Abstract: Employee #1 was moving large rolls of paper down a roll ramp to prepare them for use on a printing press. There are four stations on the ramp: the first and second are holding stations and the third and fourth are preparatory stations. Employee #1 operated two of the stations in a sequence, which moved one roll of paper from the stop feeder 1 station to the stop feeder 2 station. Employee #1 thought that the roll would stop at this second station and stepped onto the ramp before the paper came to a complete stop. He had activated the stations in such a way that the stop feeder 2 station released and caught his feet between the unguarded cradle and the ramp. As a result, two toes on his left foot and three toes on his right foot were amputated. Employee #1 was hospitalized.