This Safety and Health Information Bulletin is not a standard or regulation, and it creates no new legal obligations. The Bulletin is advisory in nature, informational in content, and is intended to assist employers in providing a safe and healthful workplace. Pursuant to the Occupational Safety and Health Act, employers must comply with hazard-specific safety and health standards and regulations promulgated by OSHA or by a state with an OSHA-approved state plan. In addition, pursuant to Section 5(a)(1), the General Duty Clause of the Act, employers must provide their employees with a workplace free from recognized hazards likely to cause death or serious physical harm.
An employee was fatally injured when the elevator he was entering continued to move while the elevator doors were open. An investigation revealed that the interlock, which would have prevented movement of the elevator car with the doors in the open position, had been bypassed due to improper wiring. This incident highlights the importance of elevator maintenance and repair adhering to manufacturer design codes and applicable industry safety procedures and standards.
The purpose of this Safety and Health Information Bulletin (SHIB) is to:
The Occupational Safety and Health Administration (OSHA) Houston South Area Office investigated a fatality in Houston, Texas that involved improper elevator wiring. As a result of improper wiring of the elevator's controller, the hoistway door interlock circuit was bypassed, permitting the elevator car to travel at full-speed with the doors open. This condition resulted in fatal injuries to an employee entering the elevator while the elevator was moving.
Mechanics employed by a contracted maintenance company were assigned to install a new generator for an elevator at a hospital. In addition to installing the generator, the mechanics also reportedly found and repaired a short circuit in the system. The mechanics then tested the elevator and returned it to service. The fatal accident occurred about 25 hours later. There were no reports of malfunctioning between the time the elevator was returned to service and the time of the fatal accident.
The victim was trying to board the elevator. As he approached the elevator, the elevator doors were closing, and he extended his arms in an attempt to hold the doors open. The victim then put his leg up and tried to get into the elevator, which was moving up. The victim became pinned between the elevator doors. He was caught between the elevator car and the hoistway as the elevator continued to move up, and he died immediately..
The investigation of this accident was comprehensive and systematic. The investigation concluded that at some point wiring was removed and subsequently reattached incorrectly to an adjacent electrical terminal of the elevator car controller (see Figure 1), bypassing the hoistway-door interlocks and resulting in the elevator's ability to move with the doors in an open position. A review of the elevator's wiring diagram substantiated the improper wiring.
While there are no specific OSHA standards addressing the pattern of electrical wiring for elevator control panels, the Occupational Safety and Health Act requires employers to provide a workplace that is "free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees." To this end, employers need to take reasonable steps to assure that employees who perform work on elevators are adequately trained in, and knowledgeable of, elevator design specifications and proper maintenance procedures. Further, equipment must be maintained in accordance with manufacturer design specifications and operating procedures.
State governments also regulate the installation, maintenance, repair, and operation of elevators. Typically, the state Department of Labor and Industry or similar state agency oversees elevator installation and operation. Many of these agencies require compliance with industry standards and guidance for elevators, as discussed in the following paragraph. A directory of state elevator code authorities can be accessed through http://www.neii.org/. In some cases, local authorities regulate the installation, repair, maintenance, and operation of elevators; and employers need to ensure compliance with these local requirements.
The safe work procedures and equipment necessary to assure the safety of elevator passengers and maintenance workers have been developed over time by the elevator industry. Industry standards and guidance documents related to this subject are provided by the American Society of Mechanical Engineers (ASME), the National Elevator Manufacturing Industry, Inc. (NEMI, also known as the National Elevator Industry, Inc. (NEII)), and the National Elevator Industry Educational Program (NEIEP).
Specific safety procedures and equipment that are necessary to prevent incidents similar to the fatality in Houston are included in the following:
The Houston, Texas accident illustrates the importance of assuring that elevator components are properly wired and procedures followed to assure that the elevator will operate properly before it is returned to service. Elevator maintenance companies and employers should take steps to ensure the integrity of elevator wiring performed during maintenance activities and adhere to the wiring diagrams specified by the elevator manufacturer. In addition, employees performing maintenance and repair work on elevators must be trained in, and knowledgeable of, applicable standards, including proper testing and verification mechanisms required before returning elevators to service.
To ensure the safe operation of elevators and the protection of employees, employers need to assure that employees who install and maintain elevators are adequately trained and knowledgeable about proper installation, wiring, and maintenance procedures. The following guidelines will help reduce the risk of employee injury from malfunctioning elevators:
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