OSHA Accident Investigation · Summary #14415202
MISSOURI CONTAINER INC
NORTH KANSAS CITY, MO—
Event description
CAUGHT IN MOVING MACHINE PARTS
Investigation abstract
A CREW OF FOUR EMPLOYEES WAS OPERATING A SHERIDAN MODEL 50 DIE CUTTING PRESS, S CK BY THE ROTATING GRIPPER BAR. EMPLOYEE #1'S STOP SWITCH HAD BEEN RELOCATED SO THAT THE MACHINE COULD BE STARTED FROM THE OPERATOR STATION ONLY, INSTEAD OF TWO STATION CONTROL, AS THE MACHINE WAS DESIGNED. 77 372. THE MACHINE IS USED TO FORM AND NOTCH CORRUGATED PAPER BOXES. ONE EMPLOY EE WAS FEEDING THIS MACHINE. EMPLOYEE #1 WAS WATCHING THE DISCHARGE POINT OF THE MATERIAL, ABOUT THE MIDPOINT OF THE MACHINE. TWO OTHER EMPLOYEES WERE REMOVING THE PROCESSED MATERIAL FROM THE TAIL CONVEYOR OF THE MACHINE. THE MACHINE JAMMED , DUE TO BREAKAGE OF THE FINGERS AT THE DISCHARGE POINT. THE BOXES THEN BECAME C AUGHT IN THE MACHINE. EMPLOYEE #1 TURNED OFF THE MACHINE, THEN CRAWLED UP INTO I T TO REMOVE THE JAMMED BOXES. THE MACHINE OPERATOR, WHO INTENDED ONLY TO JOG THE MACHINE, ACCIDENTALLY STARTED IT UP. EMPLOYEE #1'S HEAD WAS AMPUTATED AT THE NE
Victim
-
#1 Fatality Age 21 M
- Nature of injury
- 1
- Part of body
- 20
- Event type
- 2
- Source
- 26
- Occupation code
- 999
- Human factor
- 9
- Environmental factor
- 1
- Task assigned
- 1
Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.