Abstract: At approximately 10:32 p.m. on August 23, 1994, Employee #1, who was working for a paper plate manufacturer, was on overtime and working alone at the back of a printing press. He was scraping dried water-based varnish from a rotating 4 ft 7 1/2 in. long paper roller, with a putty knife in his right hand, when the long paper sheet tore at its right side. Employee #1's hand was pulled between the rollers and his right little finger was torn from its knuckle. He was taken to Grossmont Hospital by the maintenance crew and released the next day. Employee #1 was properly trained with 3 years experience. He violated the company's safe work practices, and will received a disciplinary action upon his return to work. No malfunction in equipment and procedures was found. No accident-related violation was discovered; however, one general violation was observed and a citation was issued.