OSHA Accident Investigation · Summary #829671
DIE,AMPUTATED,INADEQUATE MAINT,FINGER,WORK RULES,CAUGHT BY,EQUIPMENT FAILURE,CRUSHED,PRESS
Event description
Employee's fingers amputated by press malfunction
Investigation abstract
Employee #1 was putting a handle part into a 60 ton Chicago press, #0117, serial te. There were no records of regular machine checks and interviews with the empl oyee indicated that no preventive maintenance had been done for the last several years. #1-12216, with a 97 in. ram. Press operation was a two-step process as two hand les had to be in the die at the same time. The ends of one handle were flattened while holes were punched into the flattened ends of another handle. The employe e was checking on a handle for a seam that had to be in the down position. The p ress activated on its own, catching her left hand in the left die and amputating her index, middle, and ring fingers and crushing her little finger. Investigati on revealed that the bearing for the fly wheel was frozen solid. The clutch and brake mechanism overrode the safety light curtain, causing the machine to activa
Victim
-
#1 Hospitalized Age 63 F
- Nature of injury
- 1
- Part of body
- 12
- Event type
- 2
- Source
- 26
- Occupation code
- 706
- Human factor
- 9
- Environmental factor
- 4
- 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.