Abstract: At approximately 12:30 p.m. on December 12, 1997, Employee #1 was operating a Duff-Norton-Coffing 2-ton hoist, model #5FL-Ramus, in the varnish department. He used the hoist to lift an empty sack of ink resin suspended from a metal frame, and then began to manually pull it along the hoist's rail. As he was moving, the hook came loose from the metal frame, which fell, along with the sack, on top of him. Employee #1 suffered a concussion and several broken bones. He was transported to the Emergency Room at Highland Hospital and admitted for treatment. The hoist was equipped with a hook and safety latch at the time of the accident. The latch apparently failed to hold the metal frame in the hook, and the frame became disengaged.