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- REPORT CHARACTERISTICS:
DONOR: Alberta Community and Occupational Health
Occupational Health and Safety Division
JURISDICTION: ALBERTA
REPORT TITLE: Fatality Investigation Data Base
INFORMATION ABOUT DECEASED:
NAME: Confidential SEX: Male AGE: 29
OCCUPATION: excavating, grading, paving and related occupations
INDUSTRY:
processing, loading of sulphur
Industrial sector: mines, quarries and oil
ACCIDENT INFORMATION:
DATE OF ACCIDENT: Confidential
PLACE: HARMATTEN AREA: Calgary region
NATURE OF INJURY:
poisoning (systemic from toxic substance)
TYPE OF ACCIDENT:
contact with gases/fumes by inhalation (lack of oxygen)
SOURCE OF INJURY:
chemicals (not coal/petroleum products, hydrogen sulphide)
flame, fire, smoke
ACCIDENT DESCRIPTION:
The deceased and another worker were cleaning a blockage in
a sulphur seed
silo. For some unknown reason the deceased entered the silo
through a manhole
opening on the top of the silo and began breaking up the sulphur
with a
galvanized steel bar. The other worker had moved the transitional
conveyor
away from the bottom of the silo, exposing the bottom opening.
It is presumed
that the deceased struck the wall of the seed silo, which is
also made of
steel, thus igniting the sulphur dust created by his breaking
up of the plug.
There was a resulting explosion and fire. The helper, finding
the deceased
worker with his shoulders and arms above the manhole, pulled
him out and layed
him against the guardrail which was located around the tip of
the silo.
Although mouth to mouth resucitation was commenced immediately,
and continued
until the ambulance arrived, the other workers were unable to
revive the
deceased.
INVESTIGATION:
DATE: 1984-11-21
UNSAFE ACT(S):
using unsafe equipment, using equipment unsafely
unsafe position/posture, inappropriate operational position
safety device removed or rendered inoperative
UNSAFE CONDITION(S):
improperly guarded, unguarded
defective tools, equipment, materials or supplies
improper ventilation
INDIRECT CAUSE(S):
unsafe job procedure
management's deliberate disregard of known safe procedures
EMPLOYER ACTION(S):
eliminate unsafe conditions
eliminate unsafe procedure
OHSO ACTION(S):
inspections
approval of new procedures, equipment, etc
meeting with company representatives
issue a requisition or order
OTHER'S ACTION(S):
no action
REGULATION(S): 00448083
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