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Massachusetts foundry manager dies when caught in die casting machine.

Massachusetts Department of Health
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 99MA070, 2000 Jun; :1-7
On December 22, 1999, a 36-year-old male second shift foundry manager (the victim) was fatally injured while cleaning the die of a cold chamber die cast machine. The foundry's quality control inspector had notified the victim that one of the die cast machines was producing castings with a blemish on the exterior surface. The victim entered the machine operating area and leaned in-between the two sections of the die to clean them. The machine cycled to the closed position bringing the two sections of the die together while he was still in-between them. The city police and fire departments were notified immediately and arrived within minutes securing the scene of the incident. The medical examiner was notified and upon arrival at the incident site pronounced the victim dead. The MA FACE concluded that to prevent similar occurrences in the future, the employer should: 1. Enforce a comprehensive lockout/tag out program and constantly review and update the program and training. 2. Ensure that new safety devices are installed properly and are effective before implementing them. 3. Obtain information from the die cast machine manufacturer on the proper way to controlling hazardous energy when purchasing a used or remanufactured machine.
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; Equipment-operators; Machine-guarding; Management-personnel; Foundry-workers; Foundries
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-99MA070; 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