NIOSHTIC-2 Publications Search
36-year-old paper factory worker dies from crushing injuries after being caught in a horizontal baler - Pennsylvania.
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 2001-08, 2002 Mar; :1-8
A 36-year-old male paper factory worker (the victim) died from crushing injuries after being caught by the ram inside a 2-stage horizontal baling machine (Figure 1). The victim, working alone in the warehouse area of a paper plant, was compacting waste paper when at some point in the compacting process he entered (either intentionally or advertently) the compression chamber and was caught by the machine's hydraulic ram. The victim was discovered by a coworker, who notified the plant manager to call police and emergency medical services (EMS). Both a fire department rescue squad and EMS arrived at the site. They extracted the victim from the baler. The victim was pronounced dead at the site by the medical examiner. Subsequent examination by investigators revealed that the baling machine was not shut off and locked out and that the safety interlock on the compression chamber door may have malfunctioned, allowing the machine to operate with the door in the open position. NIOSH investigators concluded that, to help prevent similar incidents, employers should: 1) ensure that workers are protected from the unexpected movement of machine parts by implementing lockout/tagout procedures (OSHA regulation 29 CFR 1910.147 -- Control of Hazardous Energy [lockout/tagout]); 2) ensure that all safety devices are functioning correctly; 3) establish written operating procedures for machinery that include training in safe operating practices and a safe method for clearing jams.
Region-3; Factory-workers; Injuries; Injury-prevention; Occupational-accidents; Occupational-hazards; Occupational-safety-programs; Safety-education; Safety-measures; Safety-monitoring; Safety-programs; Traumatic-injuries
Field Studies; Fatality Assessment and Control Evaluation
NTIS Accession No.
National Institute for Occupational Safety and Health
Page last reviewed: June 15, 2021
Content source: National Institute for Occupational Safety and Health Education and Information Division