Fatality Assessment and Control Evaluation (FACE) Report for California: Supervisor has Head Crushed By an Injection Molding Machine When It Cycles during Set-Up in California

摘要

A 33-year old supervisor (decedent) died when his head was crushed between a hydraulic cylinder and a panel of a plastics injection molding machine. The decedent was setting-up the machine for a run and was in the process of tightening a bolt. While tightening the bolt the decedent positioned his head so that it was between the hydraulic cylinder and a panel of the machine. During this time the machine cycled and his head was caught. The employer had no written instructions for the set-up procedure. The employer also did not have an Injury and Illness Prevention Program (IIPP) or any written safety or training information. The CA/FACE investigator determined that, in order to prevent future occurrences, employers should: (1) ensure employees do not place body parts in the pinch point of machines; (2) develop a written procedure which covers the manner in which machine set-up should be performed and ensure that it is understood and followed; (3) establish and implement a written company safety program.