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Incident Investigations

As part of Technical Safety BC's commitment to share safety information with clients and the public, we have started to publish select incident investigation summaries. The investigations are documented in our enhanced incident investigation report format and organized by technology.

When does Technical Safety BC investigate?
  • When regulated work or regulated equipment is involved
  • When evidence is available to help determine causes and contributing factors
  • Where a learning opportunity exists to understand and document what caused the incident, and to inform prevention of similar incidents.
When does Technical Safety BC not investigate?
  • Where a regulated product or work is not involved
  • Where there is no evidence of regulated equipment being involved, or it has been ruled out.
  • It does not meet the definition of an incident
  • Evidence of cause or contributing factors is poor or non-existent.
Title Ref # Incident Date Technologies Publish Date
Elevator emergency exit drop ceiling panel comes loose, falls and injures occupant II-684356-2018 (# 7090) Elevating Devices 4 December 2018
Main fuse at educational facility opens under short circuit condition (II-613449-2017) Electrical 4 December 2018
Incorrect installation causes electric appliance in commercial car wash to ignite II-680863-2018 (7047) Electrical 4 December 2018
Extra passenger on unchecked ride leaves riders traumatized II-690797-2018 (7294) Amusement Devices 4 December 2018
Delayed ignition in direct vent fireplace causes front glass to shatter #II-727632-2018 (#8165) Gas 4 December 2018
Equipment failure shatters fireplace glass panel #II-651245-2018 Gas 4 December 2018
Lack of anti-vibration clamps cause metal fatigue and cracking leading to ammonia leak at refrigeration plant II-740302-2018 (#775050) Boiler, PV and Refrigeration 4 December 2018
Operator investigates gondola that developed problems during test-run II-655223-2018 (5985) Passenger Ropeways 3 December 2018
Unsecured grip causes chairlift to slide backwards on an incline II-736022-2018 (#8350) Passenger Ropeways 3 December 2018
Temporary construction heater connected to an extension cord in a single-family home catches fire II-651246-2018 Electrical 7 November 2018
Failure of underground high voltage cable termination causes partial power outage to private utility II-667666-2018 Electrical 5 November 2018
Multiple steps collide to activate 'missing step' switch and halt escalator II-663374-2018 Elevating Devices 5 November 2018
Poor oil flow and lack of lubrication in negative temperatures leads to gearbox failure on ropeway II-663376-2018 (6244) Passenger Ropeways 5 November 2018
Broken bolts bring elevator to a stop II-640991-2018 (#5063) Elevating Devices 5 November 2018
Ride operating at a speed higher than manufacturer's instructions causes discomfort II-729058-2018 (8210) Amusement Devices 2 November 2018
Digging causes damage to underground propane gas line, shuts down gas at mobile home park II-740996-2018 Gas 2 November 2018
Tripped overspeed governor electrical switch initates emergency stop; entraps elevator passenger II-692976-2018 (ID: 7308) Elevating Devices 2 November 2018
Major wear and tear and lack of maintenance leads to escalator pile-up II-705921-2018 (7470) Final Elevating Devices 26 October 2018
Pin hole on boiler tube creates explosive situation II-696340-2018 Boiler, PV and Refrigeration 18 October 2018
Hoist operator injured on construction site EDII-705475-2018 (7588) FINAL Elevating Devices 12 October 2018
Compromised insulation damages outdoor electrical junction box # II-710415-2018)(17800) FINAL Electrical 12 October 2018
Arc flashes caused during work on energized electric panelboard #II-713160-2018 (#7838) (FINAL) Electrical 12 October 2018
Residual ammonia released from compressor shaft seal triggers 100 ppm ammonia alarm II-690530-2018 BPVII-1120802-2018 Gas 9 October 2018
Residual ammonia released from compressor shaft seal triggers 100 ppm ammonia alarm II-690530-2018 BPVII-1120802-2018 Boiler, PV and Refrigeration 9 October 2018
Detached children's power train coasts downhill on deviated track with rider in tow II-711928-2018 (7781) Amusement Devices 9 October 2018