Abstract: At approximately 2:30 p.m. on May 17, 1991, Employee #1, a part-time laborer, was preparing an excavation for relocating trees. He was working along the downwind side of a boxed tree when a breeze caused the box to tilt in his direction, trapping his shoulders against the excavation. Employee #1 was unconscious when found by his boss, and a front end loader had to be used to remove the boxed tree. CPR was administered until paramedics arrived, 4 to 5 minutes after he was freed. Employee #1 was airlifted to a local hospital, where he was placed on life support until he was pronounced dead on May 24, 1991. Employee #1 was experienced in relocating trees but he violated established tree removal procedures when he took away dirt from under the downwind side of the boxed tree.