OSHA Accident Investigation · Summary #14460414
PRINTING PRESS,CYLINDER,FINGER,WORK RULES,THUMB,LOCKOUT,LACERATION,HAND,UNGUARDED,CONTUSION
Event description
Employee's fingers injured by cylinder of printing press
Investigation abstract
At 5:30 p.m. on May 7, 1984, during the night shift, Employee #1, a press operat of its surface. The cylinder is set back into the frame of the press approximate ly 9 1/2 in. The back of the press is approximately 32 1/2 in. above the floor a nd the impression cylinder is approximately 14 in. in length. Employee #1 sustai ned a laceration to her left index finger and contusions to the index finger, th umb, and knuckles. Press #8 is one of four rebuilt presses the company has recei ved and placed into operation within the last 2 months. The back portion of thes e presses is not guarded. The rest of the offset presses that the company owns a re guarded in this area by an interlocking door which, when opened, automaticall y shuts off the press. It is the company's policy that employees must turn off t he press whenever having to make adjustments or, for any reason, place their han or, was running Monarch letterheads on press #8, which is an A B Dick offset 350 d into the press. This procedure is not in writing and is only enforced verbally . The company provides on-the-job training for new employees. They are trained b y the supervisor and experienced employees for 2 to 3 weeks. Follow-ups are cond ucted by the supervisor after the initial training period. printing press, serial #00255. Noting that the letterheads were not coming off the press straight enough, she went to the back of the press where the letterhea ds were being ejected off the impression cylinder by the two ejector wheels. Wit h the press still running, she began to adjust the right ejector wheel with her left hand. Her left index finger and thumb moved into the press and were caught in the opening of the impression cylinder. The cylinder has an outside circumfer ence of approximately 21 in. and the opening comprises approximately 15 percent
Victim
-
#1 Hospitalized Age 20 F
- Nature of injury
- 7
- Part of body
- 10
- Event type
- 2
- Source
- 26
- Occupation code
- 734
- Human factor
- 9
- Environmental factor
- 1
- Task assigned
- 1
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