SAMRASS South African Mines Reportable Accidents Statistical System

Codebook for mines

Directorate: Management Support and Internal Control Department of Minerals and Energy Private Bag X59 PRETORIA 0001

T ABLE

OF

CONTENTS

INTRODUCTION INSTRUCTIONS FOR THE COMPLETION OF SAMRASS FORMS I.R.O. ACCIDENTS OR

DANGEROUS OCCURRENCES

1 2 2 12

CHAPTER 23 ACCIDENTS AND DANGEROUS OCCURRENCES SIGNIFICANT RISK

SECTION A EMPLOYER DETAILS

1 2 3 NAME OF MINE DME MINE CODE MAIN COMMODITY 13 13 13

SECTION B
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

ACCIDENT OR DANGEROUS OCCURRENCE DETAILS

MINE ACCIDENT OR DANGEROUS OCCURRENCE NUMBER NUMBER OF PERSONS KILLED NUMBER OF PERSONS TOTALLY DISABLED NUMBER OF PERSONS INJURED DATE OF ACCIDENT OR DANGEROUS OCCURRENCE TIME OF ACCIDENT OR DANGEROUS OCCURRENCE LOCATION OF ACCIDENT OR DANGEROUS OCCURRENCE NAME OF WORKING PLACE DEPTH BELOW SURFACE SECTION DESCRIPTION OF ACCIDENT OR DANGEROUS OCCURRENCE
IN WORDS ACCIDENT CLASSIFICATION CODE

15 16 16 16 17 17 17 25 25 25 25 26 39 44 44
THE PREVIOUS

(INJURY)

DANGEROUS OCCURRENCE CLASSIFICATION CODE DID ACCIDENT OR DANGEROUS OCCURRENCE OCCUR DURING NORMAL WORKING HOURS? DID ACCIDENT OR DANGEROUS OCCUR RENCE HAPPEN AT NORMAL WORKPLACE? AVERAGE NUMBER OF PERSONS AT WORK DURING
MONTH

44

SECTION C RESPONSIBLE PERSONS

1 2 3 4 1 ST LEVEL SUPERVISOR 2 ND LEVEL SUPERVISOR 3 RD LEVEL SUPERVISOR 4 TH LEVEL SUPERVISOR 45 45 45 45

SECTION D FOR USE BY THE DEPARTMENT OF MINERALS AND ENERGY

1 2 3 4 5 6 7 8 9 10 11 12 13 14 REGIONAL ACCIDENT OR DANGEROUS OCCURRENCE NUMBER DATE REPORTED TYPE OF ACCIDENT OR DANGEROUS OCCURRENCE ACCIDENT OR DANGEROUS OCCURRENCE REGISTERED BY INQUIRY TYPE P ROBABLE CAUSE OF ACCIDENT OR DANGEROUS OCCURRENCE48 CONTRAVENTION IN INSPECTOR S OPINION IF YES , ACT/REGULATION CONTRAVENED ADMINISTRATIVE FINE RECOMMENDED DATE EVALUATION OF REPORT COMPLETED INSPECTOR OF MINE S NAME AND SIGNATURE SENIOR INSPECTOR OF MINES ( MINING) SENIOR INSPECTOR OF MINES ( MINING EQUIPMENT) ARE CRIMINAL P ROCEEDINGS ENVISAGED? 46 46 47 48 48 55 56 56 56 56 57 57 57

SECTION E
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

DETAILS OF EMPLOYEE
SURNAME F ULL FIRST NAMES INDUSTRY NUMBER PF/COMPANY NUMBER IDENTITY/PASSPORT NUMBER DATE OF BIRTH P ROVINCE/COUNTRY OF ORIGIN P OPULATION GROUP WAS THE INJURED A PERMANENT EMPLOYEE (E); CONTRACTOR (C); OR A CASUAL (T)? NAME OF CONTRACTING COMPANY MALE OR FEMALE NORMAL OCCUPATION AT TIME OF ACCIDENT TOTAL EXPERIENCE IN CURRENT OCCUPATION WAS INJURED CARRYING OUT NORMAL DUTIES AT TIME OF ACCIDENT? DATE FIRST EMPLOYED WITH CURRENT EMPLOYER DATE LAST SHIFT WORKED DATE RESUMED WORK IF FATAL, DATE OF DEATH 58 58 58 58 58 59 59 59 59 59 59 59 81 81 81 81 81 81

ii

SECTION F
1 2 3 4 5 6

DETAILS OF INJURY
TASK: ( PERSON INJURED OR KILLED WHILE PERFORMING) ACTIVITY ( INJURED OR KILLED WHILE ...) NATURE OF INJURY P ART OF BODY INJURED TYPE OF ACCIDENT OF INDIVIDUAL ALLOCATED DAYS LOST 82 86 91 91 93 93

APPENDICES
Appendix 1 Appendix 2 Appendix 3 Appendix 4 Appendix 5 Appendix 6 Appendix 7 Accident or Dangerous Occurrence Report Form (SAMRASS 1) Injury Report Form Rockbursts and falls of ground 1-13 day Injuries Explosives Fires Subsidences in coal mines (SAMRASS 2) (SAMRASS 3) (SAMRASS 4) (SAMRASS 5) (SAMRASS 6) (SAMRASS 7) (SAMRASS 8) (SAMRASS 9)

Appendix 8 Heat stroke/heat exhaustion Appendix 9 Report on Date resumed work

Appendix 10 Explanation of MISCO codes Appendix 11 Allocated Days Lost Appendix 12 Alphabetical Cross Reference : Class of Place Appendix 13 Numerical Index for Occupations

iii

Introduction
A good official statistics system is characterised by its ability to elucidate issues, not just to monitor them and by its ability to evolve in response to needs. Such a system must have a high level of public credibility, since few in society can verify national statistics and therefore must have to rely on the public reputation of the agency providing the statistics. Ivan Fellegi, Chief Statistician of Canada Keeping Fellegis statement in mind, the Department of Minerals and Energy (DME), has revisited the entire system of accident reporting and recordkeeping in its SAMRASS system, the South African Mines Reportable Accidents Statistics System, a sub-set of the entire DME database. In order to produce a good quality statistical product, in accordance with the needs and requirements of the various users, a tripartite working group consisting of representatives from the state (DME), labour (mine worker unions), and the employer sector (Chamber of Mines), have revised the codebook, subject to the conditions embodied in the Mine Health and Safety Act and relevant regulations. This revision process will in future be continuously developed and adapted/assessed against stake holder and community needs. The following aspects were taken into account: Simplification An important consideration in the revision process was to design the reporting system without adding to the workload for the mines. With this in mind, codes which are consistent with industry reporting to Rand Mutual Assurance have been incorporated with SAMRASS reporting. Content The choice and definition of variables to be reported, statistical measures and categories and groups for which statistics are reported, were revisited. The new system has also been designed to conform to international standards and to facilitate comparison with other statistics. Accuracy and Consistency Coding structures should be consistent with previous code sets so that history is not lost and should be readily understood by the persons completing the prescribed forms. Accessibility Statistics will be published (on-line and in hard copy), and disseminated in formats that make them easy to understand and easy to use. Graphs, diagrams and explanatory notes will be used whenever possible. Uses Statistics to be presented illustrating the situation and trends within the different mining sectors. Common Vocabulary The intention of this Codebook is to ensure that all mines make use of the same terminology regarding accidents and accident reporting.
1

Instructions for the completion of SAMRASS Forms i.r.o. accidents or dangerous occurrences.
The correct description of accidents or dangerous occurrences is of utmost importance if the statistics produced from these reports are to be meaningful. The statistical summary should result in a profile of the various types of accidents and contribute to meaningful information which highlight trends within the industry and focus specific research, hazard identification, risk assessment, safety management, and training activities. In the rest of this document wherever the term Accident is used, read it to include the term Dangerous Occurrence as well. An accident is where a person was injured or killed and a dangerous occurrence is where no injury took place. Use the appropriate coding in Sections B 12 for accidents and B13 for dangerous occurrences

The regulations contained in Chapter 23 of the Mine Health and Safety Act prescribes the following acci dents or dangerous occurrences to be reported to the Mine Health and Safety Inspectorate of the DME on the prescribed forms (see addenda to this Codebook) :

CHAPTER 23

ACCIDENTS AND DANGEROUS OCCURENCES

ACCIDENTS TO BE REPORTED

23.1

The employer must report to the Principal Inspector of Mines in the manner prescribed in this chapter any accident at the mine that results in:

(a) the death of any employee;

(b) an injury, to any employee, likely to be fatal;

(c)

unconsciousness, incapacitation from heatstroke or heat exhaustion, oxygen deficiency, the inhalation of fumes or poisonous gas, or electric shock or electric burn accidents of or by any employee and which is not reportable in terms of paragraph (d).

(d) an injury which either incapacitates the injured employee from performing that employees normal or a similar occupation for a period totaling 14 days or more, or which causes the injured employee to suffer the loss of a joint, or a part of a joint, or sustain a permanent disability,

(e)

an injury, other than injuries referred to in paragraph (d), which incapacitates the injured employee from performing that employees normal or a similar occupation on the next calendar day.

23.2 (1)

An accident referred to in paragraph (a), (b) or (c) of regulation 23.1 must be reported immediately by the quickest means available and must be confirmed without delay on Forms SAMRASS 1 and 2 prescribed in Chapter 21.

23.2 (2)

An accident referred to in paragraph (d) of regulation 23.1 must, after the accident becomes reportable, be reported within three days on Forms SAMRASS 1 and 2 prescribed in Chapter 21.

23.2 (3)

The Form SAMRASS 9 must be submitted on a monthly basis for all persons not having returned to work at the time of submitting SAMRASS 2 on a monthly basis.

23.2 (4)

An accident referred to in paragraph (e) of regulation 23.1 must be reported without delay on a monthly basis, on Form SAMRASS 4 prescribed in Chapter 21

23.3 (1)

Where the death of an employee, referred to in regulation 23.1(a) is related to a rockburst or fall of ground, the duly completed Form SAMRASS 3, prescribed in Chapter 21, for such rockburst or fall of ground must be forwarded by the employer to the Principal Inspector of Mines within 14 days of such death.

23.3 (2)

When an injury results in the death of the injured employee after the report in terms of regulation 23.1 (b), (c), (d) or (e) has been given or when a slight injury, which was not reportable, results in the death of the injured employee, or when general sepsis or tetanus develops as a result of an injury, the employer must immediately report it to the Principal Inspector of Mines and without delay submit amended Form SAMRASS 1 prescribed in Chapter 21.

23.3. (3)

Where the injury of a person referred to in regulation 23 (1) or a dangerous occurrence referred to in regulation 23.4 (o), is related to the use of explosives, in addition to Form SAMRASS 1, the duly completed Form SAMRASS 5, prescribed in Chapter 21, must be forwarded by the employer to the Principal Inspector of Mines within 14 days of such occurrence.

23.3 (4)

Where the injury of a person referred to in regulation 23 (1) or a dangerous occurrence referred to in regulation 23.4 (f ) is related to fires, in addition to Form SAMRASS 1, the duly completed Form SAMRASS 6, prescribed in Chapter 21, must be forwarded by the employer to the Principal Inspector of Mines within 14 days of such occurrence.

23.3 (5)

Where the injury of a person referred to in regulation 23 (1) or a dangerous occurrence referred to in regulation 23.4 (b) is related to a subsidence in a coal mine, in addition to Form SAMRASS 1, the duly completed Form SAMRASS 7, prescribed in Chapter 21, must be forwarded by the employer to the Principle Inspector of Mines within 14 days of such occurrence.

23.3 (6)

Where the injury of a person referred to in regulation 23 (1) is related to heat stroke or heat exhaustion, in addition to Form SAMRASS 1, the duly completed Form SAMRASS 8, prescribed in Chapter 21, must be forwarded by the employer to the Principal Inspector of Mines within 14 days of such occurrence.

DANGEROUS OCCURRENCES TO BE REPORTED

23.4

The employer must report to the Principal Inspector of Mines in the manner prescribed in this Chapter any of the following dangerous occurrences at the mine-

(a) ROCKBURSTS AND FALLS OF GROUND An extensive rockburst or fall of ground causing the following damage underground (i) At least 10 linear metres of working face has been severely damaged and choked and will require re-establishment and re-supporting, or be abandoned; (ii) At least 25m2 of working area has been severely damaged and choked rendering support units ineffectual and will have to be re-established and re-supported or be abandoned; (iii) At least 10 linear metres of gully has been restricted with rock clearly recently displaced from the hanging wall and gully sidewalls; (iv) At least 10 linear metres continuous or 30 linear metres cumulative of access ways of tunnel or travelling way has been severely damaged and will require rehabilitation or be abandoned;

(v)

At least 10 m2 of roof or 5m3 of rock has been displaced from the roof of the mining cavity or excavation;

(vi)

At least 10m3 of rock has been freshly displaced from pillars or tunnel sidewalls.

(b) CAVING Any unplanned or uncontrolled caving, side wall or slope failure or subsidence in the ground or workings, causing damage to the surface, which may pose a significant risk to the safety of persons at a mine. (c) FLOW OF BROKEN ROCK Any unplanned or uncontrolled flow of broken rock, mud or slimes in the workings of a mine which may pose a significant risk to the safety of persons at a mine. (d) BREAKDOWN OF MAIN VENTILATION FAN Breakdown of any main ventilation fan. (e) POWER FAILURE Any power failure occurring in the underground workings of a mine, which poses a significant risk to the health, or safety of persons at a mine. (f) FIRES AND EXPLOSIONS Any ignition or explosion of gas or dust, or any fire related to mining activities or any indication or recrudescence of fire or spontaneous combustion at or in a mine.

(g) FLAMMABLE GAS The presence of flammable gas exceeding one comma four parts per hundred by volume in the general atmosphere at a mine, or any portion of a mine: (i) if such flammable gas is detected for the first time; or (ii) the first time such flammable gas is again detected after not having been detected therein for a continuous period of three months. (Will need to incorporate the deletion of Regulation 10.6. (8)) (h) WINDING PLANTS (i) (ii) Running out of control of winding-engine, winding drum or conveyance; Fracture or failure of any essential part of the winding-engine, fracture or failure of any safety device used in connection with the winding equipment; (iii) Fracture, failure or serious distortion of winding rope, fracture, failure or serious distortion of any connection between the winding rope and the drum or between the winding rope and the conveyance and any other load suspended Form or attached to such rope; fracture, failure or failure or serious distortion of any connection between conveyances or between a conveyance and any suspended or attached load, fracture of guide rope or its connections, fracture of balance or tail rope or its connections; Fracture or failure of winding or balance sheave; fracture or failure of any essential part of the headgear or other sheave support; (v) Jamming or accidental overturning of conveyance; conveyance or its load fouling shaft equipment; jamming of crosshead; (vi) (vii) Derailing of conveyance; Conveyance, bridle, frame or crosshead accidentally leaving guides;

(iv)

(viii) Fracture or failure of the braking system or of any critical parts thereof; (ix) Failure to activate when required of any safety catches and/or arresting devices or activation of any safety catches and/or arresting devices when not required; (x) Failure to activate when required of any overwinding prevention device or activation of such device when not required; (xi) Any overwind or over-run of the conveyance to an extent which may have endangered persons or may have caused damage to the winding equipment; (xii) Failure of depth indicator.

(i) LIFTS AND ELEVATORS

(i)

Fracture or failure of any essential part of the driving or operating machinery, fracture or failure of any safety device used in connection with lifts or elevators.

(ii)

Fracture or distortion of the lift or elevator rope, fracture or failure of attachments of such rope.

(iii)

Fracture or failure of any sheave or of the shaft or shaft bearing of such sheave.

(iv)

Jamming of car or counterpoise.

(v)

Fracture or failure of braking system or of any critical parts thereof.

(vi)

Failure to activate when required of any safety catches and/or arresting devices or activation of any safety catches and/or arresting devices when not required.

(j) OBJECTS FALLING DOWN SHAFTS

Any object falling down the shaft or any other incident which necessitates the inspection of the shaft.

