Fatality Assessment and Control Evaluation (FACE) Program

U.S. workplace deaths remain a public health crisis, with over 5,000 annual fatalities concentrated in high-risk sectors like construction, transportation, and agriculture. To address this under the OSH Act, NIOSH runs the Fatality Assessment and Control Evaluation (FACE) program, a non-regulatory initiative providing safety guidance through independent, non-enforcement investigations. Structurally, FACE operates as a unified effort split into two distinct, complementary branches: a centralized, national In-House program run directly by NIOSH, and a decentralized network of State FACE programs funded via cooperative agreements. While both share common goals and methods, they differ significantly in their organizational structure, authority, influence, and how they implement findings locally across diverse regional industries. Together, they generate extensive prevention resources and adapt to emerging workplace hazards.

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Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026

Washington State Department of Labor and Industries

2026/04/15 | Fatality Assessment and Control Evaluation Reports (FACE)

A 33-year-old instructor died in a fire at an indoor shooting range. He worked there for six years as an instructor and operated a gunsmithing and holster making side business at the range. The instructor was working in the second-floor classroom inside the range. He was using an angle grinder to modify a metal cart for his side business. It is unk ...

Title : Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026 Corporate Authors(s) : Washington State Department of Labor and Industries Published Date : 2026/04/15 Pages in Document : 2 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Olympia, WA: Washington State Department of Labor and Industries, 71-276-2026, 2026 Apr; :1-2 URL : https://stacks.cdc.gov/view/cdc/259084
Washington State Department of Labor and Industries (2026). Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/259084

Washington State Department of Labor and Industries. Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026. Washington State Department of Labor and Industries, 2026. https://stacks.cdc.gov/view/cdc/259084.

Washington State Department of Labor and Industries Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026. Washington State Department of Labor and Industries, 2026, Stacks. https://stacks.cdc.gov/view/cdc/259084.
Export RIS Citation Information. TY - Report A2 - Washington State Department of Labor and Industries AB - A 33-year-old instructor died in a fire at an indoor shooting range. He worked there for six years as an instructor and operated a gunsmithing and holster making side business at the range. The instructor was working in the second-floor classroom inside the range. He was using an angle grinder to modify a metal cart for his side business. It is unknown why he was working there and not in the workshop, which was designated for metal work. He brought the grinder that day, and the owner believed the cart had been brought previously. The classroom contained flammable and combustible materials including ammunition, solvents, paper, and range sweep-off dust that contained unspent gunpowder. Three coworkers and seven customers were in other areas of the range. One worker went to the classroom and saw the instructor cutting the cart with the grinder, with no visible smoke or fire, then returned to the lobby. About a minute later, ceiling tiles began to fall and fire erupted from above. He ran toward an exit door and was blown through it, suffering burns and a head injury. At the same time, the two workers on the first floor heard rushing air followed by an explosion through the stairwell, possibly fueled by combustible dust above the ceiling. Alarms sounded as the fire spread rapidly. The injured worker directed customers to the exit and reentered several times but could not reach the instructor. The instructor was later found about 32 feet from the fire's origin. It is believed he was trying to reach the front exit where others were calling to him. He died from smoke inhalation and burn injuries. CONTRIBUTING FACTORS - Following the incident, investigators found: 1) Fire investigators reported the fire started in the classroom as indicated by burn patterns. They concluded that the source of ignition was either sparks from grinding or an electrical short circuit. The grinder was found unplugged. 2) The employer had an accident prevention program (APP) but it did not include safe use of angle grinders as they were not used by workers. The employer believed the instructor knew that he should do metal work or hot work only in the workshop. 3) One-second floor exit door and stairway were closed due to break-ins. 4) One worker described large accumulations of visible settled dust in the space above the ceiling tiles. RECOMMENDATIONS: FACE investigators concluded, that to help prevent similar occurrences, employers should: 1) Restrict hot work to designated areas. 2) Develop a range cleaning and waste disposal program. Add a cleaning and waste storage and disposal program to your APP. Collect and dispose of settled dusts frequently and safely. Include a focus on storing flammable and combustible materials in a fire safe area and promptly disposing of them. 3) Maintain exit routes to permit prompt evacuation during an emergency. AN - cdc:259084 KW - Fires KW - Fatal Outcome KW - Dust KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Fatalities KW - Safety education KW - Fires KW - Grinding equipment KW - Gunpowder KW - Explosive dusts KW - Accidents, Occupational KW - Dust KW - Fatal Outcome KW - Fires KW - Occupational Health KW - Safety LA - eng PB - Washington State Department of Labor and Industries PY - 2026 T2 - Olympia, WA: Washington State Department of Labor and Industries, 71-276-2026, 2026 Apr; :1-2 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Indoor Shooting Range Fatality Narrative: Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026 UR - https://stacks.cdc.gov/view/cdc/259084 ER -
Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s

Washington State Department of Labor and Industries

2026/04/15 | Fatality Assessment and Control Evaluation Reports (FACE)

A 33-year-old instructor died in a fire at an indoor shooting range. He worked there for six years as an instructor and operated a gunsmithing and holster making side business at the range. The instructor was working in the second-floor classroom inside the range. He was using an angle grinder to modify a metal cart for his side business. It is unk ...

Title : Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s Corporate Authors(s) : Washington State Department of Labor and Industries Published Date : 2026/04/15 Pages in Document : 21 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Olympia, WA: Washington State Department of Labor and Industries, 71-276-2026s, 2026 Apr; :1-21 URL : https://stacks.cdc.gov/view/cdc/259085
Washington State Department of Labor and Industries (2026). Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/259085

Washington State Department of Labor and Industries. Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s. Washington State Department of Labor and Industries, 2026. https://stacks.cdc.gov/view/cdc/259085.

Washington State Department of Labor and Industries Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s. Washington State Department of Labor and Industries, 2026, Stacks. https://stacks.cdc.gov/view/cdc/259085.
Export RIS Citation Information. TY - Presentation A2 - Washington State Department of Labor and Industries AB - A 33-year-old instructor died in a fire at an indoor shooting range. He worked there for six years as an instructor and operated a gunsmithing and holster making side business at the range. The instructor was working in the second-floor classroom inside the range. He was using an angle grinder to modify a metal cart for his side business. It is unknown why he was working there and not in the workshop, which was designated for metal work. He brought the grinder that day, and the owner believed the cart had been brought previously. The classroom contained flammable and combustible materials including ammunition, solvents, paper, and range sweep-off dust that contained unspent gunpowder. Three coworkers and seven customers were in other areas of the range. One worker went to the classroom and saw the instructor cutting the cart with the grinder, with no visible smoke or fire, then returned to the lobby. About a minute later, ceiling tiles began to fall and fire erupted from above. He ran toward an exit door and was blown through it, suffering burns and a head injury. At the same time, the two workers on the first floor heard rushing air followed by an explosion through the stairwell, possibly fueled by combustible dust above the ceiling. Alarms sounded as the fire spread rapidly. The injured worker directed customers to the exit and reentered several times but could not reach the instructor. The instructor was later found about 32 feet from the fire's origin. It is believed he was trying to reach the front exit where others were calling to him. He died from smoke inhalation and burn injuries. CONTRIBUTING FACTORS - Following the incident, investigators found: 1) Fire investigators reported the fire started in the classroom as indicated by burn patterns. They concluded that the source of ignition was either sparks from grinding or an electrical short circuit. The grinder was found unplugged. 2) The employer had an accident prevention program (APP) but it did not include safe use of angle grinders as they were not used by workers. The employer believed the instructor knew that he should do metal work or hot work only in the workshop. 3) One-second floor exit door and stairway were closed due to break-ins. 4) One worker described large accumulations of visible settled dust in the space above the ceiling tiles. RECOMMENDATIONS: FACE investigators concluded, that to help prevent similar occurrences, employers should: 1) Restrict hot work to designated areas. 2) Develop a range cleaning and waste disposal program. Add a cleaning and waste storage and disposal program to your APP. Collect and dispose of settled dusts frequently and safely. Include a focus on storing flammable and combustible materials in a fire safe area and promptly disposing of them. 3) Maintain exit routes to permit prompt evacuation during an emergency. AN - cdc:259085 KW - Fires KW - Fatal Outcome KW - Dust KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Fatalities KW - Safety education KW - Fires KW - Grinding equipment KW - Gunpowder KW - Explosive dusts KW - Accidents, Occupational KW - Dust KW - Fatal Outcome KW - Fires KW - Occupational Health KW - Safety LA - eng PB - Washington State Department of Labor and Industries PY - 2026 T2 - Olympia, WA: Washington State Department of Labor and Industries, 71-276-2026s, 2026 Apr; :1-21 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Indoor Shooting Range Instructor Killed in Fire - Washington: Report 71-276-2026s UR - https://stacks.cdc.gov/view/cdc/259085 ER -
Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz.

Washington (State). Department of Labor and Industries

2025/05/01 | Fatality Assessment and Control Evaluation Reports (FACE)

Un instalador de techos de 29 años de edad cayó 45 pies a través de un agujero en un techo, mientras instalaba tragaluces. Trabajó para su empleador, un contratista de techos residenciales y comerciales ligeros, durante 16 meses. Formaba parte de una cuadrilla que instalaba aislamiento para techos y tragaluces en un edificio industrial grande en co ...

Title : Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz. Corporate Authors(s) : Washington (State). Department of Labor and Industries Published Date : 2025/05/01 Pages in Document : 1 Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/246444
Washington (State). Department of Labor and Industries (2025). Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/246444

Washington (State). Department of Labor and Industries. Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/246444.

