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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 144706.015 - Employee Dies After Pinned Between Conveyor And Machine

Accident: 144706.015 -- Report ID: 0522500 -- Event Date: 11/21/2021
InspectionOpen DateSICEstablishment Name
1565319.01511/23/2021Encore Industries Inc.
On November 17, 2021, Employee #1 was attempting to troubleshoot and clear jamme d material on the trim press of Thermoforming Line #5. Employee #1 opened the si de access door to clear the jammed parts/plastic material underneath and within the trim press on Thermoforming Line #5. Employee #1 climbed onto the lift conve yor belt that was in the DOWN position, and reached up with one arm to attempt t o clear the jammed materials within the frame of the upper die of the trim press and frame. The portion of the lift conveyor belt that moves up and down unexpec tedly started to move up towards the bottom of the trim press to the home positi on as Employee #1 was attempting to clear the jam. As a result, Employee #1 was crushed between the machine frame of the bottom of the trim press and the moving lift conveyor belt portion at an angle at approximately chest/neck/head height. Employee #1 was pinned in this position for approximately 18 minutes until the fire department and employees were able to free him from the machine. Employee # 1 was in cardiac arrest, and CPR and chest compressions were started immediately on Employee #1 by paramedics on-scene as soon as Employee #1 was unpinned from the machine. Employee #1 was then transported to the emergency room and was admi tted into the intensive care unit. Employee #1 was unresponsive to medical treat ment for many days and was removed from life support and pronounced dead on Nove mber 21, 2021. Employee #1 was unconscious for 18 minutes with subsequent cardia c arrest; revived and intubated per acute respiratory arrest; hypoxic ischemic i njury to the brain due to lack of oxygen and blood to the brain; bilateral lower lobe pneumonia; aspiration; pneumomediastinum; subcutaneous emphysema in neck.
Keywords: brain, cardiac arrest, chest, conveyor belt, cpr, crushed, head, neck, pinned, pneumonia, respiratory, unconsciousness, unresponsive
Employee # Inspection Age Sex Degree Nature Occupation
1 1565319.015 38 M Fatality Supervisors, production occupations

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