OSHA Accident Investigation · Summary #14200968
NEVAMAR CORP
ODENTON, MD—
Event description
FALL FROM TOP OF MACHINE
Investigation abstract
THE EMPLOYEE HAD FINISHED ADJUSTING THE T-HANDLED JOGGERS AND WAS PREPARING TO C T 70" TO THE CATWALK GRATING. HE SUSTAINED INJURIES TO BOTH LEGS AND FEET. THE M ACHINE IS A MAXSUN AUTOMATIC CAT #235-M, ABOUT 8' WIDE X 8' HIGH. IT TREATS PAPE R WITH A PHENOLIC RESIN. THE PAPER IS AUTOMATICALLY STOCKED ON SKIDS. THE EMPLOY EE WAS BY HIMSELF WHEN THE ACCIDENT OCCURRED. ALL EMPLOYEES ARE TRAINED. HOWEVER , THIS PARTICULAR ADJUSTMENT WAS NOT COVERED IN WRITING. MANAGEMENT STATED THAT THE SMALL CROSS-PLATFORM WAS FOR MAINTENANCE PERSONNEL ONLY. NO LADDERS OR CLIMB ING ACCESSORIES WERE PROVIDED. CAUSAL FACTORS WERE: 1. LACK OF SPECIFIC INSTRUCT IONS ON HOW TO MAKE THE ADJUSTMENTS, AND 2. LACK OF LADDERS OR CLIMBING DEVICES. LIMB DOWN FROM THE TOP OF THE "LAY-BOY" SECTION OF THE MACHINE. HE HAD GONE TO T HE RIGHT SIDE OF THE MACHINE ONTO A CATWALK GRATING 24" ABOVE GROUND LEVEL, CLIM BED UPON THE CATWALK GUARD-RAILS AND ONTO A 12 3/8" WIDE WALK PLATFORM APPROX 79 " LONG. THE 2 JOGGER "T" ADUSTMENTS WERE MADE FOR THE WIDTH OF THE PAPER. HE CRA WLED ALONG THE WALK PLATFORM ON HIS HANDS & KNEES TO THE OPPOSITE SIDE. HE CROWL ED OVER AN EXPOSED 78" LONG X 1 1/8" THICK STEEL ROTATING SHAFT WITH 4 BEARINGS, TWO OF WHICH MOVED UP AND DOWN APPROXIMATELY ONE INCH. HE TRIED TO STEP ONTO TH E 50 INCH GUARDRAIL ON THE BACK OF THE OPPOSITE CATWALK, MISSED IT AND FELL ABOU
Victim
-
#1 Hospitalized Age 35 M
- Nature of injury
- 3
- Part of body
- 16
- Event type
- 5
- Source
- 42
- Occupation code
- 779
- Human factor
- 18
- Environmental factor
- 13
- Task assigned
- 1
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