Washington (State). Department of Labor and Industries Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/246444.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Department of Labor and Industries AB - Un instalador de techos de 29 años de edad cayó 45 pies a través de un agujero en un techo, mientras instalaba tragaluces. Trabajó para su empleador, un contratista de techos residenciales y comerciales ligeros, durante 16 meses. Formaba parte de una cuadrilla que instalaba aislamiento para techos y tragaluces en un edificio industrial grande en construcción. Se contrataron varios contratistas para el proyecto, que implicaba la instalación de 77 tragaluces. La cuadrilla de estructuras de madera de otro contratista había cortado un agujero desde una plataforma elevadora, debajo de la plataforma del techo. Después le indicaron a los instaladores de techos que llevaran una cubierta de tragaluz para cubrir un agujero. Seleccionaron una cubierta sin sujetadores, de aproximadamente cuatro. pies de anchura por ocho pies de longitud, y la levantaron desde extremos opuestos, con un compañero de trabajo sosteniendo el frente. Dieron medio paso al frente y el compañero de trabajo oyó caer el extremo que sostenía el instalador de techos. Volteó hacia atrás y no vio al instalador de techos; después se dio cuenta de que había caído por un agujero que no sabían que estaba debajo de la cubierta. El compañero de trabajo alertó a su capataz y ambos bajaron las escaleras corriendo. Encontraron al instalador de techos boca arriba, con lesiones graves e inconsciente, en donde había golpeado el suelo de gravilla después de caer 45 pies. Varios compañeros que estaban en el interior lo vieron caer, llamaron al 911 y empezaron a administrar RCP. El personal de respuesta a emergencias llegó pronto, pero no pudieron salvar su vida. Después del accidente, los investigadores determinaron que: Los instaladores de techos no tenían experiencia ni capacitación en la instalación de tragaluces. Se movían de un lado a otro para instalar aislamiento y tragaluces, lo que pudo haberlos confundido respecto a cuáles tragaluces estaban protegidos. La visibilidad en el techo estaba afectada por los rollos de aislamiento. Había líneas de precaución para protección contra caídas en los bordes del techo y alrededor de escotilla de acceso al techo con una escalera de mano, pero los instaladores de techo no usaban protección contra caídas dentro de las líneas, en donde había agujeros para tragaluces. La canastilla de la plataforma elevadora, que se había movido de abajo del agujero antes de que ocurriera la caída, se usaba como plataforma de detención de caídas. Esa práctica contravenía las directrices de seguridad del fabricante y las reglas estatales de protección contra caídas. El empleador, los supervisores y los trabajadores no comprendían completamente los requisitos estatales de protección contra caídas para los agujeros de tragaluces, ni cuándo es aceptable utilizar un monitor o una plataforma de detención de caídas. El plan de trabajo de protección contra caídas del empleador no identificaba a los agujeros de tragaluces como peligros de caída. [Description provided by NIOSH] AN - cdc:246444 KW - Coal KW - Ventilation KW - Risk Factors KW - Engineering KW - Respiratory Protective Devices KW - Dust KW - Risk Assessment KW - Safety KW - Coal Mining KW - Personal Protective Equipment KW - Occupational Health KW - Mining KW - Muertes; Educación sobre seguridad; Construcción; Techadores; Protección contra caídas; Industria de techado KW - Coal KW - Coal Mining KW - Dust KW - Engineering KW - Mining KW - Occupational Health KW - Personal Protective Equipment KW - Respiratory Protective Devices KW - Risk Assessment KW - Risk Factors KW - Safety KW - Ventilation PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construcción narración de muertes: instalador de techos cae 45 pies a través de un tragaluz. UR - https://stacks.cdc.gov/view/cdc/246444 ER -
Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight

Washington (State). Department of Labor and Industries

2025/05/01 | Fatality Assessment and Control Evaluation Reports (FACE)

A 29-year-old roofer fell 45 feet through a hole in a roof while installing skylights. He worked for his employer, a residential and light commercial roofing contractor, for 16 months. He was on a crew installing roofing insulation and skylights on a large industrial building under construction. Multiple contractors were hired for the project, whic ...

Title : Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight Corporate Authors(s) : Washington (State). Department of Labor and Industries Published Date : 2025/05/01 Pages in Document : 1 Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/246443
Washington (State). Department of Labor and Industries (2025). Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/246443

Washington (State). Department of Labor and Industries. Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/246443.

Washington (State). Department of Labor and Industries Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/246443.
Export RIS Citation Information. TY - Report A2 - Washington (State). Department of Labor and Industries AB - A 29-year-old roofer fell 45 feet through a hole in a roof while installing skylights. He worked for his employer, a residential and light commercial roofing contractor, for 16 months. He was on a crew installing roofing insulation and skylights on a large industrial building under construction. Multiple contractors were hired for the project, which involved installing 77 skylights. Another contractor's framing crew had just cut a hole from a boom lift underneath the roof deck. They then hand signaled the roofers to carry a skylight lid to cover a hole. They Skylight hole and lid on roof. selected an unsecured, approximately four-foot wide by eight-foot long lid and lifted it at opposite ends with the coworker holding the front. They took a half step forward when the coworker heard the roofer's end drop. He looked back and did not see the roofer, realizing he had fallen through a hole they did not know was under the lid. The coworker alerted his foreman and they ran downstairs. They found the roofer on his back, seriously injured and unresponsive where he landed on gravel after falling 45 feet. Several workers inside saw him fall, called 911, and began CPR. First responders soon arrived but could not save his life. Following the incident, investigators found: 1) The roofers were not experienced nor trained in skylight installations. They were going back and forth between installing insulation and skylights, which may have confused them about which skylights were secured. Visibility on the roof was impacted by the bundles of insulation. 2) Fall protection warning lines were in place at the roof edge and around a roof ladder access hatch but no fall protection was being used by roofers inside the lines where skylight holes were present. The boom lift basket, which had been moved from below the hole before the fall occurred, was being used as a fall catch platform. This practice was against the manufacturer's safety guidelines and state fall protection rules. 3) The employer, supervisors, and workers lacked understanding of state fall protection requirements for skylight holes and when a monitor or catch is acceptable to be used. The employer's fall protection work plan (FPWP) did not identity skylight holes as fall hazards. [Description provided by NIOSH] AN - cdc:246443 KW - Construction Industry KW - Safety KW - Accidental Falls KW - Occupational Health KW - Mortality KW - Fatalities; Safety education; Construction; Roofers; Fall protection; Roofing industry KW - Accidental Falls KW - Construction Industry KW - Mortality KW - Occupational Health KW - Safety PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construction Fatality Narrative: Roofer Falls 45 Feet Through Skylight UR - https://stacks.cdc.gov/view/cdc/246443 ER -
Overhaul Inventory: Lithium-ion Battery-Powered Devices

National Institute for Occupational Safety and Health. Fire Safety Research Institute

2025/05/01 | Fatality Assessment and Control Evaluation Reports (FACE)

Instructions: Lithium-ion (LI) batteries can experience thermal runaway, a situation where a battery cell enters a state of uncontrolled self-heating. This can occur minutes, hours, or days after the battery is damaged from mechanical stress or being exposed to fire. During the overhaul stage at a residential structure fire, it is important for fir ...

Public Domain

Title : Overhaul Inventory: Lithium-ion Battery-Powered Devices Corporate Authors(s) : National Institute for Occupational Safety and Health. Fire Safety Research Institute Published Date : 2025/05/01 Pages in Document : 2 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/257794
National Institute for Occupational Safety and Health. Fire Safety Research Institute (2025). Overhaul Inventory: Lithium-ion Battery-Powered Devices. National Institute for Occupational Safety and Health. https://stacks.cdc.gov/view/cdc/257794

National Institute for Occupational Safety and Health. Fire Safety Research Institute. Overhaul Inventory: Lithium-ion Battery-Powered Devices. National Institute for Occupational Safety and Health, 2025. https://stacks.cdc.gov/view/cdc/257794.

National Institute for Occupational Safety and Health. Fire Safety Research Institute Overhaul Inventory: Lithium-ion Battery-Powered Devices. National Institute for Occupational Safety and Health, 2025, Stacks. https://stacks.cdc.gov/view/cdc/257794.
Export RIS Citation Information. TY - Forms A2 - National Institute for Occupational Safety and Health. Fire Safety Research Institute AB - Instructions: Lithium-ion (LI) batteries can experience thermal runaway, a situation where a battery cell enters a state of uncontrolled self-heating. This can occur minutes, hours, or days after the battery is damaged from mechanical stress or being exposed to fire. During the overhaul stage at a residential structure fire, it is important for firefighters to locate and remove all LI battery-powered devices exposed to fire conditions. 1. Incident commanders and homeowners/occupants should use this inventory checklist to identify all LI battery-powered devices in the residence and their locations. 2. Give the completed checklist to operations or an assigned firefighter to locate the devices and check for exposure to fire. 3. Isolate and/or apply the appropriate extinguishment method to identified devices. 4. With the addition of LI batteries to the fuel loads in structure fires, it is more important than ever to perform a gross decon at the scene with soap, water, and a brush. Full structural personal protective equipment with a self-contained breathing apparatus should be used during overhaul when LI battery-powered devices may be present. AN - cdc:257794 KW - Safety KW - Checklist KW - Occupational Health KW - Batteries; Thermal reactions; Fire fighters; Fire safety; Safety practices KW - Checklist KW - Occupational Health KW - Safety LA - eng PB - National Institute for Occupational Safety and Health PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Overhaul Inventory: Lithium-ion Battery-Powered Devices UR - https://stacks.cdc.gov/view/cdc/257794 ER -
A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006

Zubieta, Ingrid

2025/04/22 | Fatality Assessment and Control Evaluation Reports (FACE)

On Sep 15, 2023, a 45-year-old male warehouse worker (the victim) at a warehouse and distribution center was fatally injured after falling from the platform of an order picker forklift. The victim was operating the order picker to check an item from a shelving rack three levels up. The victim was working by himself and was not wearing fall protecti ...

