OSHA Accident Investigation · Summary #14513352
PAPER ROLL,CAUGHT BETWEEN,SLIPPERY SURFACE,NIP POINT,PAPER MACHINE,DRIVE SHAFT,UNGUARDED
Event description
EMPLOYEE KILLED WHEN CRUSHED BETWEEN PAPER ROLLER AND SHAFT
Investigation abstract
EMPLOYEE #1 WAS CAUGHT AND KILLED IN THE IN-RUNNING NIP POINT BETWEEN A DRIVE RO FLOOR NEAR WHERE EMPLOYEE #1 ENTERED THE NIP POINT MAY HAVE BEEN A CONTRIBUTING FACTOR. IT IS PROBABLE THAT EMPLOYEE #1 WAS ATTEMPTING TO REMOVE SOME SCRAP FRO M THE RUNNING ROLLS WHEN THE ACCIDENT OCCURRED, AS A WIRE BRUSH WAS FOUND ON THE FLOOR NEAR THE PAPER MACHINE. LL SHAFT AND A PAPER ROLLER ON A TISSUE PAPER REWINDER. SHE WAS OPERATING THE PA PER REWINDER IN THE PAPER MILL'S MACHINE ROOM. THE REWINDER WAS MANUFACTURED BY THE APPLETON MACHINE COMPANY. ITS SERIAL NUMBER WAS 107. THE MACHINE HAD BEEN MO DIFIED ABOUT A YEAR PRIOR TO THE ACCIDENT (BY THE EMPLOYER) BY INSTALLING A NEW PARENT ROLL LIFTING SYSTEM THAT HAD A SIDE FRAME SMALLER THAN THE ORIGINAL FRAME . THE SMALLER FRAME EXPOSED THE IN-RUNNING NIP POINT BETWEEN THE PARENT AND DRIV E ROLLS. THE EMPLOYER HAD FAILED TO ADEQUATELY GUARD THE NEWLY EXPOSED NIP POINT . THERE WERE NO WITNESSES TO THE ACCIDENT, BUT IT IS SURMISED THAT GREASE ON THE
Victim
-
#1 Fatality Age 42 F
- Nature of injury
- 12
- Part of body
- 19
- Event type
- 2
- Source
- 26
- Occupation code
- 777
- Human factor
- 17
- Environmental factor
- 1
- Task assigned
- 1
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