Details:

• Personal Author:
  Epstien, Barbara L. ; Gilbert-Jones, Illa

  Epstien, Barbara L. ; Gilbert-Jones, Illa Less -
• Corporate Authors:
  Oregon Fatality Assessment and Control Evaluation (Program) (OR-FACE) ; Oregon Health & Science University. Oregon Institute of Occupational Health Sciences

  Oregon Fatality Assessment and Control Evaluation (Program) (OR-FACE) ; Oregon Health & Science University. Oregon Institute of Occupational Health Sciences Less -
• Description:
  On August 23, 2018, a 23-year-old male Caucasian rubber cutter was found caught between two bars of a festoon rubber processing line (cooling line). The event was unwitnessed
  
  however, circumstances suggested that the employee entered the festoon area to retrieve and redirect a rubber strip on a cooling bar that had passed the point where it should have fed onto a conveyor. It is believed that the worker raised his head between the moving cooling bars, and that the bars then forced his head against a structural support for an electrical panel. He was pronounced dead at the scene. CONTRIBUTING FACTORS: Key contributing factors identified in this investigation include: 1. Inadequate equipment safeguard. 2. Inadequate lockout/tagout program and training. 3. Inadequate hazard assessment and knowledge of safeguarding equipment. 4. Inadequate training and assessing workplace hazards. RECOMMENDATIONS: Oregon Fatality Assessment and Control Evaluation (OR-FACE) investigators concluded that to help prevent similar occurrences, employers should: 1. Safeguard machinery to protect machine operators and others who work in the area from hazards. 2. Implement, enforce, and assess "control of hazardous energy (lockout/tagout)" procedures for machines, equipment and processes where unexpected energization or start-up could cause harm to personnel. 3. Establish a safety committee that meets the requirements of Oregon Occupational Safety and Health Administration (OSHA). 4. Confirm industry best practices for specialty equipment, and notify equipment manufacturers of equipment hazards identified in hazard assessments.
  
  
• Subjects:
  [+]

  Accident Prevention Accidents Accidents, Occupational Manufacturing And Industrial Facilities Mortality Occupational Health Safety Staff Development
• Keywords:
  [+]

  Accident Analysis Accident Prevention Equipment Operators Fatalities Injuries Injury Prevention Lockout Tagout Machine Operation OSHA Region 10 Recommendations Safety Practices Training Traumatic Injuries Work Analysis
• FACE - NIOSH and State:
  FACE ; Machine (All) ; Machine - General

  FACE ; Machine (All) ; Machine - General Less -
• Series:
  Fatality Assessment and Control Evaluation Reports (FACE)
• Subseries:
  State
• DOI:
  https://doi.org/10.26616/NIOSHSFACE18OR029
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Field Study
• Place as Subject:
  Oregon ; OSHA Region 10

  Oregon ; OSHA Region 10 Less -
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-9
• Contributor:
  Olson, Ryan
• NIOSHTIC Number:
  nn:20059235
• NTIS Accession Number:
  PB2022-100313
• 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 18OR029, 2019 Jun;:1-9;
• Email:
  orface@ohsu.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  Oregon Health & Science University
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  31-33 - Manufacturing - (NAICS)
• Start Date:
  2005/07/01
• End Date:
  2026/06/30
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  [+]

  urn:sha-512:daa116e353997293c746c9e727b702d2e9dbcaac1ca54effcbc73654083d473cc1931192a10d4e64d1be50ef96b7b2e85a5ab7b06d706886d0fa6260af58ca53
• Download URL:
  https://stacks.cdc.gov/view/cdc/164922/cdc_164922_DS1.pdf
• File Type:
  [PDF-1.37 MB]