OSHA Accident Investigation · Summary #14484315
BOUYEA BAKING COMPANY INC.
PLATTSBURGH, NY·
Event description
Employee dies after 23 in. fall from bread rack
Investigation abstract
Employee #1 was watching loaves of bread to see that they correctly entered the slicer. He was also responsible for resetting the blades and making other adjust ments when a different size loaf was to enter the slicer. Instead of looking up at the new loaves which were on the cooling racks, Employee #1 climbed the side of a portable bread rack to the third rung, 23 in. above the hardwood floor, to remove a loaf of the new size bread to measure the blade adjustment. He fell bac kward off the bread rack and landed on the right side of his head. Employee #1 d ied 12 days later of brain damage. Climbing the bread rack is not permitted.
Victim
-
#1 Fatality Age 31 M
- Nature of injury
- 6
- Part of body
- 13
- Event type
- 5
- Source
- 43
- Occupation code
- 999
- Human factor
- 6
- Environmental factor
- 18
- 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.