OSHA Accident Investigation · Summary #14212203

HEAD,CLEANING,LOCKOUT,CRUSHED,UNTRAINED,DOOR

1985-11-09T15:30:00

Event: HEAD,CLEANING,LOCKOUT,CRUSHED,UNTRAINED,DOOR
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14212203
Report ID: 521700

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

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