NEAR MISS SAFETY REPORTNEAR MISS SAFETY REPORT

TRAINING DIVISIONTRAINING DIVISION

The purpose of this Near Miss Safety The purpose of this Near Miss Safety Report is not to place blame, fault or Report is not to place blame, fault or be used for any disciplinary action.be used for any disciplinary action.

The sole purpose of this Near Miss The sole purpose of this Near Miss Safety Report is to pass information Safety Report is to pass information on to all personnel to insure safety.on to all personnel to insure safety.

HOSE TEST ACCIDENT:HOSE TEST ACCIDENT:Station 20, App 48Station 20, App 48

April 29, 2006April 29, 2006

Synopsis:Synopsis:

Engine 20 had connected 2-100 foot Engine 20 had connected 2-100 foot lengths and 1-50 foot length of 5 inch lengths and 1-50 foot length of 5 inch hose.hose.

Connected to the 4 ½ inch discharge.Connected to the 4 ½ inch discharge. Line was charged and the air was Line was charged and the air was

bleed out.bleed out. Pressure was raised to 300 psi. Pressure was raised to 300 psi.

View of Apparatus After the AccidentView of Apparatus After the Accident

Apparatus BayApparatus Bay

2 100 foot lengths 2 100 foot lengths ofof

LDHLDH 1 50 foot length of 1 50 foot length of

LDHLDH

Damaged 30 degree Damaged 30 degree elbow and couplingelbow and coupling

Synopsis (continued):Synopsis (continued):

The Engineer had gated the discharge The Engineer had gated the discharge down.down.

The Captain and Firefighter were The Captain and Firefighter were checking the couplings.checking the couplings.

The Engineer was at the rear of the The Engineer was at the rear of the engine watching the evolution.engine watching the evolution.

The entire crew then heard what The entire crew then heard what sounded like a hose failure.sounded like a hose failure.

Damaged Hose:Damaged Hose:

Synopsis (continued):Synopsis (continued):

There appeared to be a hose failure There appeared to be a hose failure at the discharge.at the discharge.

The Engineer shut the rig down.The Engineer shut the rig down.

The crew then observed the severity The crew then observed the severity of the damage.of the damage.

Right Side LDH Right Side LDH DischargeDischarge

Remains of a 30 Remains of a 30 Degree ElbowDegree Elbow

Part of the Part of the discharge pump discharge pump access panel was access panel was removed by the removed by the shopshop

Both pieces sitting Both pieces sitting on the Captain side on the Captain side running boardrunning board

Fractured 30 Fractured 30 Degree elbowDegree elbow

Both pieces set Both pieces set togethertogether

30 Degree elbow30 Degree elbow Fractured pieces Fractured pieces

put back togetherput back together Notice the missing Notice the missing

pieces pieces Threaded hole is for Threaded hole is for

the discharge drainthe discharge drain

Captains sideCaptains side Bent chrome Bent chrome

Captains sideCaptains side Bent light poleBent light pole Light pole is bent Light pole is bent

over and in toward over and in toward cabcab

Hole in diamond Hole in diamond plate was a part plate was a part removed by the removed by the shop, not related to shop, not related to near miss near miss

Captains sideCaptains side Bent diamond plateBent diamond plate

Captains sideCaptains side Enough force was Enough force was

applied to the rear applied to the rear of the cab that the of the cab that the Firefighters door will Firefighters door will not close all the not close all the way.way.

The latch and lock The latch and lock mechanism on the mechanism on the Firefighters door Firefighters door operate normallyoperate normally

TRAINING DIVISION: TRAINING DIVISION: RECOMENDATIONSRECOMENDATIONS

Excerpts from Instruction 55:Excerpts from Instruction 55:

5 inch hose shall be tested at 300 psi 5 inch hose shall be tested at 300 psi for five minutes.for five minutes.

5 inch hose can be tested with the 5 inch hose can be tested with the Hydrostatic Test Pump or an Engine.Hydrostatic Test Pump or an Engine.

Excerpts from Instruction 55:Excerpts from Instruction 55:

Provide a continuous flow of water Provide a continuous flow of water from a reel line. from a reel line.

When using an engine use a flow-When using an engine use a flow-limiting device, orifice plate.limiting device, orifice plate.

When Using an Engine When Using an Engine

to Test Hoseto Test Hose::

Connect one or more lengths of 2 ½ inch Connect one or more lengths of 2 ½ inch hose to a discharge with an orifice plate hose to a discharge with an orifice plate installed, then connect 5 inch hose with installed, then connect 5 inch hose with a 2½ by 4½ inch double female adaptor.a 2½ by 4½ inch double female adaptor.

Connect no more than 500 feet of LDH Connect no more than 500 feet of LDH hose to the 2 ½ hose.hose to the 2 ½ hose.

SEFETY SEFETY RECOMMENDATIONS:RECOMMENDATIONS:

Always wear PPE when operating Always wear PPE when operating hose lines.hose lines.

When testing hose, use discharges When testing hose, use discharges away from the pump panel.away from the pump panel.

Treat hoses and couplings under test Treat hoses and couplings under test pressure as dangerous – THEY ARE!pressure as dangerous – THEY ARE!

Never straddle the hose.Never straddle the hose.

The pump operator shall be ready to The pump operator shall be ready to shut the pump down at any moment.shut the pump down at any moment.

SEFETY SEFETY RECOMMENDATIONS:RECOMMENDATIONS: