NIOSHTIC-2 Publications Search

Facilities maintenance foreman dies in fall from ladder in Massachusetts.

Massachusetts Department of Health
Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, FACE 92MA002, 1992 May; :1-5
A 72 year old male facilities maintenance foreman received a 600 volt electrical shock causing him to fall 12 feet from a wooden portable step ladder while dismantling a live interior dual-track overhead crane system at a family owned computer software reproduction facility in Massachusetts. On the day of the incident, the victim was working with a maintenance department co-worker preparing soon to be leased warehouse space for occupancy. The victim was foreman of a three man in-house facilities maintenance crew. The victim and the co-worker had been dismantling three end to end sections of track on the non-energized side (dead side) of the crane system. The Massachusetts Department of Labor and Industries FACE Investigator concluded that the victim, believing the crane system to be de-energized and once attaining the desired height on a 12 foot portable wooden step ladder, made direct contact with either the wiring feed or the live track itself, yelled, and fell to the concrete floor below striking his head. The victim died seven days later as the result of injuries sustained in the fall. The Massachusetts FACE Investigator concluded that in order to prevent future similar occurrences, employers should: 1. Develop, implement, and enforce a comprehensive safety program which includes worker training in recognizing and avoiding hazards, especially electrical hazards. 2. Ensure strict compliance with current standards that require electrical systems be de-energized and tested to verify that they have been de-energized, and/or locked out/tagged out and tested prior to any work being performed. 3. Utilize services of area qualified electrical contractor or in-house qualified personnel to perform and document hazard/risk assessment and address the appropriate measures to be taken to safely perform the necessary task(s).
Region-1; 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; Electric-properties; Electrical-hazards; Electrical-safety; Electricity; Safety-programs; Maintenance-workers; Step-ladders; Ladders; Supervisory-personnel
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-92MA002; Cooperative-Agreement-Number-U60-CCU-108704
SIC Code
Source Name
National Institute for Occupational Safety and Health
Performing Organization
Massachusetts Department of Health
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division