OSHA Accident Investigation · Summary #14510853

HEAD,DIE CUTTING PRESS,OBSTRUCTED VIEW,LOCKOUT,PAPERBOARD

1984-11-05T12:50:00

Event: HEAD,DIE CUTTING PRESS,OBSTRUCTED VIEW,LOCKOUT,PAPERBOARD
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14510853
Report ID: 625400

Event description

HEAD CAUGHT IN DIE-CUT MACHINE

Investigation abstract

ON NOVEMBER 5,1984, AT APPROXIMATELY 12:50 PM, EMPLOYEE #1, A PAPERBOARD STRIPPE KNOWN REASON FOR EMPLOYEE #1 TO PUT HIS HEAD IN THE MACHINE. THE MACHINE OPERAT OR, FROM HIS OPERATOR'S STATION, WAS UNABLE TO SEE EMPLOYEE #1, WHO WAS NEAR THE FLOOR AND ON THE SIDE OF THE MACHINE AWAY FROM THE OPERATOR. THE OPENING IN THE SIDE OF THE MACHINE WAS NOT GUARDED. R FOR A THOMPSON-NATIONAL STYLE 8-6 SIZE, 38-54 DIE CUT MACHINE, PLACED HIS HEAD AND POSSIBLY HIS ARM INTO A SMALL OPENING IN THE SIDE OF THE MACHINE. THE MACHI NE WAS IDLE AT THE TIME, SINCE THE OPERATOR HAD SHUT IT DOWN TO REPLENISH THE PA PER STOCK. AFTER THE OPERATOR FINISHED RESTOCKING THE MACHINE, HE LOOKED FOR THE STRIPPER (EMPLOYEE #1). SINCE HE COULD NOT SEE HIM, HE ASSUMED THAT THE STRIPPE R HAD GONE TO THE REST ROOM. HE PLACED THE DIE-CUT MACHINE MACHINE BACK INTO OPE RATION AND IMMEDIATELY EMPLOYEE #1'S HEAD WAS CAUGHT BETWEEN THE MACHINE HEAD AN D THE MOVABLE JAW. EMPLOYEE #1 RECEIVED FATAL INJURIES TO HIS HEAD. THERE WAS NO

Victim

#1 Fatality Age 22 M

Nature of injury
6

Part of body
13

Event type
2

Source
26

Occupation code
999

Human factor
1

Environmental factor
1

Task assigned
1

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