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Machine operator dies after head crushed in machine
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2007/10/04
[PDF-181.39 KB]
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Description:On March 30, 2006, a 38-year-old production machine operator was fatally injured while making adjustments to a flatbed thermoforming machine at a plastics manufacturing company. The machine operator and a coworker were making final adjustments on the oven and platen stop of the machine to run a different product. The machine operator rolled out the oven and began working inside the oven cavity while the coworker made adjustments to the top platen, about 4 feet away on the opposite side of the oven. After calling the warning "clear," the coworker lowered the platen by activating a pneumatic toggle, so he could make a final adjustment. Discovering a small part was missing, the coworker climbed off the machine and looked for the machine operator. He found him injured under the machine. The coworker called on his cell phone to the supervisor for help, and 911 was called. The victim was taken to a hospital and underwent several surgeries. He remained in a comatose state until his death 53 days following the incident. This interior view of the plastic thermoforming machine shows the oven cavity (arrow) where the machine operator was working to adjust the alignment of the molds and bottom platen (in foreground). CAUSE OF DEATH: Traumatic head injury. RECOMMENDATIONS: 1. Perform all appropriate lockout/tag out procedures to control hazardous energy before conducting maintenance inside machinery. 2. Before starting a machine, make sure all safety mechanisms are in place, such as interlock devices and machine guards. 3. Employers must train all workers assigned to operate or maintain machinery on appropriate energy-control procedures for that specific piece of equipment. 4. Employers should conduct regular hazard inspections and follow through with necessary corrective actions.
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Pages in Document:1-6
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NIOSHTIC Number:nn:20045589
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NTIS Accession Number:PB2015-102761
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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 06OR026, 2007 Oct;:1-6;
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Federal Fiscal Year:2008
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Performing Organization:Oregon Health & Science University
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Peer Reviewed:False
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Start Date:2005/07/01
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End Date:2026/06/30
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