Title : A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006 Personal Author(s) : Zubieta, Ingrid Corporate Authors(s) : California Department of Public Health Published Date : 2025/04/22 Pages in Document : 9 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA006, 2025 Apr; :1-9 DOI : 10.26616/NIOSHSFACE23CA006 Journal Title : National Institute for Occupational Safety and Health
Zubieta, I. (2025). A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006. National Institute for Occupational Safety and Health. https://doi.org/10.26616/NIOSHSFACE23CA006

Zubieta, Ingrid. "A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006." National Institute for Occupational Safety and Health (2025). https://doi.org/10.26616/NIOSHSFACE23CA006.

Zubieta, Ingrid "A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006." National Institute for Occupational Safety and Health, 2025. Stacks. https://doi.org/10.26616/NIOSHSFACE23CA006.
Export RIS Citation Information. TY - Report AU - Zubieta, Ingrid A2 - California Department of Public Health AB - On Sep 15, 2023, a 45-year-old male warehouse worker (the victim) at a warehouse and distribution center was fatally injured after falling from the platform of an order picker forklift. The victim was operating the order picker to check an item from a shelving rack three levels up. The victim was working by himself and was not wearing fall protection. A co-worker in a nearby aisle heard a sound and ran to the area where they found the victim lying on the concrete floor. The victim was transported to the hospital where he died from his injuries 17 days later. Contributing factors: Failure to ensure proper use of fall protection, inspect equipment, and correct unsafe work practices; Lack of written policies and procedures on how to safely operate forklifts and use fall protection; No forklift training or certification program; Lack of audible or visual alarms on forklifts to indicate when an employee is not tied-off. Recommendations - California FACE (CA/FACE) investigators determined that, in order to prevent similar incidents, warehouses & distribution centers and forklift manufacturers should: 1) Ensure that all order picker forklift operators receive training and adequate supervision to always use fall protection when working at heights. 2) Integrate fall protection warning devices that will activate audible and visual alarms if the operator is not tied-off while working at heights. AN - cdc:258866 DO - 10.26616/NIOSHSFACE23CA006 J2 - National Institute for Occupational Safety and Health KW - Falls KW - Fatal Outcome KW - Safety KW - Accidental Falls KW - Accidents, Occupational KW - Occupational Health KW - Region 9 KW - Fatalities KW - Injury prevention KW - Traumatic injuries KW - Safety practices KW - Warehousing KW - Falls KW - Fall protection KW - Safety equipment KW - Forklifts KW - Warning devices KW - Accidental Falls KW - Accidents, Occupational KW - Falls KW - Fatal Outcome KW - Occupational Health KW - Safety LA - eng PB - National Institute for Occupational Safety and Health PY - 2025 T2 - National Institute for Occupational Safety and Health T2 - Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA006, 2025 Apr; :1-9 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - A Warehouse Worker Dies After Falling from an Order Picker Forklift - California: Report 23CA006 UR - https://stacks.cdc.gov/view/cdc/258866 ER -
Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/04/18 | Fatality Assessment and Control Evaluation Reports (FACE)

Un jornalero de 53 años de edad falleció cuando el adhesivo para pisos de vinilo que estaba aplicando se incendió y los vapores explotaron. Trabajó durante cuatro años para su empleador, un contratista general, haciendo trabajos diversos de manera informal, cuando era necesario. Él y un asistente estaban instalando pisos de vinilo en un edificio co ...

Title : Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/04/18 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229239
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229239

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229239.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229239.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - Un jornalero de 53 años de edad falleció cuando el adhesivo para pisos de vinilo que estaba aplicando se incendió y los vapores explotaron. Trabajó durante cuatro años para su empleador, un contratista general, haciendo trabajos diversos de manera informal, cuando era necesario. Él y un asistente estaban instalando pisos de vinilo en un edificio comercial en renovación. Trabajaban solos y sin supervisión, pero recibían instrucciones del empleador por teléfono. Esperaban terminar con rapidez, pero el adhesivo líquido para pisos no estaba pegando bien. El jornalero dijo que la habitación estaba demasiado fría y decidió usar un soplete de propano con llama descubierta para calentar el adhesivo y el piso. Cuarenta minutos después, el soplete encendió los vapores del adhesivo o el líquido en el piso. Los trabajadores trataron de apagar el fuego con los pies, pero no pudieron hacerlo. El asistente le gritó al jornalero que huyera y corrió hacia una salida. Después sintió una explosión, volteó hacia atrás y vio que el jornalero trataba de apagar el soplete mientras la habitación se llenaba de humo. Mareado y con náuseas, le volvió a gritar al jornalero, pero lo perdió de vista al seguir avanzando hacia la puerta. Cuando llegó a la puerta, una segunda explosión lo lanzó al exterior. Después pudo alejarse más del edificio. El jornalero salió poco después, en llamas y gritando Cayó cerca de la puerta, poco antes de que una tercera explosión la hiciera salir volando. El área que lo rodeaba estaba demasiado caliente como para que el asistente se aproximara. Los vecinos llamaron al 911. El personal de respuesta a emergencias rescató al asistente y apagó el incendio. El jornalero murió en el lugar debido a las quemaduras y la inhalación de humo. Después del accidente, los investigadores determinaron que: El empleador no tenía un programa de prevención de accidentes (APP, por sus siglas en inglés), y no proporcionó hojas de datos de seguridad (SDS), capacitación sobre peligros químicos ni extintores de incendios antes de iniciar el trabajo. La SDS del adhesivo líquido inflamable indicaba que representaba un riesgo elevado de explosión con una baja concentración de vapor en el aire. El adhesivo, esparcido sobre un área superficial grande del edificio sin ventilación, emitió suficiente vapor para alcanzar el límite inferior de explosividad e incendiarse cuando se encendió el soplete. Se dejaron cuatro cubos de 5 galones de adhesivo abiertos en el edificio, lo que aumentó la concentración de vapor. [Description provided by NIOSH] AN - cdc:229239 KW - Construction Industry KW - Fatal Outcome KW - Explosions KW - Safety KW - Adhesives KW - Accidents, Occupational KW - Occupational Health KW - Muertes KW - Educación en seguridad KW - Construcción KW - Riesgos de explosión KW - Adhesivos KW - Riesgos químicos KW - Accidents, Occupational KW - Adhesives KW - Construction Industry KW - Explosions KW - Fatal Outcome KW - Occupational Health KW - Safety LA - spa PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construcción Narración de Muertes: Jornalero Sufre Quemaduras en Explosión de Adhesivo - Washington UR - https://stacks.cdc.gov/view/cdc/229239 ER -
Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/04/18 | Fatality Assessment and Control Evaluation Reports (FACE)

A 53-year-old day laborer died when the vinyl flooring adhesive he was applying ignited and the vapor exploded. He worked for his employer, a general contractor, for four years doing random odd jobs on an informal, as-needed basis. He and an assistant were installing vinyl flooring in a commercial building under renovation. They were working alone ...

Title : Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/04/18 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229238
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229238

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229238.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229238.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 53-year-old day laborer died when the vinyl flooring adhesive he was applying ignited and the vapor exploded. He worked for his employer, a general contractor, for four years doing random odd jobs on an informal, as-needed basis. He and an assistant were installing vinyl flooring in a commercial building under renovation. They were working alone and unsupervised but received instruction from the employer over the phone. They hoped to finish quickly, but the liquid flooring adhesive was not bonding well. The laborer said the room was too cold and decided to use an open-flame propane torch to heat up the adhesive and flooring. Forty minutes later, the torch ignited either the adhesive vapor or liquid on the floor. The workers tried to stamp out the fire with their feet but were unable to. The assistant yelled at the laborer to flee and ran for an exit door. He then felt an explosion, looked back, and saw the laborer trying to shut off the torch as smoke filled the room. Dizzy and nauseous, he yelled again to the laborer but lost sight of him as he continued toward the door. When he reached the door, a second explosion threw him outside. He was then able to move further from the building. The laborer came out shortly after, in flames and screaming. He fell near the door just before a third explosion blew it off. The area around him was too hot for the assistant to approach. Neighbors called 911. First responders rescued the assistant and extinguished the blaze. The laborer died at the scene from burns and smoke inhalation. Following the incident, investigators found: The employer did not have an accident prevention program (APP) nor provide the workers Safety Data Sheets (SDS), chemical hazard training, and fire extinguishers before the job began. The SDS for the flammable liquid adhesive indicated it had a high risk of explosion at a low vapor concentration in the air. The adhesive spread over the large surface area in the unventilated building emitted enough vapor to reach the lower explosive limit and ignite while the torch was lit. Four 5-gallon buckets of adhesive were left open in the building, increasing the vapor concentration. [Description provided by NIOSH] AN - cdc:229238 KW - Construction Industry KW - Fatal Outcome KW - Explosions KW - Safety KW - Adhesives KW - Accidents, Occupational KW - Occupational Health KW - Fatalities KW - Safety education KW - Construction KW - Explosive hazards KW - Adhesives KW - Chemical hazards KW - Accidents, Occupational KW - Adhesives KW - Construction Industry KW - Explosions KW - Fatal Outcome KW - Occupational Health KW - Safety LA - eng PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construction Fatality Narrative: Day Laborer Burned in Adhesive Explosion - Washington UR - https://stacks.cdc.gov/view/cdc/229238 ER -
Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001

Cierpich, Hank

2025/04/10 | Fatality Assessment and Control Evaluation Reports (FACE)

On April 26, 2024, a 39-year-old male Hispanic tree trimmer was trimming a palm tree in the back yard of a private residence. The victim was not a certified or licensed tree trimmer. He climbed underneath the dead palm fronds and started cutting them from the tree. The skirt of dead palm fronds directly above him broke loose and slid down, compress ...

