OSHA Accident Investigation · Summary #14352298
MAINTENANCE,PIT,FALL,FALL PROTECTION
Event description
EMPLOYEE FELL INTO A HYDRAPULPER PIT
Investigation abstract
EMPLOYEE #1 AND ANOTHER EMPLOYEE WERE IN THE CONTROL ROOM, ADJACENT TO THE #4 PA #1 AND PRESS #2, EIGHTEEN INCHES AWAY FROM A GUARDED OPENING INTO THE PIT. AFTER DRAINING THE HYDRAPULPER PIT, THE REMAINS OF EMPLOYEE #1 WAS FOUND. PER MACHINE, WHEN IT WAS DECIDED TO TRIM THE PAPER ON THE #4 MACHINE. BOTH EMPLO YEES LEFT THE CONTROL ROOM TOGETHER. THE SECOND EMPLOYEE DECIDED TO CLIMB A 7 FO OT FIXED LADDER TO A LOCATION ON THE NORTH SIDE OF THE PAPER MACHINE IN ORDER TO ADJUST THE TRIM NOZZLES. THIS ADJUSTMENT WAS REPEATED ON THE SOUTH SIDE OF THE MACHINE, AND TOOK BETWEEN 12 AND 15 MINUTES. IT WAS EMPLOYEE #1'S JOB TO OBSERVE THE PAPER TO SEE IF IT WAS FEEDING ONTO THE BELT LEADING INTO THE HYDRAPULPER P IT. HOWEVER, HIS LOCATION AT THIS TIME WAS UNKNOWN. THE SECOND EMPLOYEE MISSED E MPLOYEE #1 AND A SEARCH WAS BEGUN. HIS CAP WAS FOUND ON THE FLOOR BETWEEN PRESS
Victim
-
#1 Fatality Age 22 M
- Nature of injury
- 21
- Part of body
- 19
- Event type
- 2
- Source
- 26
- Occupation code
- 999
- Human factor
- 1
- Environmental factor
- 2
- 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.