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AccmENT REPORT
1
Lor..ationName:H A 6- iN u
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Manufacturer Name:
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StAtt.
I.D. Number:- H A
2.
S. Nameandaddre.$s
of injured:
6.
8.
10. Rcf~
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to:
Namt.
11. Will anm_Ii~1XI
BeIDade'1
Offi~
Assignt.d
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to:
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Da:r.
~~~~':.."iZ'm=nt
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Assoc
.
Rldco)
Salay Engineer(Amuseme.nt
lUdes)
12.
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\ 4v"",.,1DEPARTMENT OF INDUSTRIAL R.E.1.A
TIONS
I)JVlSION OF OCCUPATIONAL SAFETY AND HEAL 11-1
PERMANENTAMUSEMENT RIDE SECTION
ACCIDENT INVRSTIGA TION REPORT
08/21/2001
Date/Invest.
Eckman
A
(1'14) 456-1872
ngineer (AmusementRi
TelephoneNumber
Placeof A"ident : ~~Waters_Address of Accident:
mas
e
I
~.::_'~I';M;"!_!-;;-:--~~"'--_"-"
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Name of Injmed (List Idditionll iIIjIIrr.dwiU1lWrasivc.)
Natureof Injury: _C5 and C6 fracture -sni~
917
802-2241
'p
Age
08/17n.OOI
Date of Injury
StatelD Number:
Rai!:in2 Rivers
What OGcunedto causethe injury?:
N/A
Date of Death
cord iniUTV-
AttractionName: Ra2in2 Rivers
TradeN~:
x
ep IXICNwnber
.
_N/A~
Manufacturer:
Pacific Custom Pools
See Nan-ative
Unsafeactsinvolved; See Narrative
.
Unsafe conditions (lndIor)Code Violations involved; See Nanative
Stepsto be takento eliminatethehazard: See Narrative
.
Completethe revene sideof this form.
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0>11\11:: VI" ...ALlrVKNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
.DIVISION
OF OCCUPA TlOHAl
SAFETY AND HEALTH
PERMAt~ENT AMUSEMENT RIDE SECTiON
Page
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of -9
ACCIDENT lNVESTIGA TION REPORT NARP..ATIVE
Oil Friday, August 11.200), at approx;mate)y5:00 PM, the Division of OccupationaiSafety and Heaith,
PennanentAmusementRide, Anaheim District Office ("The Division") receiveda telephonecall via the
2
answeringservicefrom Mrs. Mary Ann Magana.HumanResourc~Manager,employed by RagingWaters,
3
reporting an accidentthat occurred on Friday, August 17,2001, at approximately 2:45 PM. on an amusementride
known as Raging Rivers. located at Raging Waters, III RagingWaters Dr.. SanDimas, California. Inbrief
obtained a forty--eight(48) inch greeninflatable inner tubeand proceededto put the tube
in the first body of water floating to one of the first spillways. While sitting in the center of the forty-eight (48)
inch inner
went down one of the first spillways.
4
5
summarythe circumstancesof the accidentwere as follows: On Friday, August 17,2001, at approximately2:45
PM. ."- -.-~
1
went down one
6
7
8
9
of the secondspillways. sitting in the center of the forty-eight (48) inch tube, backwards.
10
continued down the spillway she struck"
11
-(Uncle)
in the back of his legswhile he was
walkingdownthe spillwaywithouta forty-eight(48) inchtube. Thisresultedin an injury beingsustainedby-
12
13
14
The Raging Rivers attraction is a slow moving, rider-navigatedattraction. which consistsof thirteen (13)
15
individual bodies of water, and eighteen(18) individual spillways. These spillways connectthe bodies of water
16
respectivelyto allow the rider the option to experienceseveraldifferent courses. The conveyanu utilized for this
17
attractionis a forty.-eight(48) inch inflatable innertube. which eachrider must obtain prior to enteringthe first
18
body of water. The first and uppennost body of water is the ingress point of the attraction. Once the rider is
19
properly positioned in the innertubc, the rider hasthe option of beginning thc ride at any numbcrofspillways.
