Sadiola Gold Mine

DEPARTMENT MINING – SFTP ADT 18 TRUCK FIRE – DAMAGE TO

EQUIPMENT
PRESENTATION
Sadiola Gold Mine
DETAILS OF THE INCIDENT
TITLE OF THE INCIDENT
Location
Date & Time of the incident
Type of critical risk (if
applicable)
Actual Consequence
Potential Impact
• Name:
• Age:
• Married:
• Hometown:
• Years employed in
Mining industry:
• Current occupation:
ADT 18 FIRE EQUIPMENT DAMAGE
Sadiola rom pad SH2 stock pile.
22 July 2023 @ 05:35 a.m.
N/A
Insignificant
Moderate
Oumar SISSOKO
33 years old (05 - 04 - 1990 Nioro du Sahel)
Married father of two children
Bamako
02 years in mining industry.
ADT Operator (02) two years
Sadiola Gold Mine

Investigation team Safety Officer PW

Safety Officer SEMOS
Harouna A Diarra : Safety Officer SEMOS
Mamadou Keita: CHS/ERT member, Metallurgy
Moussa Sangare: Plant senior environmental officer /ERT
Seydou Berthe : Mining Production Manager SEMOS
Youssouf Mallé Geologist SEMOS
Bourema Ganaba Production Supervisor SFTP
Siaka Konaté CHS / ADT Operator SFTP
Bekaye Ballo ADT 18 Operator SFTP
Balla Keita SFTP Project Manager
Oumar Sissoko
Bassirou Congo
Sadiola Gold Mine

Investigation team Maintenance Manager SFTP

Maintenance Supervisor SFTP
Issa Sissoko: 777 Dump Truck Operator PW
Aliou Diarra: MTS Dewatering assistant
Fanta Mohamed Keita: Safety Officer SENO
Mohamed Keita: Safety Officer SEMOS.
Zoumana Doumbia Safety Officer BME
Samba Camara Safety Officer SEMOS
Sekou Tangara
Mohamed CISSE
Sadiola Gold Mine

summary of the incident

While transporting ore material from SH 2 stockpile to Mesto crusher pad, ADT
number 18 operator stopped at stop sign, saw fire behind the cabin, got out of the
cab to use portable fire extinguisher. He was unable to manage fire; so, the control
room was alerted. SEMOS ERT assisted with fire truck and PW water bowser to
manage fire. This fire resulted in damages on the truck’s rear tires and hoses. No
injury sustained.
Sadiola Gold Mine
PHOTO Satellite view

SH 2
STOCK
PILE
Sadiola Gold Mine
PHOTO

Sketch- Plan view

Sadiola Gold Mine
PHOTOS

Fire marks between the cab and the bucket of ADT 18.
Sadiola Gold Mine
PHOTOS

ADT 18 in mud after Sadiola ERT managed the fire.

Sadiola Gold Mine
PHOTOS

Fire marks on tires.

Sadiola Gold Mine
PHOTOS

Fire marks on truck’s bucket.

Sadiola Gold Mine
PHOTOS

ADT 18 front side after Sadiola ERT intervention on scene

of incident.
Sadiola Gold Mine
PHOTOS

ADT 18 rear side after Sadiola ERT intervention on scene of

incident.
Sadiola Gold Mine

Contributory Non-Contributory

PEEPO # 1
Personal Environment Equipment Procedure Organizational
Driver
NIL NIL ADT 18 was in SOP was in place Only one 09 kg
Supervisor
Supervisor good condition. and it was fire extinguisher
First responders No ‘Environnent’ adhered to .
contributing factors bottle found on
Core fleet Rep equipment.
Contractor
HSE No automatic
fire
Colleagues suppression
Company system
Management installed on
equipment.
HR

Training Rep
Sadiola Gold Mine

Contributory

PEEPO # 2
Personal Environment Equipment Procedure Organizational
Driver

Supervisor Only one 09 kg

Supervisor
First responders
fire extinguisher
bottle found on
Core fleet Rep equipment.
Contractor
HSE No automatic
fire
Colleagues suppression
Company system
Management installed on
equipment.
HR

Training Rep
 CHRONOLOGY OF THE INCIDENT
Pre-Incident
DATE: 21 July DATE: 21 July DATE: 21July DATE: 22 July DATE: 22 July DATE: 22 July DATE: 22
2023 2023 2023 2023 2023 2023 July 2023

TIME: @ 11h00 TIME: 11h30 pm TIME: 11h45 TIME: 04h00 am TIME: 04h02 am TIME: 04h05 TIME:
pm pm to 04h00 am 05h08 am.
am

21 July 2023 ADT 18 operator ADT 18 ADT 18 ADT 18 ADT 18 ADT 18

ADT 18 operator attended safety operator was on Operator Operator started Operator Went Operator
came at work. pre shift talk standby. resumed work. to do prestart to the SH2 stablished 3
meeting. check of his stockpile. trips from
truck (ADT18) the SH2 to
the rom
pad.

Post-Incident
DATE: 22 July DATE: 22 July DATE: 22 July DATE: 22 July DATE: 22 July DATE: 22 July DATE: 22
2023 2023 2023 2023 2023 2023 July 2023

TIME: 05h50 TIME: 05h42 TIME: 05h40 am. TIME: 05h37 TIME: 05h35 TIME: 05h35 TIME:
am. am. am. am. am. 05h34 am.

