1. What’s an Arm and Leg Worth? Take a Stand to Stop Amputations Today!

2. Region VI OSHA Arkansas Louisiana Oklahoma Texas New Mexico State Plan
Region VI consist of Arkansas, Louisiana, Oklahoma, Texas and New Mexico State Plan. Within the region, there is a wide array of industries, such as, but not limited to, Oil & Gas, poultry, woodworking, and multiple types of manufacturing.

3. Controlling Amputation Hazards
Safeguarding is essential for protecting employees from needless and preventable injury. A good rule to remember is:
Any machine part, function, or process that may
cause injury must be safeguarded.

4. OSHA Definition: Amputation
An amputation is the traumatic loss of all or part of a limb or other external body part. This would include fingertip amputations with or without bone loss; medical amputation resulting from irreparable damage; and amputations of body parts that have since been reattached.
Recognizing Amputation Hazards: To prevent employee amputations, you and your employees must first be able to recognize the contributing factors, such as the hazardous energy associated with your machinery and the specific employee
activities performed with the mechanical operation. Understanding the mechanical components of machinery, the hazardous mechanical motion that occurs at or near these components and specific
employee activities performed in conjunction with machinery operation will help employees avoid injury.

5. What is a Loss of an Eye?
Loss of an eye is the physical removal of the eye. This includes enucleation and evisceration.
Does loss of an eye include loss of sight?
No. Loss of sight without the physical removal of the eye is not reportable under the requirements of section However, a case involving loss of sight that results in the in-patient hospitalization of the worker within 24 hours of the work-related incident is reportable.

6. Region VI -Recordkeeping Reporting
Date
Hospitalization
Loss of Eye
Amputation
January 1 –
December 31, 2015
2,051 8
612
December 31, 2016
2,021 5
558
December 31, 2017
2,175 2
641
December 31, 2018
2,341
692
January 1 – July 26, 2019
1,310
387

7. FY 15 - Recordkeeping Reporting
Area Office
Hospitalization
Loss of Eye
Amputation
Austin
132 44
Baton Rouge
242 1 51
Corpus Christi
158 37
Dallas
235 75
El Paso 61 6
Fort Worth
245 47
Houston North
179 59
Houston South
210 45
Little Rock
184 2 86
Lubbock
153 58
Oklahoma City
157 73
San Antonio 95 31
Total
2,051 8
612

8. FY 16 - Recordkeeping Reporting
Area Office
Hospitalization
Loss of Eye
Amputation
Austin
131 2 38
Baton Rouge
212 61
Corpus Christi
133 24
Dallas
237 72
El Paso 58 10
Fort Worth
248 1 68
Houston North
171 48
Houston South
229 43
Little Rock
217 77
Lubbock
128 39
Oklahoma City
153 57
San Antonio
104 21
Total
2,021 5
558

9. FY 17 - Recordkeeping Reporting
Area Office
Hospitalization
Loss of Eye
Amputation
Austin
151 48
Baton Rouge
246 53
Corpus Christi
148 37
Dallas
260 62
El Paso
104 20
Fort Worth
252 1 71
Houston North
155 70
Houston South
193 55
Little Rock
177 63
Lubbock
201 76
Oklahoma City
181
San Antonio
107 24
Total
2,175 2
641

10. FY 18 – Recordkeeping Reporting
Area Office
Hospitalization
Loss of Eye
Amputation
Austin
152 39
Baton Rouge
259 69
Corpus Christi
173 1 54
Dallas
265 88
El Paso
102 20
Fort Worth
239 64
Houston North
210 60
Houston South
237 55
Little Rock
183 81
Lubbock
205 67
Oklahoma City
204 72
San Antonio
112 23
Total
2,341 2
692

11. FY 19 – Recordkeeping Reporting
Area Office
Hospitalization
Loss of Eye
Amputation
Austin 95 26
Baton Rouge
153 44
Corpus Christi 88 23
Dallas
173 53
El Paso 50 9
Fort Worth
148 40
Houston North 28
Houston South
Little Rock 86 56
Lubbock 98 37
Oklahoma City 91 33
San Antonio 72 15
Total
1,310
387

