Abstract: At approximately 9:30 p.m. on October 29, 2009, Employee #1 was attempting to sanitize a mill, for changeover to a different product, at an international rice processing company in Woodland, CA. Employee #1 failed to completely deenergize the equipment, before removing the mill's feeder auger guard. He slipped into the auger and severed three fingers on his right hand. Employee #1 was hospitalized. Employee #1 had been standing on the guardrails of the elevated work location, rather than using a ladder to access the auger, as required by the employer. Employee #1 had been trained on the employer's specific lockout/tagout procedures associated with the task. However, Employee #1 was not following those procedures, at the time of the accident. The employer disciplined Employee #1, according to their Injury and Illness Prevention Program.