Investigation Reports

Various workplace injury types illustrated, including a person falling, person drowning, person being electrocuted.

The Oregon Fatality Assessment and Control Evaluation (OR-FACE) team has written in-depth investigation reports that examine contributing factors and lessons learned from selected cases. We hope that you will use these investigation reports and other OR-FACE resources for educational purposes, to help save the lives of other workers in similar situations.  Investigation reports cover incidents in industries including agriculture, construction, logging, transportation and more.

Elements of an OR-FACE investigation

  • Type of industry involved 

  • The victim's age, sex, occupation 

  • The task(s) the victim was performing 

  • The tools or equipment the victim was using 

  • The energy exchange resulting in fatal injury 

  • The working environment 

  • Number of employees in the company 

  • Company safety program 

  • The role of management in controlling how these factors interact 

OR-FACE is a research program; investigators do not enforce compliance with state or federal occupational safety and health standards and do not determine fault or blame.

Join the OR-FACE mailing list to receive all new investigation reports!

Explore investigation reports

Agricultural Silos Building Exterior Storage and drying of grains wheat corn soy sunflower against the blue sky with rice fields

Agriculture

Man worker uses a power drill to attach a cap metal roofing job with screws.

Construction

Mature Man Falling On Wet Floor In Front Of Caution Sign

Falls

Seascape of Hyannis on Cape Cod in Massachusetts

Fishing, crabbing and boating

Arborist climbing up the tree and cutting branches off with small petrol chainsaw

Logging and forestry

Inspection of each layer of laterite soil landfilling near vibratory roller compactor machine.

Machine-related

2019-01 Two Workers Killed in Boom Lift Rollover (pub August 2023)

2021-01 Heavy Equipment Operator and Rancher Crushed by Excavator (pub May 2023)

2020-10 Forklift Operator Crushed by Full Pallet of Soft Drink Cans (pub Dec 2020)

2018-08 Skid-steer operator crushed while controlling the skid-steer from outside the cab  (pub Oct 2019)

2017-22 Maintenance Mechanic Crushed Working Inside of a Vertical Storage Machine (pub Aug 2019)

2018-29 Rubber equipment operator died after his head was caught between bars of operating machinery (pub Jun 2019)

2017-07 Farm mechanic died after torch cutting explosion (pub Mar 2019)

2013-05 Vineyard worker killed in fall from trailer (English) (pub Dec 2014) (rev Feb 2015)

2013-05 Vineyard worker killed in fall from trailer (en Español)  (pub Dec 2014) (rev Feb 2015)

2013-08 Contract sanitation worker killed cleaning meat blending equipment (pub Dec 2014) (rev Dec 2014)

2012-18 Experienced journeyman machinist killed while operating an engine lathe (pub Apr 2014)

2011-16 Millwright fatality involving a hydraulic accumulator (pub Dec 2013)

2008-01 Mechanic killed by excavator bucket during maintenance (pub Sep 2012)

2004-23 Ranch hand killed by bulldozer while logging (pub May 2006)

2007-57 Temporary mill worker killed in fall down manlift shaft (pub Sep 2010)

2007-17 Highway worker crushed by swinging backhoe boom (pub Jan 2009)

2005-43 Mill worker killed by flying chunk of wood from chipper (pub Dec 2007)

2006-26 Machine operator dies after head crushed in machine (pub Oct 2007)

2006-06 Worker killed when jacket pocket activated machinery (pub Jun 2007)

2006-05 Mechanic killed when collar caught on PTO driveline (pub Nov 2006)

2005-28 Bulldozer movement kills operator standing on track (pub May 2006)

big ten wheels truck with container for logistic running on the road under the sunset, background natural river, 3d and illustrator

Transportation

Happy young saleswoman in modern supermarket.

Young workers

Young farmers examing planted young soy in spring

Hispanic workers

Regional fire-fighting exercise in the training area with urban and contract firefighters.

Fires and explosions

Cargo compartment of a cargo plane, commercial aviation, cargo transportation.

Permit-required confined space

red street cones sign stands on asphalt road during car accident outside

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We appreciate and look forward to feedback on the Occupational Public Health Program and OR-FACE investigative reports and sites. If you'd like to provide us feedback on reports produced by us, please use the form linked below.