Fatality Assessment and Control Evaluation (FACE) Program |
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Fourteen-Year-Old Youth Pulled Into Operating Wood Chipper - Florida |
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SummaryOn July 6, 2000, a 14-year-old youth (the victim) working as part of a tree-trimming crew was fatally injured while feeding a limb into a drum-type wood chipper. The youth, accompanying his father to work, had been dragging limbs and branches to the wood chipper to be processed by older workers. Although not assigned to do so, he picked up the butt-end of a 4- to 5-inch-diameter limb, laid it on the chipper's feed tray and began to push it into the chipper knives. The rotating knives caught the limb and it began feeding through the chipper. As the limb fed quickly into the chipper knives, a branch that projected perpendicularly from the limb struck the victim in the back. As the limb continued to feed into the chipper, it pulled him toward the rotating chipper knives. The victim may have attempted to "push off" from the machine but was unable to free himself from contact with the branch, and the limb pulled him into the chipper. The chipper drum jammed and came to a stop after the victim's torso had been fed into the machine. A coworker who witnessed the incident notified 911. The victim was pronounced dead at the scene. NIOSH investigators concluded that to help prevent similar occurrences employers should:
IntroductionOn July 6, 2000, a 14-year-old youth (the victim) working as part of a tree-trimming crew was fatally injured after he was pulled into an operating wood chipper while feeding a limb into the machine (Photo 1). On July 6, 2000, the U.S. Department of Labor, Wage and Hour Division, notified NIOSH's Division of Safety Research (DSR) of the occurrence. On August 7, 2000, a DSR safety engineer met with the county sheriff detective assigned to investigate the case and reviewed the sheriff report and photographs. On August 8, 2000, the safety engineer interviewed the employer and observed a typical job site. The case was also discussed with the Occupational Safety and Health Administration (OSHA) compliance safety and health officer assigned to investigate the case. While at the work site, photographs and measurements of the wood chipper were collected. The employer was a small tree trimming service normally employing a four-person crew. The company, in business since 1989, owned one wood chipper and one chip truck and was primarily engaged in tree trimming and removal service to residential customers. The wood chipper had been purchased in 1992 from a large multi-state tree service. Training was conducted on the job with safety talks incorporated during site-specific work planning. Operations were normally conducted from 7 a.m. to 3 p.m. 5 days a week depending on demand for services. The victim had been accompanying his father, the crew leader, on the job during the school vacation and had been instructed to assist other crew members in dragging cut limbs and branches from trimmed trees to the wood chipper. The youth's father had specifically instructed him not to feed material into the machine. The company owner was a certified arborist and the crew leader had been certified at one time. This was the first fatality that had occurred during the company's history. Back to TopInvestigationThe machine involved in this incident was a drum-type non-self-feeding wood chipper. Limbs and branches are fed into the machine's feed chute by hand until the drum-mounted rotating chipper knives catch the material (Photo 2). The material is pulled into the chipper knives by the action of the knives passing a cutting anvil as the wood is cut into chips. The chips are propelled through a discharge chute and into a chip-receiving truck for removal from the job site. Feeding with this type of wood chipper is not always positive in that, if the wood being fed into the chipper knives approaches the chipper drum at certain angles or if the material is large, the cutting action may not be sufficient to maintain the material feed. When this happens, the material must be re fed by hand into the machine. Best results are obtained when material is fed into the machine by thrusting it into the rotating chipper knives. On July 6, 2000, the tree-trimming crew started the work day at about 7 a.m. The crew began this day with the removal of several trees from the yard of a single-family residence. The youth had been allowed to accompany his father, the crew leader, to work on several occasions and had been helping out the older workers by dragging limbs and branches to the wood chipper. According to the employer, the boy's father had instructed him to drag limbs and branches to the chipper so that adult crew members could feed them into the machine. He was not to attempt to feed material into the wood chipper. On the day of the incident, the victim had been dragging material to the chipper where other workers were engaged in feeding it into the machine. At one point, the victim had been observed feeding a limb into the machine by his father, who had immediately instructed him that he was not to feed material into the wood chipper. However, shortly after 9 a.m., the victim dragged a long limb, roughly 4 to 5 inches in diameter at the butt-end toward the wood chipper. While the coworker was turned away from the machine, the victim apparently lifted the butt end of the limb up onto the chipper's feed tray and began to feed it into the rotating chipper knives. The lower branches on this particular limb projected at right angles to the main stem. When the victim placed the butt end onto the wood chipper feed tray, he was standing on the ground, positioned between the wood chipper and the lower branches of the limb. When the rotating chipper knives caught and began feeding the limb through the chipper, the lower branches struck the victim in the back and pulled him toward the feed chute. The victim may have attempted to escape by pushing off from the feed chute but was unable to do so as the limb continued pulling him toward and into the chipper knives. A coworker turned toward the chipper just in time to observe the victim being fed into the rotating knives along with the tree limb. The machine began to lose momentum and stalled; however, by this time the victim's torso had been fed into the knives. Unable to intervene, the coworker immediately began yelling for help and went to the victim's father to prevent him from coming near the machine. A second coworker, who had been near the machine and also facing away, turned toward the machine when he heard the cries for help. Although the machine had stalled out, he went to the front of the chipper and switched off the ignition. He then went to the residence, and along with the homeowner, called 911. The tree trimmer, who had been up in a tree cutting limbs, descended and assisted in preventing the father from observing the scene until emergency personnel arrived within a few minutes of notification and took control of the scene. County sheriff personnel and staff from the county medical examiner's office arrived, and the victim was pronounced dead at the scene. Back to TopCause of DeathThe county medical examiner established the official cause of death as fragmentation by wood chipper. Recommendations and DiscussionRecommendation #1: Employers should ensure that job-site supervision beyond that normally provided for experienced adult workers is available when youths are present in the work environment.Discussion: The victim had been repeatedly instructed to drag limbs to the chipping area to be processed by experienced adult workers and not to feed material into the chipper. At the time of the incident, the chipper was operating and being tended by older, experienced workers who were located only a few feet away. These workers may have had the necessary knowledge and experience to recognize the hazards involved with feeding material into a wood chipper. And, had they been able to observe the victim placing the limb on the feed tray, they may have intervened to prohibit him from feeding the limb. However, the older crew members were themselves occupied with gathering and feeding material into the chipper. This activity required them to repeatedly direct their visual attention away from the machine as they picked up material to feed into the wood chipper. One crew member witnessed part of the incident but did not see the victim feed material into the machine until it was too late to intervene. When youths are present on job sites, additional and constant supervision by persons whose only duty is to monitor the actions of youthful workers may be necessary to completely protect them from hazard.
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Photo 2. Wood
Chipper-Side View |
The FACE investigation project is the cornerstone of the overall NIOSH program to prevent occupational fatalities. The objectives for this effort include the investigation of occupational fatalities to assess and characterize the circumstances of these events in order to develop succinct descriptive and evaluative reports for distribution to occupational safety and health groups across the country. This work is being conducted by the FACE investigation team. It is expected that the reports alone will have a major impact by better defining the causal factors behind occupational fatalities, calling national attention to the problem, and providing insights into the prevention efforts that are needed. However, the program does not determine fault or place blame on companies or individual workers.