OSHA Accident Investigation · Summary #851238
BRILLION IRON WORKS INC
BRILLION, WI·
Event description
Employee killed when head is crushed by conveyor mechanism
Investigation abstract
Employee #1 was the operator of an automatic sand molding system in a gray iron company had a comprehensive lockout procedure for maintenance men, but not for o perators who did troubleshooting in hazardous locations on the machine. foundry. A mold flask became jammed in a shuttle conveyor that transports the ma terials to the molding machines. A second operator turned off the shuttle power so the two operators could free the flask. When the flask was freed, a microswit ch sensor got caught between the cope and the drag sections and sent a signal to the punch out device to advance another flask into the shuttle. Employee #1 was in the mechanism's path of travel, and the advancing punch out mechanism crushe d his head, killing him. The accident occurred because the employee failed to tu rn off and lock out the machinery section adjacent to the shuttle conveyor. The
Victim
-
#1 Fatality Age 30 M
- Nature of injury
- 18
- Part of body
- 13
- Event type
- 2
- Source
- 26
- Occupation code
- 719
- Human factor
- 13
- 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.