Title : Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001 Personal Author(s) : Cierpich, Hank Corporate Authors(s) : California Department of Public Health Published Date : 2025/04/10 Pages in Document : 8 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 24CA001, 2025 Apr; :1-8 DOI : 10.26616/NIOSHSFACE24CA001 Journal Title : National Institute for Occupational Safety and Health
Cierpich, H. (2025). Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001. National Institute for Occupational Safety and Health. https://doi.org/10.26616/NIOSHSFACE24CA001

Cierpich, Hank. "Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001." National Institute for Occupational Safety and Health (2025). https://doi.org/10.26616/NIOSHSFACE24CA001.

Cierpich, Hank "Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001." National Institute for Occupational Safety and Health, 2025. Stacks. https://doi.org/10.26616/NIOSHSFACE24CA001.
Export RIS Citation Information. TY - Report AU - Cierpich, Hank A2 - California Department of Public Health AB - On April 26, 2024, a 39-year-old male Hispanic tree trimmer was trimming a palm tree in the back yard of a private residence. The victim was not a certified or licensed tree trimmer. He climbed underneath the dead palm fronds and started cutting them from the tree. The skirt of dead palm fronds directly above him broke loose and slid down, compressing him against the tree trunk and suffocating him. CONTRIBUTING FACTORS - Key contributing factors identified in this investigation include: Improper work practices (removing fronds from below); Not using the correct equipment to do the job safely; Homeowner hiring tree trimmers and supervisors that are not certified or licensed. RECOMMENDATIONS - The California FACE (CA/FACE) investigator determined that, in order to prevent similar incidents, landscapers and self-employed tree trimmers should ensure that: Palm tree trimming or removal is performed by workers trained and certified by organizations such as the International Society of Arboriculture (ISA). Proper work procedures and equipment are used, such as an aerial lift and cutting fronds from above. Homeowners should: Hire tree trimmers who are certified by organizations such as ISA and have a tree and palm contractor's license (C-49). Local counties or cities should: Consider adopting regulations that require a permit for trimming residential palm trees. AN - cdc:258675 DO - 10.26616/NIOSHSFACE24CA001 J2 - National Institute for Occupational Safety and Health KW - Fatal Outcome KW - Safety KW - Occupational Injuries KW - Crush Injuries KW - Accidents, Occupational KW - Occupational Health KW - Asphyxia KW - Region 9 KW - Accident analysis KW - Fatalities KW - Tree trimmers KW - Landscape services workers KW - Safety practices KW - Injury prevention KW - Asphyxiation KW - Accidents, Occupational KW - Asphyxia KW - Crush Injuries KW - Fatal Outcome KW - Occupational Health KW - Occupational Injuries KW - Safety LA - eng PB - National Institute for Occupational Safety and Health PY - 2025 T2 - National Institute for Occupational Safety and Health T2 - Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 24CA001, 2025 Apr; :1-8 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Palm Tree Trimmer Dies from Asphyxia When Crushed by Palm Fronds - California: Report 24CA001 UR - https://stacks.cdc.gov/view/cdc/258675 ER -
A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005

Zubieta, Ingrid

2025/04/10 | Fatality Assessment and Control Evaluation Reports (FACE)

On December 4, 2023, a 54-year-old male self-employed welder (the victim) working at a motor oil and lubricating products manufacturing facility, died from inhalation exposure to methylene chloride. The victim entered a 20 ft high by 10 ft wide empty motor oil storage tank to repair one of the blades inside. The victim was working by himself and us ...

Title : A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005 Personal Author(s) : Zubieta, Ingrid Corporate Authors(s) : California Department of Public Health Published Date : 2025/04/10 Pages in Document : 11 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA005, 2025 Apr; :1-11 DOI : 10.26616/NIOSHSFACE23CA005 Journal Title : National Institute for Occupational Safety and Health
Zubieta, I. (2025). A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005. National Institute for Occupational Safety and Health. https://doi.org/10.26616/NIOSHSFACE23CA005

Zubieta, Ingrid. "A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005." National Institute for Occupational Safety and Health (2025). https://doi.org/10.26616/NIOSHSFACE23CA005.

Zubieta, Ingrid "A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005." National Institute for Occupational Safety and Health, 2025. Stacks. https://doi.org/10.26616/NIOSHSFACE23CA005.
Export RIS Citation Information. TY - Report AU - Zubieta, Ingrid A2 - California Department of Public Health AB - On December 4, 2023, a 54-year-old male self-employed welder (the victim) working at a motor oil and lubricating products manufacturing facility, died from inhalation exposure to methylene chloride. The victim entered a 20 ft high by 10 ft wide empty motor oil storage tank to repair one of the blades inside. The victim was working by himself and used a product containing methylene chloride to remove oil residue at the bottom of the tank. The tank was not adequately ventilated, the victim was not trained in confined space entry, there was no attendant at the tank opening to monitor the work process inside, and there was no rescue plan in place. A company employee later located the victim at the bottom of the oil tank. The victim was removed from the tank and pronounced dead at the scene. Contributing factors: Using a product containing methylene chloride; Lack of confined space entry and rescue procedures; Lack of chemical hazard communication program; Lack of adequate respiratory protection. Recommendations - The California FACE (CA/FACE) investigator determined that, in order to prevent similar incidents, oil manufacturing companies should: 1) Avoid purchasing, storing and/or using products that contain methylene chloride. 2) Ensure oil tanks are identified as permit-required confined spaces when methylene chloride is used inside the tank. 3) Ensure a chemical hazard communication program is developed and implemented. AN - cdc:258865 DO - 10.26616/NIOSHSFACE23CA005 J2 - National Institute for Occupational Safety and Health KW - Fatal Outcome KW - Confined Spaces KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Methylene Chloride KW - Region 9 KW - Fatalities KW - Safety practices KW - Confined spaces KW - Methylene chloride KW - Chemical safety KW - Respiratory protection KW - Small businesses KW - Substance use KW - Methamphetamine KW - Welders KW - Accidents, Occupational KW - Confined Spaces KW - Fatal Outcome KW - Methylene Chloride KW - Occupational Health KW - Safety LA - eng PB - National Institute for Occupational Safety and Health PY - 2025 T2 - National Institute for Occupational Safety and Health T2 - Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA005, 2025 Apr; :1-11 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - A Welder Dies from Methylene Chloride Exposure While Removing Oil Residue from the Inside of a Motor Oil Tank - California: Report 23CA005 UR - https://stacks.cdc.gov/view/cdc/258865 ER -
Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/03/17 | Fatality Assessment and Control Evaluation Reports (FACE)

Un instalador de estructuras con experiencia, de 44 años de edad, cayó ocho pies desde una viga de borde mientras trabajaba en una pared. Trabajó durante cinco años para su empleador, un contratista residencial. El instalador de estructuras estaba con un compañero de trabajo, retirando vigas de piso instaladas previamente en el segundo nivel para c ...

Title : Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/03/17 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229237
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229237

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229237.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229237.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - Un instalador de estructuras con experiencia, de 44 años de edad, cayó ocho pies desde una viga de borde mientras trabajaba en una pared. Trabajó durante cinco años para su empleador, un contratista residencial. El instalador de estructuras estaba con un compañero de trabajo, retirando vigas de piso instaladas previamente en el segundo nivel para cambiar de sitio una pared interior de una cocina, que fue instalada en el lugar equivocado. Después de terminar su tarea, se dirigió a una pared exterior en donde estaba trabajando su compañero de trabajo. Se sentó en una viga de borde para esperar. La viga estaba a ocho pies de altura sobre el entablado del piso y tenía una abertura de ventana justo debajo. Él estaba montado en la viga para sostenerse sobre la abertura. Después se inclinó hacia el interior de la pared y perdió el equilibrio. No pudo recuperar el equilibrio debido a la abertura y cayó de cabeza hacia el entablado del piso. Su compañero de trabajo lo vio caer, llamó al 911 y empezó a administrar RCP. Cuando llegó el personal de respuesta a emergencias, él respiraba, pero estaba inconsciente. Fue trasladado por vía aérea al hospital, donde se le colocó en soporte vital. Falleció cinco días después. Después del accidente, los investigadores determinaron que: El instalador de estructuras cayó desde una pared interior con una altura de ocho pies y tres cuartos de pulgada. El peligro de caída al exterior de la pared era de nueve pies y nueve y tres cuartos de pulgada. No se utilizó protección contra caídas porque los trabajadores estaban a menos de la altura mínima de 10 pies que los obligaría a usar protección contra caídas durante la instalación de elementos estructurales. El instalador de estructuras asistió a reuniones de seguridad semanales, en las que la protección contra caídas era un tema reiterado. El empleador tenía un plan de prevención de accidentes (APP) por escrito, con un plan de protección contra caídas. El gerente de proyecto del contratista general estaba en la obra cuando ocurrió el incidente. REQUISITOS - Los empleadores deben: Mantener el lugar de trabajo en condiciones que no pongan en peligro la salud, la seguridad o el bienestar de los empleados. RECOMENDACIONES: Los investigadores de FACE concluyeron que, para ayudar a prevenir sucesos similares, los empleadores deben hacer lo siguiente: Cuando los trabajadores deben caminar sobre placas elevadas, vigas, travesaños, armaduras de techo, vigas de soporte y otros elementos estructurales, proporcionarles protección contra caídas con andamios, elevadores, plataformas de protección de bordes, barandales, redes de seguridad o sistemas personales de protección contra caídas. Capacitar a los trabajadores para que usen correctamente estos métodos y equipos, y evaluar periódicamente sus conocimientos y habilidades sobre protección contra caídas. Llegar a la obra antes de que empiecen los trabajos o nombrar a un supervisor para realizar, de manera conjunta con los trabajadores, una evaluación de peligros de la obra, con el fin de identificar peligros y preparar soluciones de protección contra caídas. Durante la reunión de seguridad previa al trabajo, repasar la evaluación de peligros de la obra y explicar a los trabajadores su responsabilidades de usar protección contra caídas y seguir prácticas de trabajo seguras para prevención de caídas. [Description provided by NIOSH] AN - cdc:229237 KW - Construction Industry KW - Fatal Outcome KW - Safety KW - Accidental Falls KW - Accidents, Occupational KW - Occupational Health KW - Staff Development KW - Construcción KW - Protección contra caídas KW - Capacitación KW - Equipo de seguridad KW - Caídas KW - Lesiones en la cabeza KW - Accidental Falls KW - Accidents, Occupational KW - Construction Industry KW - Fatal Outcome KW - Occupational Health KW - Safety KW - Staff Development LA - spa PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construcción Narración de Muertes: Instalador de Estructuras Cae 8 Pies de una Viga de Borde - Washington UR - https://stacks.cdc.gov/view/cdc/229237 ER -
Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/03/17 | Fatality Assessment and Control Evaluation Reports (FACE)

