CM0 ° Ch4 spike @ MG501 TG Drive CMO

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CM0 ° Ch4 spike @ MG501 TG Drive CMO " Form Creatad by EventDa18 Start Date Tolal Attachments Actions Jeffrey Dwyer (Ooerator Jeffrey Dwyer (Operator ) ID 20191216209.0 I Incident/ Near Miss I Carla Lane 06 Dec 2019 17:51 Lachlan Gregory Munro (NULL) Bradley Seymour (Apprentice ) Department of Natural Resources and Mines ( ) HD Mining ( ) Gus Wilson (Deputy ) Report printed by Michael Angela! 14: 12 on 23 May 2020 Responsible Deoartment Department Type Department Event Category Org Unit Type Incident Reporter Injured Person Witness Witness External Party Oaky North UG Oaky North UG Health & Safety Incident, H&S Potential Consequence Category 3 - Moderate Monthly Report Witness - Company Involved Responsible Supervisor Reported To www cmo-compliance.com Page 1of5 OCH.500.001.0122

Transcript of CM0 ° Ch4 spike @ MG501 TG Drive CMO

CM0° Ch4 spike @ MG501 TG Drive CMO" Form

Creatad by

EventDa18

Start Date

Tolal Attachments

Actions

Jeffrey Dwyer (Ooerator Jeffrey Dwyer (Operator )

ID 20191216209.0

I Incident/ Near Miss

I Carla Lane

06 Dec 2019 17:51

I ~

Lachlan Gregory Munro (NULL) Bradley Seymour (Apprentice ) Department of Natural Resources and Mines ( )

HD Mining ( ) Gus Wilson (Deputy )

Report printed by Michael Angela! 14: 12 on 23 May 2020

Responsible Deoartment Department Type

Department

Event Category

Org Unit Type

Incident Reporter

Injured Person

Witness

Witness

External Party

Oaky North UG

Oaky North UG

Health & Safety Incident, H&S Potential Consequence Category 3 -Moderate

Monthly Report

Witness - Company Involved

Responsible Supervisor

Reported To

www cmo-compliance.com Page 1of5

OCH.500.001.0122

Incident Reporter

Incident Reporter

Date Reported

Time Reported El&.L.Ul&I,

Reported To

Reported To

Jeffrey Dwyer

06 Dec 2019

17:52 PM

Employee

Gus Wilson

Cutting through 23ct niche, shearer cutting back toward MG 180 shield. Niche brings fringe forward tripping TG drive

ERZC notified, proceeded directly to TG to inspect. Set up curtain in front of TG shields approx. 20 m in length. Worked well - cH4 sensor@ 0.45% cH4

P-~~~~~~~~~~~~~~~~~~~~~~~~~--_, -~~~~~~~~~~~~~~~~~~~~~~~~--

Report printed by Michael Angelat 14: 12 on 23 May 2020 www.cmo-compliance.com Page 2 of 5

OCH.500.001.0123

Witness

Contracting Company

Witness Lachlan Gregory Munro <NULL>

Contracting Company HD Mining JS.ts

Afternoon

Shift Start Time 09:30 AM

Intended Shift Length 12

Hours into shift at time of incident 8

Yes

Select External Party Department of Natural Resources and Mines

Report printed by Michael Angelat 14: 12 on 23 May 2020 www.cmo-compliance.com Page 3 of 5

OCH.500.001.0124

The Potential Consequence must be EQUAL TO or GREATER THAN the Actual ConseQuence Rankin_g

Report printed by Michael Angelat 14: 12 on 23 May 2020

Category 3 - Moderate

www.cmo-compliance.com Page 4 of 5

OCH.500.001.0125

Document Controller

L TA- Longwall Superintendent

Report printed by Michael Angelat 14: 12 on 23 May 2020

cutting through 23ct niche, shearer cutting back toward MG 180 shield.

Jim Canning

Ch4 spike @ MG501 TG Drive Rank Incident Ch4 spike @ MG501 TG Drive Data Collection & Investigation Ch4 spike @ MG501 TG Drive Incident Review Ch4 spike @ MG501 TG Drive Department Approval & Closure Ch4 spike@ MG501 TG Drive Review (Quality Check)

www.cmo-compliance.com Page 5 of 5

OCH.500.001.0126