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Jump to Overview DEPARTMENT OF LABOR MINE SAFETY AND HEALTH ADMINISTRATION COAL MINE SAFETY AND HEALTH REPORT OF INVESTIGATION Underground Coal Mine Powered Haulage Accident November 4, 2006 Mine #23 McCoy Elkhorn Coal Corp. Pikeville, Pike County, Kentucky ID No. 15-18721 Accident Investigators Robert J. Newberry Mining Engineer Kenneth Fleming Coal Mine Safety and Health Inspector Originating Office Mine Safety and Health Administration District 6 100 Fae Ramsey Lane Pikeville, KY 41501 Kenneth A. Murray, District Manager OVERVIEW
On November 4, 2006, Tony Swiney, a 44-year old section foreman, was fatally injured in a powered haulage accident on the 001-0 MMU section. Swiney had 25 years of total mining experience and had worked two years at this mine. Swiney was using a battery powered scoop to pull a shuttle car cable toward the power center. The plug end of the cable had been wrapped around the canopy post of the scoop to facilitate pulling. The scoop ran over the cable, which became lodged between the scoop tire and the mine floor. The end of the cable unwound from the canopy post and the plug struck the victim in the head resulting in fatal injuries. The accident occurred because mine management, aware that cables were being pulled unsafely, failed to ensure that safe procedures for pulling cables with mobile equipment were established and followed. GENERAL INFORMATION
McCoy Elkhorn Coal Corp., Mine #23, MSHA I.D. No. 15-18721, is located 0.9 miles northeast of the intersection of U.S. 23 and KY 3218 near Pikeville, Pike County, Kentucky. McCoy Elkhorn Coal Corp., Mine #23 is opened into the Elkhorn No. 3 coal seam which averages 56 inches in height. The mine has been in active status since April 22, 2004. The principal officials for McCoy Elkhorn Coal Corp., at the time of the accident were:
Gary Hensley .......... Superintendent Clifton Preece .......... Safety Director DESCRIPTION OF ACCIDENT
On Saturday, November 4, 2006, Swiney and the section crew arrived at the mine about two hours early in order to complete a section move from the 1A Northeast Panel to the 1st Southeast Main. They entered the mine at 5:00 a.m. and traveled the track entry to the 001-0/002-0 mechanized mining unit (MMU), a super section. The crew moved most of the section equipment and power center to the 1st Southeast Main. Swiney told Mark Smith, Shuttle Car Operator, Johnny Stiltner, Roof Bolting Machine Operator, and Brad Taylor, Repairman to move the shuttle cars from the 1A Northeast Panel to the No. 2 Entry of the 1st Southeast Main. They had connected the trailing cables for two of the three shuttle cars to the power center when Taylor was summoned to repair the continuous miner cable. Swiney brought a battery operated scoop over to the shuttle car and told Stiltner to wrap the end of the cable around the canopy post on the scoop and lay the cable across the battery trays so that he could watch the cable. Swiney trammed the scoop across the 1st Southeast Main section from No. 3 entry to the No. 8 entry pulling the shuttle car cable behind him. Stiltner walked behind the scoop until he reached the No. 6 entry where he waited to pull the cable by hand down the entry to the power center. Swiney reversed the scoop and pulled the cable from the No. 8 entry back to the No. 4 entry leaving the additional cable along the mine floor. Stiltner pulled some of the cable down the No. 6 entry and waited for Swiney to bring the cable plug to him. Swiney stopped at the No. 4 entry and reversed direction again and pulled the cable toward the No. 6 entry. At approximately, 1:30 p.m., Stiltner called to Swiney and hearing no response walked to the crosscut and shined his light on Swiney and saw the cable plug lying on the mine floor. He went to Swiney whose head was laid back with his hard hat lying on the mine floor. Stiltner summoned Brad Taylor who was working nearby and told him that Swiney was hurt . Taylor went to Swiney and seeing his condition told Stiltner to get Rick Wallen, Mine Emergency Technician (MET). Wallen was assisted by Tommy Holyfield, MET. According to Wallen and Holyfield, Swiney was responsive although he could not speak. Swiney was lifted out of the scoop, placed on a stretcher and transported out of the mine on the man-trip to an ambulance that was waiting on the surface. He was then transported to the Pike County Regional Airport to a helicopter. While en route to Huntington, West Virginia, his condition worsened. Swiney was rerouted to Pikeville Medical Center, where he was pronounced dead at 3:38 p.m. by the Pike County Coroner. INVESTIGATION OF ACCIDENT
Gary Hensley, Superintendent, notified MSHA of the accident at 2:22 p.m. on November 4, 2006. A 103(k) order was issued to secure the accident scene while the investigation was conducted and to ensure the safety of any persons in the mine. An investigation was conducted in cooperation with State officials. Interviews were conducted with nine miners and management officials deemed to have knowledge of the facts regarding the accident. The interviews were conducted at the Kentucky Office of Mine Safety and Licensing office on November 7, 2006. DISCUSSION