12. CY 2015 – CY Comparison

13. Amputations by NAICS NAICS Code Industry Title CY 15 CY 16 CY 17 CY 1811
Agriculture, Forestry, Fishing and Hunting 12 16 13 21
Mining 63 41 79 90 56 22
Utilities 4 7 3 2 23
Construction 81 80 74 84 46
31-33
Manufacturing
275
253
288
314
166 42
Wholesale Trade 36 52 32
44-45
Retail Trade 37 28 31 29 30
48-49
Transportation and Warehousing 39 19 51
Information 1
Finance and Insurance 53
Real Estate Rental and Leasing 5 9 54
Professional, Scientific, and Technical Services 8 6 55
Management of Companies and Enterprises
Administrative and Support and Waste Management and Remediation Services 35 24 61
Educational Services 62
Health Care and Social Assistance 71
Arts, Entertainment, and Recreation 72
Accommodation and Food Services
Other Services (except Public Administration) 10 92
Public Administration
Total
612
558
641
692
387

14. Top 3 Industries by NAICS

15. Why an amputation prevention stand-down?
692 Amputations for CY 2018
Top industries
31-33 Manufacturing 314 (45%)
21 Mining 90 (13%)
23 Construction 84 (12%)
Almost exactly the same from FY 2017
Moving machine parts have the potential to cause severe workplace injuries, such as crushed fingers or hands, amputations, burns, or blindness. Safeguards are essential for protecting workers from these preventable injuries. Any machine part, function, or process that may cause injury must be safeguarded. When the operation of a machine or accidental contact injures the operator or others in the vicinity, the hazards must be eliminated or controlled.
The top industries reporting these amputations are oil & gas support and drilling operations, supermarket/grocery stores, commercial construction, and poultry processing.

16. Amputations by Area Offices
CY 15
CY 16
CY 17
CY 18
CY 19
Austin 44 38 48 39 26
Baton Rouge 51 61 53 69
Corpus Christi 37 24 54 23
Dallas 75 72 62 88
El Paso 6 10 20 9
Fort Worth 47 68 70 64 40
Houston North 59 60 28
Houston South 45 43 55
Little Rock 86 77 63 81 56
Lubbock 58 76 67
Oklahoma City 73 57 33
San Antonio 31 21 15
Total
612
558
641
692
387

17. Machinery Associated with Amputations
Mechanical Power Presses
Power Press Brakes
Powered and Non- Powered Conveyors
Printing Presses
Roll-Forming and Roll- Bending Machines
Shearing Machines
Food Slicers
Meat Grinders
Meat-Cutting Band Saws
Drill Presses
Milling Machines
Grinding Machines
Slitters

18. Common Machinery Hazards
Physical Hazards
Health Hazards
Fire
Temperature
Equipment
Energy
Material
Machine
Falls
Noise
Chemicals
Dust
Fumes
Exertion
Vibration
Illumination

19. Hazardous Activities Machine set-up/threading/preparation,*
Machine inspection,*
Normal production operations,
Clearing jams,*
Machine adjustments,*
Cleaning of machine,*
Lubricating of machine parts,* and
Scheduled and unscheduled maintenance.*
Employees operating and caring for machinery perform various activities that present potential amputation hazards.
Hazard Analysis
You can help prevent workplace amputations by looking at your workplace operations and identifying the hazards associated with the use and care of the machine. A hazard analysis is a technique that focuses on the relationship between the employee, the task, the tools, and the environment. When evaluating work activities for potential amputation hazards, you need to consider the entire machine operation production process, the machine modes of operation, individual activities associated with the operation, servicing and maintenance of the machine, and the potential for injury to employees. The results from the analysis may then be used as a basis to design machine safeguarding and an overall energy control (lockout/tagout) program. This is likely to result in fewer employee amputations; safer, more effective work methods; reduced workers’ compensation costs; and increased employee productivity and morale.
*These activities are servicing and/or maintenance activities.

20. Safeguarding Devices
Safeguarding devices are controls or attachments that, when properly designed, applied and used, usually prevent inadvertent access by employees to hazardous machine areas by:
• Preventing hazardous machine component operation if your hand or body part is inadvertently placed in the danger area;
• Restraining or withdrawing your hands from the danger area during machine operation;
• Requiring the use of both of your hands on machine controls (or the use of one hand if the control is mounted at a safe distance from the danger area) that are mounted at a predetermined safety distance; or
• Providing a barrier which is synchronized with the operating cycle in order to prevent entry to the danger area during the hazardous part of the cycle.
These types of engineering controls, which either prevent the start of or stop hazardous motion, may be used in place of guards or as supplemental control measures when guards alone do not adequately enclose the hazard. In order for
these safeguarding devices to accomplish this requirement, they must be properly designed and installed at a predetermined safe distance from the machine’s danger area. Other safeguarding devices (probe detection and safety edge devices) that merely detect, instead of prevent, inadvertent

