OSHA Accident Investigation · Summary #14354187
STEEL PLATE,UNSECURED,WORK RULES,SLIP,STRUCK BY,FALLING OBJECT,UNTRAINED,UNSTABLE LOAD
Event description
CRUSHED BETWEEN STEEL PLATE AND TRUCK SIDE PANEL
Investigation abstract
THE DAY CREW HAD RUN OUT OF STEEL PLATE FOR CONSTRUCTION USE. THE FOREMAN INSTRU L AND CAUGHT EMPLOYEE #1 BETWEEN THE PLATE'S UNDERSIDE AND THE TOP OF THE TRUCK' S SIDE PANEL. HE WAS CRUSHED TO DEATH. CAUSAL FACTORS: THE INCORRECT CLAMP WAS U SED FOR THIS LIFTING JOB. THE CRANE OPERATOR FAILED TO STOP THE OPERATION AFTER THE CLAMP SLIPPED THE FIRST TIME. THE PROBLEMS WERE NOT REPORTED TO THE FOREMAN. THERE WERE NO SCHEDULED INSPECTIONS FOR THIS OPERATION AND ASSOCIATED EQUIPMENT . EMPLOYEES WERE NOT ADEQUATELY TRAINED. CTED TWO BOILERMAKERS AND A CRANE OPERATOR TO HOIST SOME STEEL PLATES ONTO A TRU CK AND DELIVER IT TO THE CONSTRUCTION SITE FOR THE NIGHT SHIFT'S USE. EMPLOYEE # 1 STOOD ON THE BACK OF THE TRUCK TO GUIDE THE STEEL PLATE INTO POSITION AS IT WA S LOADED. THE OTHER BOILERMAKER FASTENED A DOWN'S 2 1/2 TON SET SCREW CLAMP, MAR KED "411", TO THE 770 POUND STEEL PLATES (LOCATED IN A TEMPORARY STORAGE AREA). SEVERAL PLATES WERE LIFTED WITHOUT ANY PROBLEMS. THEN EMPLOYEE #1 COMPLAINED ABO UT DIFFICULTY LOOSENING THE SCREW. SHORTLY THEREAFTER, THE CLAMP SLIPPED ON ONE LOAD. IT WAS READJUSTED. ON THE NEXT LIFT THE CLAMP SLIPPED AGAIN. THE PLATE FEL
Victim
-
#1 Fatality Age 36 M
- Nature of injury
- 21
- Part of body
- 19
- Event type
- 1
- Source
- 28
- Occupation code
- 999
- Human factor
- 6
- Environmental factor
- 8
- Task assigned
- 1
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