Abstract: On May 5, 2006, Employee #1 was working for a manufacturer of snack foods, such as pretzels and small cookies. She had been reassigned to a part of her facility where food was processed. She had placed her gloves on top of a conveyor belt system that was positioned against a wall at a height of 4 feet, 6 inches above the floor. The conveyor system was turned on, and her gloves began moving away from Employee #1, eventually reaching the side farther from where she was standing. When she reached across the conveyor to retrieve the gloves, her hand became caught in the pinch point of the inadequately guarded chain and sprocket drive. The thumb on her right hand was amputated, and she was hospitalized. At the time of the inspection, it was observed that her employer had placed a new guard on the chain and sprocket drive. The employer admitted during the inspection that the old guard that had been in place at the time of the accident had been partially open.