Fatality Assessment and Control Evaluation (FACE) Program
Horse Farm Owner Dies When Pinned Under Golf Cart
On January 31, 2004, a 45-year old female horse farm owner (decedent) died when she was pinned under a golf cart. The woman had driven a gas-powered golf cart from her house on the farm to the horse barn to muck stalls and put horses in the barn. After driving the golf cart into the barn, the farm owner placed two square bales of hay on the golf cart; one on the back and one on the passenger side of the front seat. Leaving the ignition key of the golf cart in the “on” position, she left the golf cart in the aisle at the end of the barn. She then walked the length of the barn, entered a stall, mucked it out, exited the stall into the barn aisle, and leaned the pitch fork against the wall next to the stall door. Unbeknownst to the farm owner, the bale of hay on the passenger seat had slipped off the seat and fallen onto the gas pedal of the golf cart. With the pedal depressed by the hay bale and the key in the “on” position, the golf cart proceeded down the barn aisle, striking the victim and pinning her underneath. Several hours later, the farm owner’s daughter went to the barn and found her mother pinned underneath the golf cart. Upon finding her mother, she called a friend then went to the farm manager’s house located nearby on the farm. The daughter informed the farm manager that her mother was in the barn pinned underneath the golf cart. The farm owner’s daughter returned to the barn with the farm manager to find the daughter’s friend and her friend’s mother on the phone with emergency services. Emergency services arrived and contacted the coroner who arrived and declared the horse farm owner dead at the scene due to “compression asphyxia with hypothermia”.
To prevent future occurrences of similar incidents, the following recommendations have been made:
On August 5, 2004, via the Kentucky Office of Vital Statistics, the Kentucky Fatality Assessment Control & Evaluation Program became aware of an occupational fatality involving a horse farm owner and a golf cart. A field evaluator for KY FACE contacted the coroner and on November 3, 2004, a site visit was made to the farm where the coroner, farm manager and his wife were interviewed. Photographs were taken during the site visit.
The horse farm owner purchased the farm in the late 1980’s. The farm housed approximately 22 horses (including 15 boarders) on 55 acres that were divided into 7 paddocks. A round pen was available for training purposes. The farm owner’s background was in training horses, and working with jockeys and breeders. The farm owner trained riders in dressage, hunter/jumper and cross country. Thoroughbreds and Paints were the main breeds on the farm at the time of the farm owner’s death. In 2002, the farm had been used to quarantine a mare which had been shipped to the United States from Ireland. To ensure no horses enter the United States with Contagious Equine Metritis (CEM) a contagious venereal disease, a period of quarantine is required. Kentucky is one of eleven states approved by the USDA to accept quarantined horses shipped to the United States from other countries. When a horse arrives in the United States, a blood sample is drawn and the horse is transported in a sealed vehicle to a quarantine farm. After arriving at the farm, another blood sample is obtained and over a period of 16 days, 2 more blood samples are drawn. After being quarantined for 16 days and all blood samples are determined negative for CEM, the horse is considered disease-free and released.
Also on the farm were the farm manager and his wife who had lived and worked on the farm for 1½ years prior to the incident. At the time of the interview with the farm manager and his wife, the golf cart involved in this incident had been removed from the farm. The golf cart’s location was unknown as was the make, model and year.
According to a weather center in Kentucky, weather temperatures on the day the farm owner died ranged from -6 degrees Fahrenheit to 19 degrees Fahrenheit. The Death Certificate states the approximate time of death was approximately 2:30 pm.
On January 31, 2004, a 45-year old female horse farm owner (decedent) died when she was pinned under a golf cart. The woman had driven a gas-powered golf cart from her house on the farm to the horse barn to muck stalls and put horses in the barn. After driving the 650 – 750 pound golf cart into the barn, the farm owner placed two square bales of hay weighing 50 – 70 pounds each on the golf cart; one horizontally on the back and one vertically on the passenger side of the seat. Leaving the ignition in the “on” position, she left the golf cart in the aisle at the end of the barn. Both sets of barn doors were closed. The seats of the golf cart were leather and the gas pedal was equipped with a “kill” switch that will not allow the cart to move until the gas pedal is depressed. She then walked approximately 50 feet to a stall door, entered the stall, mucked it out, exited the stall, and leaned the pitch fork against the wall next to the stall door. Unbeknownst to the farm owner, the bale of hay on the passenger seat had slipped off the seat and fallen onto the gas pedal of the golf cart. With the weight of the hay bale depressing the gas pedal and the key in the “on” position, the golf cart proceeded down the barn aisle, striking the victim, pinning her underneath, and spinning its wheels until it ran out of gas.
Approximately three hours after the farm owner had left for the barn and not returned, the farm owner’s minor daughter wondered what was taking her mother so long in the barn and went to the barn to check on her mother. The farm owner’s daughter entered the barn and found her underneath the golf cart in the barn aisle. Upon finding her mother pinned under the golf cart, she called a friend then went to the farm manager’s house onsite located approximately 1,000 feet from the barn. The daughter informed the farm manager that her mother was in the barn pinned underneath the golf cart. The farm owner’s daughter returned to the barn with the farm manager and a farm laborer to find the daughter’s friend and friend’s mother, who were also neighbors and lived nearby, in the barn. The daughter’s friend’s mother was on the phone to emergency services. While waiting for emergency services to arrive, the farm manager, the farm laborer, and the neighbor lifted the golf cart off the farm owner’s body. Emergency services arrived and contacted the coroner at 5:16 pm. The coroner arrived at 5:24 pm and declared the horse farm owner dead at the scene.
Cause of Death
The Certificate of Death states the immediate cause of death was “compression
asphyxia with exposure (hypothermia) / entrapment under golf cart in extreme
cold (0 – 20 F)”.
Recommendations and Discussion
Recommendation No. 1: When exiting a golf cart, the operator should always turn the ignition switch to the “off” position and remove the key.
Golf carts are equipped with a “kill” switch in the gas pedal. A “kill” switch allows the ignition switch to be in the “on” position, but the cart will not move until the gas pedal is depressed. Depressing the gas pedal is similar to shifting a car into “drive”. Relieving pressure on the gas pedal of a cart acts like applying the brake in a passenger car. Leaving the ignition switch of a golf cart in the “on” position allows the driver to start and stop the cart simply by depressing or releasing the pedal. According to several golf pros and a golf cart dealer, it is common practice for golf cart users to step out of a golf cart and leave the ignition switch in the “on” position. This practice allows a quick start when the driver is ready to resume operating the cart so the operator can skip the step of turning the ignition switch to the “on” and “off” positions. In this incident, if the ignition switch had been in the “off” position, the hay bale would have fallen onto the gas pedal but not activated the cart into forward motion.
Diagram of incident scene.
Photo of barn where incident occurred. Both sets of doors were closed at the time of the incident.
The Kentucky Fatality Assessment & Control Evaluation Program (FACE) is funded by a grant from the Centers for Disease Control and the National Institute of Safety and Health. The purpose of FACE is to aid in the research and prevention of occupational fatalities by evaluating events leading to, during, and after a work related fatality. Recommendations are made to help employers and employees to have a safer work environment.
To contact Kentucky State FACE program personnel regarding State-based FACE reports, please use information listed on the Contact Sheet on the NIOSH FACE web site Please contact In-house FACE program personnel regarding In-house FACE reports and to gain assistance when State-FACE program personnel cannot be reached.