Forensic Engineers and Consultants

Archive: Inland & Ocean Marine

Unguarded Shear Point on Force Tester Amputates Worker’s Finger

A worker was injured while testing gas springs similar to the type that hold the hatchback of an SUV open. The hazard that injured the worker was an unguarded shear point. The tester contained a mounting plate that was raised and lowered by a pneumatic cylinder.

The pneumatic cylinder lowered the mounting plate while the worker’s fingers were in the hazardous, unguarded shear point. The force testing machine violated applicable safety standards including ASME B15.1-2000 Safety Standard for Mechanical Power Transmission Apparatus sections 1.3 and 3.1.

Unguarded Shear point 1 white

The force tester. 

It was technologically and economically feasible for the manufacturer to have guarded the hazardous shear point at the time they designed and built the force testing machine by installing a fixed guard to prevent a worker from getting too close to the hazard. The hazardous, unguarded shear point on the force testing machine was capable of producing serious injury, including amputating fingers.

The risk of injury associated with the hazardous shear point was high because the hazard was unguarded, workers were exposed to the hazard every time the force testing machine cycled, and serious injury would occur every time a worker’s body part became trapped in the rapidly closing shear point. The high risk of injury associated with the hazardous, unguarded shear point was not tolerable because it was feasible to control the hazard using a fixed guard with no effect on the utility of the force tester.

It was or should have been foreseeable to the manufacturer at the time they designed and manufactured the force testing machine that the hazardous, unguarded pinch point would cause serious harm any time an operator got too close to the hazard.

Unguarded Shear Point Img 2

A shear point was created between the fixed frame and the movable mounting plate when the pneumatic cylinder lowered the mounting plate.

The force testing machine was unreasonably dangerous and defective.  It contained an uncontrolled hazard with a high, foreseeable and intolerable risk of serious injury with a certain probability of occurrence any time a worker’s body part is caught in the shear point.  There were technologically and economically feasible means that existed to control the hazard at the time of the machine’s design and manufacture. The unreasonably dangerous and defective condition of the force tester was a cause of the worker’s injury.

Unguarded Shear Point IMG 3 whiteA simple Lexan guard was all that was required to protect a worker from the hazardous shear point.

If you have a case involving personal injury involving a worker injured on a machine in an industrial setting, please give us a call. We are happy to consult with you.

Electric Hazard Guardrail photo

Hazards Can Lurk Anywhere … Watch Your Step …

Author

While on a lunch stop during a recent vacation trip through Tennessee, I happened across a safety hazard that required immediate attention.  The establishment had a raised concrete patio at the front with a steel railing around the perimeter.  At one edge of the patio was a set of stairs with a continuation of the steel railing used as a handrail.  The top edge of the patio had light strings wrapping the top metal bar as accent lighting for the perimeter.  The light string continued down the stair handrail wrapped in the same manner as the rest of the patio.

Electric Hazard Guardrail photo

FIGURE 1 – A view of the subject patio

While walking down the stairs, it was noted that two bulbs were missing from the sockets on the portion of the light string that wrapped the handrail.  The sockets, a common Edison-style base, were open to the weather.  More significantly, the open sockets were in the path of a person’s hand (adult or child) sliding down the handrail while traversing the stairs.  The damaged condition of the light strings due to the missing bulbs presented an electrocution hazard.  While the risk of electrocution may be mitigated if the light strings are supplied by the required National Electric Code (NEC) Article 527.5, Ground Fault Circuit Interrupter (GFCI) protected circuit, the condition of the light string presented a hazard.

Closeup photo of one of the open lamp sockets

FIGURE 2 – Closeup photo of one of the two open lamp sockets

Further, the wrapping of the light string around the handrail violates the International Building Code (IBC) requirements.  Section 1012.4 Continuity states that “Handrail gripping surfaces shall be continuous, without interruption by newel posts or other obstructions.”  The random placement of the cable from the light string randomly interferes with the continuous profile of the handrail.

View of the cord wrapping the handrail interfering with usability

FIGURE 3 – View of the cord wrapping the handrail interfering with usability

While there was likely good intent with the placement of the light string to add light to the stairs, the method that was used impeded the use of the handrail.   Further, lack of maintenance by not replacing the missing bulbs crated a shock or electrocution hazard.   Beware of these lurking hazards, if things don’t look right, they probably aren’t.

