Environmental Engineering Reference
In-Depth Information
AccIdent dAtA — FAllIng, rollIng, or slIdIng rock or
mAterIAl oF Any kInd
.(1).Material.involved:._______________________________.Particle.size:.._____________________________
.(2).Weight:._________.lb. Length:._________.in.. Width:._________.in.. Height:._________.in.
.(3).Were.accident.victims.aware.of.falling,.rolling,.or.sliding.material.hazard?
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.Yes.
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.No. What,.if.any,.precautions.had.been.taken.to.prevent.fall,.roll,.or.slide.or.to.remove.
hazard.by.planned.fall,.roll,.or.slide?
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.(4).Vertical.distance.of.fall,.roll,.or.slide:._________.feet
. . Angle.of.fall,.roll,.or.slide:._________.degrees
. . Normal.angle.of.repose.of.material:._________.degrees
.(5).Was.fall,.roll,.or.slide.induced.by:.Use.of.explosives..______________________________________
. . Action.of.mobile.machine.or.drill:.. ____________________________________________________
. . Weather.conditions:.___________________________.Watering.procedures:..________________________
. . Explain:.._________________________________________________________________________
. . ________________________________________________________________________________
. . ________________________________________________________________________________
.(6).Was.any.falling.object.protection.structure.(FOPS).involved.in.the.accident?
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.Yes.
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.No. Manufacturer:.__________________________.Standards.applicable:..________________
. . How.did.it.perform.intended.function?.._________________________________________________
.(7).Describe.condition.after.accident:.._____________________________________________________
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. Describe.geological.conditions:.. ______________________________________________________
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