Abstract: On September 3, 1993, Employee #1, an apprentice painter, had been assigned to mask painting surfaces. He had been an intermittent worker since that May, when he was released from incarceration. Although not an equipment operator, Employee #1 attempted to use a Bobcat to move a load of piping. Employee #1 dismounted and took the panic bar out of control position. In reaching toward the off switch, Employee #1 contacted the forward lever and was struck against the wall. He sustained a fracture to his upper right leg. Neither the plant manager nor the general manager was aware of his decision to work out of classification. There were no witnesses to the incident and Employee #1's whereabouts could not be determined.