OSHA Accident Investigation · Summary #659938
DIE,AMPUTATED,WORK RULES,POINT OF OPERATION,THERMOFORMER,HAND,UNGUARDED
Event description
EMPLOYEE'S HAND AMPUTATED IN DIE OF THERMOFORMING MACHINE
Investigation abstract
AT APPROXIMATELY 3:45 PM ON JANUARY 12, 1988, EMPLOYEE #1 WAS ASSISTING ANOTHER RATION. EMPLOYEE #1 HAD BEEN A DIE SET UP MAN FOR THE COMPANY FOR A YEAR AND FIV E MONTHS. EMPLOYEE IN SETTING UP A G.N. PLASTIC THERMOFORMING MACHINE (BROWN BANTAM MODEL B-16) AFTER A JAM OCCURRED. THE REQUEST FOR ASSISTANCE WAS IN ACCORDANCE WITH CO MPANY POLICY. EMPLOYEE #1 WALKED TO THE MACHINE'S CONTROL PANEL AND INADVERTENTL Y SHUT OFF THE TOGGLE SWITCH WHICH CONTROLS THE MOLD AIR PRESSURE RATHER THAN TH E TOGGLE SWITCH WHICH CONTROLS THE TRIM PLATEN. WHEN THE MACHINE'S OPERATOR REAC HED INTO THE TRIM PLATEN TO FREE THE JAMB IT CYCLED APPROXIMATELY 4 SECONDS LATE R. EMPLOYEE #1'S HAND WAS AMPUTATED AT THE WRIST. THE MACHINE WAS EQUIPPED WITH INADEQUATE GUARDS. THE OPERATOR COULD REACH UNDER THEM AND INTO THE POINT OF OPE
Victim
-
#1 Hospitalized Age 26 M
- Nature of injury
- 1
- Part of body
- 12
- Event type
- 2
- Source
- 26
- Occupation code
- 999
- Human factor
- 17
- Environmental factor
- 3
- 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.