Abstract: AN ASSISTANT LAMINATOR OPERATOR HAD DUTIES THAT INCLUDED THE USE OF A 1-TON HOIST TO LOAD AND UNLOAD ROLLS. THE OPERATOR REPORTED THAT THE HOIST WAS MALFUNCTIONING. THE SHIFT MANAGER, THE OPERATOR, AND THE ASSISTANT OPERATOR ATTEMPTED TO TROUBLESHOOT THE HOIST BY USING AN AIR HOSE TO BLOW DUST FROM ELECTRICAL CONTACTS ON THE HOIST MOTOR. THE SHIFT MANAGER HAD DEENERGIZED THE HOIST BY DISCONNECTING THE PLUG ON ITS POWER SUPPLY CORD FROM A CORD CONNECTOR. JUST BEFORE THE ACCIDENT, THE ASSISTANT OPERATOR, WHO WAS NOT QUALIFIED TO PERFORM ELECTRICAL WORK, WAS OBSERVED WITH AN AIR NOZZLE IN ONE HAND AND THE 480-VOLT, METAL-ENCASED CORD CONNECTOR IN THE OTHER. HE WAS ELECTROCUTED. BURN MARKS WERE FOUND ON THE INSIDE OF HIS LEFT FINGERS, AND A SCREWDRIVER AND THE AIR NOZZLE WERE FOUND IN THE IMMEDIATE VICINITY OF THE EMPLOYEE.