Environmental Engineering Reference
In-Depth Information
AccIdent dAtA, BIns, hoPPers, And surge PIles
.(1). Type:.Bin.or.hopper._________.Surge.piles._________
.(2). Bin.or.hopper.size:.Design.capacity._________.tons
. . Contained.at.time.of.accident:._________.tons
. . Top.dimensions:..__________________________________________________________________
. . Manufacturer:..____________________________________________________________________
.(3). Surge.pile.size:.Height._________.in./ft.Diameter._________.in./ft
.(4). Material.involved:.Type.(describe):..___________________________________________________
. . Size:..___________________________________________________________________________
.(5). Was.feeder.operating.at.time.of.accident?. .Yes. .No
.(6). Type.of.feeder:.Conveyor._________. Front.end.loader._________. Dragline._________.
. . Dozer._________. Shovel._________. Other.(specify).._____________________________________
.(7). Was.feeder.guarded?. .Yes. .No. If.not,.explain:..___________________________________
. . ________________________________________________________________________________
.(8). Could.feeder.operator.see.victim(s)?. .Yes. .No. If.not,.explain:.. ______________________
. . ________________________________________________________________________________
.(9). Activity.of.victim.at.time.of.accident:.Cleaning.bin/hopper._________
. . Loosening.bridged.material._________.. Removing.grating._________
. . Breaking.or.removing.material.on.grizzly._________.. Repair.or.maintenance._________
. . Other.(specify)..___________________________________________________________________
(10). Tool.or.aid.used.(described):..________________________________________________________
(11). Was.ladder.involved.in.accident?. .Yes. .No
. . Condition:. _________.Good. _________.Poor. If.poor,.explain:..____________________________
. . ________________________________________________________________________________
(12). If.victim.was.covered.by.material,.how.was.he.rescued?.. __________________________________
. . ________________________________________________________________________________
(13). If.person.fell.into.material,.complete.Accident.Data.Form,.Stepping.or.Kneeling.on.Object.
 
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