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Lessons Learned from Modoc Engine 460 Incident: Safety Protocols and Preventive Actions

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This report details the critical lessons learned from the Modoc Engine 460 incident that occurred between July 4 and July 7, 2001. Key causal factors identified include excessive speed, incorrect positioning while approaching a blind curve, and a radio malfunction. The incident escalated due to an overloaded cab and the explosion of a medical oxygen bottle, which sent a heavy door uphill and ignited a fire from leaking diesel fuel. The report emphasizes the importance of strict adherence to safety protocols and thorough documentation of training to prevent future accidents.

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Lessons Learned from Modoc Engine 460 Incident: Safety Protocols and Preventive Actions

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  1. Lessons Learned Modoc N.F. Engine 46

  2. Modoc Engine 4607-05-2001 • 07-04-2001

  3. Modoc Engine 4607-06-2001

  4. Causal FactorsWhat went wrong?

  5. Excessive Speed

  6. Incorrect Positioning WhenEntering a Blind Curve

  7. Radio Mal-function

  8. A Model 42 Is Designed for Three Passengers…

  9. There Were Four in This Cab

  10. Secondary Findings to the Accident

  11. Medical Oxygen BottleEXPLODED…

  12. Resulting in • Sending a 50 lb door 100’ uphill into the wildland fire.

  13. Hole in Fuel Tank • Diesel sprayed on both vehicles. • Fire erupted immediately.

  14. Haz-Mat • The clean-up cost several thousand dollars.

  15. Policy • OF-346 in possession prior to driving. • JHA’s APPROVED and SIGNED by the Line Officer. • JHA’s SIGNED and DATED by every employee they apply to. • Document ALL training.

  16. SAFETY…

  17. THIS…

  18. Or THIS

  19. IT’S YOUR DECISION

  20. How can YOU keep this from happening again?

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