Abstract: On July 24, 2012, Employee #1 failed to stop, disengage or disconnect the power in accordance with the employer's hazardous energy control procedures. The employee was trained and disciplined before the cleaning operations near the heated sealing blade with a surface temperature ranged approximately from 220 to 317 degree F of a semi- automatic T-Shirt plastic bag conversion machine. The employee left hand was caught and was stuck in the heated sealing blade portion, where his fingers were trapped and burned. Coworkers helped Employee #1 release his trapped fingers. The employee was taken to San Leandro Hospital, Emergency room, where he was treated and discharged after two hours. Employee #1's left middle, ring and pinky fingers were later amputated.