Abstract: Evidence indicates that at approximately 6:40 a.m. on September 27, 1991, Employee #1 squeezed between an edger operator's console and a wall, side-stepped approximately 6 1/2 ft, and knelt with his back to the rotating shaft. The employee and another millwright were installing a small door in the wall to access a motor. He may have thought he could assist in installing nuts on bolts that connected the door to the wall if he was positioned inside the wall. The employee did not notify anyone of his intentions and entered the tight-fitting area while the machinery was operating. Employee #1's jacket was caught and entangled by a bolt projecting from the coupler on the edger's jump chain drive shaft. He was transported to a local hospital, where he died of a massive thoracic hemorrhage.