While he was prodding in the Mine Field suddenly a stone slipped down

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Deminer was clearing the first 60 cm of one cluster heading toward the centre mine after he cleared the 1st 60 cm by one 1m width with no signals he moved his base stick a head to clear the next 60 cm, then he stepped on the area which considered to be cleared by the same deminer, accidently his foot went down due to the soil collapse under his foot (loose soil), the mine was in a depth of about 30 cm that when the deminer foot dived in the loosen soil he applied a pressure on the mine which activated the mine and caused the accident, note that from the accident result there was no direct contact between the deminer foot and the mine

James Madison University

James Madison UniversityJMU Scholarly CommonsGlobal CWD Repository Center for International Stabilization and Recovery9-7-2009DDASaccident628Humanitarian Demining Accident and Incident DatabaseAIDFollow this and additional works at: https://commons.lib.jmu.edu/cisr-globalcwdPart of the Defense and Security Studies Commons, Peace and Conflict Studies Commons,Public Policy Commons, and the Social Policy CommonsThis Other is brought to you for free and open access by the Center for International Stabilization and Recovery at JMU Scholarly Commons. It hasbeen accepted for inclusion in Global CWD Repository by an authorized administrator of JMU Scholarly Commons. For more information, pleasecontact dc_admin@jmu.edu.Recommended CitationDatabase, Humanitarian Demining Accident and Incident, "DDASaccident628" (2009). Global CWD Repository. 827.https://commons.lib.jmu.edu/cisr-globalcwd/827DDAS Accident Report Accident details Report date: 05/03/2011 Accident number: 628 Accident time: 09:24 Accident Date: 07/09/2009 Where it occurred: MF: E 387 Al Shajarah Village, Alramtha Province Country: Jordan Primary cause: Victim inattention (?) Secondary cause: Management/control inadequacy (?) Class: Missed-mine accident Date of main report: Not recorded ID original source: None Name of source: Demining group Organisation: [Name removed]  Mine/device: M14 AP blast Ground condition: grass/grazing area hard Date record created:  Date  last modified: 05/03/2011 No of victims: 1 No of documents: 2  Map details Longitude:  Latitude:  Alt. coord. system: Not recorded Coordinates fixed by:  Map east:  Map north:  Map scale:  Map series:  Map edition:  Map sheet:  Map name:    Accident Notes no independent investigation available (?) Inadequate detector pinpointing mine/device found in "cleared" area (?)  Accident report An internal demining group accident report was made available. The conversion into a DDAS file has led to some of the original formatting being lost.  Text in square brackets [ ] is editorial. The internal report is reproduced below, edited for anonymity.  1 INCIDENT INVESTIGATION [Demining group] – MINE ACTION TEAM - JORDAN TASK NAME AL SHAJARAH 1 (387) GRID REF: 32.66602 N: 35.96215 E MINEFIELD NO – 387, MINEFIELD TASK ID - E 387 AL SHAJARAH 1 INVESTIGATION CONDUCTED BY – [Demining group], [Name removed]. DEMINER: [the Victim]. DATE OF BIRTH: 02/09/1971, NIC NO: [Removed] SECTION COMMANDER: [Name removed]. TEAM LEADER: [Name removed]. TEAM: METAL DETECTOR 10. TIME OF INCIDENT: 09:24 AM, DATE OF INCIDENT: 07 September 2009 NATURE OF INJURY: Multiple comminutes fracture in his right foot and fracture of lower fibia and tibia. TYPE OF MINE: Anti Personnel M 14  IMSMA DETAILED REPORT FOR MINE INCIDENT Monday, 07 September 2009 Part 1 – Description of the incident 1. Organisation name: [Demining group], JORDAN Team No: Metal Detector 10. 2. Incident date: 07/09/2009. Time: 09:24 AM 3. Location of incident: EAST SECTOR, Province: ALRAMTHA, Village: AL SHAJARAH. Project or task No: E 387 ALSHAJARAH 1 4. Name of site manager or team leader: [Name removed]. 5. Type of incident: M14 AP MINE, uncontrolled detonation of a mine. 6. Device was detonated by: deminer  7. Device detonated while: Moving 8. Device was found in an area classified as: a known hazardous area 9. Narrative (Describe how the incident happened. Attach additional pages and photographs or diagrams to assist in clarifying the circumstances surrounding the incident): Deminer was clearing the first 60 cm of one cluster heading toward the centre mine after he cleared the 1st 60 cm by one 1m width with no signals he moved his base stick a head to clear the next 60 cm, then he stepped on the area which considered to be cleared by the same deminer, accidently his foot went down due to the soil collapse under his foot (loose soil), the mine was in a depth of about 30 cm that when the deminer foot dived in the loosen soil he applied a pressure on the mine which activated the mine and caused the accident, note that from the accident result there was no direct contact between the deminer foot and the mine.  2  [The accident site, behind the base-stick in the area considered “cleared” by the deminer.] Part 2 – Injuries 10. Did the incident result in any injuries? Yes 11. List people injured and nature of injury [The Victim], Deminer, Multiple comminutes fracture in his right foot and fracture of lower fibia and tibia. Part 3 – Equipment damages 12. Did the incident result in any damage to equipment or property? Yes 13. List any mine action equipment or property damage: Mine Boot, Damaged 14. List damage to equipment or property owned by a member of the public or the government. [None] Part 4 – Explosive hazard 15. Provide details of mines/UXO/ other devices that were involved in the incident. AP (Blast) Mine, Buried, Suspected only 16. State specific device (if known): M 14 AP MINE 17. Comments (include measurements of any crater resulting from the explosion): Crater Depth: approx. 15 cm / Width: approx. 