Weld component fails on construction hoist

Incident Investigation

Weld component fails on construction hoist

May 4, 2018

Elevating Devices

Reference Number:


Incident overview

While performing a test of the over-speed safety brake, a component of the over-speed safety system broke allowing the hoist have an uncontrolled descent.

Regulated industry sector

Elevating Devices (Construction/personnel hoist)


Burnaby, BC

Investigation Conclusions

Site, system and components

This model of personnel hoist uses a rack and pinion gears for its propulsion in both up and down direction. The hoist also has an over-speed safety brake to prevent the hoist from moving in the down direction over a rated speed.

The over-speed safety brake also uses pinion gears on the same rack as the drive system to slow and stop the hoist. The teeth on the over-speed safety brake pinion gears are kept mated with the rack by two metal retaining tabs welded to the same mounting plate that the pinion gears and over-speed safety brake are attached to.

To test the operation of the over-speed safety brake, weights are added to the hoist car, then the hoist is put into a test mode. The test mode releases the motor brakes allowing the hoist to descend freely so the over-speed safety brake will activate and stop the hoist.

Failure scenario(s)

While performing the over-speed brake test, the hoist was put into test mode and the motor brakes were opened.

The hoist car began to descend. When the over-speed brake device actuating speed was reached the device engaged the over-speed pinion brake. The force of the pinion brake actuating caused the pinion to shift away from the rack which engaged the welded retaining lugs.

The retaining lug weld, which was already compromised, broke allowing the pinion gear to fully separate from the rack preventing the pinion brake from arresting the hoists decent. The mechanic then manually stopped the decent by activating the motor brakes.

Facts and evidence

A physical inspection of the over-speed brake on-site showed that it had only partially engaged. An inspection of the over-speed pinion gears and retaining tabs revealed that the welds on the two retaining tabs had been partially broken off, one of which the welds were rusted through indicating the welds were broken prior to the incident, the second retaining tab had freshly broken welds that measured 3/16” thick.

The retaining tabs, which are installed from the factory within 1/4” of the rack were 7/8” from the rack and had over 90% of their welds broken.

Causes and contributing factors

It is highly probable that previous impact forces on the pinion gear retaining tabs compromised the integrity if the retaining tab welds. The force of the over-speed brake engaging and shifting the rack into the tabs contributed to the retaining tab weld failure.

It is probable that the broken tab welds allowed for enough clearance for the pinion gear to disengage from the rack allowing the uncontrolled descent of the hoist. It is probable that the broken welds went undetected during regular maintenance.


  • Injury
    • Qty injuries: 0
    • Injury description: N/A
    • Injury rating: None
  • Damage
    • Damage description: Governor safety device welded component failure.
    • Damage rating: Major

Incident rating










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