OSHA Accident Investigation · Summary #221417728

MADIX, INC.

GOODWATER, AL· 2021-12-03T00:00:00

Event: Amputated, Amputation, Bypass, Bypass Guard, Caught Between, Computer Operated, Die, Die Safety Device, Finger, Foot Control, Foot pedal, Foot-Powered Press, Guard, Inexperience, Insufficient Supervision, Lack of Work Procedures, Light Curtain, Lockout, Lockout/Tagout, Machine Guarding, Machine operator, Mechanical Power Press, Point Of Operation, Power Press, Press Brake, Press Operator, Sheared, Steel, Supervision, Thumb, Unguarded
NAICS: 337215
Inspection type: Referral
Activity number: #345677645
Employer profile: MADIX, INC.
Summary number: 221417728
Report ID: 0418600

Event description

Employee amputates thumb in improperly programmed press

Investigation abstract

At 1:00 p.m. on December 3, 2021, an employee (Press Brake Operator) was the larger pieces of steel. Coworker #2, a Forklift Operator, was talking to the employee about there being two different sizes of steel that she was braking, and was reminding her to stake them on separate pallets. When the employee turned away, not realized the error Coworker #1 had made setting up the press, she placed her right thumb between the upper and lower brake press dies as the press cycled. The employee amputated her thumb as a result and was hospitalized. processing parts on the 135 T Cincinnati Hydraulic Press Brake. Coworker #1 setup the brake press in the computer and did not set the press at the appropriate .025 inch setting, which stops the brake as a safety feature to allow the employee to initiate a cycle with the foot pedal. The coworker either did not notice that the brake was set to 7 inches or mistakenly set the brake to 7 inches. When the brake is set to 7 inches, the light curtain can be bypassed, which removes this safety feature. The greater setting is run on parts that are large and would set the light curtain off preventing the employee from braking

Victim

#1 Hospitalized Age 30 F

Event type
2

Occupation code
779

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.