OSHA Accident Investigation · Summary #810234
CHEST,MAINTENANCE,ABDOMEN,INADEQUATE MAINT,PIN,WORK RULES,EQUIPMENT FAILURE,CRUSHED,SKULL,INATTENTION
Event description
Employee killed when crushed by pneumatically-operated door
Investigation abstract
The Starcase draw furnace, serial #TC42115-1, of Midland Ross in Toledo, OH, had retaining brackets, allowing the charge car to move forward. been shut down for maintenance. When Employee #1 placed himself between the cha rge car and the door frame, intending to open the furnace door for additional co oling, he activated the wrong air solenoid valve and manually activated the char ge car valve. The safety lockout pin did not hold the charge car, which moved fo rward, pinning Employee #1 against the door jamb. His chest, abdomen, and skull were crushed with a force of approximately 2,500 lb. A length of 1 1/4 in. sched ule 40 steel pipe had been used as a machine guard safety lockout pin to prevent charge car movement. This was inadequate; the pipe bent and slipped out of its
Victim
-
#1 Fatality Age 50 M
- Nature of injury
- 3
- Part of body
- 4
- Event type
- 2
- Source
- 26
- Occupation code
- 503
- Human factor
- 9
- Environmental factor
- 4
- Hazardous substance
- 8880
- 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.