A 44-year-old experienced framer fell eight feet from a rim joist while working on a wall. He worked for his employer, a residential contractor, for five years. The framer was with a co-worker removing previously installed second-level floor joists to relocate an inside kitchen wall that was framed in the wrong place. After finishing his task, he w ...

Title : Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/03/17 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229236
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229236

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229236.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229236.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 44-year-old experienced framer fell eight feet from a rim joist while working on a wall. He worked for his employer, a residential contractor, for five years. The framer was with a co-worker removing previously installed second-level floor joists to relocate an inside kitchen wall that was framed in the wrong place. After finishing his task, he went to an outside wall where his co-worker was working. He sat down on a rim joist to wait. The joist was eight feet above the floor decking and had a window opening just below it. He was straddling the joist to support himself above the opening. He then leaned to the inside of the wall and lost balance. Unable to regain balance due to the opening, he fell headfirst to the floor decking below. His co-worker saw him fall, called 911, and began CPR. When first responders arrived, he was breathing but unresponsive. He was then airlifted to the hospital and placed on life support. He died five days later. Following the incident, investigators found: The framer fell from an inside wall height of eight feet, three-quarters inches. The fall hazard to the outside of the wall was nine feet, nine and three-quarters inches. Fall protection was not used because workers were under the 10-foot trigger height for fall protection requirements while installing structural members. The framer attended weekly safety meetings where fall protection was a recurring main topic. The employer had a written accident prevention program (APP) with a fall protection plan. REQUIREMENTS - Employers must: Maintain conditions within the workplace that will not endanger the health, safety or welfare of employees. RECOMMENDATIONS: FACE investigators concluded, that to help prevent similar occurrences employers, should: When workers must walk on top plates, joists, rafters, trusses, beams or other similar structural members, provide fall protection by using scaffolding, aerial lifts, edge protection platforms, guardrails, safety nets, or personal fall protection systems. Train workers to use these methods and equipment properly and periodically evaluate their fall protection knowledge and skills. Arrive on-site before work begins or appoint a supervisor to jointly conduct a site hazard assessment with workers to identify fall hazards and develop fall protection solutions. During the pre-job safety meeting, review the site hazard assessment and discuss workers' responsibilities to use fall protection and follow fall prevention safe work practices. [Description provided by NIOSH] AN - cdc:229236 KW - Construction Industry KW - Fatal Outcome KW - Safety KW - Accidental Falls KW - Accidents, Occupational KW - Occupational Health KW - Staff Development KW - Construction KW - Fall protection KW - Training KW - Safety equipment KW - Falls KW - Head injuries KW - Accidental Falls KW - Accidents, Occupational KW - Construction Industry KW - Fatal Outcome KW - Occupational Health KW - Safety KW - Staff Development LA - eng PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construction Fatality Narrative: Framer Falls 8 Feet from Rim Joist - Washington UR - https://stacks.cdc.gov/view/cdc/229236 ER -
Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/02/17 | Fatality Assessment and Control Evaluation Reports (FACE)

Un trabajador agrícola estacional de 43 años de edad fue aplastado por un montacargas en un cobertizo de empaquetado de cebollas. Trabajaba para un contratista de trabajadores temporales, quien lo envió a trabajar como empacador de tarimas en una granja familiar de cebollas. Había trabajado durante dos meses en su tercera temporada de cosecha en la ...

Title : Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/02/17 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229235
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229235

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229235.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229235.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - Un trabajador agrícola estacional de 43 años de edad fue aplastado por un montacargas en un cobertizo de empaquetado de cebollas. Trabajaba para un contratista de trabajadores temporales, quien lo envió a trabajar como empacador de tarimas en una granja familiar de cebollas. Había trabajado durante dos meses en su tercera temporada de cosecha en la granja. Estaba trabajando en una cuadrilla de trabajo nocturno junto con un supervisor, un clasificador y dos apiladores, que trabajaban todos para el mismo contratista laboral. Su trabajo era usar película de plástico para empaquetar costales de cebollas apilados sobre tarimas, dentro del cobertizo de empaquetado. El supervisor era el operador de montacargas designado, encargado de mover las tarimas. A la cuadrilla de trabajo le faltaba un apilador, por lo que el supervisor acudió a ayudar con el apilado y le dijo al trabajador que condujera el montacargas para recoger contenedores de cebollas apilados en el exterior para procesarlos. Cuando no regresó después de casi una hora, el supervisor fue a buscarlo. Encontró al trabajador aplastado entre los depósitos cargados en el montacargas y los contenedores apilados en el suelo. Estaba inconsciente y no respiraba. El supervisor hizo retroceder el montacargas para liberar al trabajador y vio que estaba en neutral y no tenía aplicado el freno de estacionamiento. Después regresó al cobertizo y alertó a un compañero de trabajo, quien llamó al 911. Los trabajadores de respuesta a emergencias declararon al trabajador fallecido en la escena. Después del accidente, los investigadores determinaron que: El trabajador había operado el montacargas durante todo el tiempo que trabajó en la granja, sin haber recibido capacitación. El contratista solamente le dio una explicación general sobre la seguridad con los montacargas en una charla de orientación, antes de empezar a trabajar. El trabajador levantó y bajó dos contenedores, retrocedió, se detuvo y dejó el montacargas en una pendiente de un grado, sin aplicar el freno de estacionamiento. Después el montacargas rodó hacia adelante hasta golpearlo, mientras él se encontraba entre los contenedores para ajustar una lona. El área estaba oscura y la única luz provenía de su montacargas. El contratista y el empleador anfitrión se enteraron de que el trabajador usaba el montacargas sin haber recibido capacitación después de su primera semana en la granja. No se comunicaron eficazmente entre sí y con el supervisor de la cuadrilla de trabajo y el gerente de seguridad del contratista para impedir que el trabajador usara el montacargas. REQUISITOS: Los empleadores deben: Asegurarse de que los operadores de vehículos industriales motorizados (PIT, por sus siglas en inglés) hayan sido capacitados. Neutralizar los controles y aplicar los frenos cuando salgan del PIT. RECOMENDACIONES: Los investigadores de FACE concluyeron que, para ayudar a prevenir sucesos similares, los empleadores deben hacer lo siguiente: Usar PIT equipados con sistemas de freno de estacionamiento automático que puedan prevenir el movimiento sin conductor al aplicarse cuando el conductor libera el freno de servicio y sale del vehículo mientras funciona al ralentí. Elaborar y hacer cumplir políticas referentes a los PIT en sus programas de prevención de accidentes por escrito, de manera que: Solamente se permita que los trabajadores capacitados operen los PIT y se ordene que los supervisores impidan de inmediato que los trabajadores que no estén capacitados los usen. Se realice un análisis de los peligros del trabajo (JHA, por sus siglas en inglés), de manera conjunta con los supervisores y operadores de PIT, para identificar los peligros de movimiento sin conductor y de aplastamiento, como las zonas de operación con pendientes. Establecer comunicaciones claras sobre la seguridad con los empleadores anfitriones, para asegurarse de que los trabajadores temporales puedan recibir orientación, supervisión y capacitación eficaces en materia de seguridad, en las que se aborden los peligros laborales a los que estarán expuestos. [Description provided by NIOSH] AN - cdc:229235 KW - Fatal Outcome KW - Farmers KW - Safety KW - Crush Injuries KW - Accidents, Occupational KW - Occupational Health KW - Accident Prevention KW - Prevención de accidentes KW - Prácticas de seguridad KW - Montacargas KW - Trabajadores agrícolas KW - Trabajadores temporales KW - Accident Prevention KW - Accidents, Occupational KW - Crush Injuries KW - Farmers KW - Fatal Outcome KW - Occupational Health KW - Safety LA - spa PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Agricultura Narración de Muertes: Trabajador Temporal es Aplastado Por Montacargas sin Conductor en una Granja Familiar - Washington UR - https://stacks.cdc.gov/view/cdc/229235 ER -
Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/02/17 | Fatality Assessment and Control Evaluation Reports (FACE)

A 43-year-old seasonal farm worker was crushed by a forklift at an onion packing shed. He was working for a temp labor contractor who sent him to work as a pallet wrapper at a family-owned onion farm. He was two months into his third harvest season at the farm. He was working on a night crew along with a supervisor, a sorter, and two stackers, who ...