Tom Kelly has a Bachelor of Science in Electrical Engineering and a Master of Science in Electrical Engineering from Florida Atlantic University, Boca Raton, Florida, along with a Master of Business Administration with emphasis in strategic leadership from Winthrop University, Rock Hill, South Carolina. Tom’s 25-year career in electrical engineering includes forensic engineering investigations involving industrial electrical accidents, electrical equipment failure analysis, control system failures, robotics and automation components, and scope of damage assessments.  He has conducted investigations for fires, arc flash incidents, electrocution and electric shock accidents and lightning strike evaluations.

Orange mini excavator

Case Study: Fatality Servicing Unsupported Excavator Boom

A mini-excavator at a job site developed a leak at a hydraulic fitting at the base of the cylinder that raises and lowers the boom. A subcontractor foreman at the site raised the boom to search for the leak. The foreman found and attempted to tighten the leaking fitting. When he did, the fitting separated from the base of the cylinder, releasing the hydraulic pressure that held the boom aloft. The boom fell and the bucket struck a nearby superintendent for the general contractor.

Read More

Gas Appliance testing lab

Testing As Part of Gas Appliance Incident Investigation

Author

Equipment and appliances supplied with fuel gases like natural gas, propane and butane are a common and convenient part of most of our lives.  Such devices as gas grills and ranges, ovens, furnaces, space heaters and water heaters usually perform without incident.  However, when they malfunction the potential for incidents such as fires and explosions, carbon monoxide (CO) poisoning and burn injuries may occur. These incidents may be due to design and manufacturing defects in the product, or improper installation or operation of the device.

Read More

box bailer

Defective Vertical Baler Causes Serious Crush Injury to Operator’s Arm

I recently worked on an interesting case involving a box baler. An employee of a butcher shop put some empty cardboard boxes in a vertical box baler and pushed the control switch to compact the boxes. After the 30 by 60 inch platen weighing 851 pounds returned to its raised position, the employee reached into the open space above the bottom door on the baler and began to clear cardboard from the bale tie slots in the bottom of the raised platen. Suddenly, and without warning, the steel pin attaching the platen to the raised hydraulic cylinder rod failed. The heavy steel platen fell and crushed his arm which was outstretched over the baler door into the compaction space.

Read More

Corrision-Pipes-2

Graphitic Corrosion – Difficult to determine before a failure!

Author

Graphitic corrosion is a process that may happen in equipment made of iron, particularly grey cast iron, but also ductile cast iron. Graphitic corrosion can lead to unexpected catastrophic failure of the affected part because the cast iron can lose its strength without a visible warning such as a change in size, shape, or appearance. Read More

A clevis pin with the spring clip attached.

Defective Clevis Pin Culprit in Runaway Trailer

Author

A large agricultural trailer had been connected to a truck using a clevis pin with a spring locking clip.  The trailer became disconnected from the truck and collided with an oncoming vehicle.  The trailer was in poor condition, did not have safety chains, and had substantial recent modifications by the owner. Read More

Warren engineers,   John Holecek and Aron Olson working with new fall protection equipment.

Not Falling for Your Job?

Periodically, Warren Engineers and Consultants are asked to perform inspections that require work at raised elevations. Typical jobs and tasks include climbing on commercial and residential roofs with steep pitches, working on scaffolding, climbing from one level to the next at a fire or industrial loss scene, riding in the buckets of lift equipment, and inspecting exterior structural elements such as windows and masonry.  Read More

A hydraulic crane with a telescoping boom.

Crane Incident Handbook

Author

Cranes are powerful lifting devices that we see everyday in construction areas, shipping terminals, and industrial sites. They are so common that we often pass by them with little thought. Cranes, however, can easily become involved in incidents that injure people or damage equipment. Read More

The left side of the container handler.

Container Handler Fire

Author

Container handlers are mobile, rubber-tired, machines that are used to load and stack standard containers at a variety of shipping terminals.  The machines resemble oversized forklifts but are equipped with shipping container lift spreaders instead of forks.  The machines are often equipped with sophisticated computer systems that inform the operator which container needs to be lifted as well as its destination, whether it is a truck, train, or storage stack. Read More

Type ofLoss

Not sure what you're looking for?
Browse All

Select Loss Category