UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
Western District
Metal and Nonmetal Mine Safety and Health
Accident Investigation Report
Underground Metal Mine
Fatal Hoisting Accident
Thyssen Mining Const. of Canada
Contractor ID NEV
at
Turquoise Ridge Mine (Mine ID No. 26-02286)
Getchell Gold Corp.
Golconda, Humboldt County, Nevada
May 26, 1997
by
David A. Kerber
Mine Safety and Health Inspector
Gary L. Cook
Mine Safety and Health Inspector
Mine Safety and Health Administration
Western District
2060 Peabody Rd.,Suite 610
Vacaville, California 95687
James M. Salois
District Manager
GENERAL INFORMATION
Everette Thomas Howard, clam shell operator, age 54, was fatally
injured at about 8:55 p.m., May 26, 1997, when he was struck by a
shaft sinking bucket. Howard had about 28 years of mining
experience, the past seven weeks as a clam shell operator at this
operation. He had received training in accordance with 30 CFR Part
48. New task training was completed on April 18, 1997.
Charles Pearson, safety director for Thyssen Mining Construction of
Canada, notified MSHA on the day of the accident. An investigation
was started the following day.
The Turquoise Ridge mine, in the shaft sinking phase of its
development, was owned by Getchell Gold Corporation. The mine was
located near Golconda, Humboldt County, Nevada. Principal
operating officials for the shaft sinking contractor were Andrew
Fearn, area manager, Grant Coad, project engineer, and Quinn Olson,
superintendent for shaft No. 1. The 114 employee operation
normally worked three 8-hour shifts, seven days a week. Getchell
Gold Corp. had one employee in the shaft, acting in an advisory
capacity.
The shaft sinking process was accomplished by drilling and
blasting. Material was loaded into one of two six-cubic yard
buckets, hoisted to the surface, and hauled away as waste.
The last regular inspection of this operation was completed on May
14, 1997. Another inspection was conducted in conjunction with
this investigation.
PHYSICAL FACTORS INVOLVED
The ventilation shaft, where the accident occurred, had been sunk
to 1354 feet, with levels at the 400 and 900 foot marks. The
concrete finished inside diameter of the shaft measured 20 feet.
An Ingersoll Rand double drum hoist raised and lowered twin buckets
in the shaft. The hoist had a suspended load capacity of 32,549
pounds. Each bucket weighed 3600 pounds and measured 85 inches in
height and 62 inches in diameter. The buckets could be raised and
lowered as counterweights, or clutched out and used separately.
A four-deck Galloway was used in the shaft to provide work
platforms for lowering concrete forms, pouring concrete, and
storing equipment. It was raised and lowered by the surface hoist
using four 1-1/2 inch diameter wire ropes. The wire ropes were also
guides for the two sinking bucket crossheads. The Galloway measured
31 feet in height and 18 feet in diameter. The crossheads stopped
at the top deck on devices called "chairs," and the shaft buckets
were released to travel to the other levels of the Galloway stage
or the bottom of the shaft. The second deck was used primarily as
a storage and work deck and the third deck housed the electrical
distribution station. The bottom deck was fitted with swing type
doors, covering the bucket wells, that provided access to the shaft
bottom. This deck was where most of the work was performed. The
Galloway was prevented from swinging in the shaft by four wedges
called "horse heads." At the time of the accident, the Galloway
bottom deck was about five feet above the shaft bottom.
The crossheads traveled with the buckets and controlled their
lateral movement between the collar and Galloway. They were
equipped with a guillotine, a device designed to release the bucket
at the Galloway so it could continue through the structure to the
shaft bottom. Modifications and prior damage had caused the
crossheads to become twisted and bent, affecting the performance of
the guillotines.
There were signal controls from the collar to the bottom of the
shaft. A top lander, using bell signals, controlled the loading
and off-loading of personnel as well as the opening and closing of
collar doors. The top lander would usually bell the initial signal
to the levels or to the Galloway. Persons in the bucket could also
signal the hoistman. Prior to reaching the Galloway, the hoistman
would flash signal lights on the Galloway, alerting workers that
the bucket was approaching. Company policy required that the
bucket stay in the crosshead until a bell signal was given to the
hoistman by a designated person on the Galloway. The bucket was
then lowered to the Galloway where the guillotine would open and
release it to travel further. The designated person on the
Galloway controlled lowering through the structure.
DESCRIPTION OF ACCIDENT
On the day of the accident, Everette Howard reported for work at
3:00 p.m., his regular starting time. The crew finished the
mucking cycle at approximately 7:30 p.m. and the clam shells were
raised and the crew began to set the concrete curb ring on the
bottom of the shaft. Chuck Martinez, clam shell operator,
discovered that the Galloway and curb ring were not level and
signaled the hoistman to raise the bucket to provide the crew room
to work. The power failed while the crew was attempting to level
the two components. Hank DiCamillo, the walking boss, sent
Martinez to the 900 level to set the breaker and to call for an
electrician. When Jason Sutherland, electrician, arrived at the
900 level to begin trouble shooting the electrical system, Martinez
returned to the job of leveling the Galloway and curb ring.
DiCamillo sent Ray Vaughn, miner, to relieve Sutherland on the 900
level so he could check for faults in the Galloway. Sutherland
instructed Vaughn to reset the breaker if the power failed so the
pumps would keep running, then got in the bucket and proceeded to
the Galloway.
DiCamillo went to the third deck to meet Sutherland. When the
bucket arrived at the Galloway chairs, he yelled to Sutherland that
he was going to ring the bucket down to the third deck. The signal
was given but the guillotine failed to release the bucket rope from
the crosshead. Light signals intended to alert workers that the
hoistman was lowering the bucket were inoperable due to the power
failure.
After letting out rope to a point indicating the bucket was 2-1/2
foot below the shaft bottom, the hoistman called on the phone to
ask if there was a problem because no one had signaled him to stop.
DiCamillo immediately pulled the bell cord to stop the bucket. At
about the same time, the guillotine released and the bucket fell,
striking Howard, who was walking beneath it, forcing him through
the deck doors to the bottom of the shaft.
Charles Martinez was hit by flying material and knocked to the
deck. He crawled over to the bucket where he could hear moaning.
Sutherland was still in the bucket, seriously injured. Martinez
contacted the hoistman, telling him to call for help and raise the
bucket because he could see boots extending from beneath it. The
top lander, Gretchen Wilkins, contacted Getchell Gold for their
ambulance. Martinez and another miner got in the bucket and
assisted Sutherland as they traveled to the surface.
Sutherland was transported to Humboldt General Hospital and life
flighted to Washoe Medical Center in Reno, NV, where he was treated
for his injuries. Howard was brought to the surface and
transported to Humboldt General Hospital in Winnemucca, Nevada
where he was pronounced dead.
CONCLUSION
The primary cause of the accident was the Galloway being out of
level when the bucket arrived at the chairs. Only one side of the
guillotine opened, preventing the bucket from releasing. Damage
and modification to the crosshead, which caused the linkage arms to
contact the chairs at different heights, also contributed to the
accident. Personnel being permitted to walk beneath the suspended
bucket contributed to the severity of the accident.
CITATIONS/ORDERS
Order No. 7957439
Issued on May 27, 1997, under the
provisions of Section 103(k) of the Mine Act to ensure the safety
of persons during investigation operations and until the affected
areas of the mine could return to normal. This order was
terminated on May 31, 1997.
Citation No. 7957440
Issued on May 26, 1997, under the
provisions of Section 104(d)(1) of the Mine Act for violation of
30 CFR 57.16009.
A fatal accident occurred when an employee walked under a
suspended load and was crushed by a bucket.
This citation was terminated on May 31, 1997, after the hand
rails/barricades were installed around the bucket wells and the
requirements of 57.16009 was reviewed with the operator and
employees.
Order No.7957441
Issued on May 28, 1997 under the provisions
of Section 104(d)(1) of the Mine Act for violation of 30 CFR
57.14100(b)
The guillotine installed on the cross head for the #2 bucket well
was defective and was not corrected to eliminate a hazard. A
fatal accident occurred when the guillotine mechanism failed to
open when the linkage arms contact the Galloway chairs
improperly. This condition caused the bucket to hang up in the
cross head while the hoist man payed out hoist rope. The bucket
then broke loose, fell to the shaft floor and fatally injuring an
employee. The failure of the guillotine was due to the linkage
arms binding and the support struts being bent. The company had
modified the cross head, weakening the structure and causing the
conditions to exist. The mine operator engaged in aggravated
conduct constituting more than ordinary negligence. This is an
unwarrantable failure.
This citation was terminated on May 31, 1997, after new support
struts constructed of angle iron and gussets were welded into
place and the linkage arms were cleaned and lubricated to work
more smoothly.
Order No. 7957444
Issued on May 28, 1997, under the
provisions of 104(d)(1) of the Mine Act for violation of 30 CFR
57.18002(a).
A competent person designated by the operator failed to promptly
initiate appropriate action to correct hazardous conditions. The
walking boss for the day shift on 05-26-97 failed to recognize
that hand rails and chains were missing on all decks of the
ventilation shaft Galloway, exposing persons to a fall potential
of ten to thirty feet. The rails and chains were no where around
and had been removed to allow easier travel on the decks. A
fatal accident occurred when an employee walked under a suspended
load which was not barricaded off. The superintendent stated
that the barricades had been missing for some time. The mine
operator has engaged in aggravated conduct, constituting more
than ordinary negligence. This is an unwarrantable failure.
This order was terminated on 05-31-97, after supervisory
personnel were instructed in proper work place examination and
reporting procedures.
Citation No. 7957446
Issued on 06-03-97, under the provisions
of 104(a) of the Mine Act for violation of 30 CFR 57.19077.
The hoist operator of the ventilation shaft failed to stop the
bucket 15 feet from the bottom of the shaft to await a signal to
continue lowering. A fatal injury occurred when the cross head
hung up in the Galloway and the hoist man continued to pay out
rope. The bucket broke loose and fell to the bottom of the
shaft, approximately 40 feet. If the hoist man had stopped the
pay out of hoist rope at the 15-foot mark, the bucket would not
have reached the bottom deck and struck the employee.
/s/ Gary L. Cook
Mine Safety and Health Inspector
/s/ David A. Kerber
Mine Safety and Health Inspector
Approved by: JAMES M. SALOIS, District Manager
Related Fatal Alert Bulletin: [FAB97M32]
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