Abstract: On July 26, 2011, Employee #1, with a cardboard box manufacturer, was operating a Hamada Flexo Folder machine (Type 13mpg - 2500000000, Order Number RA-160). This machine would fold and cut flat cardboard sheets for box components. A conveyor held a stack of flat cardboard sheets that would be automatically fed into the machine, one at a time, by a plate that pushed them through a 1 in. opening. The sheet would then be pulled by rollers that were located 3 in. inboard of the machine frame. The top roller was rubber and the bottom roller was steel. Employee #1 placed his hand into the opening and the rollers degloved his fingers. He was hospitalized for treatment. The inspection determined that the opening was too large in relation to the nip point.