40 cm Part 5 - Site conditions 18. Describe the conditions at the site at time of the incident Ground/Terrain: Hard, Flat Weather: Clear, Hot Vegetation: Medium, Grass Part 6 – Team and task details 20. Qualifications of Member(s) involved in the incident: Name               Position in Location        Occupation [The Victim]       Deminer                        Metal Detector 10 3 21. How long had this team been? a. At this site? 3 months b. working on this task? 3 months c. working on the day? 03:24 Minutes 22. Detector type: N/A. Tripwire feeler used? No 23. Hand tool: Metal Detector 24. PPE: Vest,  Visor, [Blast boots] 25. Comments: [None] Part 7 - Medical & First Aid Medical treatment required? yes  26. Medical Support at Incident Site: Medic, 1st Aid Kit, Stretcher, Ambulance, Safety Vehicle, Radio to call forward medic. 27. Was a Mine Incident Drill carried out? Yes  28. Time and distance data a. Time from incident to SECTION MEDICAL POINT: (01) minute  b. Time spent at site administering treatment: (10) minutes c. Time from evacuation FROM to arrival King Abdullah Hospital: 20 minutes Part 8 – Reporting procedures Reported by: [Name removed], [Demining group] Amman Office to: [Demining group] Offices & NCDR Investigation conducted by: [Name removed], [Name removed] Report compiled/translated by: [Name removed], [Name removed] Verified by: [Name removed]  Observations and Recommendations Deminer was applying the drill as per as sop without any mistakes, he stepped on a loose soil area after he cleared it by the metal detector and investigated all the signals, the soil under his foot collapsed and caused the deminer foot to went down inside the loosen soil and activated the mine which was not exactly in its right place.. Signed: Operations Coordinator 07 SEPTEMBER 2009  Attachments: Statements by Injured Members Statements by Witnesses Photographs of Injuries Photographs of Incident Site Copy of Incident Report 4 Victim Report Victim number: 810 Name: [Name removed] Age: 38 Gender: Male Status: deminer  Fit for work: not known Compensation: Not made available Time to hospital: 31 minutes Protection issued: Frontal apron Mask Visor blast boots Protection used: Frontal apron, Mask Visor, blast boots  Summary of injuries: INJURIES: severe Foot, severe Leg COMMENT: See Medical report.  Medical report No formal medical report was made available.  A photograph showed severe disruption to the instep and apparent injury on the heel.  Statements Statement 1: the Victim On Monday the 7th of September 2009 around 09:15 am I entered around 1.5 meters inward of an AP cluster and there were a lot of signals, I removed them all, then I entered another tray and removed the bushes then I brought the metal detector and started checking the area there were no signal then I progressed in work to another tray and put back the detector and started removing the bushes, I went back to the second tray to remove the stones, I put some stones in the bucket and went back to the tray to converse the base stick forward, I stood to 5 bring the detector from the back then my body turned backwards and my right leg fell on the ground and a blast happened considering the soft nature of the ground. I was taken to the KAH and that’s what happened with me.  Statement 2: Section Commander While I was checking on lane 105 at 09:24 am I heard a sound of explosion and I was informed by the radio about an accident happened with the deminer [the Victim] on lane 99, I went there to find the team leader, [Name removed], nurse, deminers [Name removed] and [Name removed] there, nurse put the splint on the foot and then we evacuated him outside the lane to the ambulance then he was transferred to the hospital.  Statement 3: Team leader While I was checking on lane 100 I heard a sound of explosion and screaming from the west side so I informed the ambulance and that was at 09:24 am, the accident happened with the de-miner [the Victim] in lane 99, I headed to the accident place with two other deminers we reached there and the ambulance reached in two minutes we entered the lane to find the deminer lying on the ground on the centre lane, the nurse bandaged his injury and he was transferred to the hospital and we stopped work immediately.  Analysis This accident is classed as a Missed mine accident because the photograph showed that the site of the initiation was behind the base-stick and between the side of lane markings – so in an area that the deminer had “cleared”. The primary cause of this accident is listed as Victim inattention because the Victim had not located the mines when using his detector and had not used the demining group’s excavation/detector drill appropriately enough to find a mine at this depth. (This drill is designed to locate mines that are too deep for the detector to locate without removing some of the ground. The ground he stepped on had been loosened, but had not been removed and searched with the detector appropriately.) The secondary cause is listed as a Management Control Inadequacy because the investigator concluded that no mistakes had been made, when clearly some had. If management does not recognise an error, it will not be corrected. The investigator’s failure to check the performance of the metal detector was unusual and appears to have been an oversight. The Victim’s injury includes severe disruption of the sole of the foot, which does imply that there may have been a distance between the mine and the sole of the BFR boot (new research into the impulse and shock wave transfer through various materials supports this).The failure of the blast boot to provide significant protection against a 28g mine may be significant. The demining group who made this report available is thanked for its transparency and its professional concern to share lessons that can be learned from accidents.   6 

