OSHA Accident Investigation · Summary #14376925
DIE,HEAD,GUARD,INTERLOCK,LOCKOUT,CRUSHED,POINT OF OPERATION,PRESS
Event description
HEAD CAUGHT IN PUNCH PRESS
Investigation abstract
ON APRIL 12, 1984, AT APPROXIMATELY 9:35 AM, EMPLOYEE #1 WAS CLEANING THE NORTHW ERLOCKED BARRIER GUARD AT THE NORTHEAST CORNER OF THE PRESS WAS NOT ADJUSTED CLO SE ENOUGH TO THE TURNOVER/CONVEYOR TO PREVENT THE EMPLOYEE FROM ENTERING THE POI NT OF OPERATION AREA WITHOUT REMOVING THE INTERLOCK. EST CORNER OF THE DIE IN PRESS V-1 (DANLY QDC D44-1250-144-96). AT THE SAME TIME ANOTHER CREW WAS WORKING ON THE DESTACKER. THIS CREW WAS UNAWARE OF THE PRESENC E OF EMPLOYEE #1 AT THE DIE. WHEN THE CREW FINISHED WORK ON THE DESTACKER THEY R EPLACED THE INTERLOCKS THEY HAD REMOVED AND RESET THE DESTACKER SYSTEMS. THEY TH EN TURNED THE PRESS ON. THE PRESS COMPLETED ONE CYCLE, CRUSHING THE HEAD OF EMPL OYEE #1 BETWEEN THE TOP DIE AND A FEEDER GUIDE ON THE LOWER DIE. SUBSEQUENT INVE STIGATION REVEALED THAT THE INTERLOCKS LOCATED ON THE PRESS WERE IN PLACE AND TH E SYSTEM WAS FUNCTIONAL, INDICATING THAT THE PLUGS HAD NOT BEEN REMOVED. THE INT
Victim
-
#1 Fatality Age 57 M
- Nature of injury
- 12
- Part of body
- 13
- Event type
- 2
- Source
- 26
- Occupation code
- 999
- Human factor
- 13
- Environmental factor
- 4
- 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.