OSHA Accident Investigation · Summary #816801

FRACTURE,MAINTENANCE,WORK RULES,JAMMED,LOCKOUT,NECK,STRUCK BY,FALLING OBJECT

1989-05-17T00:00:00

Event: FRACTURE,MAINTENANCE,WORK RULES,JAMMED,LOCKOUT,NECK,STRUCK BY,FALLING OBJECT
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 816801
Report ID: 112000

Event description

Employee killed when struck by falling machine frame

Investigation abstract

A bread pan jammed inside the proof box. Maintenance came to dislodge the jam, b ut someone reversed the machine by changing the wires in the electrical panel bo x. When the machine was reversed, the heavy frame was no longer held in place on the chain. When workers hit the frame to dislodge the jam, the heavy frame fell , hitting Employee #1 and breaking his neck. Employee #1 was killed.

Victim

#1 Fatality Age 61 M

Nature of injury
12

Part of body
20

Event type
1

Source
26

Occupation code
999

Human factor
10

Environmental factor
6

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.