Investigation Report
Manual Assist Handle Struck Operator During Life-Capsule Inspection
07-11-2024 0730 HI A 5 Injury, Required Evacuation, LTA (>3 days)
- BSEE
- Investigation Report
- Unknown
- Human factorsLine of fire
- Inspection and maintenanceLifting operations
- LifeboatWinch
- Competence and trainingJob safety analysisMachine guardingOperating and work procedures
Summary
BSEE investigates a skull fracture during a routine life-capsule inspection at High Island A-5. A manual assist handle left inserted struck an operator when the powered winch raised the capsule. Findings identify a bypassed safety device and absent task analysis; follow-up includes planned training, JSHA development and procedure review.
Classifications: Human factors; human performance; ergonomics.
Classifications: Line of fire; struck-by hazards.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Lifting operations; load lifting; hoisting.
Classifications: Lifeboat; survival craft.
Classifications: Winch; winches.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Job safety analysis; JSA; job hazard analysis; JHA.
Classifications: Machine guarding; machinery guards; machine guards.
Classifications: Operating and work procedures.