(k) EMERGENCY OR RESCUE PROCEDURES

(i)

Any failure of breathing apparatus whilst deployed.

(ii)

The

use

of

emergency

escape

apparatus,

procedures

or

rescue

mechanisms, or the rescue from entrapment, associated with mining or related activities, of any employee.

(l) SELF PROPELLED MOBILE MACHINERY

Any self-propelled mobile machine running out of control which may pose significant risk to the safety of persons at a mine.

(m) BOILERS AND PRESSURE VESSELS

Fracture or failure of any part of a boiler or safety device of a boiler or pressure vessel which may have endangered persons.

(n) CHAIRLIFTS

(i)

Fracture or failure of any part or safety device of a chairlift installation which may have endangered persons or may have caused damage to such chairlift installation.

(ii)

Fracture or failure of any essential part of the driving machinery.

(iii)

Fracture failure or serious distortion of any rope or chain forming part of a chairlift installation.

(o)

EXPLOSIVES (i) Any unauthorised or accidental ignition or detonation of explosives.

(ii)

Any exposure of persons to blasting fumes which is not reportable in terms of regulation 23.1.

(iii) Any detonation of explosives which may pose a significant risk to the safety of persons.

23.5

A dangerous occurrence referred to in regulation 23.4 must be reported immediately by the quickest means available and must be confirmed without delay on Form SAMRASS 1 prescribed in Chapter 21.

23.6

Every employer must ensure that a system is in place whereby the employer is informed, as soon as is practicable after its occurrence, of any accident or dangerous occurrence, which is reportable in terms of this Chapter.

23.7

(i)

Every employer must keep and maintain a record in which the particulars of all accidents and dangerous occurrences, which are required to be reported in terms of this Chapter, must be recorded without delay.

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(ii)

The record contemplated in Regulation 23.7(i) in respect of all accidents or dangerous occurrences must be kept and maintained for two years from the time that the accident or dangerous occurrence becomes reportable.

11

PLACE OF AN ACCIDENT TO BE LEFT UNDISTURBED

10.1(1) When an accident causes the immediate death of any employee, the place where the accident occurred must not, without the consent of the Principal Inspector of Mines, be disturbed or altered before such place has been inspected by an Inspector or any other person authorised under section 49(4) by the Chief Inspector of Mines.

10.1(2) Regulation 10.1(1) does not apply if:

(a) such disturbance or alteration is unavoidable to prevent further accidents, to remove fatalities and injured employees or to rescue employees from danger; or

(b) the discontinuance of work at such place would seriously impede the working of the mine. 10.1(3) Despite regulation 10.1 (1), work may be resumed at the place where the accident occurred if such inspector or other person authorised by the Chief Inspector of Mines fails to inspect the place within three days after notice of the accident has been given.

RIGHT TO ATTEND INSPECTION IN LOCO

10.2

Any employee having a material interest in an accident referred to in

paragraph10.1(1) as well as that employees representative may attend any inspection in loco conducted by an inspector but such attendance is at their own risk. In case such employee is, by reason of death or the severity of his/her injuries, unable to appoint any representative to attend the inspection in loco, the relatives, or in their absence the fellow employees, of such employee may appoint such representative.

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SIGNIFICANT RISK
Section 11 of the Mine Health and Safety Act (MHSA) requires the employer to assess and respond to risk. 11 (1) Every employer musta) b) c) d) identify the hazards to health or safety to which employees may be exposed while they are at work; assess the risk to health and safety to which employees may be exposed while they are at work; record the significant hazards identified and risks assessed; and make these records available for inspection by employees.

Section 102 of the MHSA defines the terms hazard and risk as follows: "Hazard" "risk" means a source of or exposure to danger means the likelihood that occupational injury or harm to persons will occur

The term "Significant" is defined in the Oxford Dictionary as being "noteworthy, of considerable amount or considerable effect or considerable importance" Several of the dangerous occurrences refer to an incident occurring "which may pose significant risk to the safety of persons at a mine." It is not possible to legislate the definition of significant risk, as this will invariably differ from mine to mine, commodity to commodity or even operation to operation. It is therefore the duty of every employer to conduct a risk assessment as required in terms of Section 11 of the MHSA to determine the significant risks to the safety of persons at that particular mine. For example, a runaway vehicle may pose a significant risk to a large opencast mine, but will in all likelihood be an insignificant risk at a small salt mine. Similarly a diamond mine may be exposed to the significant risk of an inrush of water while a small quarry would not be faced with that particular problem. It is often possible that an incident could occur where no persons are present, thereby not posing any risk at all. Under slightly different circumstances such as at a later time, or when persons are nearby, the same incident could occur and persons are injured or exposed to significant risk. It is therefore the duty of the employer to ensure that he has identified all the hazards on that mine which may pose a significant risk to the health and/or safety of persons at that mine, and to ensure that any dangerous occurrences that occur are reported in terms of this regulation.

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SAMRASS 1 FORM SECTION A: EMPLOYER DETAILS

SECTION A: EMPLOYER DETAILS 1. Name of Mine 2. DME Mine Code 3. Main Commodity

ITEM 1.

NAME OF MINE

Complete the name of the mine as registered with the Minerals Bureau of the Department of Minerals and Energy. The name must correlate with the DME Mine Code. (Item 2).

ITEM 2.

DME MINE CODE

The four digit code of the mine as assigned by the Minerals Bureau, e.g. Premier Mine 0509

Note: The Minerals Bureau (of the Department of Minerals and Energy), allocates numbers to new mines, and also to mines that have amalgamated or unbundled or changed name. It is imperative that these new numbers are linked to the old numbers in order to ensure the continuity of information. This will ensure that information will not be lost and that comparisons with old data are possible. The Minerals Bureau is contactable at the Pretoria office, Tel No. 012 317 9000

ITEM 3.

MAIN COMMODITY

The main commodity being produced by the mine.

AA AE AG SB AR AS AP BT CA CL CR CY CU DI DR DM Andalusite Andesite Silver Antimony Arkose Asbestos Attapulgite Bentonite Calcrete Coal Chrome Clay Copper Diamonds Dolerite Dolomite

14

DK EM FD FI FS FT FU FY GC AU GT GD GV GS HG IL FE JP KA KG LS MA MH MN MB MC MP MM NP NR OL PB PL PH PT PR PY QZ QD SA NA SH SI SM ST SG SD SL TC TE SN TN UR VA WS ZN

Dwyka Emeralds Feldspar Fireclay Fluorspar Felsite Fullers-earth Flintclay Gas and condensate Gold Granite Granite Dimension Stone Gravel Gypsum Mercury Ilmenite Iron-ore Jasper Kaolin Kieselguhr Limestone Magnesite Malmesbury Hornfels Manganese Marble Mica Mineral-pigments Montmorillonite Nepheline Norite Oil Lead Perlite Phosphates Platinum group metals Prospecting (unspecified minerals) Pyrophyllite Quartzite Quartzite Dimension Stone Sand Salt Shale Silica Silicon-metal Sillimanite Slag Slate Dimension Stone Soil Talc Tigers-eye Tin Titanium Uranium Vanadium Wollastonite Zinc

15

SAMRASS 1 FORM SECTION B: ACCIDENT OR DANGEROUS OCCURRENCE DETAILS

SECTION B: ACCIDENT OR DANGEROUS OCCURRENCE DETAILS 1. Mine accident or dangerous YEAR ACC/D.Occ REF NO SHAFT occurrence number Y Y Y Y N N N N S S 2. Number of persons killed 3. Number of persons totally disabled 4. Number of persons injured 5. Date of accident or dangerous occurrence Y Y Y Y M M D D (use YYYY/MM/DD format) 6. Time of accident or dangerous occurrence H H M M 7. Location of accident dangerous occurrence 8. Name of working place 9. Depth below surface (in metres) 10. Section 11. Description of accident or dangerous occurrence in words . 12. Accident classification code 13. Dangerous Occurrence classification code 14. Did accident dangerous occurrence occur during normal working Normal O/Time hours or overtime? 15. Did accident dangerous occurrence happen at normal workplace? Y N 16. Average number of persons at work SURF U\G O\CAST SURF MIN MARINE during the previous month

ITEM 1.

MINE ACCIDENT OR DANGEROUS OCCURRENCE NUMBER

The number is assigned by indicating the year in which the accident occurred, e.g. 1999 for the first four spaces. The next four spaces are for the sequential numbering of the accident on the mine, e.g. the tenth accident for 1999 will be numbered 0010. The next two spaces are for the shaft number where the accident occurred if applicable, e.g. number 5 shaft will be 05. If there are no shafts on the mine, use 00. For example, 1999 0010 05.

NOTE: In the event of a multiple accident, page one of the form need only be completed once, irrespective of the number of persons killed or injured. However, a separate SAMRASS 2 form must be completed for each person killed or injured.
15

ITEM 2.

NUMBER OF PERSONS KILLED

The number of persons killed as a direct result of the mining accident. Excludes the number of persons injured or totally disabled.

NOTE: In the event of a multiple accident, page one of the form need only be completed once, irrespective of the number of persons killed. However, a separate SAMRASS 2 form must be completed for each person killed.

ITEM 3.

NUMBER OF PERSONS TOTALLY DISABLED

The number of persons totally disabled as a direct result of the mining accident. Excludes the number of persons killed or injured. The following disabilities will classify a person as totally disabled: total loss of sight; total paralysis; injuries resulting in being permanently bedridden; any other injury causing permanent total disablement. E.g. loss of two hands or two legs

NOTE: In the event of a multiple accident, page one of the form need only be completed once, irrespective of the number of persons injured. However, a separate SAMRASS 2 form must be completed for each person disabled.

ITEM 4.

NUMBER OF PERSONS INJURED

The number of persons injured as a direct result of the mining accident. Excludes the number of persons killed or totally disabled.

NOTE: In the event of a multiple accident, page one of the form need only be completed once, irrespective of the number of persons injured. However, a separate SAMRASS 2 form must be completed for each person injured.

16

ITEM 5.

DATE OF ACCIDENT OR DANGEROUS OCCURRENCE

The date on which the accident or dangerous occurrence occurred; the format of the field is: YYYY-MM-DD .

ITEM 6.

TIME OF ACCIDENT OR DANGEROUS OCCURRENCE

The 24 hour system to be used e.g. 13:15.

ITEM 7.

LOCATION OF ACCIDENT OR DANGEROUS OCCURRENCE (CLASS OF PLACE)

Working places should be classified into one of the following locations: Code 01 02 03 04 05 Location Surface Operations Underground Opencast Surface Mining Marine (sea/river)

A working place may occur in one or more of the above locations, e.g. a workshop could be found on surface, underground or even at sea. Similarly, a substation could be found on surface as well as underground. A different code is provided to specify each workplace and location so as to distinguish between the categories of underground, opencast, surface mining and at sea. Each category of working place is further split into detailed working places.

NOTE: The section on Plants has been divided into processes e.g. screening, crushing, etc. Commodity is classified elsewhere and will therefore cater for gold crushing or coal treatment etc.

F For an alphabetical listing of places, see alphabetical index at the back of this
codebook. (Appendix 12)
17

Use the full 6-digit code in each instance.

01
Code 010101 010102 010103

SURFACE OPERATIONS
Working Place Accommodation Hostels Hostel kitchens Village or married quarters Electrical Electrical reticulation network e.g. overhead powerlines Powerstation Substation Explosives distribution Explosives magazine Issue room Horticultural Agricultural land Gardens Nursery Rehabilitation area Laboratories other than medical laboratories Assay laboratory Coal laboratory Machinery house (mechanical room) Boiler house/room Compressor house/room Fanhouse/chamber Pump station/chamber Winch engine room/chamber Winding engine room Medical Dressing station Hospital Medical laboratories Offices Offices Security department

010201 010202 010203

010301 010302

010401 010402 010403 010404

010501 010502

010601 010602 010603 010604 010605 010606

010701 010702 010703

010801 010802

18

010911 010912 010913 010914 010915 010916 010917 010918

PLANTS Beneficiation plants Acid plant Concentrator Crushing plant Milling plant Pyro metallurgy (heating/smelting/roasting) Screening Smelter (platinum) Treatment plant including washing plants and grease tables Other Plants: Refrigeration/chilled ice Sewerage Timber treatment plant Water purification Recreation facilities Bar Playing fields Swimming pool Shaft area Change house Lamproom Laundry Personnel crush Shaft bank Inclined shaft bank Inclined shaft headgear Loading box Sinking shaft bank area Sinking shaft headgear Vertical shaft bank Vertical shaft headgear Storage areas Backfill dams Dam or sump Drawpoint Salvage yard/scrap yard Silo or bunker Slimes dam/residue deposit Stockpiles Store or store yard

010921 010922 010923 010924

011001 011002 011003

011101 011102 011103 011104

011201 011202 011203 011204 011205 011206 011207

011301 011302 011303 011304 011305 011306 011307 011308

19

011309 011310 011401

Timber yard or treatment plant Waste dump Training centre Training centre Transport systems Conveyor discharge point Conveyor loading point Conveyor transfer point Endless rope haulage Haul road Hydraulic transfer Overland conveyor way Railway line Road Siding Walkway Workshop Blacksmith shop Boilermaking or welding shop Carpenter shop Drill sharpening shop Electrical shop Fitting shop Foundry Garage (motor vehicles) Loco shed or repair bay Other workshops (not repair bays) Paint shop Plumber shop Service bay Vehicle maintenance Other Brick yard\dressing yard Other

011501 011502 011503 011504 011505 011506 011507 011508 011509 011510 011511

011601 011602 011603 011604 011605 011606 011607 011608 011609 011610 011611 011612 011613 011614

011701 011702

20

02

UNDERGROUND

Category of Working Place Mineral excavation Bord and pillar (Conventional) Bord and pillar (Continuous haulage) Bord and pillar (Continuous miner) Goaf Longwall Rib pillar Shortwall Stooping Travelling road Return airway Boxhole or orepass Centre gully Ledging stope Stope entrance/travelling way Stope reclamation area Stope working face Stope worked out area Strike gully or cutting Tip Travelling way (stope proper) Updip stope Cut and fill Open stopes Block caving/sub-level caving/sub-level stoping Waiting place Mine development Boxhole or orepass Crosscut or drawpoint crosscut Development or reef drive Haulage Raise (incl. poleway) Raisebore hole (excl. shafts) Return airway Ringtunnel Winze Electrical Electrical reticulation network Substation

020101 020102 020103 020104 020105 020106 020107 020108 020109 020110 020111 020112 020113 020114 020115 020116 020117 020118 020119 020120 020121 020122 020123 020124 020125

020201 020202 020203 020204 020205 020206 020207 020208 020209

020301 020302

21

020401 020402 020403 020501 020502 020601 020602 020603 020604 020605 020606 020607 020608 020609

Machinery room/chamber Compressed air plant Hoist chamber Pumpstation Plants Refrigeration/chilled ice Water purification Shaft area Boxhole or orepass First aid station Incline shaft travelling way Refuge chamber Shaft station tip Sinking shaft travelling way Vertical shaft travelling way Waiting place Adit Shaft bank Headgear tipping point (vertical/inclined) Inclined shaft bank area Inclined shaft Inclined shaft headgear Inclined shaft loading box Loading station Raise borer (shaft) Shaft station Sinking shaft Sinking shaft bank area Sinking shaft bottom Sinking shaft headgear Sinking shaft loading box Sinking stage Vertical shaft Vertical shaft bank area Vertical shaft bottom Vertical shaft headgear Vertical shaft loading box Storage areas Backfill dams Dam or sump Explosives store/magazine Residue deposition (ashfilling/backfilling) Stores

020701 020702 020703 020704 020705 020706 020707 020708 020709 020710 020711 020712 020713 020714 020715 020716 020717 020718 020719

020801 020802 020803 020804 020805

22

020901 020902 020903 020904 020905 020906 020907 020908 020909 020910 020911 020912 021013

Transport systems Chairlift Conveyor belt road (coal) Conveyor discharge point Conveyor loading point Conveyor transfer point (belt to belt) Crosscut Endless rope haulage Haul road/travelling way Haulage Loading box Mono winch way Railway line Tips Workshops Blacksmith shop Boilermaking or welding shop Carpenter shop Drill sharpening shop Electrical shop Fitting shop Garage (motor vehicles) Loco shed or repair bay Paint shop Plumber shop Service bay Vehicle maintenance Other workshops (not repair bays) Refuelling bays Battery charging stations Other Acclimatisation area Refuge chamber Training area

021001 021002 021003 021004 021005 021006 021007 021008 021009 021010 021011 021012 021013 021014 021015

021101 021102 021103

23

03

OPENCAST (pit mining)

Category of working place

NOTE that areas such as workshops, plants, offices etc. will not occur under this classification and should rather be placed at the surface groupings.
030101 030102 030103 030201 030202 030203 030204 030205 030206 030207 030208 Mineral mining Berm Opencast Pit bottom Transport Systems Conveyor discharge point Conveyor loading point Conveyor transfer point Haul road Overland conveyor way Railway line Siding Tips/ore passes/chutes Workshops Maintenance/service bay

030301

04

SURFACE MINING

Category of working place Mineral mining Dam reclamation Surface working/processing

040101 040102

05

MARINE MINING

NOTE: Accidents that occur whilst the ship/boat/oilrig is travelling or being transported, should not be classified as a reportable accident as they fall under Marine legislation. It is only when the ship/boat/oilrig is in position and operating that a mining related accident can occur.
Category of working place 050001 050002 050003 At sea River mining Dredges
24

ITEM 8.

