OSHA Accident Investigation · Summary #14201867
AMPUTATED,REPAIR,ROBOT,FINGER,HYDRAULIC PRESS,PRESS,UNGUARDED
Event description
TIP OF LEFT RING FINGER AMPUTATED BY HYDRAULIC PRESS
Investigation abstract
EMPLOYEE #1 WAS WORKING INSIDE THE FENCED AREA OF THE ROBOTIC HEAT SINK ASSEMBLY P BETWEEN THE ADJUSTABLE AND FIXED HAND STOPS. THE PRESSURE WAS ENOUGH TO COMPLE TELY AMPUTATE THE TIP OF HER LEFT RING FINGER. THIS PIECE OF EQUIPMENT IS APPROX IMATELY 8 MONTHS OLD. THE HYDRAULIC FIN PRESS/PRESS RAM EXTENSION CAME UNGUARDED FROM THE MANUFACTURER. HOWEVER IT WAS THE JOB OF EMPLOYEE #1 AND ANOTHER EMPLOY EE TO OVERSEE THIS OPERATION AND WRITE SAFETY POLICY CONCERNING IT. THEY STATED THAT THEY REALIZED THAT THIS AREA WAS HAZARDOUS. A CLEAR HAZARD EXISTED IN THE U NGUARDED PRESS RAM EXTENSION OF THE HYDRAULIC FIN PRESS WHICH SHOULD HAVE BEEN D IAGNOSED AND GUARDED LONG BEFORE THE ACCIDENT OCCURRED. THEREFORE, A SERIOUS VIO LATION HAS BEEN ATTACHED TO THIS ACCIDENT REPORT. . SHE WAS STANDING INSIDE THE YELLOW SAFETY LINE THAT CIRCLES THE PERIMETER OF T HE ROBOT'S WORKING AREA. ALL THE EMPLOYEES HAVE BEEN INSTRUCTED NOT TO GO INSIDE THE YELLOW LINE WHILE THE ROBOT WAS IN OPERATION. SHE WAS STANDING BEHIND THE F IN ELEVATOR CAROUSEL AND HYDRAULIC FIN PRESS, OBSERVING THE OPERATION OF THE MAL FUNCTIONING FIN ELEVATOR/CAROUSEL. WHILE STANDING IN THIS POSITION SHE PLACED HE R LEFT HAND IN THE UNGUARDED AREA OF THE HYDRAULIC FIN PRESS. HER LEFT RING FING ER APPARENTLY WAS RESTING ON THE HAND STOP AREA OF THE PRESS RAM EXTENSION WHEN THE PRESS CYCLED AUTOMATICALLY. THE PRESS RAM CAME DOWN AND CAUGHT HER FINGER TI
Victim
-
#1 Hospitalized Age 23 F
- Nature of injury
- 1
- Part of body
- 10
- Event type
- 2
- Source
- 26
- Occupation code
- 56
- Human factor
- 1
- Environmental factor
- 1
- Task assigned
- 1
Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.