20
Oncethe rider selectsan initial option, the rider travels down the spillway by meansof gravity and water flow
21
until the rider reachesthe next body of water. Oncethe rider begins to descenddown a spillway, the speed of the
ride varies. dependingon the length and elementsin the spillway. along with the size of the patron onthe forty-
23
eight (41) inch tube. Whenthe rider reachesthe end of a spillway. they enteranother body of water with
24
additional spillway choices. This processofseJectingspillway options continuest.~roughoutthe course of the
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'" 1/\ I COvr
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DEPARTMENTOfINOUSTRJALk£:LATJONS
.'DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMANENT AMUSEMENT RIDE SECTION
Page
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ACCIDENT INVESTIGA TJON REPORTNARRA TfVE
attraction until the rider finally reachesthe last body of waterand exits the attractioncourse. This last body of
water, known asthe "splashpool", is sharedwith anothertwo (2) flume water slide collectively known as "The
Dark Hole". Additionally, the water circulation and pumping sy~em for the RagingRivers attractionis currently
13
sharedwith The Dark Hole attraction. According to RagingWaters managementthis atLractionwas built in 1984
4
with a maximum slide pathangle of 30% and an averageslide pathgrade of 100/0.The water flow for iliese
5
attractions is producedby four (4) 100 horsepowermotors and one (I) 125horsepowermotor. for a total offive
6
(5) motors capableof generating6.000 gallons of water flow per minute at 1,1.50revolutions per minute, for a
7
total of 30,000gallons of water per minute. The maximum water flow rate for this attraction is approximately
8
32,000 gallons per minute. The maximum capacity of this attractionis twClhundredforty (240), one man, forty-
9
eight (48) inch inflatable inner tubes.
10
11
At approximately8:00 AM Mor.day, August20. 2001,Mr. AI Tafazoli. Anaheim AmusementRide
12
District Manager.directed me to investigatean accidentat Raging Waters.located at 111 Raging Waters Drive,
13
San Dimas. on the above-describedat'"tTAction,Shortly after receiving this assignment[-telephonedMrs. Mary
Ann Mag~
14
Human ResourceManager.to advise Raging WatersManagementof my arrival time to conduct an
investigation of the accidentwhich occurred on Friday, August 17,2001 at approximately2:45 PM.
15
16
17
On Tuesday,August 21, 2001, at approximately 1:00PM. J arrived at Raging Waters and was met by Mr.
18
Terry Mackey. GeneralManager,and Mrs. Mary Ann Magana.Human ResourceManager, both employed by
19
Raging Waters. At this time we had an openingconferencewhereMr. Teny Mackey explainedthe events that
20
took place in regardto the accidenton the Raging Rivers attractionon August 17. 20,01. After this. we walked
21
out to the Raging Riversattraction to take a cJoserlook. At this time the attractionwas in full operation, which I
22
observed. Once I completed my observationof the Raging Riversattraction,! requestedthat Raging Waters
23
provide me with the following documentationfor review: diagramof the Raging River atb'actionlayout; copy of
24
the safetysignage;letter from the manufactureron the inflatable innertube size; the size of the inflatable inner
25
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~CCIOENTINVESTIGATIONREPORTNARRAD~
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PERMANENT AMUSEMENT RIDE SECTION
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~CC/DENT rNVESTIGA TION REPORT NARRATIVE
I askedMr. Scott Thompsonifhe had seenthe accidentoccur. He said he did not. Mr. Scott Thompson infonned
me that he did not work for RagingWaters. Raging Waters contractsall of their medical service to an
2
independentcompany, which hires and trains their own employees. However, Mr. Scott Thompsondid inform
13
me that he had previously respondedto many accidents on the RagingRivers attraction. Mr. Scott Thompson
4
also infonned me that RagingRivers hasno evacuationroutes planned for each body of water in the event of an
5
accident. At approximately4:45 PM on the sameday, I interviewed Mr. AITOnMoody. Mr. ACTonMoody was
6
working in the position RRJ (RagingRivers J) (dispatch) on the Raging Rivers attraction at the time of the
7
accident. Mr. Anon Moody informed me that he did not se~the accidentoccur. I askedMr. Anon Moody
18
specific questionspertaining to his responsibility on the Raging River attraction. Specffic questionswere also
9
askedof Mr. ArrODMoody in regardto training and operationalprocedureson the Raging Rivers attraction.
