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Hispanic laborer entangled in auger at pork processing plant.

Iowa Department of Public 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 04IA005, 2008 Jun; :1-7
A 36-year-old, Hispanic man died at a pork processing plant in central Iowa mid-winter of 2004. The victim had his feet entangled in an inclined, auger conveyor when it started. He was retrieving hardware or pieces of metal that had fallen into the auger during dismantling of conveying equipment and metal decking above the auger earlier that day and the day before. In an adjacent room the supervisor, who did not believe anyone was in or above the auger but was not able to see it, removed his lockout and turned on the main circuit breaker. The auger's on/off electric switch was mounted to the wall near the auger. The switch was in the "on" position so when the main circuit breaker was turned on the auger started immediately. A co-worker, who was also tasked with picking up metal debris from the work area, did not know how to turn the auger off so he ran outside the room calling for help. Another employee came into the rendering room where the auger was running and turned off the switch for the auger. The victim's legs were caught in the auger and he was face down, head down the incline, with his feet up the inclined auger. Rescue personnel arrived 10 minutes after the incident. Despite resuscitative efforts, the victim was pronounced dead at the scene 35 minutes later. RECOMMENDATIONS: 1. Equipment lockout/tagout procedures must be fully implemented, including checking the work area to ensure that all employees have been safely positioned or removed before removing lockout and notifying employees that lockout devices have been removed from energy sources. 2. Training should be provided to employees to ensure that the purpose and function of hazardous energy control of machines is understood and that they have the knowledge and skills required for safe application, usage, and removal of hazardous energy controls. 3. All employees should strive for clear communication with each other, and be aware that in hazardous situations language differences may result in misunderstanding of instructions.
Region-7; 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; Protective-measures; Equipment-operators; Industrial-environment; Industrial-hazards; Meat-handlers; Meat-packing-industry; Mechanical-cleaning; Mechanical-properties; Training; Animal-products-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-04IA005; Cooperative-Agreement-Number-U60-CCU-708674; Cooperative-Agreement-Number-U60-OH-008460
Priority Area
Services; Wholesale and Retail Trade
SIC Code
Source Name
National Institute for Occupational Safety and Health
Performing Organization
Iowa Department of Public Health
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division