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Supervisor has head crushed by an injection molding machine when it cycles during set-up in California.

Public Health Institute
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 98CA001, 1998 Jul; :1-4
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.
Region-9; Accident-analysis; Accident-prevention; Accidents; Injuries; Injury-prevention; Traumatic-injuries; Work-operations; Work-analysis; Work-areas; Work-performance; Work-practices; Safety-education; Safety-equipment; Safety-measures; Safety-monitoring; Protective-measures; Protective-equipment; Machine-operation; Machine-operators; Machine-shop-workers; Safety-programs; Occupational-safety-programs; Occupational-health-programs
Publication Date
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Funding Type
Cooperative Agreement
Fiscal Year
NTIS Accession No.
NTIS Price
Identifying No.
FACE-98CA001; Cooperative-Agreement-Number-U60-CCU-907284
SIC Code
Source Name
National Institute for Occupational Safety and Health
Performing Organization
Public Health Institute
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division