Laborer Crushed Between Two Large Stone Slabs at a Manufacturing Facility - Massachusetts: Report 19MA015

Details

• Corporate Authors:
  Massachusetts Fatality Assessment and Control Evaluation Project (Massachusetts FACE) ; Massachusetts. Department of Public Health
• Description:
  On May 7, 2019, a 49-year-old laborer was killed while assisting in moving a large stone slab to be stored on an A-frame rack. He was positioned between two A-frame racks, trying to disconnect the slab lifter, when he was crushed between two large stone slabs. CONTRIBUTING FACTORS: Key contributing factors identified in this investigation include: Not using the slab rack's safety posts
  
  Victim position within the fall shadow
  
  Forklift operator lacked training and state license
  
  Job hazard analysis for moving stone slabs was not performed
  
  Standard operating procedures for moving stone slabs were not developed
  
  and Lack of a safety and health program and overall safety training. RECOMMENDATIONS: The Massachusetts FACE Program concluded that, to help prevent similar occurrences, employers should: Use slab racks designed with fixed safety posts and individual compartments for each slab
  
  Ensure that employees are never located in the fall shadow of a stone slab while the slab is being accessed to be moved
  
  Ensure that only employees with the required OSHA training and state license are permitted to operate forklifts
  
  Ensure that a job hazard analysis is performed for all routine tasks and updated when needed
  
  and Develop, implement, and enforce standard operating procedures (SOP) for moving, storing, and retrieving stone slabs, which includes ensuring employees are never located in the fall zone.
• Subjects:
  • Accidents, Occupational
  • Crush Injuries
  • Health Promotion
  • Fatal Outcome
  • Occupational Health
  • Safety
  • Staff Development
• Keywords:
  • OSHA Region 1
  • Accident analysis
  • Accidents
  • Safety practices
  • Fatalities
  • Hazard identification
  • Hazard recognition
  • Equipment operation
  • Equipment operators
  • Health programs
  More +
• FACE - NIOSH and State:
  All ; Other
• Series:
  Fatality Assessment and Control Evaluation Reports (FACE)
• Subseries:
  State
• DOI:
  https://doi.org/10.26616/NIOSHSFACE19MA015
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Report
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  11 pdf pages
• NIOSHTIC Number:
  nn:20064861
• NTIS Accession Number:
  PB2022-100411
• Citation:
  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 19MA015, 2021 Dec ; :1-11
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Manufacturing
• Performing Organization:
  Massachusetts State Department of Public Health
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  31-33 - Manufacturing - (NAICS 2022) ; 327991 - Cut Stone and Stone Product Manufacturing - (NAICS 2022)
• Start Date:
  2005/07/01
• End Date:
  2026/06/30
• Resource Number:
  19MA015 ; FACE-19MA015
• Download URL:
  https://stacks.cdc.gov/view/cdc/164861/cdc_164861_DS1.pdf
• File Type:
  [PDF - 775.73 KB]
• Collection(s):
  Fatality Assessment and Control Evaluation (FACE) Program ; National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:29da0dceb8d3f927a9a11762a2f8a65d97d4833a74e12fa1d8ed887fbb4d7a6cece7fc8a4ac26faa8d8e4f70c668d5f89c52622a4f5c22322aeb93fcc0c1ea6c