Inspection Detail

Inspection: 109425744 - U.S. Navy

Inspection Information - Office: Washington Area Office

Inspection Nr: 109425744

Report ID: 1032300

Date Opened: 08/24/1994

Site Address:
U.S. Navy
Puget Sound Naval Shipyard
Bremerton, WA 98314

Mailing Address:
3315 S Pine, Tacoma, WA 98304

Union Status: Union

SIC:3731

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership:

Safety/Health: Safety

Close Conference: 09/14/1994

Planning Guide: Safety-Maritime

Emphasis:

Case Closed: 10/18/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	360980577

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	Contest	Latest Event	Note
1.	01001	Serious	19150117 B	09/16/1994	09/30/1994	$0	$0	$0		-

Investigation Summary

Investigation Nr: 14509814

Event: 08/24/1994

Employee killed when struck by falling hook and ball

A 45 ton rough terrain crane with a hydraulic extendible boom was being used on the flight deck of the aircraft carrier U.S.S. Nimitz. The crane had a multi-part main line and a single part auxiliary line. As the operator was positioning the crane for a lift, he lengthened the boom to put the main line hook over the lift. The lengthening boom put the auxiliary hook and line into a "two block" condition, breaking the auxiliary line and dropping the hook and ball onto Employee #1's head, killing him instantly. Although the crane operator was familiar with this general type of crane and was an experienced operator, he had not been trained in operation of this model or this manufacturer. He unknowingly turned off the anti-two block function of the load moment computer. Employee #1 was an inexperienced rigger, undergoing training on his second day in the field.

Keywords: CRANE BALL, HEAD, CRANE HOOK, WORK RULES, EQUIPMENT FAILURE, STRUCK BY, TWO-BLOCKING, FALLING OBJECT, UNTRAINED, CRANE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	109425744			Fatality	Fracture	Occupation not reported

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