NAME OF WORKING PLACE

Name of the working place where the accident happened as indicated on the mine plan. This plan, as prescribed in regulation 12.8, is to be kept in the office of the mine manager or an office designated by him.

ITEM 9.

DEPTH BELOW THE SURFACE (IN METRES)

The depth in metres below surface at which the accident occurred. This field applies only to underground and opencast mining, where depth is reflected as excavated depth.

ITEM 10.

SECTION

NOTE: Name or codification given by mine must remain the same on all the accident report forms, as consistency for name of working place is important. Shift boss or mine overseers section or cost coding number can be used if this is the practice on the mine.

ITEM 11.

DESCRIPTION OF ACCIDENT OR DANGEROUS OCCURRENCE IN WORDS

Narrative description of what happened. This should indicate clearly how and why the accident occurred, and the classification should be evident from the description.

25

ITEM 12.

ACCIDENT CLASSIFICATION CODE

Item 12 to be used only when a person has been injured/disabled/killed. If no person was injured/disabled/killed, use Item 13 Dangerous Occurrence Classification Codes. 01 F Fall of ground
All fall of ground accidents should be further classified into the categories provided. For each fall of ground accident resulting in a fatality, Addendum 3 (SAMRASS 3 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3 (1) Rockburst (bump) Rockbursts are those accompanied by positive signs of rapid closure of the excavations. This should be evident from fresh distortion of the supports, the face, hangingwall or sidewall. There should also be evidence of positive movement and energy releas e in the area at the time of the event. Falls which occur due to remote seismic activity must be classified as 01C: Gravity. 01A001 01A002 01A003 01A004 Face Hanging wall Sidewall Footwall Strainburst Strainbursts are those involving spitting, flaking, scaling, or slabbing of the face or sidewall caused by the stress which occur instantaneously but are not associated with rapid closure. Flaking, scaling or slabbing which has taken place over a period of time and the fall that occurred as a res ult of gravity should be classified as 01C: Gravity. 01B001 01B002 01B003 01B004 Face Hanging wall Sidewall Footwall Gravity Gravity falls are falls of ground which originate from their places in situ and do not fall into the two previous categories. An accident resulting from a falling rock striking someone after it has come into contact with the footwall and remained stationary and subjected to an additional force to get it moving again, should be classified as 04A220 Rolling Rock. 01C001 01C002 01C003 01C004 01C005 Face Hanging wall Sidewall Footwall Brow

26

02

Machinery, tools and equipment

These classifications should only be used for classifying accidents caused by and during the operation of the machinery. Electrocution during operation must be classified as 06. Machinery is used as defined in the regulations. Conveyor belts Head pulley Snub pulley Tail pulley Idler Tension carriage Loading/transfer chute Feederbreaker Other (specify) Drives, belts and chains V-belt Flat belt Chain Gears Other(specify) Portable power tools This classification includes any hand tools which are operated by an external power source such as electricity, compressed air or hydraulics. 02C001 02C002 02C003 02C004 02C005 02D001 02D002 02D003 Coal drill Rock drill Portable electric tools Other portable power tools Aqua-jet \ water -jet Other machinery not included under transportation and mining Crushers Fans (Specify)

02A001 02A002 02A003 02A004 02A005 02A006 02A007 02A008

02B001 02B002 02B003 02B004 02B005

03

Transportation and mining

Trackbound transport

These classifications should only be used for classifying accidents which occur as a result of the operation of the equipment under its own power, except where stated differently. Locomotive Diesel Battery Overhead trolley Diesel-electric Steam Other (specify)

0301A1 0301A2 0301A3 0301A4 0301A5 0301A6

27

0301B1 0301B2

Locomotive drawn vehicle For personnel transporters use 0301F Hopper Other (specify)

Rerailing 0301C1 Rerailing Accidents occurring during the rerailing of any railbound vehicle must be classified under this heading. Coupling/uncoupling 0301D1 Coupling/uncoupling Accidents occurring during the coupling/uncoupling of any railbound vehicles and during the coupling/uncoupling of any trailers must be classified under this heading. 0301E1 Loading equipment (trackbound) Rocker arm shovel (boesman) Personnel transport Bicycle Mancarriage Other

0301F1 0301F2 0301F3

Other 0301G1 Specify Any trackbound transport not mentioned elsewhere above. Endless rope vehicle Endless rope vehicle

0302A1

All accidents involving the driving machinery, haulage rope and attachments (including vehicles). Winches 0303A1 Single drum winch

All accidents involving these machines, excluding runaways (05F). This classification does not include mono-rope installations. 0303A2 Double drum winch

All accidents involving these machines, excluding runaways (05F). This classification does not include scraper winch installations. Scraper winch installation All accidents involving driving machinery, ropes, snatchblocks, attachments, rigs etc. 0303B1 0303B2 0303B3 0303B4 Face scraper Gully scraper Remote controlled Other (specify) Mono-rope/rail installations 0303C1 0303C2 Mono-rope installation Mono-rail installation

28

0304A1

Hand tramming Hand tramming

All accidents caused by any vehicle which is being propelled by hand, whether it is railbound or not. Slipping etc. during operation is excluded. Trackless transport 0305A1 Tractor

Towed vehicles (including trailers) Any accident caused during the operation of the trailer, semi-trailer or other vehicle attached to the towing vehicle. 0305B0 0305B1 0305B2 0305B3 0305B4 Drawn by tractor Drawn by a vehicle other than the tractor Uncoupled Personnel transporter Other (specify) Coal mining machines 0306A1 0306B1 0306C1 Coal cutter Mechanical miners, e.g. continuous miners, road headers. Shearer Mechanical loaders: all mines (trackless) 0307A1 0307B1 0307C1 0307C2 0307C3 0307D1 0307D2 0307E1 0307F1 0307G1 Rocker arm shovel (boesman) Gathering arm coal loader Excavator Dragline Backhoe (backactor) Stacker Bucketweel excavator Grab Front end loader Other mechanical loaders (specify) Transporters Shuttle car L H D (load haul dumper) Scooptram Haultruck: 0-9 ton 10-19 ton 20-99 ton 100-199 ton 200-299 ton >300 ton Motor cycle Bicycle: pneumatic tyre Multi purpose vehicle or utility vehicle Other transporters (specify)

0308A1 0308B1 0308B2 0308C1 0308C2 0308C3 0308C4 0308C5 0308C6 0308D1 0308E1 0308F1 0308G1

29

0309A1 0309A2 0309B1 0309B2 0309C1 0309D1

Motor vehicles Car LDV Bus Personnel transporter Trucks (excluding haultruck) See 0310A4 for a jib or boom on a truck Other motor vehicles(specify) Lifting machines

All accidents involving the load falling due to any reason other than the failure of the machine, should be classified as fall of material (04A). Crane, jib, or crabwinch Mobile crane Overhead crane Crabwinch Jib or boom on a truck Raiseclimber Forklift Bosun chair Chainblock Ropeblock Other lifting machines (specify) Scissors lift, or platform lift (for raising or lowering persons) Drilling 0311A1 0311B1 Roofbolter Hydraulic drill rig Other transportation and mining equipment Use only in cases where no specific classification is available. 0312A1 0312B1 0312C1 0312D1 Bulldozer Road grader Scaler Other (specify)

0310A1 0310A2 0310A3 0310A4 0310B1 0310C1 0310D1 0310E1 0310E2 0310F1 0310G1

04

General
Fall of material/rolling rock

Any material falling freely or any other material or rock rolling after falling, or stacked material rolling or falling should be classified under this category, as well as falling objects during repairs to machines/equipment. Note: A rolling rock is rock, other than in situ rock, that has been stationary and subjected to an additional force to get it moving again. A rock that falls or is ejected from the hanging wall, sidewall etc and bounces off or is deflected before striking the injured, is in fact a fall of ground and NOT a fall of material or rolling rock. 04A110 04A120 04A220 Fall of material Rolling material Rolling rock (mineral, not fall of ground)

30

Manual handling of material/mineral Manual handling of material Loading Offloading Carrying Rolling Pushing Pulling Lifting Lowering Manual handling of mineral Loading Offloading Carrying Rolling Pushing Pulling Lifting Lowering Falling in/from Persons free-falling in shafts, excavations and from structures. Falling from structures includes falling from stationary machines. 04C001 04C002 04C003 04C004 In shafts In excavations From structures From machines Slipping and falling A person that is running, walking or standing, including slipping, tripping over, stumbling or overbalancing on more or less the same level. For falls into excavations, use 04C 04D001 04D002 04D003 04D004 Slipping Tripping over Stumbling Overbalancing Burning and scalding Burning and scalding due to electricity must be classified as 06. 04E001 04E002 04E0 03 04E004 04E005 04E006 04E007 Naked flame Hot surface Hot liquid Steam Chemical Cement For cement as a chemical, use 04E005 Other

04B101 04B102 04B103 04B104 04B105 04B106 04B107 04B108

04B201 04B202 04B203 04B204 04B205 04B206 04B207 04B208

31

04F001 04F002 04F003 04F004

Splinters Wood Metal Rock Other (specify) Exposure to dust, gas or fumes Includes ignition, explosion and inhalation of dust, gas or fumes; exposure to blasting fumes is normally a dangerous occurrence see Reg. 23.4(o); hospitalisation for longer than 24 hours, is included here; cause of death is not the accident classification. Explosion Methane Coal dust Hydrogen Blasting fumes Carbon dioxide Carbon monoxide Hydrogen sulphide Other (specify) Ignition Methane Coal dust Hydrogen Blasting fumes Carbon dioxide Carbon monoxide Hydrogen sulphide Other (specify) Inhalation (gassing) Methane Coal dust Hydrogen Blasting fumes Carbon dioxide Carbon monoxide Hydrogen sulphide Other (specify) Inundation/drowning Persons engulfed or drawn in by water, slime, rock or sand; include mudrush and drowning, collapse of sand, ash, fines, residue deposit etc.; also includes inundation whilst removing material from a dump or silo; being drawn into a bin or orepass.

04G101 04G102 04G103 04G104 04G105 04G106 04G107 04G108 04G201 04G202 04G203 04G204 04G205 04G206 04G207 04G208 04G301 04G302 04G303 04G304 04G305 04G306 04G307 04G308

04H001 04H002 04H003

Engulfed by Drawn in by Drowned (fatal)

32

04J001 04J002 04J003 04J004 04K001

Struck by ventilation door As a result of a substantial pressure difference. Use only if 02/03 do not apply. As a result of impact with As a result of opening /closing of air lock etc. Other (specify) Struck by any object being physically handled by a worker Struck by any object being physically handled by a worker

05

Conveyance accidents (shaft/winze)

These classifications only apply to the conveyance specified. For railbound and trackless personnel transporters use 0301B2 or 0308G respectively. Struck by Cage Skip Kibble Trailer (shaft conveyance) Inspection conveyance Elevator Chair lift Other conveyance (specify) Struck by counterpoise of Cage Skip Kibble Trailer (shaft conveyance) Inspection conveyance Elevator Other (specify) Travelling by Cage Skip Kibble Trailer (shaft conveyance) Inspection conveyance Elevator Chair lift Other conveyance (specify) Ladder (shaft/winze/travelling way) Conveyance: breaking of rope or connections In new regulations, all vertical and inclined winzes are considered to be shafts. Therefore, codes applying to winzes are not use in new SAMRASS codesets; hence the breaks in numbering in Section 05D. Breaking of haulrope Vertical shaft Inclined shaft Hatchway Other (specify)

05A001 05A002 05A003 05A004 05A005 05A006 05A007 05A008

05B001 05B002 05B003 05B004 05B005 05B006 05B008 05C001 05C002 05C003 05C004 05C005 05C006 05C007 05C008 05C009

05D101 05D102 05D105 05D106

33

05D201 05D202 05D205 05D206

Breaking of tail rope Vertical shaft Inclined shaft Hatchway Other (specify) Breaking of connections Vertical shaft Inclined shaft Hatchway Other (specify) OVERWINDS OR UNDERWINDS Overwind of conveyance Vertical shaft Inclined shaft Hatchway Other (specify) Underwind of conveyance Vertical shaft Inclined shaft Hatchway Other (specify) Runaway of conveyance Vertical shaft Inclined shaft Hatchway Other runaway (specify) Derailment of conveyance Vertical shaft Inclined shaft Hatchway Other derailment (specify) Conveyance leaving guides Vertical shaft Inclined shaft Hatchway Other leaving guides(specify)

05D301 05D302 05D305 05D306

05E101 05E102 05E105 05E106

05E201 05E202 05E205 05E206

05F101 05F102 05F105 05F106 05F201 05F202 05F205 05F206

05F301 05F302 05F305 05F306

34

06

Electricity (not causing fires)

For fires caused by electricity use codes 07G . Electrocution (fatal) AC 06A101 Low pressure (not exceeding 250V) 06A102 Medium pressure (above 250V but not exceeding 650V) 06A103 High pressure (above 650V but not exceeding 3000V) 06A104 Extra high pressure (exceeding 3000V) DC 06A201 Low pressure (not exceeding 250V) 06A202 Medium pressure (above 250V but not exceeding 650V) 06A203 High pressure (above 650V but not exceeding 3000V) 06A204 Extra high pressure (exceeding 3000V) AC 06B101 06B102 06B103 06B104 06B201 06B202 06B203 06B204 06C101 06C102 06C103 06C104 06C201 06C202 06C203 06C204 06D101 06D102 06D103 06D104 06D201 06D202 06D203 06D204 Electric shock Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Electric flash Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Equipment exploding Switchgear but not transformers Low pressure (not exceeding 250V) Medium presure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Low pressure (not exceeding 250V) Medium presure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Transmission equipment Include overhead powerlines, cables and transformers. AC 06E101 06E102 06E103 06E104 06E201 06E202 06E203 06E204 Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V)

DC

AC

DC

AC

DC

DC

35

Oil burns to person Oil from a transformer or switchgear that exploded or short-circuited. AC 06F101 06F102 06F103 06F104 06F201 06F202 06F203 06F204 Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V) Low pressure (not exceeding 250V) Medium pressure (above 250V but not exceeding 650V) High pressure (above 650V but not exceeding 3000V) Extra high pressure (exceeding 3000V)

DC

07

Fires

Please note the following: See 04G101 to 04G108 for an explosion not causing a fire. See 06 for electricity not causing a fire. F For each accident or dangerous occurrence resulting from a fire, Addendum 6 (SAMRASS 6 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3(4) 07A001 07B001 07C001 07D001 07E001 07F001 07G001 07J001 07K001 Explosives Causing a fire (see also codes 08 Explosives). Igniter cord Spontaneous combustion Friction Openflame (oxy-acetylene torch, blow lamp, gas film etc.) Cutting or welding Electrical Causing a fire (see also 04G1). Explosions such as coal dust causing a fire Other fires (specify)

08

Explosives and accessories

Detailed descriptions of explosives concerned are to be supplied in the addendum. F For each accident or dangerous occurrence resulting from the use of explosives, Addendum 5 (SAMRASS 5 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3 (3) 08A001 08B001 08C001 08D001 08E001 08F001 While drilling While handling While charging While withdrawing charges During blasting operations Sundry (specify)

36

09

Subsidence or caving

Subsidence due to total extraction of coal to be excluded. Subsidence has taken place when there is a visible effect on the surface, e.g. a sinkhole. Caving has taken place when a large area underground has caved in, for reasons other than block cavity or total extraction in coal mines. F For each accident or dangerous occurrence resulting from a subsidence or caving, Addendum 7 (SAMRASS 7 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3 (5) Subsidence as a result of: Sinkhole Mining operations Underground fire Other causes (specify) Caving as a result of: Sinkhole Mining operations Underground fire Other causes (specify)

09A001 09A002 09A003 09A004 09B001 09B002 09B003 09B004

Note: If no injuries occurred during the subsidence or caving, make use of the dangerous occurrenc es classifications in Item 13. Use DA0101 etc where applicable.

