Abstract: On July 16, 2010, Employee #1, a vacuum truck operator, was assigned to rake and clean up cigarette butts around a smoking area shed. She was using a large industrial vacuum truck to vacuum the material up. Employee #1 stated that she was shaking out gravel from the hose when it whipped around and struck her arm. The employer stated that the hose does not whip around. Employee #1 was an experienced operator and had been performing the job for approximately four years. She had been trained and instructed to keep hands and body clear of vacuum inlets. Employee #1 was hospitalized with injuries to her arm.