Huge news today, with the conclusions of the National Institute for Occupational Safety and Health panel’s report that provides critical context within which everyone should view the federal Mine Safety and Health Administration’s actions — and the agency’s public statements — about the Upper Big Branch Mine Disaster.
The bottom line is really pretty clear:
… If MSHA had engaged in timely enforcement of the Mine Act and applicable standards and regulations, it would have lessened the chances of — and possibly could have prevented — the UBB explosion.
It’s a remarkable conclusion, coming as we approach the 2nd anniversary of that terrible explosion that killed 29 workers at a Massey Energy mine in Raleigh County, W.Va., back on April 5, 2010. The panel’s report puts quite a different face on things than MSHA, the Obama administration, and congressional Democrats (not to mention repeated editorials from the New York Times) have tried to push in their effort to downplay MSHA’s failings and protect their friend, agency chief and former United Mine Workers safety director Joe Main.
The 26-page report was provided to MSHA yesterday, but has yet to be made public by the agency. It’s based largely on two primary conclusions about what role federal regulators could and should have played in preventing the worst U.S. coal-mining disaster in nearly 40 years. The report points to key MSHA failures regarding the initial methane ignition and the huge coal-dust explosion that followed:
— … If MSHA enforcement personnel had completed required enforcement actions during at least one of the four UBB inspections [immediately prior to the blast], it is unlikely that a roof fall would have occurred and that airflow would have been reduced as a consequence. With proper quantity of air, there would not have been an accumulation of methane, thereby eliminating the fuel sources for the gas explosion; and
— … If MSHA enforcement personnel had taken appropriate actions during the inspections in the month prior to the explosion, either dangerous accumulations of explosive coal dust would have been rendered inert, or the mine would have been idled.
Add those two things together, the NIOSH panel report says, and this is what you get:
In short, even if there had been a gas explosion, it would have lacked sufficient fuel to trigger a massive dust explosion. Therefore, the IP’s overall analysis suggests that if MSHA had engaged in timely enforcement of the Mine Act and applicable standards and regulations, it would have lessened the chances of — and possibly could have prevented — the UBB explosion.
Some readers may recall that, back when the Obama administration actually talked much about coal-mine safety, Labor Secretary Hilda Solis asked NIOSH chief John Howard to appoint a team of experts to conduct an “independent assessment” of the MSHA “internal review” of agency actions at UBB, to assure “transparency and accountability” in MSHA’s review of itself. Now, NIOSH officials were trying hard today to distance their agency from this report, refusing to release copies and insisting it was an “independent” report. But the leader of the independent assessment was Jeffrey Kohler, who is director of mine safety research for NIOSH. Two of the other four team members — Lewis Wade and Michael Sapko — are retired from NIOSH. The fourth member, Stanford law professor Alison Morantz, also has ties to NIOSH. It’s important to understand the NIOSH connection, because given the close relationship between MSHA and NIOSH on mine safety and health issues, this adds even more weight to the report’s bottom-line conclusions.
Stay tuned …
I’ve posted a copy of the NIOSH panel’s report here.
President Barack Obama looks at a document spread across his desk during a meeting on mine safety with, from left, U.S. Mine Safety and Health Administrator Kevin Stricklin, Assistant Secretary of Labor for Mine Safety and Health Joe Main, Deputy Mine Safety and Health Administrator Greg Wagner, and Labor Secretary Hilda L. Solis in the Oval Office April 15, 2010. (Official White House Photo by Pete Souza)
Now, when MSHA released its “internal review” report earlier this month, this is what the conclusion was:
While the Internal Review team did not find evidence that the actions of District 4 personnel or inadequacies in MSHA safety and health standards, policies, or procedures caused the explosion, the team found several instances where enforcement efforts at UBB were compromised because MSHA and District 4 did not follow established Agency policies and procedures. The Internal Review team also found inspectors would have benefited if certain policies and procedures had been more clearly drafted and more effectively implemented.
The NIOSH panel reported that MSHA’s internal review team was asking the wrong question:
Although the IP does not take exception to the MSHA IR Report’s conclusion that the mine operator, not MSHA, caused the explosion, the IP believes that this characterization of the facts understates the role that MSHA’s enforcement could have had in preventing the explosion. Had the MSHA IR Team considered the causation issue from a broader point of view, the IP believes that the IR Team might also have pose the following question:
Would a more effective enforcement effort have prevented the UBB explosion?
And again, the NIOSH panel’s ultimate finding:
… If MSHA had engaged in timely enforcement of the Mine Act … it would have lessened the chances of — and possibly prevented — the UBB explosion. Even if a frictional ignition had occurred , there would have been insufficient combustible coal dust to fuel a massive explosion.
Remember that the MSHA internal review team also concluded:
The Operator concealed its highly non-compliant conduct in a number of significant ways. The Operator provided advance notice of MSHA inspections, allowing foremen to correct violations before inspectors arrived underground to detect them. It concealed several occupational injuries by failing to report them to MSHA as required. The Operator recorded hazards in internal production reports rather than in the examination books required by MSHA standards. Finally, it intimidated miners into not reporting hazards to MSHA, compromising miners’ ability to participate in the identification and correction of hazards, as provided by the Mine Act. These intentional efforts to evade well-established Mine Act provisions, which are intended to provide MSHA the opportunity to determine operator compliance or designed to make available vital safety and health information, interfered with MSHA’s ability to identify and require abatement of hazardous conditions at the Mine.
But the NIOSH panel said:
… Concealment activities by the mine operator would have adversely impacted MSHA’s enforcement performance at UBB, however, the mine operator di not, and could not, conceal readily observable violative conditions such as flat dust accumulations throughout the UBB and missing supplemental roof controls.
MSHA has posted what it says is the “complete” NIOSH panel report here. The only difference between it and the version I obtained earlier today appears to be a one-page “errata” sheet that doesn’t change any of the major conclusions, and this letter in which NIOSH’s John Howard transmitted the report to MSHA. The letter doesn’t say much, either.
Labor Department officials also released a prepared statement in the name of MSHA chief Joe Main. It doesn’t address any of the specific criticisms in the NIOSH panel report, but here it is:
Following the explosion at the Upper Big Branch mine, it was clear that a tragedy of this magnitude would require a deep and far-reaching investigation of the accident and a thorough review of the Mine Safety and Health Administration’s (MSHA) actions at the West Virginia mine. MSHA immediately initiated an internal review and then asked the National Institute for Occupational Safety and Health (NIOSH) to empanel an experienced team to provide an independent analysis of MSHA’s internal review. MSHA received the independent panel’s report and is reviewing it, but did not wait for the results of either review to make a number of improvements. MSHA began making changes in April of 2010 to ensure it is doing its utmost to keep America’s miners safe.
MSHA is committed to rooting out and addressing critical issues within the agency head-on, and agrees more needs to be done to ensure full and effective enforcement of the Mine Act. Under the Mine Act, Congress gave mine operators responsibility for running safe mines. Four investigations into the explosion all show that Massey Energy did not live up to that charge. Recent testimony confirmed that mine management routinely used illegal tactics to conceal violations from inspectors. MSHA cannot keep miners safe alone – mine operators must commit themselves to safety and health.