10

Occupational diseases (non-diving)

The following must be classed as accidents: Acid or alkali burns, boot chafe, baratrauma, dermatitis, sepsis (including cellulitis and tetanus) and sporotrichosis, any of which constitute or arise from an injury received as the direct result of employment at a mine or works. (Please note that this section may be transferred to the Directorate of Occupational Health of the Department of Minerals and Energy in future when the Occupational Diseases Database is created and will include Noise Induced Hearing Loss (NIHL)) 10A000 10B000 10C000 10D000 10E000 10F000 10G000 10H000 Baratrauma (ear infection due to pressure) Cellulitis (tissue infection) Dermatitis (skin disease) Sepsis (blood poisoning) Sporotrichosis (moss) Tetanus (lockjaw) Boot chafe Acid or alkali burns

11 F

Heat sickness
For each accident resulting from heat stroke or heat exhaustion, Addendum 8 (SAMRASS 8 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3(6) Heat stroke Heat exhaustion

11A000 11B000

37

12
12A000 12B000 12C000 12D000 12E000 12F000 12G000 12H000 12J000

Diving sickness
Asphyxiation (suffocation - fatal) Use injury code X99. Decompression sickness (bends) Carbon dioxide poisoning Carbon monoxide poisoning Gas embolism Oxygen Treatment in decompression chamber (not for bends) Squeezes or Baratrauma (pressure) Other (specify)

13

Miscellaneous (specify)

An accident which cannot be classified under any of the above headings must be classified here. The description of the accident must be accurate so as to ensure that, if possible, codes can be added in future to accommodate these accidents. These accidents will be analysed annually so as to determine whether new classifications are required. 13Z000 No definitive classification.

38

ITEM 13.

DANGEROUS OCCURRENCE CLASSIFICATION CODE

Winding plants referred to here are those as defined in terms of the Regulations.
Winding plant: running out of control Regulation 23.4 (h) (i) AA0101 AA0102 AA0103 Winding engine Winding drum Conveyance Winding plant: fracture or failure of Regulation 23.4 (h) (ii) AB0101 AB0102 AB0103 AB0104 AB0105 AB0106 AB0107 AB0108 AB0109 AB0110 AB0111 Drum Drum shaft Drum bushes Main bearings Clutch Gearbox Driving water Lubricating system Interlocking or safety device Signalling system Any other essential part (specify) Winding plant: fracture/failure of rope/connection Regulation 23.4 (h) (iii). AC0101 AC0102 AC0103 AC0104 AC0105 AC0106 AC0107 AC0108 Winding rope Connection between winding rope and drum Connection between winding rope and conveyance Connection between rope and attached load Connection between conveyances Connection between conveyance and attached load Fracture of guide rope or its connections Fracture of balance or tail rope or its connections Winding plant: fracture/failure of sheave/shaft/bearings Regulation 23.4 (h) (iv) AD0101 AD0102 AD0103 AD0104 AD0105 AD0106 Winding rope sheave Balance rope sheave Winding rope sheave shaft or bearings Balance rope sheave shaft or bearings Essential part of the headgear Other sheave support (specify)

39

Winding plant: conveyance/shaft/crosshead Regulation 23.4 (h) (v) AE0101 AE0102 AE0103 AE0104 AE0105 Jamming of conveyance Accidental overturning of conveyance Conveyance fouling shaft equipment Conveyance load fouling shaft equipment Jamming of crosshead Winding plant: derailing Regulation 23.4 (h) (vi) AF0101 Derailing of conveyance Winding plant: leaving guides Regulation 23.4 (h) (vii) AG0101 AG0102 AG0103 AG0104 Accidental leaving of guides by conveyance Accidental leaving of guides by bridle Accidental leaving of guides by frame Accidental leaving of guides by crosshead Winding plant: fracture/failure of brakes Regulation 23.4 (h) (viii) AH0101 AH0102 Fracture or failure of brake itself Fracture or failure of brake operating mechanism Winding plant: safety catches Regulation 23.4(h) (ix) AI0101 AI0102 Acting of safety catches when not required Failure to act of safety catches when required Winding plant: overwind protection Regulation 23.4 (h) (x) AK0101 AK0102 Acting of overwind prevention device when not required Failure to act of overwind prevention device when required Winding plant: overwind Regulation 23.4 (h) (xi) AK0101 Overwind or over-run of the conveyance Winding plant: depth indicator Regulation 23.4 (h) (xii) AL0101 Failure of the depth indicator

These classifications refer only to lifts and elevators as defined in the regulations.
Lifts and elevators: machinery/safety device Regulation 23.4 (i) (i) BA0101 Fracture or failure of any essential part of the driving or operating machinery.

40

BA0102

Fracture or failure of any safety device used in connection with the elevator. Lifts and elevators: rope/attachments Regulation 23.4 (i) (ii)

BB0101 BB0102

Fracture or distortion of elevator rope Fracture or failure of rope attachments Lifts and elevators: sheave/shaft/bearings Regulation 23.4 (i) (iii)

BC0101 BC0102

Sheave Sheave shaft or bearings Lifts and elevators: jamming car/counterpoise Regulation 23.4 (i) (iv)

BD0101 BD0102

Jamming of lift car Jamming of counterpoise Lifts and elevators: brake Regulations 23.4 (i) (v)

BE0101 BE0102

Fracture or failure of brake Fracture or failure of brake operating mechanism Lifts and elevators: safety catches Regulation 23.4 (i) (vi)

BF0101 BF0102

Acting of safety catches when not required Failure to act of safety catches when required Lifts and elevators: overwind prevention device Regulation 23.4 (i) (vi)

BG0101 BG0102

Acting of the overwind prevention device when not required Failure to act of the overwind prevention device when required

The following classifications refer only to boilers and pressure vessels as defined in the regulations.
Boilers and pressure vessels Regulation 23.4 (m) CAB101 CAB103 CAB105 CAB107 CAB109 CAB111 CAP102 CAP104 CAP106 CAP108 CAP110 Fracture or failure of boiler drum Fracture or failure of boiler pressure gauge Fracture or failure of boiler pipe Fracture or failure of safety valve (boiler) Fracture or failure of other essential part (boiler) Fracture or failure of boiler feed pump Fracture or failure of pressure vessel receiver Fracture or failure of pressure vessel pressure gauge Fracture or failure of pipe Fracture or failure of safety valve (pressure vessel) Fracture or failure of other essential part (pressure vessel)

41

Caving/subsidence: extensive caving or subsidence Regulation 23.4 (b) DA0101 DA0102 DA0103 Sinkhole Coal mine Other (specify)

Note: Where persons were injured or killed, use Item 12 to classify this accident e.g. 09A001 etc.

Explosives (not causing fires) For each accident or dangerous occurrence resulting from the use of explosives, Addendum 5 (SAMRASS 5 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3(3) Regulation 23.4 (o) Accidental ignition (not causing a fire) Accidental detonation (not causing a fire) Exposure to blasting fumes (gassing) Other accidents due to explosives (specify) Flow of broken rock Regulation 23.4 (c)

DB0101 DB0102 DB0103 DB0104

DC0101 DC0102 DC0103 DC0104 DC0105 DC0106

Flooding of considerable portion of workings Failure of slimes dam Failure of other dam Failure of reservoir Failure of bulkhead or chute Failure of controlling mechanisms Fires and explosion of gas or dust For each accident or dangerous occurrence resulting from a fire or explosion, Addendum 6 (SAMRASS 6 Form) at the back of this Codebook, must also be submitted. See Regulation 23.3(4) Regulation 23.4.(f) Explosives Igniter cord Spontaneous combustion Friction Open flame Cutting or welding Electrical Cigarettes or smoking Methane Deleted in this SAMRASS version Other Coal dust Explosion (not causing a fire) Ignition (not causing a fire) Methane Explosion (not causing a fire) Ignition (not causing a fire

DDA100 DDB100 DDC100 DDD100 DDE100 DDF100 DDG100 DDH100 DDI100 DDJ100 DDK100 DDL100 DDL200 DDM100 DDM200

42

DDN100 DDN200 DDO100 DDO200

Hydrogen Explosion (not causing a fire) Ignition (not causing a fire) Other gas/dust (specify) Explosion (not causing a fire) Ignition (not causing a fire) Main ventilation fan Regulation 23.4 (d) Breakdown of any main ventilation fan Chairlift: installation Regulation 23.4 (n) (i) Fracture or failure of any part of chairlift installation Fracture or failure of safety device of chairlift ins tallation Chairlift: driving machinery Regulation 23.4.(n) (ii) Fracture or failure of essential part of the driving machinery Chairlift: rope/chain Regulation 23.4 (n) (iii) Fracture, failure or serious distortion of any rope forming part of the chairlift Fracture, failure or serious distortion of any chain forming part of the chairlift Rockbursts Regulation 23.4 (a)

DE0101

EA0101 EA0102

EB0101

EC0101 EC0102

FA0101 FA0102 FA0103 FA0104 FA0105 FA0106

At least 10 linear meters of working face has been severely damaged At least 25m2 of working area has been severely damaged At least 10 linear meters of gully has been restricted with rock At least 10 linear meters continuous or 30 linear meters cumulative At least 10 m2 of roof or 5m3 of rock has been displaced from the roof At least 10m3 of rock has been freshly displaced Falls of Ground Regulation 23.4 (a)

FB0101 FB0102 FB0103 FB0104 FB0105 FB0106

At least 10 linear meters of working face has been severely damaged At least 25m2 of working area has been severely damaged At least 10 linear meters of gully has been restricted with rock At least 10 linear meters continuous or 30 linear meters cumulative At least 10 m2 of roof or 5m3 of rock has been displaced from the roof At least 10m3 of rock has been freshly displaced Power Failure Regulation 23.4 (e)

GA0101

Underground power failure Flammable gas Regulation 23.4 (g)

HA0101 HA0102

Flammable gas detected for the first time Flammable gas detected again after 3 months

43

Objects falling in shaft Regulation 23.4 (j) JA0101 Object falling down shaft requiring shaft inspection Emergency or Rescue procedures Regulation 23.4 (k) KA0101 KA0102 Failure of breathing apparatus Use of emergency apparatus, procedures or mechanisms Self propelled mobile machinery Regulation 23.4 (l) LA0101 Running out of control

ITEM 14. DID ACCIDENT OR DANGEROUS OCCURRENCE OCCUR DURING NORMAL WORKING HOURS OR OVERTIME?
Normal working hours means the hours which a person usually or commonly works a particular shift or time during a day. If for example he is working overtime, this is not to be considered his normal working hours. If a worker works rotating shifts, this should be considered as normal working hours.

ITEM 15. DID ACCIDENT OR DANGEROUS OCCURRENCE HAPPEN AT NORMAL WORKPLACE?

This is at the place where a person/worker normally has to work, i.e. the area/place where the worker carries out his task for the major portion of his shift. Persons who supervise or carry out service functions of a roving nature do not have normal working places and should therefore be indicated as Yes.

ITEM 16. AVERAGE NUMBER OF PERSONS AT WORK DURING PREVIOUS MONTH

Indicate the average number of persons at work (not in service) during the previous month. Make use of the appropriate location codes. This information is required to enable statistical rates to be calculated.

44

SAMRASS 1 FORM SECTION C: RESPONSIBLE PERSONS

SECTION C: RESPONSIBLE PERSONS
Name 1ST LEVEL S UPERVISOR 2ND LEVEL S UPERVISOR 3RD LEVEL S UPERVISOR 4TH LEVEL S UPERVISOR Name of Manager Identity Number/Passport Number Certificate No. Occupation

Designation

Signature Y Y Y Y

Date M

This section requires the name, identity number or passport number, occupation, certificate number (if applicable) of the persons immediately in charge of the person who was injured, For example: manager or engineer; mine overseer or foreman; shiftboss; miner or artisan.

The intention is to record the details of the person immediately legally responsible for the injured person/place where as well as when the accident occurred. This infers that this person is certificated or appointed in most instances. The relevant certificate number refers to the certificate of competency as awarded by the Department of Minerals and Energy, e.g. mine overseers certificate. If a person is in an acting capacity, use 000000. For example: ITEM 1. ITEM 2. ITEM 3. ITEM 4. Miner Shiftboss Mine overseer Manager 1 st level supervisor 2 nd level supervisor 3 rd level supervisor 4 th level supervisor

Similarly, if an artisans aide is injured: ITEM 1. ITEM 2 ITEM 3 ITEM 4 Artisan Foreman Senior foreman Engineer 1 st level supervisor 2 nd level supervisor 3 rd level supervisor 4 th level supervisor

The manager of the mine is required to sign this document immediately below this section and thereby verify its contents.

45

SAMRASS 1 FORM SECTION D FOR USE BY DME + For use by the Department of Minerals and Energy
SECTION D: FOR USE BY THE DEPARTMENT OF MINERALS AND ENERGY 1. Regional accident or dangerous occurrence number Y Y Y Y R 2. Date reported Y Y Y 3. Type of accident or dangerous occurrence 4. Accident or dangerous Date Y Y Y occurrence registered by 5. Inquiry type 6. Probable cause of accident or dangerous occurrence 7. Contravention in Inspectors opinion 8. If yes, Act/Regulation contravened 9. Administrative fine recommended? 10. Date evaluation form completed Y Y Y INSPECTORATE DETAILS NAME (In block DATE letters) Y Y M M 11. Inspector of Mines Y Y M M 12. Senior Inspector of Mines (Mining) Y Y M M 13. Senior Inspector of Mines (Mining Equipment) 14. Are criminal proceedings envisaged? N Y Y N M M N M M N D D I D D

YES

NO

YES NO M M D D SIGNATURE
D D D

D D D

YES

NO

ITEM 1.

REGIONAL ACCIDENT NUMBER

Regional offices commence numbering at 0001 at the beginning of each year e.g. 1998 R 0001 F 1998 R 0001 I Year in which accident was reported Region in which accident happened Accident number as reported at regional office. To be sequentially numbered. Type of accident i.e. F (Fatal), I (Injury), M (Multiple) etc.

Regional codes
A B C D E F G H J K Western Cape region Northern Cape region Free State region Eastern Cape region Kwazulu/Natal region Mpumalanga region Northern region Gauteng region North West (Sth) region North West (Nth) region

ITEM 2.

DATE REPORTED
YYYY/MM/DD

46

ITEM 3.

