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Caretaker of a Farm Held in Trust Died Due to a Tractor Overturn to the Rear While Moving Downed Tree
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2019/01/16
[PDF-1.17 MB]
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Description:In fall 2015 a male caretaker in his 60s of a farm held in trust died when he was pinned under an overturned, non-rollover protection structure (ROPS) equipped tractor. The property's woods had been logged; the logging firm took the saleable wood and left the tops of the trees. The decedent and a family member were planning to haul the tree tops from the logged area, but discovered an unharvested 16-inch diameter, 90-foot long tree had fallen. The decedent used a chain, looped one end on the 3-point top link pin just below his seat and the other end around the fallen tree. A tree stump was in the path of tractor movement. The sequence of events leading to the overturn is unknown. As the decedent drove the tractor forward, the tractor overturned to the rear, pinning him under the tractor. His family member was unsuccessful lifting the tractor from him and called for emergency response. The decedent was declared dead at the scene. CONTRIBUTING FACTORS - Key contributing factors identified in this investigation include: 1. Tractor did not have a ROPS and seatbelt. 2. Decedent hitched the load high rather than low on the tractor. 3. Tree stump may have been partially hidden under brush. 4. The weight and configuration of tree being moved. 5. The uneven ground and the obstructed view due to brush in area. 6. Possible tractor operation, e.g. starting tractor too fast, incorrect gear, clutch and brake timing. RECOMMENDATIONS - MIFACE investigators concluded that, to help prevent similar occurrences, employers should: 1. Ensure older tractors are retrofitted with a manufacturer approved,certified, tractor specific rollover protection structure (ROPS) and seatbelt. 2. Ensure proper hitching techniques are utilized when using the tractor to pull loads. 3. Evaluate the terrain prior to beginning an operation with a tractor and ensure the working area is clear of obstructions and/or mark hazards for visibility. 4. When starting a tractor, especially when pulling a load, use tractor model-appropriate start-up procedures. 5. Ensure all tractor guards and safety features are correctly installed.
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Pages in Document:1-10
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NIOSHTIC Number:20059551
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NTIS Accession Number:PB2021-100150
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Citation:Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 15MI104, 2019 Jan; :1-10
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Contact Point Address:MIFACE (Michigan Fatality Assessment and Control Evaluation), Michigan State University (MSU) Occupational & Environmental Medicine, 909 Fee Road, 117 West Fee Hall, East Lansing, Michigan 48824-1315
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Federal Fiscal Year:2019
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Performing Organization:Michigan State University
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Peer Reviewed:False
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Start Date:2005/07/01
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Source Full Name:National Institute for Occupational Safety and Health
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End Date:2026/06/30
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Resource Number:FACE-15MI104
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