OSHA Accident Investigation · Summary #14212203
RUSH PRES ST LUKE'S MEDICAL CENTER
CHICAGO, IL·
Event description
EMPLOYEE'S HEAD CRUSHED BETWEEN OVEN DOOR AND FRAME
Investigation abstract
ON NOVEMBER 9, 1985, AT APPROXIMATELY 3:30 PM, EMPLOYEE #1 WAS CLEANING A REVOLV E ESTABLISHED. ING SHELF GAS-FIRED BAKING OVEN (MIDDLEBY MARSHALL, MODEL K). THE GAS WAS TURNED OFF, BUT THE ELECTRIC POWER WAS STILL ON. THIS WAS COMMON PRACTICE BECAUSE THE SHELVES HAD TO BE ROTATED TO BE CLEANED. THE 3 POSITION CONTROL FOR THE SHELVES RAN ALONG THE FRONT OF THE OVEN ON A ROD. THE POSITIONS WERE: FORWARD, REVERSE, AND OFF. EMPLOYEE #1 WAS LEANING INTO THE OVEN WHEN THE CONTROL WAS APPARENTLY A CTIVATED, CAUSING THE SHELF TO ROTATE. EMPLOYEE #1'S HEAD WAS PINNED BETWEEN THE SHELF AND THE OVEN DOOR FRAME. THE EMPLOYER HAD NOT ADEQUATELY INSTRUCTED HIS E MPLOYEES IN THE PROPER CLEANING PROCEDURES; NOR WAS AN ADEQUATE LOCKOUT PROCEDUR
Victim
-
#1 Fatality Age 50 F
- Nature of injury
- 6
- Part of body
- 13
- Event type
- 2
- Source
- 26
- Occupation code
- 999
- Human factor
- 18
- 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.