Inspection Detail

Inspection: 100928837 - Cooperative Power Association

Inspection Information - Office: Bismarck Area Office

Inspection Nr: 100928837

Report ID: 0830300

Date Opened: 01/06/1989

Site Address:
Cooperative Power Association
Coal Creek Station
Underwood, ND 58576

Mailing Address:
P.O. Box 780, Underwood, ND 58576

Union Status: NonUnion

SIC:4911

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 01/27/1989

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/01/1989

Related Activity
Type	Activity Nr	Safety	Health
Accident	360716070

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	8			1		9
Current Violations	8			1		9
Initial Penalty	$1,740	$0	$0	$0	$0	$1,740
Current Penalty	$870	$0	$0	$0	$0	$870
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	5A0001	02/02/1989	03/06/1989	$150	$300	$0	I - Informal Settlement
2.	01002A	Serious	19100023 A08	02/02/1989	02/14/1989	$150	$300	$0	I - Informal Settlement
3.	01002B	Serious	19100023 C01	02/02/1989	02/14/1989	$0	$0	$0	-
4.	01002C	Serious	19100025 D02 II	02/02/1989	02/05/1989	$0	$0	$0	-
5.	01003	Serious	19100106 E02 IVD	02/02/1989	03/06/1989	$120	$240	$0	I - Informal Settlement
6.	01004	Serious	19100212 A01	02/02/1989	04/06/1989	$150	$300	$0	I - Informal Settlement
7.	01005A	Serious	19100213 B03	02/02/1989	02/14/1989	$60	$120	$0	I - Informal Settlement
8.	01005B	Serious	19100213 D01	02/02/1989	02/05/1989	$0	$0	$0	-
9.	01006A	Serious	19100215 A04	02/02/1989	02/14/1989	$90	$180	$0	I - Informal Settlement
10.	01006B	Serious	19100215 B09	02/02/1989	02/14/1989	$0	$0	$0	-
11.	01007A	Serious	19100219 D01	02/02/1989	02/14/1989	$60	$120	$0	I - Informal Settlement
12.	01007B	Serious	19100219 E01 I	02/02/1989	02/14/1989	$0	$0	$0	-
13.	01007C	Serious	19100219 F03	02/02/1989	03/06/1989	$0	$0	$0	-
14.	01008A	Serious	19100303 G02 I	02/02/1989	02/05/1989	$90	$180	$0	I - Informal Settlement
15.	01008B	Serious	19100304 F04	02/02/1989	02/05/1989	$0	$0	$0	-
16.	02001	Other	19101200 F04 II	02/02/1989	03/06/1989	$0	$0	$0	-

Investigation Summary

Investigation Nr: 14535850

Event: 01/05/1989

CRUSHED BY MOVING ELEVATOR

TWO ELECTRICIANS WERE WORKING INSIDE AN ELEVATOR SHAFT AT AN ELECTRIC UTILITY PLANT. THEY WERE WORKING ATOP A TEMPORARY PLATFORM THAT WAS SUPPORTED AT ONE END BY A FIXED LADDER AND AT THE OTHER END BY THE TOP STEP OF A 10-FOOT WOODEN STEPLADDER. THE PLATFORM WAS POSITIONED INSIDE THE ELEVATOR SHAFT PIT SO THAT THE EMPLOYEES COULD SERVICE THE TOP ROLLERS OF THE HOISTWAY DOORS. THIS COULD ONLY BE PERFORMED FROM INSIDE THE SHAFT. THE TWO EMPLOYEES WERE USING SAFETY BELTS AND LANYARDS TO PROTECT THEM AGAINST FALLS. THE ELEVATOR CONTROL AND POWER SYSTEM HAD NOT BEEN LOCKED OUT, HOWEVER. INSTEAD, THE EMPLOYEES HAD PLACED A 2-INCH-BY-4-INCH BOARD ACROSS THE ELEVATOR OPENING TO HOLD THE ELEVATOR DOORS OPEN. THIS WAS INTENDED TO PREVENT THE ELEVATOR FROM RECEIVING POWER AND MOVING. THE BOARD GOT KNOCKED OUT OF POSITION, AND THE DOORS CLOSED. THE ELEVATOR BECAME ACTIVE AND DESCENDED TOWARDS THE TWO EMPLOYEES. ONE OF THEM COULD NOT UNFASTEN THE LANYARD FROM HIS SAFETY BELT AND WAS CRUSHED BY A METAL SKIRT PLATE ON THE BOTTOM OF THE ELEVATOR CAR. HE DIED OF HIS INJURIES.

Keywords: MAINTENANCE, ELECTRICAL WORK, LOCKOUT, FALL PROTECTION, ELEVATOR, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	100928837			Fatality	Fracture	Electricians

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