TYPE OF ACCIDENT OR DANGEROUS OCCURRENCE

D F

Duplicate/deleted (not for statistics) One person killed (F=fatal) Zero persons injured Zero persons totally disabled, therefore Total number of reportable casualties = 1 only One person reportably injured Zero persons killed Zero persons totally disabled, therefore Total number of reportable casualties = 1 only A fatal multiple accident (K = killed) Two or more persons killed or One person killed and one or more persons reportably injured or disabled Two or more persons killed with one or more persons reportably injured or disabled, therefore Total number of reportable casualties = 2 or more Multiple persons reportably injured or disabled Two or more persons injured or disabled Zero persons killed, therefore Total number of reportable casualties = 2 or more A Dangerous Occurrence reportable in terms of regulation 23.4 Zero persons killed Zero persons reportably injured Zero persons totally disabled Total number of reportable casualties = 0 One person totally disabled for own occupation, i.e. paraplegic / quadriplegic / deaf / blind / permanently bedridden/ permanently totally disabled allocate 6000 days lost. Zero persons killed Zero persons reportably injured Total number of reportable casualties = 1

NOTE: In the event of a subsequent death, records must be recoded by Inspectorate eg : from M = multiple to K = fatal multiple, or from I=injury to F=fatal.

47

ITEM 4.

ACCIDENT OR DANGEROUS OCCURRENCE REGISTERED BY:

Initials:
Initials of accidents register clerk

Date:

ITEM 5.

INQUIRY TYPE

This serves to identify the type of inquiry held by the Inspector. A B C D E F No investigation, no inquiry: classification only Investigation to determine whether inquiry is necessary Inquiry, no referral to Attorney General Inquiry, with referral to Attorney General Investigation converted to inquiry; no referral to Attorney General Investigation converted to inquiry; referral to Attorney General

ITEM 6.

PROBABLE CAUSE OF ACCIDENT OR DANGEROUS OCCURRENCE

NOTE: THIS REFERS TO THE BASIC CAUSES OF THE ACCIDENT OR DANGEROUS OCCURRENCE PROVISION HAS BEEN MADE FOR ADDITIONAL UNDERLYING CAUSES TO BE INCLUDED (UP TO 2 UNDERLYING CAUSES ) SHOULD THIS BE FOUND TO BE THE CASE. E.G. PROVIDE THE BASIC CAUSE IN THE FIRST SPACE, AND ANY ADDITIONAL UNDERLYIN G CAUSES IN THE SECOND AND THIRD SPACES IF NECESSARY

TRAINING OR PLACEMENT FACTORS

01 Inadequate mental or physical limitations
01A01 01A02 01A03 01A04 01A05 01A06 01A07 Physical limitations Pre-placement medical examination not done Man-job specifications not available to medical officer No periodical medical examinations Physical short-comings Limited ability to sustain body position Substance sensitivity/allergy Physical capability analysis not compiled/utilised Mental limitations Personnel selection inadequate/not adhered to Fears or phobias

01B01 01B02

48

01B03 01B04 01B05 01B06 01B07 01B08 01B09 01B10 01B11 01B12

Emotional disturbances Mental disorder Intelligence level Inability to comprehend Poor judgement Poor co-ordination Slow reaction time Low mechanical aptitude Low learning ability Memory failure General Workplace not modified to accommodate personal shortcomings No/inadequate system to identify shortcomings during probationary period Physical demands of job not explained at interview Other (specify)

01C01 01C02 01C03 01C04

02

Lack of knowledge
02A01 02A02 02A03 02A04 Training Inadequate induction/orientation Inadequate initial training Did not attend risk control training course Lack of knowledge regarding safety aspects of job Task training & instructions No/inadequate training on task that lead to incident Not trained on revised job procedure No/inadequate instructions given before task conducted Lack of on the job training Lack of practice under supervision Periodical review of training Within the previous year More than one year ago Other (specify)

02B01 02B02 02B03 02B04 02B05

02C01 02C02 02C03

03

Lack of skill
03A01 03A02 03A03 Job not done regularly enough to maintain skill New on particular job/lack of experience Other (specify)

49

PERSONAL FACTORS
04 Stress - physiological or mental
04A01 04A02 04A03 Physiological Decreased sensory ability due to temporary illness Taking prescribed medicine Under the influence of drugs, alcohol, other than prescribed medicine Exposure to: Temperature extremes Health hazards Abnormal postures/ergonomical stresses Oxygen deficiency Atmospheric pressure variation Fatigue due to lack of rest Low levels of illumination Water/damp conditions Mental stress as a result of: Changes in equipment/workplace Changes in personnel Changes in task load Changes in work rate Changes in working hours Hazardous nature of job causes stress Personal/family problems Frequent difficult decisions to make Distracted by other activities/conditions Routine/monotonous Constant demand for uneventful vigilance Confusing directions Conflicting demands Frustration Other (specify)

04B01 04B02 04B03 04B04 04B05 04B06 04B07 04B08

04C01 04C02 04C03 04C04 04C05 04C06 04C07 04C08 04C09 04C10 04C11 04C12 04C13 04C14 04C15

05

Improper motivation
05A01 05A02 05A03 Related to supervisors Little or no recognition for good work More emphasis on poor performance than good performance Inappropriate or aggressive behaviour

50

05B01 05B02 05B03 05B04 05B05 05B06 05B07 05B08

Related to the task Improper performance is rewarded Proper performance is punished/ridiculed Lack of incentives Inappropriate peer pressure Inadequate performance feedback Not informed of importance of his/her contribution to safety Not informed of importance of task Other (specify)

06

Abuse or misuse
06A01 06A02 06A03 06A04 06A05 Incorrect use of tools, equipment, material, etc. due to: Inconvenience of obtaining correct tools Vague/incorrect instructions Habit/personal preference Vandalism Other (specify)

07

Inadequate leadership and supervision

07A01 07A02 07A03 07A04 07A05 07A06 Supervisors Inadequate involvement/leadership to prevent incident Effectivene ss of employees training not followed up Too little authority Inadequate instructions/orientation/training Deviation that lead to incident previously ignored Inadequate supervision task Management Lack of commitment and/or involvement in risk control programme Inadequate work planning/programming Inadequate communication Giving conflicting objectives/goals/standards Providing inadequate guidance/information Inadequate performance measurement/evaluation Inadequate/incorrect performance feedback Inadequate policy/procedure/guideline Shortcomings in risk control system Unclear/conflicting assignment of responsibility/delegation Inadequate funds/personnel/equipment to control risk exposure

07B01 07B02 07B03 07B04 07B05 07B06 07B07 07B08 07B09 07B10 07B11

51

08

Engineering
08A01 08A02 08A03 Inadequate design All risks not assessed in conceptual stage Factors that lead to incident not identified in design stage Risks of interfacing operations not assessed Specifications not researched for design Safety Health Standards and procedures and Codes of Practice Incident history Control of identified risks not included in design Health and safety personnel not involved at design stage Health and safety specifications not prescribed to manufacturer Construction Health and safety not on agenda of meetings prior to and during construction Inadequate/no health and safety inspections done during construction Deviation from prescriptions/standards by contractor Commissioning Equipment release (handover) not/inadequately done Pre-use risk assessment not done Operation Changes made without risk assessment Changes made without prior notice

08B01 08B02 08B03 08B04 08B05 08B06 08B07

08C01 08C02 08C03

08D01 08D02

08E01 08E02

JOB FACTORS
09 Inadequate purchasing
09A01 09A02 09A03 Safety specification Not researched Not specified to supplier Health and safety control personnel not involved in purchasing Hazardous substances Data sheet on hazardous substances not obtained Safer substances not considered Warning/prescription labels absent or illegible, or precautions not specified Improper handling/disposal/storage

09B01 09B02 09B03 09B04

52

09B05 09B06

Inadequate storage facilities Purchasing of hazardous substances not controlled Suppliers Purchasing specifications not adhered to Late delivery or non delivery Required datasheet on hazardous substances not supplied

09C01 09C02 09C03

10

Maintenance
Malfunction/breakdown of equipment Inadequate assembly/maintenance standards and procedures Legal standards inadequate Frequency of maintenance Improper assembly Service manual Incorrect adjustment Planned maintenance Parts No schedule for planned maintenance Maintenance not done in accordance with schedule or procedure Inadequate time/priority for maintenance Inadequate instructions Inadequate control over maintenance Lubrication/service points difficult to reach/inaccessible Sub-standard lubricants used Repairs to equipment Defects not clearly specified on job card No or vague instructions Completed jobs incompetently checked Wrong/substandard parts Incompetent person checking completed tasks

10A01 10A02 10A03 10A04 10A05 10A06 10A07 10A08 10A09 10A10 10A11 10A12 10A13 10A14

10B01 10B02 10B03 10B04 10B05

11

Equipment, tools and material

11A01 11A02 11A03 11A04 11A05 11A06 11A07 11A08 Tools Wrong tools supplied Tools sub-standard Not registered at planned maintenance Tools not available/difficult to obtain Tools classified as unsafe/not repairable in use Tools damaged or unsafe Correct tools for task not available Available but not used

53

11B01 11B02 11B03 11B04 11B05 11B06

Equipment Wrong/sub-standard equipment No or inadequate system to prevent use of unsafe equipment Equipment defects not reported Equipment not checked Not registered at planned maintenance Available but not used Material Incorrect material supplied No material available Damaged or unsafe material Available but not used Personal protective equipment Wrong/sub-standard equipment No or inadequate system to prevent use of unsafe equipment Equipment defects not reported Equipment not checked Not registered at planned maintenance Available but not used Wear and tear Tools/equipment/facility not used for designed purpose Use beyond normal service life No adjustment made for wear Abnormal use-overloading/excessive speed No adjustment made for increased usage Substitute lubricants/liquids used Used by untrained persons No/inadequate monitoring of wear/deterioration

11C01 11C02 11C03 11C04

11D01 11D02 11D03 11D04 11D05 11D06

11E01 11E02 11E03 11E04 11E05 11E06 11E07 11E08

12

Standards and procedures

12A01 12A02 12A03 12A04 Standards/code of practice Inadequate developme nt of standards Inadequate communication of standards Inadequate maintenance of standards Codes of Practice not drawn up/prepared Procedures No/inadequate task analysis and procedures system Procedure not used for training purposes No specific rule to control actions that lead to incident Persons involved not informed

12B01 12B02 12B03 12B04

54

12B05 12B06 12B07 12B08

No signs/notices to reinforce rule Rule in conflict with other rules Inadequate method for hazardous task identification No relevant task observation done On the job training inadequate/does not include Training needs analysis Procedures Methods Practices Rules Safety/risk control No/inadequate induction/orientation training Training programme inadequate Programme not followed

12C01 12C02 12C03 12C04 12C05 12C06 . 12C07 12C08 12C09

13

Miscellaneous
13A01 Other (Specify)

ITEM 7.

CONTRAVENTION IN INSPECTORS OPINION

Yes No

55

ITEM 8.

IF YES, ACT/REGULATION OR CODE OF PRACTICE CONTRAVENED

This field must be completed whenever possible and only refers to a regulation which could possibly have been contravened. The regulation number is entered as it appears in the Regulations. There may be some confusion at the moment due to the current situation of the overlap of the Mine Health and Safety Act, with its own regulations and the Minerals Act with its own regulations. To distinguish between these Acts the following initial code is to be used to differentiate between them:

01 02 03 04 05

Mine Health and Safety Act (MHSA) MHSA Regulations Minerals Act (MA) MA Regulations Code of Practice in terms of any of the Acts (COP)

For example:

Section 32(b) of the Mine Health and Safety Act will be coded : 01 32b Minerals Act Regulation 8.9.9 will be coded : 04 8.9.9 Any Code of Practice to be coded 05 and where the code is required in terms of a regulation or section of the Act, the relevant regulation or section to be coded, i.e.: Code of Practice required in terms of Section 9(2) of the MHSA to be coded: 05 9 2. If the COP is not required by Section or regulations, use: 05 00.

ITEM 9.

ADMINISTRATIVE FINE RECOMMENDED?

Yes No

ITEM 10. DATE EVALUATION OF REPORT COMPLETED

YYYY/MM/DD This is the date that the investigating officer (Inspector) completes his investigation/inquiry and completes Section D

ITEM 11. INSPECTOR OF MINES FULL NAME

Name: Use block letters. Date: Signature

56

ITEM 12. SENIOR INSPECTOR OF MINES (MINING)

Name: Use block letters. Date: Signature

ITEM 13. SENIOR INSPECTOR OF MINES: (MINING EQUIPMENT)

Name: Use block letters. Date: Signature

NOTE: Should there be any amendments to any of the information entered onto the database as a result of new information coming to light at the subsequent inquiry/investigation, an amended form, clearly marked AMENDED must be forwarded to Head Office by the Regional Office.
This amended form must be marked for the attention of the Main User of SAMRASS, who will then update the amended information onto the SAMRASS database.

ITEM 14. ARE CRIMINAL PROCEEDINGS ENVISAGED?

Item 5 (Inquiry Type) requires classifications of inquiries referred to the Attorney General. If the investigating officer recommends prosecution (Criminal Proceedings), this should be indicated here.

Yes No

57

SAMRASS 2 FORM SECTION E: DETAILS OF EMPLOYEE

(THIS SECTION NEED NOT BE COMPLETED FOR A DANGEROUS
OCCURRENCE)
Name of Mine Mine accident or dangerous occurrence YEAR ACC REF NO number Y Y Y Y N N N N Date of accident or dangerous occurrence Y Y Y Y M (use YYYY/MM/DD format) Regional accident or dangerous occurrence number Y Y Y Y R N S M N SHAFT S D N N

D I

SECTION E: EMPLOYEES DETAILS NOTE: THIS SECTION NEED NOT BE COMPLETED FOR A DANGEROUS OCCURRENCE 1. Surname 2. Full first names 3. Industry number 4. PF/Company number 5. Identity/Passport number 6. Date of birth (Use YYYYMMDD format) Y Y Y Y M M D D 7. Country of origin 8. Population group 01 02 03 04 9. Was the injured an employee (E), a contractor (C) or a Casual (T)? E C T 10. Name of contracting company (if applicable) 11. Male or female M F 12. Normal occupation at time of accident 13. Total experience in current occupation Y Y M M 14. Was injured carrying out normal duties at time of accident? Y N 15. Date first employed with current employer (Use YYYYMMDD format) Y Y Y Y M M D D 16. Date last shift worked (Use YYYYMMDD format) Y Y Y Y M M D D 17. Date resumed work (Use YYYYMMDD format) Y Y Y Y M M D D 18. If fatal, date of death Y Y Y Y M M D D

ITEM 1. ITEM 2. ITEM 3. ITEM 4.

SURNAME FULL FIRST NAMES INDUSTRY NUMBER (One letter per block) P.F. /COMPANY NUMBER (One letter per block) IDENTITY/PASSPORT NUMBER (One letter per block)

ITEM 5.

58

ITEM 6.

DATE OF BIRTH
Use YYYY/MM/DD; use year of birth and 1 January if actual date of birth is not known and has to be estimated, e.g. 1970-01-01.

ITEM 7.

COUNTRY OF ORIGIN

This classification is only of importance for persons who do not normally resid e within the boundaries of the country. For South African citizens residing in the country, use code 10: South Africa. 10 15 16 17 31 79 99 South Africa Lesotho Botswana Swaziland Mozambique Namibia Other (specify)

ITEM 8.

POPULATION GROUP
01 = African/Black 02 = Asian/Indian 03 = Coloured 04 = White

ITEM 9.

WAS THE INJURED A PERMANENT EMPLOYEE (E), CONTRACTOR (C) OR A CASUAL (T)
A permanent employee is a person in the full time employ of the mine (on the companys payroll); A contractor is a person in the full employ of a contractor to the mine; A casual is a person contracted to the mine on a temporary basis to do a specific, short term job.

ITEM 10

NAME OF CONTRACTING COMPANY

If a contractor is involved, the name of the contracting company to be supplied.

ITEM 11.

MALE OR FEMALE
Use M or F in appropriate block

ITEM 12.

