OSHA Accident Investigation · Summary #14320691

MAINTENANCE,BLOCKS,WORK RULES,CRUSHED,STRUCK BY,FALLING OBJECT,PAPER MACHINE

1985-01-23T00:00:00

Event: MAINTENANCE,BLOCKS,WORK RULES,CRUSHED,STRUCK BY,FALLING OBJECT,PAPER MACHINE
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14320691
Report ID: 317000

Event description

CRUSHED BY FALLING BREAST ROLL ASSEMBLY

Investigation abstract

A PAPER MACHINE BREAST ROLL ASSEMBLY WAS BEING REINSTALLED ON A PAPER MACHINE. T HE ASSEMBLY WEIGHED 24,500 POUNDS, AND WAS BEING LIFTED INTO PLACE BY AN AIR MOT OR WINCH SYSTEM. THE EMPLOYEES ENCOUNTERED AN OBSTRUCTION DURING THE LIFTING PRO CESS, SO AN ENGINEER (EMPLOYEE #1) POSITIONED HIMSELF TO MEASURE THE OBSTRUCTION . THE SUPPORT ( LIFTING) SYSTEM FAILED AND THE BREAST ROLL ASSEMBLY FELL, PINNIN G EMPLOYEE #1 BETWEEN THE PAPER MACHINE AND THE ASSEMBLY. HE WAS CRUSHED TO DEAT H. THE BREAST ROLL SHOULD HAVE BEEN BLOCKED UP BEFORE THE EMPLOYEE WAS ALLOWED I NTO THE HAZARDOUS AREA.

Victim

#1 Fatality Age 59 M

Nature of injury
21

Part of body
19

Event type
6

Source
26

Occupation code
999

Human factor
10

Environmental factor
6

Task assigned
1

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