Experienced Journeyman Machinist Killed While Operating an Engine Lathe

Details

• Corporate Authors:
  Oregon Fatality Assessment and Control Evaluation (Program) (OR-FACE) ; Oregon Health & Science University. Oregon Institute of Occupational Health Sciences
• Description:
  A 69-yr-old journeyman machinist with over 30 years of experience was killed while operating an engine lathe. The victim was using the lathe to shape an eccentric shaft. When he reached over the work piece to smooth out a radiused transition with emery cloth and a file in hand his loose clothing (left arm sleeve) became entangled around the rotating work piece near the lathe tailstock. He was pulled into the part and suffered multiple fractures to his left arm and injuries to the neck and chest as he was struck repeatedly by the eccentric shaft. A co-worker rushed to his aid and instinctively pushed the red button on the lathe to stop the machine. However, the red button was not an emergency stop and the machine continued. The victim was lifeflighted and died enroute to the hospital. The co-worker suffered non-life threatening injuries. RECOMMENDATIONS: 1. Employers should establish, communicate and enforce a clothing policy specific to the work environment and particularly for machine operators. 2. Employers should establish formal training on recognized hazards, injury prevention and emergency procedures, and to communicate expectations to adhere to safe practices and policies. 3. Supervision should monitor, reinforce safe behaviors, and immediately correct unsafe behaviors or conditions. 4. Job hazard analyses should be conducted by operators and supervisors and should include a review of the manufacturer's equipment/operator's manual, machine labeling, color coding, etc., especially for legacy machines. 5. Employers should implement preventive maintenance and inspection processes for hazardous machines. Where necessary, employers should install, adjust, label and/or repair appropriate controls (e.g., machine guards, emergency stops).
• Subjects:
  Accident Prevention Accidents Accidents, Occupational Manufacturing And Industrial Facilities Occupational Health Personal Protective Equipment Safety Staff Development
• Keywords:
  Accident-analysis Accident-prevention Author Keywords: Manufacturing Injuries Injury-prevention Machine-operation Machine-operators Machine-shop-workers Machine-tools Machine Shop Machinists OSHA Region 10 Personal-protection Safety-education Training Traumatic-injuries Work-operations

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• FACE - NIOSH and State:
  FACE ; Machine (All) ; Machine - Manufacturing
• Series:
  Fatality Assessment and Control Evaluation Reports (FACE)
• Subseries:
  State
• DOI:
  https://doi.org/10.26616/NIOSHSFACE12OR018
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Field Study
• Place as Subject:
  Oregon ; OSHA Region 10
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  9 pdf pages
• NIOSHTIC Number:
  nn:20045671
• NTIS Accession Number:
  PB2015-102778
• 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 12OR018, 2012 Apr ; :1-9
• Federal Fiscal Year:
  2012
• Performing Organization:
  Oregon Health & Science University
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  31-33 - Manufacturing - (NAICS) ; 332710 - Machine Shops - (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-512:85cce52dd3c75662708277022c130d681e61e6fb98608fd7868e01b4633b3b2d0dcdc8fa288bf53ac9d573a8900aacbf3d7196421771cfa530f46c784510f0b3
• Download URL:
  https://stacks.cdc.gov/view/cdc/165107/cdc_165107_DS1.pdf
• File Type:
  [PDF - 186.67 KB ]