21. What types of machine components are hazardous?
Point of Operation – the area of a machine where it performs work on material
Power-Transmission Apparatuses – flywheels, pulleys, belts, chains, couplings, spindles, cams, and gear in addition to connecting rods and other machine components that transmit energy
Other Moving Parts – machine components that move during machine operation such as reciprocating, rotating, and transverse moving parts as well as auxiliary machine parts
Hazardous Mechanical Components - Three types of mechanical components present
amputation hazards:
Point of Operation is the area of the machine where the machine performs work – i.e., mechanical actions that occur at the point of operation, such as cutting, shaping, boring, and forming.
Power-Transmission Apparatus is all components of the mechanical system that transmit energy, such as flywheels, pulleys, belts, chains, couplings, connecting rods, spindles, cams, and gears.
Other Moving Parts are the parts of the machine that move while the machine is operating, such as reciprocating, rotating, and transverse moving parts as well as lead mechanisms and auxiliary
parts of the machine.

22. What kinds of mechanical motion are hazardous?
Rotating
Reciprocating
Transversing
Cutting
Punching
Shearing
Bending
Rotating—circular movement of couplings, cams, clutches, flywheels, and spindles as well as shaft ends and rotating collars that may grip clothing or otherwise force a body part into a dangerous location.
Reciprocating—back-and-forth or up-and down action that may strike or entrap a worker between a moving part and a fixed object.
Transversing—movement in a straight, continuous line that may strike or catch a worker in a pinch or shear point created between the moving part and a fixed object.
Cutting—action generated during sawing, boring, drilling, milling, slicing, and slitting.
Punching—motion resulting when a machine moves a slide (ram) to stamp or blank metal or other material.
Shearing—movement of a powered slide or knife during metal trimming or shearing.
Bending—action occurring when power is applied to a slide to

23. Protect Workers from Amputations
Guards provide physical barriers that prevent access to hazardous areas.
Devices help prevent contact with points of operation and may replace or supplement guards.
Two basic methods are used to safeguard machines: guards and devices. Guards provide physical barriers that prevent access to danger areas. Devices function by interrupting the machine's operating cycle to prevent workers from reaching or entering the danger area while the machine is cycling. Both types of safeguards should be designed and installed to ensure worker protection.
Guards provide physical barriers that prevent access to hazardous areas. They should be secure and strong, and workers should not be able to bypass, remove, or tamper with them. Guards should not obstruct the operator’s view or prevent employees from working.
Devices help prevent contact with points of operation and may replace or supplement guards. Devices can interrupt the normal cycle of the machine when the operator’s hands are at the point of operation, prevent the operator from reaching into the point of operation, or
withdraw the operator’s hands if they approach the point of operation when the machine cycles. They must allow safe lubrication and maintenance and not create hazards or interfere with normal machine operation. In addition, they should be secure, tamperresistant, and durable.

24. Criteria for Machine Safeguarding
Prevents worker contact with the hazard area during the operating cycle.
Avoids creating additional hazards.
Is secure, tamper-resistant, and durable.
Avoids interfering with normal operation of the machine.
Allows for safe lubrication and maintenance.

25. Reporting Fatalities, Hospitalization, etc.
Work-related fatalities must be reported within 8 hours
In-patient hospitalizations must be reported within 24 hours
Amputations must be reported within 24 hours
Loss of an eye must be reported within 24 hours

26. Report a Fatality or Severe Injury
All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye.
A fatality must be reported within 8 hours.
An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

27. OSHA Standards
Title 29 of the Code of Federal Regulations (CFR) to protect workers from amputations in the workplace:
29 CFR Part 1910 Subparts O and P cover machinery and machine guarding
29 CFR 1926 Subpart I covers hand tools and powered tools
29 CFR Part 1928 Subpart D covers agricultural equipment
29 CFR Part 1915 Subparts C, H, and J;
29 CFR Part 1917 Subparts B, C, and G;
29 CFR Part 1918 Subparts F, G, and H cover maritime operations

28. Help is Available
OTI Education Centers, course descriptions, prerequisites and a searchable course schedule that includes training locations and fees can be found at:
Resources specifically for small businesses, including information about OSHA’s free On-site Consultation program, can be found at
OSHA provides help for employers, including technical assistance about effective safety and health programs, training and education at

29. OSHA Training Institute Education Centers
Mid-South Alliance Safety Council
Phone:
Website:
Oklahoma State University
oshaed.okstate.edu
Phone:
Website:
Texas A&M Engineering Extension Service
Phone:
Website:
University of Texas Arlington
web-ded.uta.edu
Phone:
Website:

31.
OSHA (6742)