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(d) Gorakhpur Haryana Anu Vidyut Pariyojana relieved from the duty by morning shift crane operator.
(GHAVP-1&2) Later, he was found lying unconscious on the crane
access walkway platform and subsequently declared
Ground improvement work was in progress in dead on same day at KGS hospital. The preliminary
GHAVP-1&2 main plant area. On early morning of post-mortem report indicated internal injuries which
March 29, 2019, a dumper after unloading the mixed could not be attributed to natural causes. In view of
soil, was heading towards plant No. 1 for loading mixed this, AERB recommended that the event should be
soil. En-route, it hit the victim (Civil Supervisor of considered as an industrial accident till receipt of final
Contractor) who was deputed at the spot for supervising post-mortem report and its review in AERB. Based on
the rolling operation. He was taken to the Hospital for the investigation of the event, AERB has asked all DAE
immediate treatment. However, on April 02, 2019, facilities to review the safety aspects of all the material
victim succumbed to the injuries. handling equipment & operations and take necessary

Review of investigation report at AERB revealed corrective actions.
deficiencies in communication mechanism between (f) Indian Rare Earths Limited (IREL) OSCOM
contractor and site and lack of safety management of
NPCIL at site. Contributory causes were inadequate A fatal accident occurred at IREL, OSCOM on
procedural adherence, ineffective communication, lack July 06, 2019. A tanker was deployed to load chlorine
of questioning attitude and lack of awareness of unsafe solution and transport it for further processing. During
work conditions. AERB team carried out special RI on loading operation, a contract worker fell from top of
April 05, 2019. A warning letter was issued to site asking tanker (3.3 m height) which resulted in serious injuries
to implement measures to prevent recurrence of such on his skull and face. The victim succumbed to his
accident. NPCIL was recommended strict adherence injuries on July 07, 2019 while undergoing medical
to the safe working procedures, adequate rest rooms/ treatment at hospital.
suitable shelters, training of line supervisors to enhance
risk perception to prevent accidents, sufficient authority AERB review indicated unstable surface of the tanker
to the supervisor to stop the work in case of unsafe work top, lack of arrangement for arresting a possible fall and
conditions etc. It was also recommended that NPCIL- inadequate JHA were the cause of the accident. AERB
HQ shall review the actions initiated by GHAVP site. recommended IREL to review the lapses in the safety
management systems including organisational failures
Compliance of recommendations are being checked and to provide technical solutions to minimize the need
during RI for verification of stated corrective actions. of human intervention during tanker loading operation
and review the post-accident medical management.
(e) Kaiga Generating Station (KGS-1&2)
AERB asked all other facilities also to review
A fatal accident occurred at KGS-1 on February the safety aspects of tanker loading and unloading
04, 2019. The contract worker was working as a crane operations at plant/site and to take necessary actions
operator for overhauling of Turbine Generator of KGS-1 to ensure provision of safe working conditions for these
during biennial shutdown. On the day of event, he was activities.

AERB Annual Report 2019 35