10
11
12
On Thursday,August 30, 200t, at approximately 11:00 AM I arrived at RanchoLos Amigos National
Rehabilitation
Center.where.~_.
."---
and.
~--"
.;0:;
-(uncle
Duringmy interviewwith.
-.(injured
party)washospitalized.
to conductan interviewwith
13
..
of the injuredparty.whowasnot injured)in regardto dle accident. 14
-I he indicatedthattheRagingRiversattractionwasvery.crowded 15
at the time of the accident. He indicatedthatjust prior to the accidentoccurring. he went to sit on his forty-eight
16
(48) inch inflatable inner tube, when the inner tube inadvertentlyslipped out from under him and went down the
17
spillway. ---walke.d
18
down the spillway to obtain his inner tube.
was walking down the spillway,.-
19
hit him from behind. Next I went up to ---
room to interview her in regardto the accident. Due to the nature of her injuries,
1- was able to
20
speakto me only briefly. During this brief interview, she was able to tell me that she was sitting in the center of
21
the inner tube liid she hit someonegoing down the spillway.
22
.-did not seethe persondue to the
23
fact that she went down the spillway backward$(head first).
.
24
At 1:30 PM on Thursday, August 30, 200I, I interviewed Ms. Lauren Hettema,a lifeguard on the Raging
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PERMANENT AMUSEMENT RIDE SECTION
Page
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ACCIDENT INVESTIGATION REPORT HARM TIVE
1
2
location
4
5
6
7
forty.cight (48) inch inflatable inner tubes.
8
9
10
11
12
14
15
_I
~ was hurt.
16
18
This meetingWasset so that both partiescould view the Raging Rivers attractionand conduct their own
19
20
Ann Magana,Human ResourceManager;Mr. Tom Werts, Aquatic SafetyConsultant;Mr. RobertAnderson.
21
DefenseExpert;Mr. Mike Murphy,Attorney;andMr. AdamHutchinson,
Attorney. Present
for ~I -.
-118-- (injured party) were the following: Mr. JamesFox, Attorney; Mr. Robert Fox, Attorney;
I
J.-Jnclc; -1-
22
~- -.
23
=... Father;Mr. JoeHyman.Viking Video;Mr. Jon Lenox.AquaticsSpecialist;
24
Mr. G.E.T. Lawniczk.,Aquatics Specialist; Ms. Christina Kastner,Lifeguard; Mr. David Kastner, Viking Video;
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ACC.1DENT INVESTIGATION
Page
REPORT
80f
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-
NARRATIVE
and Mrs. Ana Feliciano, Legal AssiStance.
1
2
During the courseof the Division' s comprehensiveinvestigationit was discoveredthat the name_.
3
4
interviewing processit was discoveredthat the nameof the injured party
5
6
)
The Division has completedits investigation of the RagingRivers attraction, which included but was not
7
limited to, interviewing the injured party. as well as the attr~tion employeeswho were on duty at the time of the
8
accident.and reviewing the following: employeetraining documentation;trajning manual;ride layout;
9
mechanicaland operationalspecifications; safetysignage,photo documentation~staffing levels; and an Ellis and
10
Associates,Inc. audit report. As a result of its investigation,the Division has drawnthe foilowing conclusions:
11
!
4
,
12
The most significant causalcontributor to the extentand severity ofthc injuries in this accidentwas the
(I)
fact that '.1-- I_'
Bnd I ---collided-while
occupying the same spillway.
.14
15
)
;
13
(2)
Thc most likely explanation
for the accident is that
allowed to occupythe sa.-nespillway at the sametime, with
and
___walking
~- were
16
down the spillway.
17
18
It appearsthat the emergencyresponseof the employeesafter the accidentoccUlTedwas properand
3)
)
19
assistanceoccuned as soonas possible, although.there wereno written emergencyevacuationplans for eachof
20
the bodiesof waterwhere evacuationhad the possibility of occurring.
21
22
23
24
26
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ACCIDENT INVESTIGATION REPORT NARRATIVE
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