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INC-2026-0113

MEDIUMClosed

Reported by Kevin Wright — Process Operator

23 January 2026 at 07:30 pmCrusher AreaNear MissStructural FailureNight Shift

Incident Description

Chute liner plate detached and fell into crusher cavity during night shift. No personnel in area at the time. Vibration monitoring had shown elevated readings for 3 days prior.

Immediate Actions Taken

  • 1Crusher shut down
  • 2All liner plates inspected
  • 3Vibration alarm thresholds reviewed

Likelihood x Consequence Matrix

InsignificantMinorModerateMajorCatastrophic
Almost Certain
Likely
Possible
Unlikely
Rare

Likelihood

3 / 5 — Possible

Consequence

3 / 5 — Moderate

Risk Score

9/25

Failed / Breached Controls

Procedural Compliance

Standard procedure not fully followed

MEDIUM
Effectiveness
30%

Controls That Held

PPE Usage

All personnel wearing correct PPE

Effectiveness
100%

Supervision

Supervisor was present in the area

Effectiveness
75%

Priority Questions

  • What were the direct and contributing causes of this incident?
  • Were all relevant procedures followed by personnel involved?
  • Was there adequate supervision at the time of the incident?

Follow-Up Questions

  • Were there any similar incidents in the past that could have predicted this?
  • Were all personnel adequately trained for the task being performed?
  • Were environmental conditions a contributing factor?

Systemic Questions

  • Does this incident indicate a gap in the current risk management framework?
  • Are there systemic issues with procedure adherence in this area?
  • Would additional engineering controls reduce the likelihood of recurrence?
07:15 pm

Pre-start meeting completed

07:30 pm

Incident occurred

07:35 pm

Incident reported to supervisor

07:40 pm

Area secured and barricaded

07:50 pm

HSE team notified and on-scene

08:15 pm

Initial investigation commenced

08:30 pm

Report filed in SafetyScribe AI

Incident Details

Date & Time

23 January 2026 at 07:30 pm

Location

Crusher Area

Type & Category

Near Miss

Structural Failure

Severity
Medium
Status
Closed
Shift

Night Shift

Reported By

Kevin Wright — Process Operator

  • Process Operator — Kevin Wright
Night shift
Crusher ChuteLiner Plate

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