Title : Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/02/17 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229234
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229234

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229234.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229234.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 43-year-old seasonal farm worker was crushed by a forklift at an onion packing shed. He was working for a temp labor contractor who sent him to work as a pallet wrapper at a family-owned onion farm. He was two months into his third harvest season at the farm. He was working on a night crew along with a supervisor, a sorter, and two stackers, who all worked for the same labor contractor. His job was to shrink wrap sacks of onions stacked on pallets inside the packing shed. The supervisor was the designated forklift operator who moved the pallets. The crew was one stacker short so the supervisor went to help stack and told the worker to drive the forklift to pick up bins of onions stacked outside for processing. When he did not return for almost an hour, the supervisor went to look for him. He found the worker crushed between bins loaded on the forklift and bins stacked on the ground. He was unconscious and not breathing. The supervisor backed the forklift off the worker and saw it was in neutral with the parking brake not set. He then returned to the shed and alerted a coworker who called 911. First responders pronounced the worker dead at the scene. Following the incident, investigators found: The worker had been operating the forklift his entire time at the farm without training. The contractor only gave him an overview of forklift safety in an orientation before he began his job. The worker picked and lowered two bins, reversed, stopped, and left the forklift on a one-percent grade without setting the parking brake. The forklift then rolled forward into him as he stepped between the bins to adjust a tarp. The area was dark and the only light was from his forklift. The contractor and host employer became aware the worker was using the forklift without training after his first week at the farm. They did not effectively communicate with each other and with the crew supervisor and contractor's safety manager to prevent the worker from using the forklift. REQUIREMENTS: Employers must: Make sure powered industrial truck (PIT) operators are trained. Neutralize the controls and set the brakes when getting off the PIT. RECOMMENDATIONS: FACE investigators concluded that to help prevent similar occurrences, employers should: Use PITs equipped with automatic parking brake systems that can prevent rollaways by engaging when the driver releases the service brake and leaves the vehicle while it is still idling. Develop and enforce PIT policies in their written accident prevention program (APP) that: Allow only workers who are trained to operate PITs and require supervisors to immediately stop workers who are not trained from using them. Perform a job hazard analysis (JHA) jointly with supervisors and PIT operators to identify rollaway and crush hazards, such as operating areas with any inclines. Establish clear safety communication with host employers to ensure temporary workers get an effective safety orientation, supervision, and training on the job hazards they will be exposed to. [Description provided by NIOSH] AN - cdc:229234 KW - Fatal Outcome KW - Farmers KW - Safety KW - Crush Injuries KW - Accidents, Occupational KW - Occupational Health KW - Accident Prevention KW - Accident prevention KW - Safety practices KW - Forklifts KW - Farm workers KW - Temporary workers KW - Accident Prevention KW - Accidents, Occupational KW - Crush Injuries KW - Farmers KW - Fatal Outcome KW - Occupational Health KW - Safety LA - eng PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Agriculture Fatality Narrative: Temp Worker Crushed by Rollaway Forklift at Family Farm - Washington UR - https://stacks.cdc.gov/view/cdc/229234 ER -
Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2025/01/20 | Fatality Assessment and Control Evaluation Reports (FACE)

A 36-year-old slaughterhouse worker was crushed by a pneumatic sliding door while moving cattle through a chute. His employer was a family-run beef slaughterhouse that had been in business for seven months. He had extensive slaughterhouse experience and was working as a kill floor manager. He was alone moving cattle from an outside corral to a kill ...

Title : Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2025/01/20 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229233
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2025). Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229233

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington. Washington State Department of Labor and Industries, 2025. https://stacks.cdc.gov/view/cdc/229233.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington. Washington State Department of Labor and Industries, 2025, Stacks. https://stacks.cdc.gov/view/cdc/229233.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 36-year-old slaughterhouse worker was crushed by a pneumatic sliding door while moving cattle through a chute. His employer was a family-run beef slaughterhouse that had been in business for seven months. He had extensive slaughterhouse experience and was working as a kill floor manager. He was alone moving cattle from an outside corral to a kill floor access chute inside the slaughterhouse. He was using a hand-held shock prod while operating a pneumatic metal sliding door to control the number of cattle entering the chute. The door opened and closed by sliding through a small gap in a steel barrier that separated the chute from a walkway. It was electronically activated by two switches: one outside nineteen feet from the door and one inside three feet away. After waiting ten minutes and no cattle entered the kill floor from the chute, his coworker became concerned. She went to check on him and found him standing pinned and unconscious between the door and the barrier. She released the door pressure and he fell to the floor unresponsive. She called 911 and alerted coworkers who came to help do CPR until first responders arrived. He was emergency airlifted to a hospital where he died three days later from asphyxiation injuries. Following the incident, investigators found: The worker likely used the outside switch to close the door and started to go inside as the door was closing. As he entered the doorway, he tried to prod a remaining cow but was crushed between the closing door and barrier. He was unable to breathe for up to seven minutes. The door's pneumatic operating pressure was 65 to 70 psi, enough to compress the worker's chest and prevent him from breathing, yelling for help, or pushing the door open to get free. The employer did not have a written accident prevention program (APP), safety meetings, a safety committee, nor training on how to safely move cattle through the chute door. REQUIREMENTS: Employers must: construct your workplace so it is safe. Develop a formal, written APP. Establish and conduct safety committees. RECOMMENDATIONS: FACE investigators concluded that to help prevent similar occurrences, employers should: Use sliding doors with pneumatic or electric sensing edges that stop and reverse the door when the leading-edge contacts an obstruction. Inspect door regularly to ensure proper functioning. Develop and enforce policies in their written accident prevention program (APP) that: Prohibit lone work in corrals and instead require using a buddy system where workers team up so they can monitor each other and help quickly when someone is endangered. Require a formal job hazard analysis (JHA) be done jointly by supervisors and workers to identify hazards of corral systems, including pens, sorting alleys, chutes, gates, and doors. Implement less hazardous work practices and safety training to prevent fatalities and injuries. [Description provided by NIOSH] AN - cdc:229233 KW - Fatal Outcome KW - Safety KW - Crush Injuries KW - Accidents, Occupational KW - Occupational Health KW - Accident Prevention KW - Livestock KW - Accident prevention KW - Safety practices KW - Livestock KW - Slaughterhouses KW - Pneumatic equipment KW - Accident Prevention KW - Accidents, Occupational KW - Crush Injuries KW - Livestock KW - Fatal Outcome KW - Occupational Health KW - Safety LA - eng PB - Washington State Department of Labor and Industries PY - 2025 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Agriculture Fatality Narrative: Slaughterhouse Worker Crushed in Cattle Chute Door - Washington UR - https://stacks.cdc.gov/view/cdc/229233 ER -
Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck

Washington (State). Department of Labor and Industries

2024/12/09 | Fatality Assessment and Control Evaluation Reports (FACE)

A 76-year-old truck driver was dragged and pinned when his dump truck rolled away after he unhooked a flatbed trailer. He was employed by an excavation contractor and had 15 years of experience driving dump trucks with trailers. He drove the truck to his employer's property to drop off the attached trailer. He backed up into a parking spot at the t ...

Title : Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck Corporate Authors(s) : Washington (State). Department of Labor and Industries Published Date : 2024/12/09 Pages in Document : 1 Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/246442
Washington (State). Department of Labor and Industries (2024). Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/246442

Washington (State). Department of Labor and Industries. Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck. Washington State Department of Labor and Industries, 2024. https://stacks.cdc.gov/view/cdc/246442.

Washington (State). Department of Labor and Industries Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck. Washington State Department of Labor and Industries, 2024, Stacks. https://stacks.cdc.gov/view/cdc/246442.
Export RIS Citation Information. TY - Report A2 - Washington (State). Department of Labor and Industries AB - A 76-year-old truck driver was dragged and pinned when his dump truck rolled away after he unhooked a flatbed trailer. He was employed by an excavation contractor and had 15 years of experience driving dump trucks with trailers. He drove the truck to his employer's property to drop off the attached trailer. He backed up into a parking spot at the top of a slight incline, set the trailer parking brake, and exited the truck. When he unhooked the trailer, the truck started to roll downhill. He ran after it and got onto the driver's side running board, attempting to get in the cab to stop the truck. The front driver's side rolled into a roadway drainage ditch and struck the hillside along the ditch. The driver was thrown off the truck into the narrow space between it and the hillside. He was then dragged until the truck finally stopped 150 feet from the parking area. The employer's son was working nearby and saw he was pinned against the hillside. He called his father, and they used an excavator to pull the truck off the driver. They called 911 but found he was already deceased when they tried to render first aid. Following the incident, investigators found: The driver set the trailer brake but not the truck's parking brake before exiting the cab and unhooking the trailer. The driver had parked the truck and trailer at the same site many times before. The employer's accident prevention program (APP) included state requirements for using parking brakes and wheel chocks at construction sites. Crew safety meeting and job hazard analysis (JHA) were also included as requirements but were not documented to assure hazards were being communicated to workers. REQUIREMENTS: Employers must: Employers must maintain conditions within the workplace that will not endanger the health, safety or welfare of employees. RECOMMENDATIONS: FACE investigators recommend that, to help prevent similar occurrences, employers should: Install electronic parking brake systems that automatically apply the parking brake when the driver has not set it before exiting the cab. Alarms are also available that alert drivers when brakes are not set. Develop and enforce APP policies including a parking brake and wheel chocking standard operating procedure (SOP) policy that requires drivers to: Put their foot on the service brake and place the transmission in neutral. Set the parking brake and time they park, regardless of whether or not they exit the cab. Stop the engine, lock the ignition, and remove the key and place it in their pocket. Turn the truck's front wheels to the curb or side of the road and chock at least one tractor drive wheel on each side if parked on any grade. Never to pursue or try to stop a rollaway truck if outside the cab. Train all drivers and periodically test their parking brake and wheel chocking SOP knowledge and skills. Document training for each driver and keep records up to date. [Description provided by NIOSH] AN - cdc:246442 KW - Safety KW - Occupational Health KW - Accidents KW - Accident Prevention KW - Accident prevention; Truck drivers; Safety; Equipment operation; Trucking KW - Accident Prevention KW - Accidents KW - Occupational Health KW - Safety PB - Washington State Department of Labor and Industries PY - 2024 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Trucking/Construction Fatality Narrative: Driver Dragged and Pinned by Rollaway Dump Truck UR - https://stacks.cdc.gov/view/cdc/246442 ER -
A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004