ERT arrived on ERT was Control room ADT 18 ADT 18 ADT 18 ADT 18
scene to informed. was alerted. operator could operator operator Operator
manage the fire. no managed Went out of saw fire on his way
the fire. the cab to between the to Metso
extinguish the cabin and the pad with
fire. bucket. his fourth
trip
stopped at
stop sign.
 CHRONOLOGY OF THE INCIDENT

Post-Incident

TIME: 12h05 TIME: 12h05 TIME: 12h00 TIME: 11h40 TIME: 06h15
p.m. p.m. am.
MTS & Safety
Management
arrived on
scene.

Legend

Pre-Incident

Incident

Post-Incident
Sadiola Gold Mine
ANALYSE OF SUMMARY

Direct causes:
The basic cause of the incident was Broken propeller shaft cross bearing, which
as a result damaged the parking brake air hose and the hydraulic hoses around.
Since the parking brake is spring applied air release, it automatically applied in the
absence of air pressure, resulting into friction, which caused the fire in the
presence of leaking hydraulic oil.

Summary of contributing factors:

1. No automatic fire suppression system installed on equipment.
2. Only one 09 kg fire extinguisher bottle found on equipment.
Sadiola Gold Mine ANALYSE ICAM
ORGANISATIONAL TASK/CONDITIONS INDIVIDUAL ABSENT & FAIL INCIDENT
FACTORS ENVIRONMENT FACTORS DEFENCES

HW NIL NIL HW What happened?

No automatic fire No automatic fire ADT 18 transporting ore
suppression system installed suppression system installed materials from SH2 to
on equipment. on equipment. Metso pad at rom pad took
fire.
Who was involved?
RM RM ADT 18 Operator
Where?
Only one 09 kg fire Only one 09 kg fire Sadiola Rom pad
extinguisher bottle found on extinguisher bottle found on When?
equipment. equipment 22nd July 2023
Actual consequence.
Insignificant
Potential?
Moderate
Sadiola Gold Mine
5 Why’s
A / ADT 18 took fire.

1. Why ADT 18 took fire?

Because the propeller shaft cross bearing damaged the parking brake air hose and the
hydraulic hoses around.

2. Why the propeller shaft cross bearing damaged the parking brake air hose and the
hydraulic hoses around?
Because the propeller shaft cross bearing got broke and removed from its place.

3. Why the propeller shaft cross bearing got broken and removed from its place?
Because of normal wear and tear.
Sadiola Gold Mine
5 Why’s
B / ADT 18 took fire.

1. Why ADT 18 took fire?

Because of the presence of leaking hydraulic oil on hot parts of equipment.
2. Why the presence of leaking hydraulic oil on hot parts of equipment?
Because of hydraulic hoses burst.
3. Why the hydraulic hoses burst?
Because the propeller shaft cross bearing damaged the hydraulic hoses.
4. Why the propeller shaft cross bearing damaged the hydraulic hoses?
Because the propeller shaft fell on the hydraulic hoses.
5. Why the propeller shaft fell on the hydraulic hoses?
Because the propeller shaft cross bearing got broke and removed from its place.
6. Why the propeller shaft cross bearing got broken and removed from its place?
Because of normal wear and tear.
Sadiola Gold Mine
RECOMMENDATIONS

Item Recommendation Responsible Responsible Completion Sign off

Ref Department Person Date

Installation of automatic fire suppression

9.1 system on all equipment MTS MTS Manager

At each shift change service time reinforce

SFTP Plant Done to be
9.2 control of Propeller shaft cross bearing of MTS 23 July 23
Manager continued.
equipment
MTS MTS Manager 23 July 23 Done to be
Increase the number of fire extinguishers on continued.
all equipment by two of 09 kg fire
9.3 extinguisher bottles before the installation of
automatic fire suppression system on all
equipment.

Propeller shaft cross bearing to be MTS SFTP Plant

completely removed for further checks and Manager
9.4 maintenance at each 1000 hours.

Refresher training on the use of fire

9.5 extinguishers to be done for workforce. MTS MTS Safety Officer

Availability of a proper stand by water MTS MTS Manager

9.6 bowser in the pit, ready to intervene if need
be.
PW water bowser to be called first for any pit
fire emergency instead of waiting for Sadiola
Rom pad
9.7 ERT fire truck which can be used as a rescue. MTS
Supervisor
Sadiola Gold Mine
RECOMMENDATIONS
OFT/ Hierarchy of Correctives Actions Responsable Deadline
Defenses Controls
Installation of automatic fire MTS Manager
Engineering suppression system on all equipment

SFTP Plant Manager

At each shift change service time
Administrative reinforce control of Propeller shaft 23 July 23
cross bearing of equipment
MTS Manager
Increase the number of fire
extinguishers on all equipment by two
Administrative of 09 kg fire extinguisher bottles before 23 July 23
the installation of automatic fire
suppression system on all equipment.
Propeller shaft cross bearing to be SFTP Plant Manager
completely removed for further checks
Administrative and maintenance at each 1000 hours.

Refresher training on the use of fire MTS Safety Officer

Administrative extinguishers to be done for
workforce.
Availability of a proper stand by water MTS Manager
Administrative bowser in the pit, ready to intervene if
need be.
PW water bowser to be called first for Rom pad Supervisor
any pit fire emergency instead of
Administrative waiting for Sadiola ERT fire truck
which can be used as a rescue.
Sadiola Gold Mine
KEY LEARNINGS

 To prevent normal wear and tear, at each shift change

service time we need to reinforce control of Propeller shaft
cross bearing of equipment.
 Increase the number of fire extinguishers on all equipment
by two of 09 kg fire extinguisher bottles before the
installation of automatic fire suppression system on all
equipment.
 SFTP must install automatic or semi-automatic fire
suppression system on the equipment.
 The time of reaction to manage the fire was long as we
could have quickly used onboard PW water truck.