Patrick Graham, senior vice president for health and safety at the Justice family coal operations, attended Mondays board meeting. He told board members that the conveyor belts needed to be running for Matthews to fix the press because, otherwise, coal refuse would get stacked up and it would be impossible to move the other plates to reach the one that needed repaired. Graham said the real goal of investigations into mining injuries and deaths should be to figure out what really happened, so that lessons can be learned that would prevent such incidents in the future. In this instance, Graham said, the real cause of the death was the failure to use a fall-protection harness. What he failed to do was to use fall protection, Graham said. Matthews should have had his, and he was trained to do that. Graham said an MSHA inspector on the scene told state and company officials that he had seen Matthews wearing a safety harness during a mine inspection just a week or so earlier. The real question is what goes through a persons mind in human behavior when hes working by himself and nobodys watching, Graham said. Its like a coal miner mentality, you know. I can do this and maybe I dont need to do a particular safety precaution. When we can cure that kind of problem, it wouldnt happen here. He had been wearing his harness before. He had been trained to wear it.
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