UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
Rocky Mountain District
Accident Investigation Report
Surface of Underground Mine
Electrical Fatal Investigation
Mission Mine Underground
I.D. No. 02-02626
ASARCO, Incorporated
Sahuarita, Pima County, Arizona
April 10, 1997
By
Lee D. Ratliff
Supv. Mine Safety & Health Inspector
Danny A. Frey
Mine Safety & Health Inspector (Electrical)
Elio L. Checca
Mine Safety & Health Specialist
Rocky Mountain District Office
P.O. Box 25367, DFC
Denver, CO 80225-0367
Robert M. Friend
District Manager
GENERAL INFORMATION
Duane A. Jarva, supervisory power and instrumentation electrician
for ASARCO, Incorporated, age 55, was fatally injured on April 10,
1997, at approximately 10:00 a.m., when he contacted an energized
4160 volt terminal. Jarva had a total of 32 years experience as an
electrician, the last 5 years and 6 months at this operation.
Training records indicated that he had received training in
accordance with 30 CFR, Part 48.
Sy Laksosky, mine manager for ASARCO, Incorporated, notified MSHA
of the accident by telephone on April 10, 1997, at 11:25 a.m. An
investigation was started the same day.
The Mission Mine, owned and operated by ASARCO, Incorporated, was
located about 20 miles south of Tucson, Pima County, Arizona.
Copper ore was mined by the room and pillar method. The ore was
drilled, blasted, and then transported to the surface where it was
crushed and milled. Total mine employment was 82 persons working
three, 8 hour shifts, 7 days a week.
Principal operating officials for ASARCO, Incorporated were:
Richard deJ. Osborne, Chairman of the Board, President and CEO
John D. Low, General Manager
Byron G. Brumbaugh, Director of Safety and Health
Sy Laksosky, Mine Manager
The last regular inspection of this operation was conducted on
January 30, 1997. Another inspection was conducted following the
completion of this investigation.
PHYSICAL FACTORS INVOLVED
The accident occurred inside the skid-mounted electrical
transformer that was located at the northwest corner of the newly
constructed maintenance shop for the underground mine. The shop was
located in the pit near the north portal. Power to the transformer
was provided by tapping into overhead power lines that carried
electricity to the pit. Three wooden poles supported the three,
4160 volt lines and one static line leading to the transformer. A
set of fused disconnect switches was mounted on one of the poles
that was adjacent to the transformer. Each fuse was rated 50
amperes.
A 2/0 AWG, SHG-GC shielded cable supplied 4160 volts from the pole
disconnect to the primary side of the transformer, entering the
transformer housing through a cable coupler. The transformer
housing was divided into three compartments. The left side
consisted of 4160 volt conductors and terminal insulators. The
right side housed the 480 volt conductors, terminals, and a 225
ampere circuit breaker that was equipped with an undervoltage
release coil. The sealed back section held the transformer
windings. Doors in the front of the transformer provided access to
the left and right compartments. The transformer was manufactured
by B. & B. Transformer Company and was rated at 300 KVA, 4160/480.
ASARCO, Incorporated, had contracted Sun- Western Contractors for
Industry to build the shop. ASARCO, Incorporated, was responsible
for providing power to the 480 volt line terminals of the 225
ampere circuit breaker. The contractor was to install the circuits
and equipment from the load terminals of the circuit breaker to the
motor control center, and install the wiring in the shop.
Sturgeon Electric Company, Inc., was contracted by Tucson Electric
Power Company to install the overhead lines and poles from the pit
to the transformer. On the day of the accident, Sturgeon
Electric's employees made final connections to supply 4160 volts to
the fuse disconnect switches located on the pole next to the
transformer. They then closed the fuse disconnect switches with a
hot stick, gathered their equipment (including the hot stick) and
left.
DESCRIPTION OF THE ACCIDENT
Duane A. Jarva, victim, reported for work at 7:00 a.m., his normal
starting time. After receiving work assignments from Joe Barton,
electrical manager, they traveled to the new shop. Jarva and Barton
completed tests on the transformer and waited for Sturgeon Electric
Company to finish connecting the power. Also present at this time
were: John Stang, leadman, and Robert Anaya, employees of Sun-Western; and Matt Hazen, civil engineer, ASARCO, Incorporated.
Sturgeon Electric Company employees completed the connection at
about 9:30 a.m.
Barton and Anaya then proceeded to work on the motor control center
which was located inside the shop. Jarva and Stang stayed outside
to work on the transformer. Jarva asked Stang to enter the 480 volt
compartment to install duct seal around the conduit. Stang knew the
transformer was energized but followed Jarva's instructions.
Upon finishing this task, Jarva asked to borrow Stang's linesman's
pliers, then proceeded to remove the bolts securing the door to the
high voltage compartment of the transformer. Stang went into the
shop for a few seconds and when he returned, he saw Jarva lying on
the ground between the pole and the transformer.
Stang summoned help. Barton radioed for assistance from ASARCO,
Incorporated's emergency medical services. Attempts by the EMT's
to revive Jarva were unsuccessful. He was pronounced dead at 10:50
a.m.
The investigation revealed the following conditions:
1. The H-3, high voltage connection showed signs that dust
had been partially wiped from the insulated bushing and the
wire terminal. The other two high voltage bushings and wire
terminals were coated with undisturbed dust.
2. A rag was found on the floor of the high voltage
compartment.
3. A small spot caused by arcing was found on the metal
divider between the high and low voltage compartments of the
transformer cabinet.
4. The 480 volt circuit breaker was found in the tripped
position. It was equipped with an undervoltage device.
5. A test of the grounding system indicated the transformer
was properly grounded.
6. An insulation resistance test of the transformer windings
indicated a primary to ground, secondary to ground, and a
primary to secondary fault did not exist.
7. A continuity test of the high voltage fuses showed all
fuses to be good.
8. A continuity test of the open circuit breaker indicated
all poles of the breaker were open.
CONCLUSION
The direct cause of the accident was failure to deenergize the 4160
volt feeder circuit prior to working in the high voltage
compartment.
VIOLATIONS
Order No. 4702002
Issued at 7:00 p.m., April 10, 1997, under
the provisions of Section 103(k) of the Mine Act:
An electrical supervisor was fatally injured when he came into
contact with a 4160 volt or 480 volt source at a energized
transformer. The transformer was located in the mission pit where
a maintenance building was under construction. It was not known
what task he was performing at the time of the accident. This
order is to preserve and to prohibit anyone from entering the
accident scene pending an investigation by MSHA to determine the
cause. This order was verbally issued over the phone by MSHA
supervisory inspector at 11:20 a.m., 4/10/97.
This order was terminated on completion of the onsite investigation
on April 14, 1997.
Citation No. 7910115
Issued under the provisions of Section
104(d)(1) on April 28, 1997, for violation of 30 CFR 57.12017:
An accident resulting in a fatality occurred on April l0, 1997,
when an electrical supervisor was electrocuted while working in an
electrical transformer enclosure. The victim contacted an
energized component of a 4160 volt circuit. Power to the
transformer was not deenergized before work was done nor were other
preventative measures taken to isolate the transformer parts. Hot
line tools were available on the property but were not at this work
site. The victim knew that the transformer was energized. This
action constitutes aggravated conduct and is an unwarrantable
failure to comply in that the victim was a supervisory member of
mine management.
Lee D. Ratliff
Supv. Mine Safety & Health Inspector
Danny A. Frey
Mine Safety & Health Inspector (Electrical)
Elio L. Checca
Mine Safety & Health Specialist
Approved by: Robert M. Friend, District Manager
Related Fatal Alert Bulletin: [FAB97M21]
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