OSHA Accident Investigation · Summary #708651

BURN,WORK RULES,FIRE

1987-12-29T00:00:00

Event: BURN,WORK RULES,FIRE
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 708651
Report ID: 854910

Event description

Five employees killed when motor ignites

Investigation abstract

Employees #1 through #5 were removing a core from a Peacekeeper stage 1 motor. T he employees had popped the core more than 10 inches, then apparently went into the building to finish removing the core from the motor. It appears that the emp loyees were using the hydraulic system at the facility, not at the remote contro l room, to remove the core, causing the motor to ignite. The burning happened so fast that the employees were unable to escape. Employees #1 through #5 were kil led. Further investigation indicates that the employees' operating procedure was not in compliance with the shop traveler. Other crews were using the same proce dures.

Victims (5)

#1 Fatality Age 36 M

Nature of injury
21

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
1

Environmental factor
10

Task assigned
1
#2 Fatality Age 47 M

Nature of injury
21

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
1

Environmental factor
10

Task assigned
1
#3 Fatality Age 28 M

Nature of injury
21

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
1

Environmental factor
10

Task assigned
1
#4 Fatality Age 42 M

Nature of injury
21

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
1

Environmental factor
10

Task assigned
1
#5 Fatality Age 24 M

Nature of injury
21

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
1

Environmental factor
10

Task assigned
1

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