VISAKHAPATNAM STEEL

PLANT
SAFETY ENGINEERING
DEPARTMENT
NEAR MISS INCIDENT
REPORT

DEPARTMENT: SBM
Incident Location/equipment:
Date: 12/03/23

Track junction/changeover point

Shift: ‘A’

Crane 15
Time: 11:30 hrs
SECTION: Shipping area

Incident type (Pls Tick):

Fire Explosion
Spillage Gas Leak
Mechanical failure

Others (Pls. specify):Falling of heavy machineries/

objects
Brief description of the incident: while starting wagon loading
procedure from stack 201, 6 wagons were pulled from dead-
end side of shipping yard towards stack 201 using crane 15.
During pulling of wagons, at track junction/changeover point
the wagons got derailed from their track. Later traffic
department was called to rerail it in track. No material or
equipment got damaged.

Probable cause of incident: (Unsafe Condition/Unsafe Act):

The matter was investigated and found that the near miss
happened due to not changing the changeover lever from
side line towards straight line/road side of shipping yard
before starting any wagon movement across the junction,
which is an unsafe act as it can lead to damage of cranes
ropes and even falling of wagons.
Corrective action: To avoid such incidents in future following
steps were taken by different agencies:
Operation: Operators were advised not to pull wagons with
cranes other than in case of extreme exigencies that too
with extreme caution, also supervisors in yard were given
strict instructions to always check track junction lever
position before and after loading of all wagons.
 HIARO No.
Any additional HIARO controls are required? (Yes/No)

Signature if Dept. Executive

Name:

Emp No:

Desgn:
Remarks:

HOD (Concerned)