Geologic Conditions The immediate floor at McCoy Elkhorn Coal Corp., Mine #23 was comprised of gray sandy shale. The Elkhorn No. 3 coal seam thickness averages 56 inches. The mining height at the accident site was 54 inches and the width at the accident site was 19 feet 4 inches. The grade through the crosscuts where the scoop traveled was less than one percent. Attachment of Cable The shuttle car trailing cable was a No. 6 AWG cable and was attached to the scoop by winding the plug end around the canopy post located on the outside corner of the canopy adjacent to the batteries (Reportedly this is a common practice to quickly attach cables for pulling.) Grab hooks were welded to each end of the scoop to facilitate attachment of cables with ropes. According to Mark Smith, shuttle car operator, a wooden block was often placed behind the ram of the scoop so the cable could be looped around the block to pull the cable from one location to another. Battery Powered Scoop The battery powered scoop being operated by the victim at the time of the accident contained tags that stated "S&S Corporation, Model No. 488, Serial No. 488-2010, and Approval No. 2G-2831-5." Tram motor control was provided by a solid state controller (Model A3600). According to mine personnel, the controller had been installed in the scoop approximately two weeks prior to the accident. A functional test of the scoop was performed by investigators onsite before any alterations or repairs were made in the control panel. This test indicated that the scoop's tram control system, steering, and service brakes were functioning properly at the time of the accident. The machine was equipped with an automatic emergency park brake. When a functional test was performed, the brake activated but failed to quickly stop the machine. Upon closer examination it was determined that the brake caliper was out of adjustment. When the brake caliper was adjusted, the park brake system quickly brought the machine to a complete stop. The emergency deenergization device (panic bar) operated properly when tested by investigators after the accident. Operation of the panic bar tripped the main machine circuit breaker and activated the emergency parking brake system. According to Johnny Stiltner, the scoop was still running when mine personnel first arrived at the accident scene, indicating that the panic bar had not been activated during the accident. ROOT CAUSE ANALYSIS
An analysis was conducted to identify the most basic causes of the accident. Root causes were identified that, if eliminated, would have either prevented the accident or mitigated its consequences. Listed below is the causal factor identified during the analysis and its corresponding corrective actions implemented to prevent a recurrence of the accident: Root Cause: Mine management did not establish and enforce a safe procedure for pulling cables with mobile equipment. The practice of wrapping the cable around the post of the canopy in close proximity to the scoop operator was hazardous. Corrective Action: The mine operator developed a policy for pulling cables with mobile equipment which specifies that ropes or straps designed for that purpose will be used and prohibits attaching the ropes or straps to the decks or canopies of equipment. All persons working at this mine were given additional training covering the cable pulling policy. CONCLUSION
The accident occurred when the victim was using a battery powered scoop to pull a shuttle car cable toward the power center without having the cable properly and safely attached to the scoop. The accident occurred because mine management failed to establish and enforce a safe procedure for pulling electrical cables with mobile equipment. ENFORCEMENT ACTION
1. A 103(k) Order, No. 7415703, was issued on November 4, 2006.
Related Fatal Alert Bulletin: APPENDIX A
List of Persons Participating in the Investigation McCoy Elkhorn Coal Corp. Officials
Gary Hensley .......... Superintendent Chris Smith .......... Mine Foreman Brad Taylor .......... Repairman Johnny Stiltner .......... Roof Bolting Machine Operator Thomas Holyfield .......... Belt Man Rick Wallen .......... Shuttle Car Operator Mark Varney .......... Continuous Mining Machine Operator Mark Smith .......... Shuttle Car Operator Roger Lawson .......... Roof Bolting Machine Operator Keath Conn .......... Roof Bolting Machine Operator Clifton Preece .......... Safety Director Marco Rajkovich .......... Attorney
Greg Goins .......... Accident Investigator Randy Newsome .......... Electrical Inspector Ron Hughes .......... Director of Investigations Worley Taylor .......... Safety Inspector
Robert Newberry .......... Supervisory Mine Safety and Health Inspector Benny Freeman .......... Mining Engineer Michael Sergent .......... Supervisory Mine Safety and Health Inspector Kenneth Fleming .......... Mine Safety and Health Inspector Roger McComas .......... Supervisory Mine Safety and Health Inspector David Stepp .......... Mine Safety and Health Inspector Noah Rose .......... Coal Mine Safety and Health Specialist (Electrical) Neil Morholt .......... Attorney |
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