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FACE facts: not following lockout/tagout procedures can be fatal.

State of New York Department of Health
Troy, NY: State of New York Department of Health, 2003 Jul; :1
A food production worker died after suffering a deep cut to his neck from a steel blade on a dough machine. On the day of the incident, the victim and a co-worker were assigned to clean the dough machine. The victim turned off the machine and locked the main power switch, but missed setting one of the three blade control switches to its lockout position. As the victim was cleaning a hopper above the blade, the co-worker asked him for his key to unlock the main power switch of the dough machine. The victim handed the key to the co-worker who turned on the machine. This caused the dough blade to go through its automatic cutting cycle, fatally injuring the victim. HOW CAN THIS BE PREVENTED? Provide employee training to ensure workers understand lockout/tagout programs. Conduct periodic inspections to endure lockout/tagout proceduress are followed. Modify cleaning procedures to avoid placing workers' bodies into points of operation. Install interlocks to eliminate possible human errors during machine maintenance and sanitation.
Traumatic-injuries; Accident-analysis; Accident-prevention; Safety-measures; Safety-research; Food-processing; Food-processing-equipment; Food-processing-industry; Food-processing-workers; Cutting-tools
NYSDOH FACE Program, Bureau of Occupational Health, Flanigan Square, Room 230, 547 River Street, Troy, NY 12180
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FACE facts: not following lockout/tagout procedures can be fatal
Performing Organization
New York State Department of Health. Health Research Incorporated