11-CS-2 Engineering Communications · December 2013
Question 7 of 7: Accident Case Analysis — Crane/Hoist Casting Drop
Nivaar worked solution (AI-drafted; not reviewed by a licensed engineer)
Notes on this paper
National Exams — December 2013 — 11-CS-2 Engineering in Society: Health and Safety. Closed book; approved calculator permitted. Any five of the seven questions constitute a complete paper; all questions are of equal value. Answers are written in point form but fully, as instructed. Complete answers to all seven questions follow.
Question 7: Accident Case Analysis — Crane/Hoist Casting Drop (20 marks: 6/8/6)
Immediate cause — the hoist eyebolt (lifting) assembly failed, releasing the casting; the falling load snapped the cables, which whipped and struck the worker's head.
Root/contributing causes (multiple-factor):
Equipment failure — the eyebolt/rigging was overloaded, defective, worn, wrongly rated, or improperly installed for a 3,000-lb load; possible cable/rigging weakness.
Inspection/maintenance — the lifting gear was not adequately inspected before use (no pre-use check of eyebolt, cables, hooks).
Procedure/rigging — improper rigging or load attachment; possibly no rated capacity verification or safe-load practice.
Work practice — the worker was positioned within reach of the load/cables (in the line of fire) rather than clear of the suspended load.
Training — inadequate training in safe lifting/rigging and in staying clear of suspended loads.
The head protection performing as intended is the one positive factor that prevented a fatality—illustrating PPE as the last line of defence.
(ii) Corrective Actions
Engineering/equipment — use correctly rated, certified lifting devices (eyebolts, slings, cables) with an adequate safety factor; replace defective components; consider secondary retention/anti-drop features.
Inspection program — mandatory pre-use inspection and scheduled certification of all lifting gear (cranes, cables, eyebolts, hooks); remove damaged gear from service; keep records.
Safe rigging procedures — verify load weight and gear rating; proper attachment; never exceed rated capacity.
Keep clear of suspended loads — barricade/exclusion zone; never stand under or beside a suspended load ("line of fire"); use tag lines to guide.
Training — for all crane/hoist operators and riggers.
PPE — continue mandatory head protection (proved its value here).
(iii) Follow-Up
Fully investigate and document the failure (examine the failed eyebolt/cables; root-cause analysis); report as legally required.
Implement corrective actions; update lifting/rigging safe-work procedures and inspection schedule.
Retrain operators and riggers; verify all lifting gear is inspected/certified through audit.
Inspect all similar cranes/hoists in the plant for the same defect.
Monitor for recurrence; support the injured worker's care and return to work; share lessons learned.