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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 200758308 - Employee Is Killed In Compression Press

Accident: 200758308 -- Report ID: 0522500 -- Event Date: 09/25/2006
InspectionOpen DateSICEstablishment Name
30918667409/25/20062493Inca Presswood-Pallets, Ltd.
At approximately 2:00 p.m. on September 25, 2006, Employee #1 was part of a crew of four employees that was performing maintenance on a Dieffenbacher hydraulic compression press. The upper press die ram was supported by two square metal tubes (each approximately 2 in. by 48 in. by 0.375 in.) between the top block and the ram piston cylinder. These supports remained in place for approximately six weeks while the press was not operational. There were no die blocks in use. All employees from the crew stated they were between the elevated die and lower die bolting or performing other maintenance activities at various times. Energy sources on the press (electrical, hydraulic, kinetic, steam, and pneumatic) were not isolated and locked out. While Employee #1 was between the dies cleaning the die stops, he was crushed by the dies and killed. According to the company's accident investigation report, hydraulic fluid leaked from the press, increasing the pressure on the tube supports, and causing them to collapse and release the upper die ram onto Employee #1.
Keywords: leak, die, maintenance, piston, equipment failure, lockout, caught between, crushed, hydraulic press, press
Employee # Inspection Age Sex Degree Nature Occupation
1 309186674 Fatality Other Machinery maintenance occupations

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