Incident Investigations

As part of Technical Safety BC's commitment to share safety information with clients and the public, we share our 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
Wooden panel falls from elevator ceiling hitting passenger’s arm II-763515-2018 (#8646) Elevating Devices 22 October 2019
Rapid release of the jammed communication cable injures worker II-768291-2018 (#9315) Passenger Ropeways 22 October 2019
Harbour Centre elevator stops in express shaft zone which has no doors II-748985-2018 (#8737) Elevating Devices 22 October 2019
Burnt out main breaker requires refurbishment of buss work and main breaker replacement II-845396-2019 (#12047) Electrical 22 October 2019
Clogged flue chamber causes explosion in hot water boiler combustion chamber II-717029-2018 (#7943) Boiler, PV and Refrigeration 22 October 2019
Stalled gondola carrier leads to collision with minor injuries II-783351-2018 (#9986) Passenger Ropeways 22 October 2019
Worker shocked after inserting metal tape into electrical conduit II-832375-2019 (#11598 Electrical 22 October 2019
Ammonia leak caused by strainer gasket failure in food processing facility II-798918-2019 (#10565) Gas 22 October 2019
Rider hits head riding enclosed waterslide II-840786-2019 (#11824) Amusement Devices 21 October 2019
Electrician shocked by energized non-metallic sheathed emergency lighting cable II-828248-2019 (#11504) Electrical 16 October 2019
Sea to Sky gondola collapses due to intentional cut to haul rope II-890649-2019 (#14784) Passenger Ropeways 18 September 2019
Electrical unit heater fire damages structure and property II-848335-2019 (#15152) Electrical 12 September 2019
Fire in residential garage grow-op using extension cords and powerbars II-848274-2019 (#12167) Electrical 11 September 2019
Wall mount thermostat catches fire after installed on 240 volt circuit II-805147-2019 (#10766) Electrical 30 July 2019
Ammonia release results in facility evacuation and temporary shutdown II-765453-2019 (#9425) Boiler, PV and Refrigeration 23 July 2019
Elevator cylinder re-sync causes abrupt stop and impact II-680090-2018 (#7025) Elevating Devices 23 July 2019
Low voltage electrical system: Third degree burns sustained when attempting to install sub feed cable II-825724-2019 (#11410) Electrical 9 July 2019
Amusement ride: Roller Coaster Shoulder Restraint System Failure II-692974-2018 (#7309) Amusement Devices 2 July 2019
Refrigeration system - Cracked bellows on ammonia thermal expansion valve II-788966-2018 (#10224) Boiler, PV and Refrigeration 21 June 2019
Refrigeration system: Cross-contamination between ammonia and brine side of a chiller vessel II-747636-2018 (#8333) Boiler, PV and Refrigeration 21 June 2019
Refrigeration system - Compressor fails causing an uncontrolled ammonia release II-796777-2019 (#10525) Boiler, PV and Refrigeration 21 June 2019
Refrigeration system: Residual ammonia released from the oil separator causes emergency shut down II-745207-2018 (#8593) Boiler, PV and Refrigeration 6 June 2019
Above surface ropeway: Impact injury to elbow and shoulder II-744946-2018 (#8566) Passenger Ropeways 6 June 2019
Elevator: Apprentice sustained fracture to big toe II-728385-2018 (#8204) Elevating Devices 6 June 2019
Natural gas system: 5 adults and 3 children exposed to carbon monoxide II-814368-2019 Gas 6 June 2019