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A welder dies after being crushed by a hydraulic door on a scrap metal shredding machine.

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 02CA004, 2002 Oct; :1-7
A 52 year-old welder was crushed to death by a hydraulic door on a scrap metal shredder. The victim was attempting to remove a jammed piece of metal from the hydraulic door when the incident occurred. The system's energy had not been released and the controls were not locked, blocked, or tagged out before the victim attempted to remove the jam. Two coworkers stated that the victim told them he had secured the system. The company did not require a supervisor's visual confirmation of de-energizing and lockout / tagout prior to maintenance work. The CA/FACE investigator determined that, in order to prevent future occurrences, employers, as part of their Injury and Illness Prevention Program (IIPP) should: 1. Ensure all employees follow the company's established procedures for de-energizing of energy sources and lockout / tagout. 2. Ensure employees block mechanisms from moving prior to performing repairs or maintenance. 3. Consider implementing additional compliance procedures as part of their program to ensure safe work practices.
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; Training; Welders; Metal-industry-workers; Machine-guarding; Maintenance-workers
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-02CA004; 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