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Event Details
Event Incident
Type Safety
Incident Mechanism Manual Handling / Task
Risk Category
Event Ownership Employee or JV
Tasks
Confidential No
Severity
Actual Consequence Class 2A
Potential Consequence Class 3P
Likelihood Unlikely
Investigation Required Severity 3 - Detailed Inv. Required
Event Description
What Happened A foremen and rigger performed lifting of Liebherr’s track at laydown area inpit
RL90, using crane 200 ton. When the track has lowered to the ground, that foreman
released the rigging. While doing the second rigging, all of sudden, the track
shoe moved by itself, that made his index finger pinched between track shoe.
Workflow
Approval Date 11/09/17 13:58:22
Workflow Status Closed
Under Investigation
Management Comments
Approval Comments
Maps Manager
Impacts
Title Impact Date Category Consequence Mobile Equipment Fire
Fingers was torn and fracture 06/05/17 15:30 Injury & Illness RWI: Restricted Work Injury (2A)
Notifications
There is no result.
Investigations
Name Investigation Type Due Date Lead Investigator
the fingers pinched in between
Severity 3: Detailed Investigation Required 31/05/17 Shidieq Setiawan
track shoes
Statements
Statement By Date Attached Statement
Irwan Chandra 17/05/17 Statement Irwan chandra.pdf
Evidence
Evidence Date CS Format Format
Finger torn and fracture 17/05/17 Document
X ray picture 08/05/17 Photograph
Medical Statement 1 from Medical Doctor 07/05/17 Photograph
Medical Statement 2 from Medical Doctor 07/05/17 Photograph
Causes
Entity Method Causal Factors Root Cause Task or Environmental Conditions - Workplace Task or Environmental Conditions - Human Factors
Motivation
or Attitude
Hazard
Mining Equipment
Why Tree Analysis Recognition or
[MSJ] or Materials
Perception
Handling
Methods
Action Plans
Entity Sources Action Plan Title Action Plan ID Priority Category Status
MSJ Coal Mining Revise the document Work Instructions (WI) of Loading/Unloading & Working On Incident
1 source 82773 Medium
[Project] Top Of Flatbed Truck During Lifting Activity (H&S)
MSJ Coal Mining Communicate to all unit/departmen leader must have commitment to do Thiess Incident
1 source 82779 Medium
[Project] Safety Essential (TSE) Lifting (H&S)