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Sadiola Gold Mine

DEPARTMENT MINING – SENO MINING TRUCK 01 INCIDENT


Sadiola Gold Mine
DETAILS OF THE INCIDENT
TITLE OF THE INCIDENT SERIOUS POTENTIAL INCIDENT:
Vehicle accident due to brake failure.
Location Metso-crusher ROM pad
Date & Time of the incident 07 February 2024 @ 11h40 AM
Type of critical risk (if Minor
applicable)
Actual Consequence Low
Potential Impact Minor

• Name: Kossa Coulibaly


• Age: 34 years old (31 - 12 –1990)
• Married: Married father of two children
• Hometown: Koulikoro - Ortobila
• Years employed in 1 year in mining industry.
Mining industry:
• Current occupation: Truck Operator (01) one year
Sadiola Gold Mine

Investigation team
SEMOS Safety Data base Manager
Alassane wague SEMOS Safety officer
Hamaye Dicko PW Safety Officer
Harouna A Diarra : Mining production Supervisor SEMOS
Mamadou Dembele: BME Safety officer
Sekou Tangara: DMS Safety Officer
Mohamed Keita: Mining Production Manager
CORICA Safety Supervisor
Bourema Ganaba: Seno Mining Safety officer
Sekou Kanté
Zoumana Doumbia
Sadiola Gold Mine

summary of the incident

On February 7 th 2024, at around 11: 40 while dumping ore onto


the Metso crusher Pad for crushing, the SENO-MINING truck
number 01 fell on the passenger side. The driver was alone in the
cab of the truck and was not injured. He was wearying his safety
belt.
Sadiola Gold Mine
PHOTO

Metso-pad

Sketch- Plan view


Sadiola Gold Mine
PHOTOS

Truck overturned on passenger side.


Sadiola Gold Mine
PHOTOS

Single jack .
Sadiola Gold Mine
PHOTOS
Sadiola Gold Mine

Contributory Non-Contributory

PEEPO # 1
Personal Environment Equipment Procedure Organizational
Driver
Cracked truck Planning maintenance
The Supervisor
truck operator was chassis
broughtSupervisor
to the site clinic for program not exist
First responders
drug and alcohol test, which Uneven dumping Pre-start checklist
returned a negative result surface condition SOP not exist
was completed. Truck
Core fleet Rep was not properly
Driving licence up to date inspected
Contractor
No training program
HSE Inappropriate
Fitness up to date equipment ( one
Colleagues jack)
Poor hazard
Companyperception
Client monthly
Management inspection not
Continued risk conducted
assessment
HR not
conducted (SLAM) One tire in bad
Training Rep condition
Truck operator not trained on
tipping operation Maintenance record not
exist
Sadiola Gold Mine

Contributory Non-Contributory

Driver
PEEPO # 2
Personal2
Supervisor Environment Equipment Procedure Organizational
Supervisor
First responders Uneven dumping
Poor hazard perception Inappropriate SOP not exist
surface condition equipment (one jack)
Core fleet Rep
Continued risk
assessment not No training program
Contractor
conducted (SLAM
HSE

Colleagues
Truck operator not trained on
tipping operation
Company
Management

HR

Training Rep
CHRONOLOGY OF THE INCIDENT
DATE: DATE: DATE: Pre-Incident
DATE: DATE: DATE: DATE:
07 February 07 February 07 February 07 February 07 February 07 February 07 February
2024 2024 2024 2024 2024 2024 2024

TIME: 7H 10 TIME: 7h 30 TIME: 8H 00 TIME: 8H 00 TIME: 10H 55 TIME: 11H 00 to TIME: 11H 20 to
to 10H 55 11H 20 11H 40

Truck Operator Truck Operator Truck Truck Truck Truck Operator Truck Operator
arrived at attended Operator Operator was Operator was transported the arrived at Metso
work prestart tool completed transporting sent by his first ore material crusher for
box meeting. checklist and ore material supervisor to load from S H dumping the
starts work from S H dump ore stock pile to second ore
stock pile to material at Metso material load
the white the Metso
mobile pad crusher
crusher 003 for crushing
at the rompad

Post-Incident
DATE: DATE: DATE: DATE: DATE: DATE: DATE:
07 February 07 February 07 February 07 February 07 February 07 February 07 February
2024 2024 2024 2024 2024 2024 2024

TIME: 12H45 TIME: 12H30 TIME: 12H00 TIME: 11H 46 TIME: 11H 45 IME: 11H42 TIME: 11H 40

Alcohol and Investigation Safety and Incident alert Mining Truck operator In the process
drug tests started mining was given to production got out from of dumping ore
were management Mining and supervisor and the cabin material, the
conducted arrived on Safety SENO Mining truck 01 fell
whose incident management. supervisor down on the
results were scene. arrived on the passenger side
negative. incident scene
Sadiola Gold Mine
ANALYSE OF SUMMARY

Direct causes:
Slopping platform , Truck with one jack
• Summary of contributing factors:
1. Truck operator not trained on tipping operation

2. Tipping procedure not exist


3. Continued risk assessment not conducted (SLAM)
Sadiola Gold Mine ANALYSE ICAM
ORGANISATIONAL TASK/CONDITIONS INDIVIDUAL ABSENT & FAIL INCIDENT
FACTORS ENVIRONMENT FACTORS DEFENCES

PR TE 22 What happened?

IT04
While dumping ore onto the
Metso - Pad for crushing, the
SOP not exist Uneven SENO-MINING truck number
dumping Truck 01 fell on the passenger side.
Who was involved?
surface operator not
TR
Truck 01 operator
condition trained on Where?
Metso-pad
tipping
No training
operation When?
program 07 February 2024 11h40

IT10
AM

HW
Actual consequence?
Low
Potential?
Poor hazard Minor
Inappropriate
perception
equipment
( one jack)
IT12
Continued
risk
assessment
not
conducted
(SLAM)
Sadiola Gold Mine
5 Why’s
1 Why did the truck fell on the passenger side ?
Because it was dumping on a slopped platform at Metso-pad.
2 why was the truck dumping on a slopped platform at Metso-pad?
Because the operator did not conducted the continued risk assessment
3 why did the operator not conduct the continued risk assessment ?
Because of his poor hazard perception.
4 Why did the operator have a poor hazard perception ?
Because he did not receive a proper training on tipping operation
5 Why did the operator have not receive a proper training on tipping operation ?
Because of a lack of training program on tipping operation.
Sadiola Gold Mine
RECOMMENDATIONS
OFT/ Hierarchy of Controls Correctives Actions Responsable Deadline
Defenses

Dumpers like 773 or 775, 769, 777, Articulated Dump


Mining Production
Engineering trucks (ADT) or trucks with two jacks to be used at the
Manager
Metso pad. Done

SENO Manager /
Administrative Put in place appropriate SOP 29 February
Safety officer

SENO Manager / 29 February


Administrative Train all operators on the SOP
Safety officer

SENO Manager / 29 February


Administrative Maintenance program to be reviewed and keep records
Safety officer

Train all operators on the risk assessment process SENO Manager / 29 February
Administrative
Safety officer

SENO Manager / 29 February


Administrative Comply with the client equipment inspection program
Safety officer
and keep records
Sadiola Gold Mine
KEY LEARNINGS

 Use adequate dumping trucks.

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