NORMAL OCCUPATION AT TIME OF ACCIDENT

Normal occupation implies that the job/duties/functions that the injured person was carrying out at the time of the accident was within his job description, e.g. if a boilermaker was welding, this is his normal occupation. If, however, he was making electrical repairs, this is not his normal occupation. An explanation of the coding system can be found as an addendum at the back of this codebook. n.e.c. = not elsewhere classified

59

Alphabetical Index of MISCO (Mining Industry Standard Code of Occupations)

70301 70302 80699 80599 10206 10200 10299 30402 30404 10900 10903 10000 10099 19999 60601 90000 90099 99999 40412 40413 81100 81101 81199 21507 21508 81102 30110 70803 70101 60106 60105 21406 50901 50902 50900 50999 40320 50403 50401 50499 29909 10511 35910 60602 70303 70322

Acclimatisation supervisor Acclimatisation worker Accommodation worker (other accommodation, n.e.c.) Accommodation worker (residential, n.e.c.) Accountant (n.e.c.) Accounting/financial management Accounting/financial worker (n.e.c.) Acid plant official Acid plant worker Administration/secretarial management Administrative officer Administrative/financial management (multi-disciplinary) Administrative/financial management (n.e.c.) Administrative/financial/business worker (n.e.c.) Advocate/barrister Agricultural management (multi-disciplinary) Agricultural management (n.e.c) Agricultural worker (n.e.c) Air conditioning/refrigeration engineer Air conditioning/refrigeration mechanic Air transport management Air transport officer Air transport worker (n.e.c.) Air and water services team leader/supervisor Air and water services worker Airport controller Amalgamator Ambulance officer Anaesthetist Aptitude tester Aptitude testing supervisor Aquajet operator Architect Architectural assistant Architectural management Architectural worker (n.e.c.) Armature winder Assay technician Assayer Assay/chemistry/laboratory worker (n.e.c.) Assistant driller (Ocean) Assessor Assopulp worker Attorney/solicitor/conveyancer Audio visual tester Audiologist/speech therapist

60

70323 10100 10199 10102 10101 40319 20805 35020 11114 11100 11199 21304 81202 80803 80706 60601 35110 80705 21305 30205 70304 70102 40422 40424 40421 40420 40423 40425 20306 20502 20503 20501 20599 40803 40450 40451 36015 81202 10208 21404 36710 40614 40617 40615 80499 80400 40618 40616 50503 10001 35010

Audiometrist Auditing management Auditing worker (n.e.c.) Auditor (computer/systems) Auditor (internal and external) Auto electrician Backfill worker Baker Banking officer Banking/investment management Banking/investment worker (n.e.c.) Banksman/onsetter Bargemaster (Ocean) Barber/hairdresser Barman Barrister/advocate Beer maker Beerhall supervisor Bell signaller Beltsman Bio-medical engineer Biokineticist Blacksmith Blacksmith: apprentice Blacksmith: chargehand Blacksmith: foreman Blacksmith: operative Blacksmith: worker (n.e.c.) Blaster (supervisory) Blaster: opencast/quarry (non-supervisory) Blaster: surface works (eg smelter) (non-supervisory) Blaster: underground metal (non-supervisory) Blasting worker (n.e.c.) Boiler attendant Boilermaker: operative (gr 1) Boilermaker: operative (aide) (gr 2) Book binder Bosun (Ocean) Bookkeeper Box/orepass controller Brick maker Bricklayer Bricklayer: aide Builder Building service worker (n.e.c.) Building services management Building worker (n.e.c.) Building worker: operative Business analyst (computers) Business management Butcher

61

10312 40343 30508 80701 80703 80501 40621 40622 40623 40620 40619 40624 40625 10209 30507 80700 21699 80799 21602 21601 21699 21307 00000 80604 80605 10395 80702 40701 40700 40799 30499 50402 50404 00000 80802 70320 60805 40601 40600 40610 40699 40651 40650 40652 80402 40611 10295 99995 81195 50995 10195

Buyer/purchaser Cable joiner Calcinating worker Canteen supervisor Canteen worker Caretaker/housekeeper Carpenter Carpenter and joiner Carpenter and joiner: apprentice Carpenter and joiner: chargehand Carpenter and joiner: foreman Carpenter: aide Carpenter: worker (n.e.c.) Cashier Caster Catering management Cementer (Ocean) Catering worker (n.e.c.) Cementation driller/injector Cementation supervisor Cementation worker (n.e.c.) Chairlift operator Chairman (group) Changehouse team leader/supervisor Changehouse worker Checker Chef/cook Chemical engineer Chemical engineering management Chemical engineering worker (n.e.c.) Chemical process worker (n.e.c.) Chemist Chemist technician Chief executive Child minder Chiropodist/podiatrist Cinema/video operator Civil engineer Civil engineering management Civil engineering technician Civil engineering worker (n.e.c.) Civil/building chargehand (other, n.e.c.) Civil/building foreman (other, n.e.c.) Civil/building tradesman (other, n.e.c.) Cleaner (office)/tea maker Clerk of works Clerk (accounts/finance) Clerk (agriculture, n.e.c.) Clerk (air transport) Clerk (architectural) Clerk (auditing)

62

11195 80795 80695 60995 10795 40195 49995 51095 80395 70895 10995 50195 80595 50795 60295 10595 60695 60795 10895 79995 39995 20195 29995 10495 60195 36095 10695 60895 81095 80995 50395 50895 60495 80195 61095 50695 10395 00295 50295 11295 60395 60595 70202 80600 80601 80602 80603 20604 20601 20605 30211

Clerk (banking/investment) Clerk (catering) Clerk (club) Clerk (creative arts) Clerk (economics) Clerk (engineering planning) Clerk (engineering) Clerk (environmental) Clerk (estate/township) Clerk (first aid) Clerk (general e.g.filing n.e.c.) Clerk (geology) Clerk (hostel/quarters). Clerk (industrial engineering) Clerk (industrial relations) Clerk (insurance) Clerk (legal) Clerk (library) Clerk (marketing/sales) Clerk (medical) Clerk (metallurgical plant) Clerk (mining planning) Clerk (mining) (n.e.c.) Clerk (payrole/timekeeping) Clerk (personnel) Clerk (printing) Clerk (property/mining rights) Clerk (public relations) Clerk (rail transport) Clerk (road transport) Clerk (rock mechanics) Clerk (safety/loss control) Clerk (school) Clerk (security) Clerk (sports/recreation) Clerk (statistics) Clerk (stores) Clerk (strategic planning) Clerk (survey) Clerk (tax) Clerk (training) Clerk (welfare) Clinical assistant Club management Club secretary Club team leader Club worker Coal auger operator Coal cutter operator Coal plough operator Coal preparation worker

63

30509 36014 80401 80502 10900 40804 50508 50505 30399 19996 99996 49996 09996 69996 79996 39996 29996 59996 89996 11296 40000 20000 30003 20602 49902 30202 60602 20299 21202 21201 80702 10901 10205 10205 81301 81398 60999 10207 20103 90499 81009 30207 30505 49903 30403 30405 50513 50514 50510 50511 29908

Coking plant attendant Collator Commissionaire (offices) Commissionaire (residential accommodation) Company secretary (administrative) Compressor attendant Computer operator Computer programmer Concentration/flotation worker (n.e.c.) Consultant (administrative/financial, n.e.c.) Consultant (agriculture, n.e.c.) Consultant (engineering, n.e.c.) Consultant (general management, n.e.c.) Consultant (humanities, n.e.c.) Consultant (medical, n.e.c.) Consultant (metallurgy/beneficiation/manufacturing, n.e.c.) Consultant (mining production, n.e.c.) Consultant (scientific/technical, n.e.c.) Consultant (service occupation, n.e.c.) Consultant (tax) Consulting engineer (engineering support) Consulting engineer (mining) Consulting metallurgist Continuous miner driver Contractor (outside) Control room operator Conveyancer/attorney/solicitor Conveyer worker (n.e.c.) Conveyer belt attendant Conveyer belt team leader/supervisor Cook/chef Corporate secretary (admin) Cost accountant Cost controller Crane driver Crane driver trainer Creative worker (n.e.c.) Credit controller Critical path scheduler Crop worker Crossing attendant Crusher attendant Cupolaman Cutter Cyanidation team leader/supervisor Cyanidation worker Data base administrator Data base technician Data capture supervisor Data capture typist Day pusher (Ocean)

64

29910 20313 50509 70504 70503 70499 70401 70502 70599 70103 40102 80104 20303 50501 50502 20310 20701 50111 50112 50110 40501 40477 40478 40476 40475 70305 60802 29911 40905 80105 80801 21102 21101 29906 49994 50994 40794 40694 40394 50194 40594 29994 49994 50294 59994 20401 40528 20402 20403 20404 20499

Deck attendant (Ocean) Deck leader (Ocean) Data controller (computers Dental assistant Dental mechanic Dental specialist, eg. oral pathologist (n.e.c.) Dental surgeon/dentist Dental therapist Dental worker (n.e.c.) Dermatologist Designer (engineering) Detective Developer Development management (hardware) Development management (software) Development team leader/supervisor Development team worker Diamond drill team leader/supervisor Diamond drill worker Diamond driller Diecaster Diesel mechanic Diesel mechanic: apprentice Diesel mechanic: chargehand Diesel mechanic: foreman Dietician Diplomatic/political liaison officer Diver (Ocean) Disinfestation worker Dog handler Domestic servant Dragline operator Dragline supervisor Drains cleaner Draughting technician Draughtsperson (architectural) Draughtsperson (chemical engineering) Draughtsperson (civil engineering) Draughtsperson (electrical engineering) Draughtsperson (geological) Draughtsperson (mechanical engineering) Draughtsperson (mining production, n.e.c.) Draughtsperson (n.e.c.) Draughtsperson (survey) Draughtsperson (technical services) Drill rig operator (jumbo) Drill sharpener Driller: hand percussion/jackhammer Driller: hand (coal) Driller: opencast/large diameter Drilling worker (n.e.c.)

65

40527 80908 21103 80905 21109 80911 80909 80907 80906 80903 80904 80998 30406 30702 30703 30701 10907 70104 10703 10700 10799 10702 10205 60901 60400 60499 70306 40341 40301 40300 40399 40340 40310 40342 40314 40317 40315 40313 40312 40316 40318 40802 40437 40311 60500 19910 40800 40805 40801 40899 40201

Drillsmith Driver: ambulance (code 08) Driver: bulldozer Driver: forklift Driver: haul truck (underground and opencast) Driver: heavy articulated motor vehicle (code 13) Driver: heavy motor vehicle eg. bus/ambulance (code 10) Driver: light motor vehicle/car (code 08) Driver: mobile industrial/agricultural equipment (code 07) Driver: motorcycle (code 01-04) Driver: tractor (code 05) Driving instructor Dryerman Dump team leader/supervisor Dump worker Dumpsman Duplicator Ear, nose and throat specialist Economics assistant Economics management Economics worker (n.e.c.) Economist (n.e.c.) Economy controller Editor Educational management Educational/school worker (n.e.c.) EEG technician Electrical chargehand (other n.e.c.) Electrical engineer Electrical engineering management Electrical engineering worker (n.e.c.) Electrical foreman (other n.e.c.) Electrical technician Electrical tradesman (other n.e.c.) Electrician Electrician: aide Electrician: apprentice Electrician: chargehand Electrician: foreman Electrician: underground section Electrician: worker (n.e.c.) Electricity generator worker Electro mechanic/millwright/minewright Electronic technician Employee assistance programme management Encoder Energy systems management Energy systems officer Energy systems team leader/supervisor Energy systems worker (n.e.c.) Engineer (n.e.c.)

66

40205 40004 40202 40001 40099 49901 40299 40203 60905 51004 51007 51008 51001 51000 51005 51003 51002 51099 21504 80300 80301 80302 80399 40104 00000 10317 50506 40344 90001 10904 30302 30301 10204 10201 10701 10202 10200 10000 80202 80203 80298 80299 81005 80201 70802 70800 70801 70898 70898 70899 40428

Engineering assistant (n.e.c.) Engineering foreman (n.e.c.) Engineering inspector Engineering management (multi-disciplinary) Engineering management (n.e.c.) Engineering team leader (n.e.c.) Engineering technical worker (n.e.c.) Engineering technician (n.e.c.) Entertainer Environmental assistant Environmental construction supervisor Environmental construction worker Environmental engineer Environmental engineering management Environmental observer Environmental officer Environmental superintendent Environmental worker (n.e.c.) Equipper Estate/township management Estate/township officer Estate/township team leader/supervisor Estate/township worker (n.e.c.) Estimator/calculator Executive director (n.e.c.) Explosives issuer Facilities management (computers) Fan attendant Farm manager Filing/records officer Filter operator/worker Filter team leader/supervisor Financial accountant Financial analyst Financial economist Financial engineer Financial/accounting management Financial/admin management (multi-disciplinary) Fire fighting/rescue officer Fire fighting/rescue team leader/supervisor Fire fighting/rescue trainer Fire fighting/rescue worker (n.e.c.) Fireman/stoker Firemaster First aid attendant First aid management/medical station superintendent First aid team leader/supervisor First aid trainer First aid training superintendent First aid worker (n.e.c.) Fitter and turner

67

40429 40427 40426 40433 40432 40431 40430 40434 40435 40436 90301 90300 90399 40502 40505 30599 90501 40656 40480 40481 40482 90102 90199 40002 49999 00199 00102 00101 20305 70201 50103 50100 50109 50199 50101 50108 50102 21401 50408 60904 30210 90102 80500 36013 70105 80803 40654 21504 21001 21099 70307

Fitter and turner: apprentice Fitter and turner: chargehand Fitter and turner: foreman Fitter (including machining): apprentice Fitter (including machining) Fitter (including machining): chargehand Fitter (including machining): foreman Fitter: operative (grade 1) Fitter: operative aide (grade 2) Fitter: worker (n.e.c.) Fores ter Forestry engineer Forestry worker Forger Founder Furnace worker (n.e.c.) Game ranger Ganger/plate/tracklayer (main line) Garage mechanic: aide Garage serviceman Garage worker (n.e.c.) Garden supervisor/groundsman Garden worker General engineering supervisor General engineering worker (n.e.c.) General management (n.e.c.) General manager (company) General manager (mine) General miner General practitioner Geochemist Geological management Geological observer/field assistant Geological worker (n.e.c.) Geologist Geology technician Geophysicist Grab operator Grade officer Graphic artist Grinderman/pulveriser Groundsman/garden supervisor Guest house/quarters management Guillotine operator Gynaecologist Hairdresser/barber Handyman (maintenance) Handyman (mining) Haulage team leader/supervisor Haulage/underground rail transport worker (n.e.c.) Health/food inspector

68

90502 21302 21399 90101 79901 10902 70002 70324 80505 80506 80507 80501 60000 60099 69999 20801 20802 40411 40999 60203 50701 50700 50704 50702 50799 70106 60202 60200 60201 60299 50599 50516 50500 40321 40325 40326 40324 40323 40322 10596 10500 10599 70107 10315 90400 10317 10316 60902 40602 40302 40402

Herdsman/stable hand Hoist driver Hoisting worker (n.e.c.) Horticulturist Hospital cleaner Hospital secretary Hospital superintendent Hospital worker/orderly Hostel management Hostel official Hostel team leader/supervisor Housekeeper/caretaker Humanities management (multi-disciplinary) Humanities management (n.e.c.) Humanities worker (n.e.c.) Hydraulic prop team leader/supervisor Hydraulic prop worker Hydraulic technician Hygiene services worker (n.e.c.) Induna/tribal representative Industrial engineer Industrial engineering management Industrial engineering officer Industrial engineering technician Industrial engineering worker (n.e.c.) Industrial physician Industrial relations assistant Industrial relations management Industrial relations practitioner Industrial relations worker (n.e.c.) Info services/computer worker (n.e.c.) Information centre management (computers) Information services management Instrument engineer Instrument mechanician (industrial) Instrument mechanician apprentice (industrial) Instrument mechanician chargehand (industrial) Instrument mechanician foreman (industrial) Instrument technician Insurance adviser Insurance management Insurance worker (n.e.c.) Internist/specialist physician Inventory controller Irrigation engineer Issuer (explosives) Issuer (stores, non-explosive) Journalist/writer Junior engineer (civil engineering) Junior engineer (electrical engineering) Junior engineer (mechanical engineering)

69

40207 90503 30504 80703 50406 50400 50405 60103 30506 40346 40347 40345 90200 90201 90299 29905 80503 80504 30407 20309 50409 40303 40206 50113 40403 30105 20202 40208 60603 60600 60699 60701 60702 60700 60799 21306 80705 36010 90599 21106 21004 21104 81003 81004 21002 21003 20603 10317 50106 40653 10203

