Date 05-07-2014 Standard Document No. HZL/CIMSC/05 Incident Investigation Standard Revision No. 00 Page No. Page 1 of 2
Issued by Approved by Sign.
Date
*Confidential-Strictly use for HZL only Incident Title: RBO side glass broken
SUMMARY:- RBO side glass broken.
DESCRIPTION:- On 05.07.14 at around 08:00 PM, Atlas RBO while going in 290 mRL south drive, at the same time scissor lift was coming in the opposite direction, due to glaring caused by the head light of scissor lift, RBO operator wasnt able to see the projected rod and got hit with a rod in front of P-8 Stope. INVESTIGATION FINDINGS:- 1) RBO wiper was not working properly. 2) There was no water in the washer tank of wiper. 3) To open the water valve which is at a certain height, rod was being used. 4) A rod was projecting 1.5m from the main drive. 5) Humidity was more hence there was an obscure condition. 6) Dipper light was not used by the scissor lift operator.
KEY FACTORS a) There was no water in the washer tank of wiper. b) Rod was left in a projected condition after completion of work by someone.
1. HUMAN FACTORS: a) Rod was put in a projected condition after completion of work. b) Dipper light was not used by the scissor lift operator c) Proper pre-checks were not performed by the operator
Location: S K Mines (290 mRL) Incident Date: 05.07.2014 Time: 08.00 PM Investigation Initiated on: 07.07.2014
Incident No.: HZL/SKS/CIMSC/05 PHA Record: _____________________________ Incident Classification: Near Miss Issuing Date: 11.07.2014
HINDUSTAN ZINC LTD
Corporate Incident Management Sub-Committee
Date 05-07-2014 Standard Document No. HZL/CIMSC/05 Incident Investigation Standard Revision No. 00 Page No. Page 2 of 2
Issued by Approved by Sign.
Date
*Confidential-Strictly use for HZL only 2. SYSTEM FACTORS: a) No proper system for ensuring removal of rods from work place after completion of work.
RECOMMENDATIONS
Sr No Description Responsibility Target date Remarks 1. It is to be ensured that no rods are left/put in an unsafe manner/projected condition after completion of work All Area Incharges Continuous 2. Proper Pre-checks to be done by the operator before taking the machine into operation All Area Incharges / All Operators Continuous 3. Dipper lights to be used while passing/crossing vehicles All Area Incharges / All Operators Continuous
Team Members Report Prepared By Reviewed By Approved By Sabyasachee Pradhan Sabyasachee Pradhan