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Country club maintenance employee run over by a tractor while training a new employee - Massachusetts.

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 01MA020, 2003 Jun; :1-7
On June 20, 2001, a 72-year-old male employee of a country club maintenance department (the victim) was fatally injured while showing a new employee how to operate a tractor. The victim, standing in between the left front and left rear wheels of the tractor had the new employee start the tractor, then reached over the new employee and placed the tractor in what he thought was neutral. The victim then instructed the new employee to take his foot off the clutch, causing the tractor to lunge forward running over the victim. A call was placed for emergency assistance and emergency responders arrived within minutes to the site. The victim, conscious and alert requested to be transported to a local hospital. He was subsequently transported to a larger hospital where he died a few hours later. The Massachusetts FACE Program concluded that to prevent similar occurrences in the future, employers should: 1. Evaluate the safety of all company owned tractors and retrofit older models with new safety equipment in accordance with manufacture's specifications. 2. Develop, implement, and enforce a standard operating procedure (SOP), which would include but not be limited to, prohibiting employees from standing in-between the front and rear wheels of a tractor while starting the tractor or while the tractor is running. 3. Develop, implement, and enforce a standard employee training program for training equipment operators. 4. Develop, implement and enforce a written comprehensive health and safety program.
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; Training; Tractors; Maintenance-workers; Safety-programs; Equipment-design
Publication Date
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Funding Type
Cooperative Agreement
Fiscal Year
Identifying No.
FACE-01MA020; 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