Junior engineer (n.e.c) Kennel worker Kilnman Kitchen worker Laboratory assistant Laboratory manager/superintendent Laboratory technician Labour controller Ladleman Lamp room team leader /supervisor Lamp room worker Lampsman Land rehabilitation engineer Land rehabilitation supervisor Land rehabilitation worker Lasher/loader (n.e.c.) Laundry supervisor Laundry worker Leaching worker Learner miner Learner official (assay/chemistry) Learner official (electrical engineering) Learner official (engineering, n.e.c.) Learner official (geology) Learner official (mechanical engineering) Learner official (metallurgy) Learner official (mining) Learner operative Legal assistant Legal management Legal worker (n.e.c.) Librarian Library assistant Library management Library worker (n.e.c.) Lift operator Liquor outlet supervisor Lithographer Livestock worker (n.e.c.) Load haul dump driver Loader driver (rail) Loader driver (trackless) Loco driver (main line - SPOORNET) Loco driver (not main line) Loco driver (underground) Loco guard (underground) Longwall sheerer operator Magazine master Magnetometer specialist Maintenance supervisor Management accountant

70

10812 10810 10800 10899 40626 40627 70308 70600 40414 70402 40521 40401 40400 40599 40520 20699 40410 40522 60908 70001 79901 70201 70309 70310 70199 70800 70311 70312 79999 70000 70099 20803 20804 11010 30103 30199 30000 30001 30002 30101 30102 51006 30208 40437 21510 21599 00101 20002 20101 80103 20099

Marketing assistant Marketing officer Marketing and sales management Marketing/sales worker (n.e.c.) Mason Mason aide Masseur/masseuse Matron/nursing services management Mechanic (ocean) Maxillo-facial and oral surgeon Mechanical charge hand Mechanical engineer Mechanical engineering management Mechanical engineering worker (n.e.c.) Mechanical foreman (other, n.e.c.) Mechanical rockbreaking worker (n.e.c.) Mechanical technician Mechanical tradesman (other, n.e.c.) Media technician Medical advisor Medical labourer Medical officer Medical orthotist/prosthetist Medical physicist Medical specialist (n.e.c.) Medical station superintendent/first aid management Medical technician Medical technologist Medical worker (n.e.c.) Medical/health care management (multi-disciplinary) Medical/health care management (n.e.c.) Meshing and lacing team leader/supervisor Meshing and lacing worker Messenger/postal worker Metallurgical official (n.e.c.) Metallurgical worker (n.e.c.) Metallurgical/plant management Metallurgical/plant superintendent Metallurgical/plant supervisor Metallurgist Metallurgy technician (extractive) Microscopist Milling worker Millwright/electro mechanic/minewright Mine construction team leader/supervisor (n.e.c.) Mine construction worker (n.e.c.) Mine manager Mine overseer Mine planning/valuation engineer Mine police/security guard Mine production management (n.e.c.)

71

20399 29999 10900 21499 20305 50104 20504 20201 20299 20210 90699 40103 50205 11113 21308 21309 40543 70313 40473 40474 40472 40471 40479 40504 20704 20705 60905 50515 70108 29908 70109 20308 70601 70603 70602 70604 70698 70600 70699 70314 70120 70121 00101 21304 50703 50507 70110 70316 70315 70501 70324

Mine production supervisor (n.e.c. ) Mine production worker (n.e.c.) Mine secretary (administration) Mine transport worker (n.e.c.) Miner (general) Mineralogist Miner's assistant (cheesa) Mining engineer (n.e.c.) Mining technical worker (n.e.c.) Mining technician (n.e.c.) Mixed farming worker (n.e.c.) Model maker Model maker (survey) Money market dealer Monorail winch operator Monorope winch operator Motorman (ocean) Mortuary attendant Motor mechanic Motor mechanic apprentice Motor mechanic chargehand Motor mechanic foreman Motor/diesel mechanic operative Moulder Multi task worker Underground production Multi task worker Opencast production Musician Network technician (computers) Neurologist Night pusher (ocean) Neurosurgeon Night shift cleaner Nurse (charge/senior sister) Nurse (enrolled/staff) Nurse (registered) all categories n.e.c. Nursing assistant Nursing instructor Nursing services management/matron Nursing worker (n.e.c.) Occupational ther apist Occupational health physician Occupational hygienist Offshore installation manager (ocean) Onsetter/banksmanr Operations research officer Operations/network operator (computers) Ophthalmologist Optical dispenser Optician/optometrist Oral hygienist Orderly/hospital worker

72

21404 70403 70111 70317 70113 40637 40638 40470 35911 35900 35912 70112 40503 40629 10404 10402 10401 10400 10499 50517 60905 70404 10905 80899 60102 60100 60101 60199 70799 70701 60906 70318 70319 81103 21505 21506 20703 40003 40100 20100 20104 20102 40101 40199 20199 30204 30299 30201 40628 70114 40448

Orepass/box controller Orthodontist Orthopaedic surgeon Orthoptist Paediatrician Painter and decorator/maintenance hand Painter and decorator (worker n.e.c.) Panelbeater Paper maker Paper manufacturing management Paper tester Pathologist (medical) Patternmaker Paver Paymaster Payroll administrator Payroll controller Payroll management Payroll worker (n.e.c.) PC programmer/product specialist Performing artist Peridontist Personal assistant/secretary Personal care worker (n.e.c.) Personnel assistant/masiza Personnel management Personnel officer/practitioner Personnel worker (n.e.c.) Pharmaceutical worker (n.e.c.) Pharmacist Photographer Physiologist Physiotherapist Pilot (aircraft) Pipes and tracks team leader/supervisor Pipes and tracks worker Pit worker Planned maintenance foreman Planning management (engineering) Planning management (mining) Planning observer Planning officer Planning officer (engineering) Planning worker (engineering n.e.c.) Planning worker (mining n.e.c.) Plant team leader/supervisor Plant worker (n.e.c.) Plant/reduction official Plasterer Plastic surgeon Plater

73

40447 40449 40446 40445 40452 40455 40457 40454 40453 40458 40656 60404 40632 40635 40633 40631 40630 40634 40636 70320 09801 11010 40530 40529 60405 36011 36012 36000 36001 36099 30203 60900 20001 50705 19992 99992 49992 09992 69992 79992 29992 39992 59992 89992 10601 10600 10602 10699 50107 70309 70405

Plater/boilermaker Plater/boilermaker apprentice Plater/boilermaker chargehand Plater/boilermaker foreman Plater/boilermaker worker (n.e.c.) Plater/welder Plater/welder apprentice Plater/welder chargehand Plater/welder foreman Plater/welder worker (n.e.c.) Plate/track layer/ganger (main line) Play school supervisor Plumber Plumber aide Plumber apprentice Plumber chargehand Plumber foreman Plumber operative Plumber worker (n.e.c.) Podiatrist/chiropodist Pool gang worker Postal worker/messenger Power hammer operator Press operator Pre-primary school assistant Printer (n.e.c.) Printing machine operator Printing management Printing supervisor Printing worker (n.e.c.) Process controller Producer/director (creative arts) Production/section/underground manager Productivity officer Project manager (admin/financial n.e.c.) Project manager/officer (agriculture n.e.c.) Project manager/officer (engineering n.e.c.) Project manager/officer (general management n.e.c.) Project manager/officer (humanities n.e.c.) Project manager/officer (medical/health n.e.c.) Project manager/officer (mining n.e.c.) Project manager/officer (reduction/beneficiation/manufacturing) Project manager/officer (scientific/technical n.e.c.) Project manager/officer (services n.e.c.) Property broker Property/mining rights management Property/mining rights officer Property/mining rights worker (n.e.c.) Prospector Prosthetist/medical orthotist Prosthodontist

74

70115 60501 60104 60803 60800 60801 60899 30210 40531 40532 30104 10312 10300 40613 20307 79999 40327 11012 70321 70116 81000 81001 81002 81099 20607 20606 10313 10906 10904 30099 39999 30201 21403 30601 30699 40415 40414 40412 40413 40906 70202 80200 80202 80203 80298 80299 99997 49997 09997 69997 79997

Psychiatrist Psychologist (clinical) Psychologist (industrial) Public relations assistant Public relations management Public relations officer Public relations worker (n.e.c.) Pulveriser/grinderman Pump team leader/supervisor Pump worker Pupil metallurgist Purchaser/buyer Purchasing/stores management Quantity surveyor Quarryman Radio/medic (ocean) Radio mechanician Radio operator Radiographer Radiologist Rail transport management Rail transport officer Rail transport team leader Rail transport worker (n.e.c.) Raise/tunnel borer operator Raise/tunnel borer supervisor Receiver (stores) Receptionist/typist/word processor operator Records/filing officer Reduction/beneficiation/manufacturing management (n.e.c.) Reduction/beneficiation/manufacturing worker (n.e.c.) Reduction/plant official Reeler Refiner Refining worker (n.e.c.) Refrigeration plant operator Refrigeration plant team leader/supervisor Refrigeration/air conditioning engineer Refrigeration/air conditioning mechanic Refuse collector Registrar (medical) Rescue training service management Rescue/fire fighting officer Rescue/fire fighting team leader/supervisor Rescue/fire fighting trainer Rescue/fire fighting worker (n.e.c.) Researcher (agriculture n.e.c.) Researcher (engineering n.e.c.) Researcher (general management n.e.c.) Researcher (humanities n.e.c.) Researcher (medical n.e.c.)

75

39997 29997 50397 59997 89997 40508 40509 40507 40506 40511 40510 40655 80900 80901 80902 80999 20799 50301 50300 50302 50399 20899 20806 20807 29909 81201 40523 50802 50800 50803 50801 50899 10811 10319 10320 29907 50204 50203 40904 40540 40542 40541 35710 60401 50000 50099 59999 20902 20901 20999 30209

Researcher (metallurgy/beneficiation/manufacturing n.e.c.) Researcher (mining production n.e.c.) Researcher (rock mechanics) Researcher (scientific/technical n.e.c.) Researcher (service occupation n.e.c.) Rigger and ropeman Rigger and ropeman apprentice Rigger and ropeman chargehand Rigger and ropeman foreman Rigger and ropeman worker (n.e.c.) Rigger aide Road builder Road transport management Road transport officer Road transport team leader Road transport worker (n.e.c.) Rock breaking worker (n.e.c.) Rock mechanics engineer Rock mechanics management Rock mechanics officer Rock mechanics worker (n.e.c.) Rock support worker (n.e.c.) Roof bolt machine operator Roof bolt worker Roughneck (ocean) Roustabout (ocean) Rubber reliner Safety/loss control auditor Safety/loss control management Safety/loss control observer assistant Safety/loss control officer Safety/loss control worker (n.e.c.) Sales representative Salvage yard aide Salvage and recla mation worker (surface) Salvage and reclamation worker (underground) Sample worker Sampler Sanitation worker Saw doctor Saw sharpener Sawmill mechanic Sawyer School principal Scientific/technical management (multi-disciplinary) Scientific/technical management (n.e.c.) Scientific/technical worker (n.e.c.) Scraper winch bell operator Scraper winch driver Scraping worker (n.e.c.) Screensman

76

81299 10999 10900 10905 29901 20001 11112 80103 80101 80100 80102 80199 50105 50306 50305 21107 89999 80000 80099 40903 20301 21501 21503 21502 29909 11111 40459 20302 40526 20804 21105 81007 21108 81008 40639 21303 30704 30705 30799 30501 30502 30503 60502 60602 30206 20405 50407 70322 61099 61002 61000

Sea transport worker (n.e.c.) Secretarial/administrative worker (n.e.c.) Secretarial/administration management Secretary/personal assistant Section leader Section/production/underground manager Securities officer Security guard/mine police Security inspector/officer Security management Security supervisor (eg sergeant) Security worker (n.e.c.) Sedimentologist Seismic network technician Seismologist Self-propelled machine driver (n.e.c.) Service worker (n.e.c.) Services management (multi-disciplinary) Services management (n.e.c.) Sewage plant operator Shaft foreman Shaft sinker Shaft timberman worker Shaft timberman/timberman Shakerhand (ocean) Share transfer officer Sheetmetal worker Shift boss Shot blast operator Shotcrete worker Shovel operator Shunter Shuttlecar driver Signaller Signwriter Skipman Slimes dam team leader/supervisor Slimes dam worker Slimes dam/dump worker (n.e.c.) Smelter Smelter team leader/supervisor Smelter worker Social worker Solicitor/attorney/conveyancer Sorter Spannerman/driller's assistant Spectrographer Speech therapist/audiologist Sports worker (n.e.c.) Sports/recreation assistant Sports/recreation management

77

61001 90502 21402 21509 10311 50602 50699 50601 50600 81201 11110 81005 29904 20311 20702 20304 10314 10310 10316 10313 10399 10300 50304 50303 00201 00200 00299 30408 19993 99993 49993 50193 69993 79993 39993 29993 59993 89993 29902 70399 70117 50200 50299 50201 50202 29903 10203 50504 50512 34510 80402

Sports/recreation officer Stable hand/herdsman Stacker operator Stage worker Standards officer Statistical officer Statistical worker (n.e.c.) Statistician Statistics management Stevedore Stockbroker Stoker/fireman Stone packer Stope team leader/supervisor Stope team worker Stoper Storekeeper Stores controller Stores issuer (non-explosive) Stores receiver Stores worker (n.e.c.) Stores/purchasing management Strata control observer Strata control officer Strategic planning analyst Strategic planning management Strategic planning worker (n.e.c.) Stripper operator Student (administrative/financial n.e.c.) Student (agriculture n.e.c.) Student (engineering n.e.c.) Student (geology) Student (humanities n.e.c.) Student (medical) Student (metallurgy/beneficiation/manufacturing n.e.c.) Student (mining production n.e.c.) Student (scientific/technical n.e.c.) Student (service occupation n.e.c.) Supervisor's assistant (underground) Supplementary medical worker (n.e.c.) Surgeon (general) Survey management Survey worker (n.e.c.) Surveyor (land) Surveyor (mine) Sweeper/vamper Systems accountant Systems analyst Systems/network programmer Tailor Tea maker/office cleaner

78

60404 60403 60402 20312 40204 20211 50001 59901 11099 11011 60907 70118 35999 10403 21405 21406 40512 20312 60804 40612 49994 21101 21198 21199 40656 81006 19998 99998 40798 40698 50598 81398 40398 80298 70898 49998 09998 69998 40598 79998 39998 29998 70698 80998 50898 59998 80198 89998 60398 60302 60300

Teacher (nursery education) Teacher (primary education) Teacher (secondary education) Team leader/supervisor (other mining production work) Technical assistant engineering (n.e.c.) Technical assistant mining (n.e.c.) Technical services management Technical services department (TSD) officer (n.e.c.) Telecommunications worker (n.e.c.) Telephonist Television cameraman Thoracic surgeon Timber, pulp and paper worker (n.e.c.) Timekeeper Tip team leader/supervisor Tip worker Toolmaker Toolpusher (ocean) Tour guide Town planner Tracer (n.e.c.) Trackless machine team leader/supervisor Trackless machine trainer (eg dragline) Trackless machine worker (n.e.c.) Track/plate layer/ganger (main line) Train guard Trainer (administrative/financial n.e.c.) Trainer (agriculture n.e.c.) Trainer (chemical engineering) Trainer (civil engineering) Trainer (computers) Trainer (crane driving) Trainer (electrical engineering) Trainer (fire fighting/rescue) Trainer (first aid) Trainer (general engineering n.e.c.) Trainer (general management n.e.c.) Trainer (humanities, n.e.c.) Trainer (mechanical engineering) Trainer (medical n.e.c.) Trainer (metallurgy/beneficiation/manufacturing n.e.c.) Trainer (mining production n.e.c.) Trainer (nursing) Trainer (road driving) Trainer (safety/loss control) Trainer (scientific/technical n.e.c.) Trainer (security) Trainer (service occupation n.e.c.) Trainer/instructor (n.e.c.) Training assistant Training management

79

60301 60399 60903 81399 60203 10906 09999 10906 20001 30401 70119 50518 10510 80704 40900 40907 40901 40902 10395 40456 60504 60503 60599 40526 40525 40524 21301 20406 10906 50707 50706 35913 60902 10318 10321

Training officer (n.e.c.) Training worker (n.e.c.) Translator Transport worker (n.e.c.) Tribal representative/induna Typist/word processor operator/receptionist Unclassified occupation (unknown/no specific skill) Typist/word processor operator/receptionist Underground/production/section manager Uranium plant official Urologist User support (computers) Valuator Waiter/waitress Water, effluent and sanitation management Water, effluent and sanitation officer Water, effluent and sanitation team leader/supervisor Water treatment operator Weighbridge attendant Welder Welfare assistant Welfare officer Welfare worker (n.e.c.) Winch Operator\Driver Winch transporter team leader Winch transporter/erector Winding engine driver (licensed) Wireline operators (ocean) Word processor operator/typist/receptionist Work study observer/assistant Work study officer Wrapper Writer/journalist Yard supervisor Yard worker (n.e.c.)

