Abstract: Employee #1, a temporary worker, had worked for the employer for 3 weeks operating three different machines. One morning, he was assigned to make parts by operating a new machine. The setup person instructed him to operate the machine without guards. The machine was a seven station indexing machine that initiated seven different drilling procedures and automatically indexed to the next station. The employee representative instructed Employee #1 in the operations and indicated that the material occasionally hangs up at the last station. Employee #1 was instructed to clear such jams by sticking his finger into the last station die and poking the materials free. After doing just that several times that morning, Employee #1's right index finger was caught in and amputated by the shearing action of the indexing operation between stations. The machine was guarded the day the investigator arrived.