DDASaccident628

James Madison UniversityJMU Scholarly CommonsGlobal CWD Repository Center for International Stabilization and Recovery1-24-2008DDASaccident689Humanitarian Demining Accident and Incident DatabaseAIDFollow this and additional works at: https://commons.lib.jmu.edu/cisr-globalcwdPart of the Defense and Security Studies Commons, Peace and Conflict Studies Commons,Public Policy Commons, and the Social Policy CommonsThis Other is brought to you for free and open access by the Center for International Stabilization and Recovery at JMU Scholarly Commons. It hasbeen accepted for inclusion in Global CWD Repository by an authorized administrator of JMU Scholarly Commons. For more information, pleasecontact dc_admin@jmu.edu.Recommended CitationDatabase, Humanitarian Demining Accident and Incident, "DDASaccident689" (2008). Global CWD Repository. 888.https://commons.lib.jmu.edu/cisr-globalcwd/888DDAS Accident Report Accident details Report date: 06/03/2011 Accident number: 689 Accident time: 10:40 Accident Date: 24/01/2008 Where it occurred: DT-07; MF 229. Shir Khan Village, Kabul Province Country: Afghanistan Primary cause: Other (?) Secondary cause: Field control inadequacy (?) Class: Excavation accident Date of main report: Not recorded ID original source: DA02, CA-167 Name of source: UNMACCA Organisation: [Name removed]  Mine/device: PMN AP blast Ground condition: rocks/stones Date record created:  Date  last modified: 06/03/2011 No of victims: 1 No of documents: 1  Map details Longitude:  Latitude:  Alt. coord. system: Not recorded Coordinates fixed by:  Map east:  Map north:  Map scale:  Map series:  Map edition:  Map sheet:  Map name:    Accident Notes inadequate investigation (?) squatting/kneeling to excavate (?) visor not worn or worn raised (?)  Accident report The only report of this accident that has been made available to date was in a UNMACA ECEL spreadsheet . Text in square brackets [ ] is editorial. This record will be revised as more information becomes available. The EXCEL summary is reproduced below, edited for anonymity. Accident no DA02, [Demining group], IMSMA ID CA-167 Accident date: Thursday 24th January 2008 at 10:40 1 Task no: DT-07; MF 229. Shir Khan Village, Kabul Province Victim: [Name removed], deminer Activity: While he was prodding in the Mine Field suddenly a stone slipped down. Mine/device: PMN mine UNMACCA investigation completed. Victim Report Victim number: 875 Name: [Name removed] Age:  Gender: Male Status: deminer  Fit for work: not known Compensation: Not made available Time to hospital: Not made available Protection issued: Not recorded Protection used: Not made available  Summary of injuries: INJURIES: minor Hearing, severe Eye, severe Head COMMENT: No Medical report was made available.  Analysis The primary cause of this accident is listed as Other because there is not enough information about the accident to determine what happened. The secondary cause is listed as a Field Control Inadequacy because the Victim’s eye injury indicates that he was not wearing PPE correctly, and this error was not corrected by his field supervisors. The “Inadequate investigation” listed under notes refers to the absence of a full accident report. The UN supported MACCA has failed to make these widely available for some years in contravention of the requirements of the IMAS.   2 

DDASaccident689

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DDASaccident689

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