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SENO MINING Truck 01 Incident 07 Feb Presentation - Rev2

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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

Drone- 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
The truck operator was Uneven dumping surface Visible crack on the No training program Planning maintenance
Supervisor
brought to the site clinic for condition chassis of the truck program not exist
Supervisor
drug and alcohol test, which
First responders
resulted to negative. Pre-start checklist
Confine area No training program
was completed. Truck
Core fleet Rep was not properly
Driving licence up to date
inspected
Contractor
The truck operator got the
HSE
pit driving permit Client monthly
inspection not
Colleagues
Fitness up to date conducted
Company
Poor hazard perception
Management One tire in bad
condition
Lack of supervision
HR
No maintenance
TruckTraining
operator not
Reptrained in record found
SOP
Sadiola Gold Mine

Contributory Non-Contributory

Driver
PEEPO # 2
Personal2
Supervisor Environment Equipment Procedure Organizational
Supervisor
First responders Uneven dumping No training program No training program
Poor hazard perception surface condition
Core fleet Rep
Lack of supervision
Contractor
Truck
HSEoperator not trained in
SOP
Colleagues

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 SH dumping the
starts work from S H dump ore stockpile to second ore
stockpile to material at Metso crusher material load
Metso the Metso
Crusher at the pad crusher
rompad for crushing

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 number
whose incident management. supervisor 01 fell down on
results were scene. arrived on the the passenger
negative. incident scene side
Sadiola Gold Mine
ANALYSE OF SUMMARY

Direct causes:
Uneven dumping surface condition, underestimate of hazard
• Summary of contributing factors:
1. Truck operator not trained on SOP
2. Continued supervision not conducted
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 training 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 SOP Where?
Metso-pad

No training
program IT10 When?
07 February 2024 11h40
AM
Poor hazard Actual consequence?
perception Low
Potential?

IT12
Minor

Continued
supervision
not
conducted
Sadiola Gold Mine
5 Why’s
1 Why did the truck fell on the passenger side ?
Because it was dumping on uneven dumping surface condition at Metso-pad.
2 Why was the truck dumping on uneven dumping surface condition at Metso-pad?
Because the operator did not identified the hazard
3 Why did the operator not identified the Hazard?
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 truck SOP
5 Why did the operator have not receive a proper training on truck SOP?
Because of a lack of training program on SOP.
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 Communicate 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 hazards identification SENO Manager / 29 February


Administrative
Safety officer

SENO Manager / 29 February


Administrative Comply with SEMOS vehicles inspection program and
Safety officer
keep records
Sadiola Gold Mine
KEY LEARNINGS

 Use adequate dumping trucks.

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