Abstract: On December 12, 2000, Employee #1 was working on a full revolution mechanical power press. The press was located in the Prototype Department and required the operator to manually load the press for each part produced. Employee #1 loaded the part into the set-up on the bolster plate and then cycled the press with a foot pedal. No guards of any type were used on this press during this accident, nor have any ever existed for the press. Employee #1 was sitting down while working. As he stood up to readjust a part that was in the set-up on the bolster plate, Employee #1 accidentally hit the foot pedal, causing the press to cycle. Employee #1 sustained a fingertip amputation. He was hospitalized.