Cierpich, Hank

2024/12/01 | Fatality Assessment and Control Evaluation Reports (FACE)

On May 31, 2023, a 41-year-old male Hispanic tow truck operator was struck and killed by a passing vehicle on an interstate highway as he was loading a disabled vehicle onto a tow truck. Both the vehicle and tow truck were stopped on a triangular gore adjacent to the #6 lane and an onramp. The victim exited the driver's side of the flatbed truck an ...

Title : A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004 Personal Author(s) : Cierpich, Hank Corporate Authors(s) : California Department of Public Health Published Date : 2024/12/01 Pages in Document : 10 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) Source : Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA004, 2024 Dec; :1-10 DOI : 10.26616/NIOSHSFACE23CA004 Journal Title : National Institute for Occupational Safety and Health
Cierpich, H. (2024). A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004. National Institute for Occupational Safety and Health. https://doi.org/10.26616/NIOSHSFACE23CA004

Cierpich, Hank. "A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004." National Institute for Occupational Safety and Health (2024). https://doi.org/10.26616/NIOSHSFACE23CA004.

Cierpich, Hank "A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004." National Institute for Occupational Safety and Health, 2024. Stacks. https://doi.org/10.26616/NIOSHSFACE23CA004.
Export RIS Citation Information. TY - Report AU - Cierpich, Hank A2 - California Department of Public Health AB - On May 31, 2023, a 41-year-old male Hispanic tow truck operator was struck and killed by a passing vehicle on an interstate highway as he was loading a disabled vehicle onto a tow truck. Both the vehicle and tow truck were stopped on a triangular gore adjacent to the #6 lane and an onramp. The victim exited the driver's side of the flatbed truck and was standing within the #6 lane when he was struck by the vehicle traveling 65-70 mph. Contributing factors: Failure to recognize an unsafe condition posed by the gore; Lack of awareness of California's Move Over law; Failure to call law enforcement to secure the work area prior to loading a vehicle onto the tow truck. Recommendations - The California FACE (CA/FACE) investigator determined that, in order to prevent similar incidents, roadside assistance companies: 1) Develop and implement a safety training program for tow truck operators that emphasizes how to recognize and respond to unique situations (e.g., a gore), approaching traffic, and other hazards. 2) Promote awareness of the California Move Over law. 3) Ensure tow truck operators work with law enforcement/emergency service providers to secure the work area prior to loading a vehicle. 4) Promote use of variable messaging signs to help direct traffic away from roadside responders. AN - cdc:258864 DO - 10.26616/NIOSHSFACE23CA004 J2 - National Institute for Occupational Safety and Health KW - Motor Vehicles KW - Fatal Outcome KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Truck Drivers KW - Region 9 KW - Fatalities KW - Injury prevention KW - Traumatic injuries KW - Safety practices KW - Motor vehicles KW - Highway work zones KW - Drivers KW - Warning signs KW - Small businesses KW - Accidents, Occupational KW - Fatal Outcome KW - Motor Vehicles KW - Occupational Health KW - Safety KW - Truck Drivers LA - eng PB - National Institute for Occupational Safety and Health PY - 2024 T2 - National Institute for Occupational Safety and Health T2 - Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 23CA004, 2024 Dec; :1-10 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - A Tow Truck Operator Dies on a Highway When He Is Struck by a Car While Loading a Vehicle onto a Tow Truck - California: Report 23CA004 UR - https://stacks.cdc.gov/view/cdc/258864 ER -
Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2024/11/01 | Fatality Assessment and Control Evaluation Reports (FACE)

A 60-year-old welder fell 32 feet while constructing the leading edge of a storage tank roof. His employer was an aboveground storage tank manufacturer. He had over 40 years of job experience. He was with three other workers constructing the leading edge with sheets of metal sheathing. The roof was 76-feet wide by 34.5-feet high, with a 1 in 12 pit ...

Title : Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2024/11/01 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229232
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2024). Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229232

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington. Washington State Department of Labor and Industries, 2024. https://stacks.cdc.gov/view/cdc/229232.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington. Washington State Department of Labor and Industries, 2024, Stacks. https://stacks.cdc.gov/view/cdc/229232.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 60-year-old welder fell 32 feet while constructing the leading edge of a storage tank roof. His employer was an aboveground storage tank manufacturer. He had over 40 years of job experience. He was with three other workers constructing the leading edge with sheets of metal sheathing. The roof was 76-feet wide by 34.5-feet high, with a 1 in 12 pitch. He was acting as a "spotter" for a crane operator who was hoisting the sheets to cover a 16-foot hole remaining on the roof. After unloading the sheets, he needed to tack weld one near the center peak of the roof. He stepped from the leading edge to a rafter over part of the hole. He then sat down on the rafter and extended his legs two and a half feet across the hole to another rafter. While sitting on the rafter, he used a pry bar to bend and move the sheet into place for welding. As he pried, he fell backward through the hole between the rafter and leading edge. After landing on the ground, he was badly hurt but still conscious and breathing. Emergency responders arrived and had a critical care helicopter airlift him to the hospital. He died the next day. Following the incident, investigators found: The welder and his co-workers had tied off while riding a boom lift to the roof, but their supervisor allowed them to remove their personal fall arrest system (PFAS) harnesses on the roof. The workers and their supervisor discussed the fall hazards and the general contractor's fall protection expectations on the roof, but they chose not to use PFAS believing that lifelines would create a tripping hazard. The employer lacked a fall protection work plan (FPWP) and did not know about state requirements to have one. The supervisor only told the workers not to walk out on the rafters. The project manager also never conducted any safety inspections at the jobsite. REQUIREMENTS Employers must: Ensure that a fall protection system is provided, installed, and implemented in accordance with WAC 296-880-400 Fall protection system specifications when employees are exposed to fall hazards of six feet or more to the ground while constructing a leading edge. Develop and implement a written FPWP including each area of the work place where the employees are assigned and where fall hazards of ten feet or more exist. Conduct, document, and maintain records of pre-work walk-around safety inspections until the completion of the job. RECOMMENDATIONS FACE investigators concluded, that to help prevent similar occurrences employers, should: Use a crane instead of workers to move sheathing near roof leading edges. Develop FPWP and PFAS policies in their accident prevention program (APP). Policies should require pre-planning the use, training, and inspection of site-specific fall protection. Have supervisors review fall protection requirements with workers at pre-job crew meetings, routinely check that they are following them, and implement corrective action when needed. Demonstrate fall prevention leadership by prioritizing fall prevention at pre-job crew meetings, monthly safety meetings, annual stand-downs, and in company newsletters and social media. [Description provided by NIOSH] AN - cdc:229232 KW - Construction Industry KW - Fatal Outcome KW - Safety KW - Accidental Falls KW - Accidents, Occupational KW - Welding KW - Occupational Health KW - Accident Prevention KW - Accident prevention KW - Welding KW - Fall protection KW - Construction workers KW - Harnesses KW - Accident Prevention KW - Accidental Falls KW - Accidents, Occupational KW - Construction Industry KW - Fatal Outcome KW - Occupational Health KW - Safety KW - Welding LA - eng PB - Washington State Department of Labor and Industries PY - 2024 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construction Fatality Narrative: Welder Fell 32 Feet from Storage Tank Roof [2024] - Washington UR - https://stacks.cdc.gov/view/cdc/229232 ER -
Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2024/09/25 | Fatality Assessment and Control Evaluation Reports (FACE)

Un instalador de estructuras de 41 años de edad cayó de un elevador de tijera y después fue golpeado por una viga de madera de 418 libras. El hombre trabajó para su empleador, un subcontratista de cimbas residenciales, durante dos semanas, y estaba recibiendo capacitación sobre el trabajo. El instalador de estructuras estaba ayudando a un compañero ...

