road
was abandoned and will not be used unless an adequate berm is
installed along the entire length.
/S/ Richard R.Laufenberg
Supervisory Mine Safety and Health Specialist
Approved by: James M. Salois, District Manager
Related Fatal Alert Bulletin: [FAB97M16]
|