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Press die change — real accidents & risk assessment

Real Press die change accident cases (AI-cleaned) plus example risk assessment, JSA and TBM. Free, no sign-up.

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Sample for: Press die change
7
Hazards
5
Unit tasks
6
Related laws
Criminal 4
Full risk assessment
Unit taskHazard / CauseCurrent controlsRisk (F×S)ControlsAfterLegal
Machine shutdown & energy isolation (LOTO)
Press unexpectedly energises during die change — worker's hands caught
Energy not fully isolated; LOTO procedure skipped
Caught-in / Entrapment
Verbal reminder to turn off15· Critical
3×5
  • EngineeringInstall individual lockout stations with each worker's personal lock before any die work begins
  • AdministrativeMandatory LOTO procedure; verify zero-energy state before touching dies
5· Medium
제146조
크레인 작업 시의 조치
Criminal
Machine shutdown & energy isolation (LOTO)
Contact with uninsulated electrical component during maintenance
Electrical supply not de-energised; insulation worn
Electrical Shock
General electrical safety training8· Medium
4×2
  • EngineeringInstall lockable electrical disconnect at each press
  • AdministrativeTest for zero voltage with multi-meter after lockout before touching any electrical component
4· Medium
Art. 385
Handling Heavy Loads
Criminal
Die removal
Worker's finger crushed between die and bolster during die removal
Die not supported before removing bolts; die tilts unexpectedly
Caught-in / Entrapment
Manual handling8· Medium
2×4
  • EngineeringUse die cart with hydraulic table to support die during removal
  • AdministrativeNever place hands under die; use pry bars; die must be fully supported before any bolt is loosened
4· Medium
제146조
크레인 작업 시의 조치
Criminal
Die removal
Musculoskeletal injury lifting heavy die without mechanical aid
Die too heavy (>25 kg) for manual lift; awkward posture in press gullet
Musculoskeletal Disorder
Two-person manual lift6· Medium
3×2
  • EngineeringProvide die cart, hoist, or crane for all dies over 25 kg
  • AdministrativeBan manual lifting of dies over 25 kg; use mechanical means only
2· Low
제146조
크레인 작업 시의 조치
Criminal
Die installation
Press activates while worker is positioning die — hand crush injury
Worker initiates press stroke before removing hands from die area
Caught-in / Entrapment
Two-hand control button4· Medium
1×4
  • EngineeringMandatory two-hand control during trial press; add light curtain safety device
  • AdministrativeNo part of body in die area when press stroke is initiated; enforce with supervisor check
4· Medium
제104조
금형조정작업의 위험 방지
Criminal
Trial press & adjustment
Hand caught during trial press when adjusting die clearance
Worker reaches into die zone during trial stroke
Caught-in / Entrapment
Verbal warning15· Critical
3×5
  • EngineeringLight curtain stops press if beam broken; two-hand initiation required
  • AdministrativeAll adjustments with press stopped and energy isolated; never adjust live die
5· Medium
제103조
프레스 등의 위험 방지
Criminal
Production restart & monitoring
Worker strikes press activation before confirming die area is clear
Distraction or rush; no barrier to prevent inadvertent activation
Caught-in / Entrapment
Safety checklist10· High
2×5
  • EngineeringLockout is removed only after formal restart checklist is signed by supervisor
  • AdministrativeAnnounce restart verbally; confirm all workers clear before releasing energy
5· Medium
제146조
크레인 작업 시의 조치
Criminal
Legal compliance (OSH rules)
Art. 88Machine Guarding Requirements
CriminalMust-check
Art. 89LOTO (Lockout / Tagout) Procedure
CriminalMust-check
Art. 90Two-hand Control Devices
CriminalMust-check
Art. 91Die Change Safety Procedure
CriminalMust-check
Art. 93PPE Provision
Art. 38Employer Duty to Prevent Hazards
Grounding real accidents

Worker's hand was amputated when press cycled during die adjustment — LOTO was not applied.

⚠ Machine energy not isolated — LOTO violation

Die fell from handling crane and struck worker's foot; fractured metatarsals.

⚠ Dropped heavy die during handling

Operator started production press after die change without confirming all workers clear; colleague's hand was struck.

⚠ Premature machine activation after die change

Actual AI output. Get it for your work in seconds.

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