Title : Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2024/09/25 Pages in Document : 2 pdf pages Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229231
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2024). Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229231

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington. Washington State Department of Labor and Industries, 2024. https://stacks.cdc.gov/view/cdc/229231.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington. Washington State Department of Labor and Industries, 2024, Stacks. https://stacks.cdc.gov/view/cdc/229231.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - Un instalador de estructuras de 41 años de edad cayó de un elevador de tijera y después fue golpeado por una viga de madera de 418 libras. El hombre trabajó para su empleador, un subcontratista de cimbas residenciales, durante dos semanas, y estaba recibiendo capacitación sobre el trabajo. El instalador de estructuras estaba ayudando a un compañero en el sitio de construcción de un nuevo complejo de apartamentos. El plan era usar dos elevadores de tijera al mismo tiempo para levantar e insertar una viga de madera laminada en el costado de un perfil I horizontal que se encontraba a una altura de ocho pies sobre el piso de concreto. La viga de madera era de 22 pies de largo, 22.5 pulgadas de ancho y 3.5 pulgadas de grosor. Los trabajadores alinearon los elevadores a unos 0 pies de distancia y colocaron la viga con el lado ancho hacia abajo sobre las barandillas superiores de los elevadores, pero no la aseguraron. Estaba a 6.5 pies sobre el piso. Los trabajadores esperaban completar la tarea en dos horas, sin apresurarse. Los trabajadores estaban de pie en el suelo, en extremos opuestos de la viga. El instalador de estructuras estaba fuera del campo de visión de su compañero en la parte trasera del otro elevador. Subió inesperadamente las escaleras o se subió al costado de su elevador y cayó de espaldas. Posteriormente, la viga cayó del elevador sobre él. El compañero vio que la viga cayó y corrió a ayudar al instalador. Quitó la viga de encima del instalador de estructuras lesionado y notificó a dos superintendentes que estaban en el sitio, quienes llamaron al 911 e iniciaron la resucitación cardiopulmonar (RCP). Los socorristas llegaron poco después y declararon muerto al instalador de estructuras en el lugar a causa de lesiones graves en la cabeza. Después del incidente, los investigadores determinaron que: El instalador de estructuras no estaba capacitado ni autorizado para usar el elevador. Su compañero también tenía conocimiento limitado sobre los peligros de colocar materiales sobre las barandillas de la plataforma y levantarlos. El empleador y el supervisor de los trabajadores sabían sobre las advertencias del fabricante de no colocar materiales sobre las barandillas. No conocían ninguna opción más segura de equipos elevadores de materiales. Los operadores de los elevadores y los ayudantes en el lugar hablaban español y no pudieron leer la evaluación de riesgos en el trabajo del empleador (Job Hazard Assessment, JHA), la cual estaba escrita solo en inglés, para el trabajo de instalación. El Programa para la Prevención de Accidentes (Accident Prevention Program, APP) de la empresa, incluida la lista de comprobación para el operador del elevador de tijera, también estaba escrita solo en inglés. REQUISITOS: Los empleadores deben hacer lo siguiente: Asegurarse de que las plataformas de trabajo elevadas se usen solo para los fines previstos, tal como lo especifica el fabricante. Consulte el Código Administrativo de Washington. Asegurarse de capacitar al personal antes de que se les permita operar una plataforma hidráulica. RECOMENDACIONES Los investigadores del Programa de Evaluacion y Control de Fatalidades (Fatality Assessment and Control Evaluation, FACE) concluyeron que, para ayudar a prevenir hechos similares, los empleadores deben: Usar montacargas, gruas o elevadores de materiales del contratista para levantar materiales de construccion, no elevadores de tijera. Desarrollar politicas para el uso seguro de plataformas de trabajo elevadas, como los elevadores de tijera, siguiendo el APP, las JHA, y los procedimientos operativos estandar (Standard Operating Procedure, SOP) y hacer que los supervisores las hagan cumplir. Traducir las politicas del APP, las JHA y los recursos de capacitacion a los idiomas de preferencia del trabajador. Capacitar a los operadores para que usen el manual del fabricante y resaltar las advertencias sobre no poner materiales sobre las barandillas ni permitir que excedan los limites de las mismas, a menos que el fabricante lo apruebe. Hablar sobre el uso seguro de las plataformas de trabajo elevadas en las reuniones de equipo antes del trabajo, asi como en las reuniones mensuales sobre seguridad. [Description provided by NIOSH] AN - cdc:229231 KW - Construction Industry KW - Fatal Outcome KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Staff Development KW - Accident Prevention KW - Prevención de accidentes KW - Construcción KW - Operación de equipos KW - Prácticas de seguridad KW - Capacitación KW - Accident Prevention KW - Accidents, Occupational KW - Construction Industry KW - Fatal Outcome KW - Occupational Health KW - Safety KW - Staff Development LA - spa PB - Washington State Department of Labor and Industries PY - 2024 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construcción Narración de Muertes: Instalador de Estructuras es Golpeado Por una Viga Después de Caer de un Elevador de Tijera - Washington UR - https://stacks.cdc.gov/view/cdc/229231 ER -
Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington

Washington (State). Fatality Assessment and Control Evaluation (WA FACE) ...

2024/09/25 | Fatality Assessment and Control Evaluation Reports (FACE)

A 41-year-old framer fell from a scissor lift and was then struck by a 418-pound wooden beam. He worked for his employer, a residential framing subcontractor, for two weeks, and was learning on-the-job. The framer was assisting a co-worker at the construction site of a new apartment complex. Their plan was to use two scissor lifts in tandem to rais ...

Title : Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington Corporate Authors(s) : Washington (State). Fatality Assessment and Control Evaluation (WA FACE);Washington (State). Department of Labor and Industries;Washington (State). Safety and Health Assessment and Research for Prevention; Published Date : 2024/09/25 Pages in Document : 1 pdf page Series : Fatality Assessment and Control Evaluation Reports (FACE) URL : https://stacks.cdc.gov/view/cdc/229230
Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, & Washington (State). Safety and Health Assessment and Research for Prevention (2024). Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington. Washington State Department of Labor and Industries. https://stacks.cdc.gov/view/cdc/229230

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), Washington (State). Department of Labor and Industries, and Washington (State). Safety and Health Assessment and Research for Prevention. Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington. Washington State Department of Labor and Industries, 2024. https://stacks.cdc.gov/view/cdc/229230.

Washington (State). Fatality Assessment and Control Evaluation (WA FACE), et al. Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington. Washington State Department of Labor and Industries, 2024, Stacks. https://stacks.cdc.gov/view/cdc/229230.
Export RIS Citation Information. TY - Fact Sheet A2 - Washington (State). Fatality Assessment and Control Evaluation (WA FACE) A2 - Washington (State). Department of Labor and Industries A2 - Washington (State). Safety and Health Assessment and Research for Prevention AB - A 41-year-old framer fell from a scissor lift and was then struck by a 418-pound wooden beam. He worked for his employer, a residential framing subcontractor, for two weeks, and was learning on-the-job. The framer was assisting a co-worker at the construction site of a new apartment complex. Their plan was to use two scissor lifts in tandem to raise and insert a glulam wooden beam into the side of a horizontal I-beam over eight feet above the concrete floor. The wooden beam was 22-feet long, 22.5-inches wide, and 3.5-inches thick. They aligned the lifts about 10-feet apart and placed the beam broadside down across the lifts' top guardrails but did not secure it. It was 6.5 feet above the floor. The workers expected to complete the task in two hours, without rushing. The workers were standing on the floor at opposite ends of the beam. The framer was out of view of his co-worker at the rear of the other lift. He unexpectedly went up the steps or climbed the side of his lift and fell on his back. The beam then fell off the lift on top of him. The co-worker saw the beam fall and ran over to help. He lifted the beam off the injured framer and notified two onsite superintendents who called 911 and began CPR. First responders came shortly after and pronounced the framer dead at the scene from severe head injuries. Following the incident, investigators found: The framer was not trained and authorized to use the lift. His co-worker also had limited knowledge of the hazards of placing and elevating materials on the platform guardrails. The employer and workers' supervisor knew of the lift manufacturer's warnings not to put materials on the guardrails. They were unaware of any safer material lifting equipment options. Lift operators and helpers at the site spoke Spanish and could not read the employer's job hazard assessment (JHA) for the installation task, which was written in English only. The company's accident prevention program (APP), including a scissor lift operator's checklist, was also in English only. REQUIREMENTS: Employers must: Make sure elevating work platforms are used only for their intended purpose as specified by the manufacturer. Make sure personnel are trained before they are permitted to operate an aerial lift. RECOMMENDATIONS: FACE investigators concluded, that to help prevent similar occurrences employers, should: Use forklifts, cranes, or contractor material lifts to elevate construction materials, not scissor lifts. Develop and have supervisors enforce APP policies, JHAs, and standard operating procedures (SOPs), for safe use of elevating work platforms, such as scissor lifts. Have APP policies, JHAs, and training resources translated to the worker's preferred language. Train operators using the manufacturers' manual and highlight warnings not to put materials on guardrails or have them exceed the confines of the guardrails unless approved by the manufacturer. Discuss safe use of elevating work platforms at pre-job crew meetings and monthly safety meetings. [Description provided by NIOSH] AN - cdc:229230 KW - Construction Industry KW - Fatal Outcome KW - Safety KW - Accidents, Occupational KW - Occupational Health KW - Staff Development KW - Accident Prevention KW - Accident prevention KW - Construction KW - Equipment operation KW - Safety practices KW - Training KW - Accident Prevention KW - Accidents, Occupational KW - Construction Industry KW - Fatal Outcome KW - Occupational Health KW - Safety KW - Staff Development LA - eng PB - Washington State Department of Labor and Industries PY - 2024 T3 - Fatality Assessment and Control Evaluation Reports (FACE) TI - Construction Fatality Narrative: Framer Struck by Beam After Falling from Scissor Lift - Washington UR - https://stacks.cdc.gov/view/cdc/229230 ER -

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