OSHA Accident Investigation · Summary #816546
HEAD,REPAIR,DIE CUTTING PRESS,WORK RULES,STRUCK BY,JACK,PRESS,INATTENTION
Event description
REPAIRMAN KILLED WHEN STRUCK IN HEAD BY LIFTING BAR
Investigation abstract
EMPLOYEE #1 WAS REPAIRING A SHERIDAN DIE CUTTER BY INSERTING A TURN OVER BAR INT O A TURN OVER HUB. THE BOTTOM PLATEN OF THE MACHINE HAD BECOME MISALIGNED. TURNI NG THE MACHINE OVER BY HAND IS NORMAL PROCEDURE. THE TURN OVER BAR WAS BEING LIF TED BY A JACK. EMPLOYEE #1 WAS REMOVING THE JACK TO PLACE THE BAR IN A LOWER HOL E ON THE HUB. AS HE BENT OVER TO REMOVE THE JACK, THE TURN OVER BAR IN THE HUB C AME UP AND STRUCK EMPLOYEE #1 IN THE HEAD. HE WAS KILLED. THE BOTTOM PLATEN GOES UP AND DOWN ON A CAM SYSTEM. THE PROBABLE CAUSE OF THE ACCIDENT WAS THAT THE TU RNING OF THE HUB HAD PLACED THE CAM AT THE TOP. WITH THE WEIGHT OF THE PLATEN, T HE CAM ALLOWED THE PLATEN TO FALL, FORCING UP THE BAR AND HUB.
Victim
-
#1 Fatality Age 44 M
- Nature of injury
- 3
- Part of body
- 13
- Event type
- 1
- Source
- 26
- Occupation code
- 999
- Human factor
- 1
- Environmental factor
- 5
- Task assigned
- 2
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.