Abstract: Employee #1 was finishing cleaning a commercial mixer at the end of his work shift. The mixer's dough arm or agitator was in motion when Employee #1 attempted to position the mixing bowl back on the mixer's bowl support. The dough arm struck and knocked the bowl away from Employee #1 and he lost his balance and fell onto the mixer's rotating dough arm. Employee #1's shirt collar was caught on the top portion of the dough arm and he became entangled on the arm as it rotated. Another employee heard Employee #1 call for help and ran to the mixer and pushed the stop button. Emergency response personnel had to cut Employee #1's shirt away before he could be removed. Employee #1 suffered multiple trauma injuries to the left side of his body and died from those injuries 9 hours later during surgery.