Abstract: At approximately 5:00 a.m. on April 17, 2013, an incident occurred where Employee #1 and two coworkers went to the transcription room of a hospital to install fasteners with the powder actuated nail gun into concrete deck T bar ceiling. Employee #1 while standing on a ladder steadied the nail gun with his left hand on the barrel and the right on loading tab. Employee #1 then fired the powder actuated gun and the loading tab recoiled injuring Employee #1's right hand. Employee #1 was taken to the emergency room at a local area hospital where he was diagnosed with severed tendons and blood veins in his right hand. Employee #1 was in the Hospital for three days.