80

ITEM 13. TOTAL EXPERIENCE IN CURRENT OCCUPATION

YY/MM

ITEM 14. WAS INJURED CARRYING OUT NORMAL DUTIES AT TIME OF ACCIDENT?
Yes No

Normal duties implies that the job/duties/functions that the injured person was carrying out at the time of the accident was within his job description, e.g. if a boilermaker was welding, this is his normal duty. If, however, he was making electrical repairs, this is not his normal duty.

ITEM 15. DATE FIRST EMPLOYED WITH CURRENT EMPLOYER

YYYY/MM/DD

ITEM 16. DATE LAST SHIFT WORKED

YYYY/MM/DD

ITEM 17. DATE RESUMED WORK

YYYY/MM/DD

If the person has not returned to work at the time of submitting this form, the manager is to inform the Inspector of Mines when the person does in fact return to work by completing the form Report on date resumed work as prescribed in Appendix 9. See Regulation 23.2 (3)

NOTE: This form is to be completed and submitted monthly in respect of all injured persons who have not yet returned to work that month, as well as those that did not return to work, with the exception of the totally disabled who will not return to work. ITEM 18. IF FATAL, DATE OF DEATH
YYYY/MM/DD

If a person dies more than 12 months after the date of the accident, the Inspector of Mines must be informed accordingly, but the accident will not be included in statistics.

81

SAMRASS 2 FORM SECTION F: DETAILS OF INJURY

This Section need not be completed for a Dangerous Occurrence refer to example below:
SECTION F: INJURY DETAILS THIS SECTION NEED NOT BE COMPLETED FOR A DANGEROUS OCCURRENCE 1. Task: (person injured or killed while performing) 2. Activity: (injured or killed while) 3. Nature of injury 4. Part of body injured 5. Type of accident of individual Fatal (F), Totally disabling (T), In jury (I) F 6. Allocated days lost (to be completed by DME)

ITEM 1.

TASK: PERSON INJURED OR KILLED WHILE PERFORMING

This refers to the task/assignment being carried out or performed at the time of the accident i.e. a piece of work being done, a job or a duty. Make use of the full 6 digit code. 1A MINING/BREAKING ROCK/CUTTING/EXCAVATING
Digging, drilling, dredging 1A0101 1A0102 1A0103 Coal cutters/shearers Continuous miner Diamond dredges/drilling machines Drilling 1A0201 1A0202 Hydraulic Pneumatic Preparing the face 1A0301 Treating misfires Charging 1A0401 Loading explosives

Blasting 1A0501 Initiation

82

Cleaning (broken rock) 1A0601 1A0602 1A0603 1A0604 1A0605 Scraping (scraper winch) Mechanical loading Hand loading (lashing) Waterjet Sweeping Make safe (includes barring) 1A0701 1A0702 Visually examining Barring Installing 1A0801 1A0802 1A0803 1A0804 1A0805 1A0806 1A0807 1A0808 1A0809 Timber packs Timber elongates Hydraulic support Backfill Rockbolting Meshing/lacing Concrete packs Sandwich/composite packs Sticks, timberpoles Removing support 1A0901 1A0902 1A0903 1A0904 1A0905 1A0906 1A0907 1A0908 1A0909 Timber packs Timber elongates Hydraulic support Backfill Rockbolting Meshing/lacing Concrete packs Sandwich/composite packs Sticks, timberpoles

1B

TRANSPORTING
Transporting of mineral/rock/ore by 1B0101 1B0102 Rail transport Free-steered vehicle

83

1B0103 1B0104 1B0105 1B0106 1B0107

Conveyors Ore pass Boxfront/chute Dragline Skips Transporting of people by

1B0201 1B0202 1B0203 1B0204 1B0205 1B0206 1B0207

Rail transport Trackless mobile vehicle Shaft transport Self transport (person walking, running, ascending/descending etc) Conveyors Chairlift Magic carpet Transporting of materials/equipment by

1B0301 1B0302 1B0303 1B0304 1B0305 1B0306 1B0307

Rail transport Shaft transport Free-steered vehicle Winches Mono-rope Mono-rail Moving trackless mobile equipment, e.g. moving a rockbolter or roadheader between working places

1B0308

Moving trackbound equipment Material handling (loading, unloading, stacking)

1B0401 1B0402 1B0403 1B0404

Loading Unloading Stacking Lifting

84

1C

ENGINEERING TASKS
1C0101 1C0201 1C0301 1C0401 1C0501 Maintenance of equipment Repairing equipment Assembling equipment Installation and erection of equipment e.g. pipe winches Construction/building permanent structu re e.g. concrete, steelwork 1C0601 1C0701 Manufacturing e.g.sheet metal, carpentry Lifting e.g. cranes, block and tackle, chainblock

1D

TREATING ROCK/BENEFICIATION
Mechanical or chemical processes 1D0101 1D0102 1D0103 1D0104 1D0105 1D0201 1D0301 1D0401 Crushing Grinding Sizing (screening) Washing Flotation Chemical treatment Pyrometallurgy Construction of waste dumps or slime dams

1E

ANCILLARY TASKS
Mine infrastructure and services 1E0101 1E0102 1E0103 1E0104 1E0105 Survey Geology Rock engineering/mechanics Training Stores Environmental control services 1E0201 1E0202 1E0203 1E0204 1E0205 1E0206 Ventilation Dust control Water management Illumination Gas monitoring/control Radiation

85

1E0207 1E0208

Noise Heat

General maintenance/housekeeping 1E0301 1E0302 1E0303 1E0304 Gardening services Cleaning Road maintenance Property maintenance Catering/hostel services 1E0401 1E0402 Cooking/serving Cleaning

1E0501 1E0601 1E0701 1E0801 1E0901

Recreation Admin/office/clerical work Security Industrial action Rescue operations

ITEM 2.

ACTIVITY (INJURED OR KILLED WHILE...)

This is the activity (verb) i.e. when the injured is the doer of an action at the time of the accident. 2001 2002 2003 2004 2005 2001 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2002 Adjusting/assembling/stripping equipment or machinery Adjusting/changing (not equipment) Aligning Analysing Annealing Assembling/stripping/adjusting equipment or machinery Assembling (not equipment) Attaching Backfilling Ballasting Barring Bending/throwing/reaching Bleeding lines Blocking Blowing over Boiling Bolting Breaking (not rock/slag/concrete) Breaking (rock/slag/concrete) Burning explosives Burning material Carrying Casting/tapping/skimming Cementation Changing/adjusting (excluding equipment)

86

2025 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2044 2056 2057 2058 2059 2060 2061 2062 2063 2064 2062 2065 2065 2046 2067 2068 2069 2070 2071 2072 2073 2065 2075 2076 3077 2078

Changing clothes Changing equipment/material Charging batter ies Charging up Checking/inspecting machinery, vehicles or equipment Checking/inspecting (excluding machinery/vehicles/equipment) Clamping Cleaning other than equipment, machinery and footwall Cleaning footwall task Cleaning machinery/equipment Clearing Clearing obstructions Clerical work Climbing Closing/opening (excluding doors/valves) Closing/opening doors Closing/opening valves Collaring hole Connect/disconnect electricity Connecting equipment/machinery/hoses Construct/erect structures Cooking/making tea Covering Coupling/uncoupling electricity/equipment Coupling/uncoupling (excluding electricity, equipment, machinery, hos es and valves) Crawling Crushing Cutting with gas torch Cutting with tools Digging Disconnect/connect electricity Dislodging Dismantling Diving Draining Drawing rock Drilling (electric al) Drinking/eating Dumping Driving Eating/drinking Empty/fill containers or hoppers Entering/leaving conveyance Erect/construct structures Equipping Examining Exercising/sport Extending Extracting Falling Fastening Fill/ empty containers or hoppers Filling Firing furnace/bricks etc. Fitting Flushing

87

2079 2080 2081 2082 2083 2084 2085 2086 2087 2088 2089 2090 2091 2092 2093 2094 2095 2096 2097 2098 2099 2100 2101 2102 2103 2104 2105 2106 2107 2108 2109 2110 2111 2112 2113 2114 2115 2110 2111 2081 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129 2130 2131

Forging Grading Greasing/lubricating Grinding Grouting Guarding Guiding Hammering Handling Handling cable Hanging Hoisting men/material Hoisting rock Heating Hitting/striking Holding Hooking Inflating Inserting Inspecting/checking of machinery, vehicles or equipment Inspecting/checking (excluding machinery/vehicles or equipment) Installing equipment/machinery Installing (excluding support/barr/wall/machinery) Joining Jumping Kicking Kneeling Lashing Laying Leaving/entering conveyance Levelling Lifting/lowering by hand Lifting/lowering/raising with machinery Lighting Lining/relining Loading/offloading Loosening Lowering/lifting by hand Lowering/lifting/raising with machinery Lubricating/greasing Machining Making tea/cooking Marking off Marking off drill holes Measuring Mixing (excluding concrete) Mixing concrete Moving objects Nailing Offloading/loading Opening/closing (excluding doors/valves) Opening/closing doors Opening/closing valves Opening equipment/tools Operating track bound vehicles Packing

88

2132 2133 2134 2135 2136 2137 2138 2139 2140 2141 2142 2143 2144 2145 2146 2147 2148 2149 2150 2151 2152 2153 2154 2155 2156 2157 2158 2159 2160 2161 2162 2163 2164 2165 2166 2167 2168 2169 2170 2171 2172 2173 2174 2175 2176 2177 2178 2179 2180 2181 2182 2183 2184 2185 2186 2187

Painting Parking Patrolling Pegging Picking Placing Plastering Plugging Positioning Pouring Preparing Preparing face (task) Profile cutting Projecting Pulling Pumping Pushing Raising/lowering/lifting with machinery Reaching/throwing/bending Reaming Reclaiming material Reclaimimg/sweeping/vamping Reconditioning Refueling Relining/lining Removing (excluding support, equipment and machines) Removing equipment/machinery Removing support Repairing Replacing Rerailing Resetting Reversing Riding (track bound vehicles) Riding (trackless vehicles) Rolling (not self) Rotating (not self) Routing Running Sampling Sandblasting Sanding Sawing Scraping Setting Sharpening Shoveling Showering Shunting Signaling Sitting/standing/waiting (person in stationery position) Skimming/casting/tapping Sliding Slinging Soldering Sorting

89

2188 2189 2190 2191 2192 2193 2194 2195 2196 2197 2198 2199 2200 2201 2202 2203 2204 2205 2206 2207 2208 2209 2210 2211 2212 2213 2214 2215 2216 2217 2218 2219 2220 2221 2222 2223 2224 2225 2226 2227 2228 2229 2230 2231 2232 2233 2234 2235 2236 2237

Sounding/testing Spacing Spinning Splicing Sport/exercising Spotting Spragging Standing/sitting/waiting (person in stationery position) Starting Steering Stemming/tamping Stopping (not self) Straightening (not self) Striking/hitting Stripping/assembling/adjusting equipment or machinery Supervising Sumping Surveying Sweeping/brushing Sweeping/reclaiming/vamping Swimming Switching (rail) Switching (reference) Tamping/stemming Tapping/casting/skimming Tempering Tensioning Testing Testing (excluding equipment) Testing/sounding Throwing/reaching/bending Tightening Timbering Tipping Training (conveyor belt) Tramming Trimming Turning on/off Twisting (person) Uncoupling/coupling electricity etc. Uncoupling/coupling (other than electricity, equipment, machinery, hoses and valves) Vamping/sweeping/reclaiming Waiting/standing/sitting (person in stationery position) Walking Warning Washing Watering Wedging Welding (electric) Welding (gas)

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ITEM 3.

NATURE OF INJURY

In some cases the injured person suffers different types of injuries to different body parts. In such cases the injury resulting in the most days lost must be used, unless it can be classified as multiple to the whole body. A B C D E F G H I J K L M N P Q R S T U V W X Z Y AB Amputation Abrasion Burn (flame) Burn (chemical) Burn (steam/hot substance) Concussion Crushing (injury) Contusion bruise Dislocation Drowning Dermatitis Burn (electric) Fracture Foreign body/splinter Gassing Heat exhaustion Heat stroke Hernia Laceration Multiple injury Poisoning Puncture Asphyxiation Other Sprain/strain Blindness

ITEM 4.

PART OF BODY INJURED

Head/face and neck

01 02 03 Skull and scalp (occipital, frontal, maxilla) Ear (malleus, otitis, barotrauma) Eyes and orbit (eye socket) Note: where blindness results, use code AB in Nature of Injury (ITEM 3) i.e. AB03 = 6000 days lost Nose and sinuses Face (upper jaw, zygoma (cheekbone)) Lower jaw (teeth, mandible(lower jaw), ramus) Neck (throat) Multiple injuries to head, face and neck Brain

04 05 06 07 09 60

Trunk
10 11 12 Thorax (chest - excluding spinal region) Thoracic (chest, spinal region, lungs, sternum, ribs) Abdomen (including lumbar spine, back, vertebrae)

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13 14 15 18 19 20 21 22

Anterior abdominal wall Pelvic girdle (sacrum, coccyx, buttocks, hip) External genital area (scrotum) Other (specify) Multiple injuries to trunk Scapula (shoulder blade) Collar bone (clavicle) Shoulder (acromion)

Arms and hands

23 24 25 26 29 30 31 32 33 34 35 36 37 39 Forearm (ulna, radius, extensor (muscle), indicis) Elbow Arm Both arms Multiple injuries to one arm only Wrist (scaphoid, flexor, carpus (muscle), colles) Palm (thenar) Back of hand (including metacarpal bones, dorsum) Thumb Single finger Thumb plus one or more fingers Two or more fingers (excluding thumb) Both hands injured Multiple injuries to one hand (hand general)

Legs and feet

40 41 42 43 44 45 46 47 48 49 Thigh (femur) Knee joint (including patella) Leg injured below the knee (fibula, tibia, shin) Ankle (cuneiform, calcaneus, talus, cuboid, heel) Foot (including toes) Foot (excluding toes), metatarsal Toes (one or more) Whole of lower limb (whole leg) Both feet Both lower limbs (legs)

Multiple
50 51 52 53 54 55 56 99 Multiple injuries to head, face, neck and trunk Multiple injuries to head, face, neck and limbs Multiple injuries to the entire body Multiple injuries to the trunk and upper limb(s) Multiple injuries to the trunk and lower limb(s) Multiple injuries to the upper and lower limb(s) Multiple injuries to the trunk, lower limbs and upper limbs UNSPECIFIED

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ITEM 5.
F I T

TYPE OF ACCIDENT OF INDIVIDUAL

One person killed (allocate 6000 days lost.) One person reportably injured One person totally disabled for own occupation, e.g. paraplegic/quadriplegic/deaf/blind/permanently bedridden/permanently totally disabled.

ITEM 6.

ALLOCATED DAYS LOST

The allocated days lost must be completed according to the nature of injury and body part injured, as reflected in the table in Appendix 11, e.g. a fracture (M) to the leg (42) is attributed 160 days lost.

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