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Worker killed when jacket pocket activated machinery.

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 06OR006, 2007 Jun; :1-6
On February 23, 2006, a 63-year-old shift supervisor at a food-processing plant, working as a machine operator, was killed while operating a custom-built tote-dumping machine. The supervisor activated the tote dump to raise and tilt a large box (tote) of frozen french fries to empty into a hopper. After emptying the tote, the supervisor leaned forward over the edge of the hopper, apparently to shake the plastic liner to dislodge remaining product, or retrieve a box liner that had fallen inside the hopper. As he leaned into the hopper, the supervisor's right jacket pocket caught the end of the tote-dump control lever and pushed it downward, causing the dump arm to descend. He was struck on the back and crushed against the hopper. A coworker witnessed the incident and responded to raise the dump arm. The victim was transported to a local hospital where he was pronounced dead. CAUSE OF DEATH: Multiple traumatic injuries. RECOMMENDATIONS: 1. Never place your hands or body in the operating areas of a machine without first shutting down the machine completely and locking out all forms of hazardous energy. 2. Machine activation mechanisms should be guarded to prevent unintended startup. Guarding should also restrict access to all moving, shear, and pinch-point areas on machinery. 3. Employers should develop a comprehensive hazardous energy program that includes machine-specific lockout procedures. 4. Employers should conduct regular hazard surveys of the workplace, and a job safety analysis of each job to correct unsafe work practices. 5. Employers should investigate on-the-job injuries and review work procedures in order to correct hazards and prevent similar incidents.
Region-10; Accident-analysis; Accident-prevention; Accidents; Injuries; Injury-prevention; Traumatic-injuries; Safety-education; Safety-equipment; Work-operations; Training; Safety-measures; Safety-practices; Machine-operators; Machine-guarding; Clothing; Safety-clothing; Work-areas; Work-clothing; Work-practices; 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-06OR006; Cooperative-Agreement-Number-U60-CCU-021204; Cooperative-Agreement-Number-U60-OH-008324; Cooperative-Agreement-Number-U60-OH-008472
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