OSHA Accident Investigation · Summary #14491542
WORK RULES,JAMMED,LOCKOUT,CRUSHED,PAPER,PAPER MACHINE,RAM
Event description
EMPLOYEE FAILED TO LOCKOUT AND WAS CRUSHED IN A PAPER BAILER
Investigation abstract
EMPLOYEE #1 ENTERED A BAILER FORMING CAVITY TO UNCLOG THE BAILING PRESS OF EXCES S PAPER. HE FAILED TO PROPERLY LOCK OUT THE MACHINE (HE MERELY DEACTIVATED THE H YDROPUMP SWITCH). ANOTHER EMPLOYEE, WHO HAD PREVIOUSLY BEEN CALLED UPON TO OPERA TE THE UNIT, ARRIVED AT THE MACHINE AND SAW THAT IT WAS IN AN OPERATIONAL MODE. HE ACTIVATED THE PRESS TO CONTINUE THE OPERATION. THE MACHINE APPEARED TO BE CLO GGED SO HE SHUT IT OFF AND WENT TO INSPECT THE HOPPER WELL. HE THEN SAW EMPLOYEE #1 WHO HAD BEEN CRUSHED TO DEATH BY THE RAM WHEN THE PRESS WAS ACTIVATED BY THE SECOND EMPLOYEE.
Victim
-
#1 Fatality Age 34 M
- Nature of injury
- 12
- Part of body
- 1
- 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.