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Fabricator killed by ruptured hydraulic press fitting.

Oregon Department of Human Services
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 04OR015, 2006 Mar; :1-6
On July 14, 2004, a 20-year-old male metal fabricator was killed while setting up a 5,000 lb hydraulic press to punch holes in metal stock to assemble cattle head gates. The fabricator was replacing the punch on the press for the current job, and placed the cylinder in its maximum return position to install the new punch. With the increase in pressure, a welded fitting attached to the hydraulic cylinder burst and impaled the fabricator near the collarbone. The victim was alone in the shop at the time of the incident, but was discovered within a half hour by his employer, lying on the floor. Medics arrived and found the victim dead at the scene. Recommendations: 1. Points of operation and all pressurized hoses should be guarded on a hydraulic press. 2. Employers should ensure that all equipment is manufactured and maintained in a safe, operable condition. 3. Adequate training should be provided to machine operators and fabricators, to include hazards associated with the equipment, safe operating procedures, equipment inspections, and locking out of hazardous energy sources.
Region-10; Accident-analysis; Accident-potential; Accident-prevention; Accidents; Construction-equipment; Construction-workers; Injuries; Injury-prevention; Traumatic-injuries; Equipment-operators; Training; Machine-guarding; Machine-operators; Machine-shop-workers; Machine-tools; Equipment-operators; Equipment-reliability; Metal-industry; Metal-industry-workers; Metal-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-04OR015; Cooperative-Agreement-Number-U60-CCU-021204; Cooperative-Agreement-Number-U60-OH-008324
SIC Code
Source Name
National Institute for Occupational Safety and Health
Performing Organization
Oregon Department of Human Services
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division