On October 18, 2003, a 23-year-old Hispanic laborer (the victim) leaned outside a skid steer loader's operator compartment and was crushed between the frame of the skid steer loader and a scraper attachment. The victim and three other Hispanic coworkers were assigned to routine cleanup at a rendering plant. The victim was operating a skid steer loader equipped with a metal/rubber scraper attached to the loader lift arms. After completing his cleaning task, the victim drove the skid steer loader behind the plant. Approximately 10 minutes later, the plant manager went to look for him and discovered the victim crushed between the frame of the skid steer loader and the scraper attachment. The plant manager used the controls to release the victim, and he and a coworker carried the victim to the parking lot where they placed him on the ground. Meanwhile, another coworker called emergency medical services (EMS) from a telephone in the company's lunch room. EMS responded within 7 minutes. They examined the victim and determined that he had sustained fatal head injuries. They contacted the county coroner who pronounced the victim dead at the scene. NIOSH investigators concluded that, to help prevent similar occurrences, employers should: 1. ensure, through periodic inspections and reminders, that equipment operators use seat belts provided on equipment they are assigned to operate; 2. develop, implement, and enforce a comprehensive written safety program which includes training in hazard recognition and the avoidance of unsafe conditions. A written training program should require training for all equipment operators that includes a requirement that they follow the equipment manufacturers' recommendations for safe equipment operation; 3. ensure that equipment is inspected daily before work begins and that equipment with defective safety features, for example, a seat bar that fails to prevent movement of controls when lifted, is removed from service until needed repairs have been made; 4. purchase the manufacturer's operator manuals and safety decals in the primary languages used by their workforce; and, ensure that the nearest area office of the Occupational Safety and Health Administration is notified within 8 hours of a fatality or in-patient hospitalizations of three or more workers as a result of a work-related incident at their company.