OSHA Accident Investigation · Summary #14388722

FRACTURE,MAINTENANCE,WORK RULES,WELDER,LOCKOUT,CAUGHT BETWEEN,CRUSHED,SKULL,ELEVATOR,UNTRAINED

1987-08-22T00:00:00

Event: FRACTURE,MAINTENANCE,WORK RULES,WELDER,LOCKOUT,CAUGHT BETWEEN,CRUSHED,SKULL,ELEVATOR,UNTRAINED
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14388722
Report ID: 524700

Event description

Employee killed when caught between elevator flights

Investigation abstract

Employee #1, a maintenance welder, had started burning the chains off a flight e levator to put new flights on. He was working at ground level under the low flig hts, using a come-along to spread them apart, when the elevator started to move. Employee #1 was crushed between the flights, fracturing his skull. He was kille d. There were several causal factors related to this accident: no lockout proced ures were used, some electrical switches for the elevator were mismarked, and th e new employee was not properly trained and supervised in lockout. The elevator was set to travel at 40 ft per minute.

Victim

#1 Fatality Age 34 M

Nature of injury
12

Part of body
13

Event type
2

Source
26

Occupation code
999

Human factor
13

Environmental factor
1

Task assigned
2

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.