Tripped valve traps first responders and patient
Persona
Persona
Technologies
Technologies
Reference number
II-628126-2017
Location: Vancouver
First responders and patient entered a hydraulic elevator, which had undergone major alterations in 2011, and were entrapped by a tripped over-speed valve. Causes and contributing factors that caused the elevator to stop have been attributed to a combination of improper over speed valve setting and compressions from CPR being performed during the journey.
Attachment | Size |
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incident investigation entrapment ii .pdf | 278.5 KB |