Oregon FACE Report: Collapsed roof trusses kill carpenter foreman
Fatality Assessment and Control Evaluation (FACE) Program Reports
The National Institute for Occupational Safety and Health’s (NIOSH) Fatality Assessment and Control Evaluation (FACE) Program and State FACE Programs study fatal workplace injuries and prepare reports with recommendations to prevent similar injuries. The following are links to all of the items in this collection:
- Kentucky FACE Report: Commercial Roofer Falls 30 Feet Through a Skylight While Installing Roof Insulation
- Fatal Occupational Injuries in Massachusetts 2008-2013
- Fatality Assessment & Control Evaluation (FACE) Program
- Washington FACE Report: Glazier Foreman Falls From Stepladder
- Preventing Construction Falls Toolkit
- Hazard Alert: Pedestrian Workers Killed by Forklifts
- Keep Employees in Motor Vehicles Safe
- New York FACE Brochure
- Washington FACE Report: Construction Laborer Falls When Ladder Breaks
- Washington FACE Report: Pipelayer Dies when Trench Wall Collapses
- Washington FACE Report: Carpenter Falls 60 Feet from Bridge Concrete Form
- Washington FACE Report: Foreman and Laborer Fall when Aerial Lift Struck by Vehicle
- Washington FACE Report: Framer Falls 18 Feet while Sheathing Roof
- New York FACE Report: Mechanic Electrocuted when a Mobile Light Tower Contacted Powerline
- New York FACE Report: Two Construction Workers Fatally Crushed when Cement Formwork Collapsed
- Kentucky FACE Report: Construction Laborer Killed in Trench Collapse while Taking Grade Measurements
- California FACE Report: A Heating, Ventilaton and Air Conditioning (HVAC) Contractor Dies when He Falls through a Skylight
- Massachusetts FACE Report: Carpenter Fatally Injured after Falling from an Extension Ladder
- Massachusetts FACE Report: Laborer Fatally Injured after Falling from a Home under Construction
- Oregon FACE Report: Worker Falls When Ladder Slips
- Michigan FACE Information Sheet: Look for Mobile Equipment Blind Spots
- Oregon FACE Report: Collapsed roof trusses kill carpenter foreman
- Washington FACE Report: Roofer Falls 19 Feet from Roof
- Hazard Alert: Plan. Provide. Train. Prevent Fall Injuries & Deaths
- Kentucky FACE Report: 19-Year-Old Construction Laborer Crushed in Trench Collapse While Laying Sewage Pipe
- Kentucky FACE Report: Construction Flagger Struck and Killed in Two-Lane Highway Work Zone
- Kentucky FACE Report:Temporary Electrician Helper Steps into Unguarded Elevator Shaft and Dies
- Fatality Narrative: Roofing Contractor Falls 25 Feet From Church Roof
- Kentucky FACE Report: Construction Siding Subcontractor Installer Killed when Oversized Scaffolding Platform Destabilized and Telescopic Forklift Overturned
- NIOSH FACE Report - Maintenance Worker Struck by Forklift Carriage—Tennessee
- Kentucky Hazard Alert: Roofing and Construction Workers Killed Due to High Winds
- Poster: Secure it to move it!
- Oregon FACE Report: Crane Operator Killed By Falling Steel Beam
- New Jersey FACE Report: Mechanic Dies After Being Crushed Under Electrical Cabinet
- New Jersey FACE Report: Plant Manager Crushed to Death Under Fallen Pile of Steel Beams
- NIOSH FACE Report: Hispanic worker falls from residential roof
- Oregon FACE Report: Construction worker died after falling 20-25 feet from a pump-jack scaffold
- FACE Fact Sheet: Prevent Construction Falls from Roofs, Ladders, and Scaffolds
- Laborer Injured in a Fall When a Portable Platform Ladder Overturned – Massachusetts
- Construction Fatality Narrative: Roofer Falls 18 Feet from Wet House Roof
- Construction Worker Killed when Trench Collapsed, Oregon
- A Tree Trimmer is Electrocuted While Trimming a Palm Tree
- A Tree Feller Dies When Struck By a Tree Limb While Felling a Fire-Damaged Tree
- Concrete Finisher Electrocuted When Bull Float Contacted an Energized Power Line
- Warehouse Worker Crushed by Forks of Laser Guided Vehicle
- Farmer Starting Tractor From Ground Run Over by Tractor, Michigan
The Oregon Fatalaty Assessment and Control Evaluation Program (OR-FACE) developed recommneations following the death of a carpenter when roof trusses collapsed. The recommendations include a comprehensive pre-job assessment of each stage of the project to ensure safety and compliance with manufacturer recommendations, review of practices for proper bracing and restraint, assembling sections on the ground or using scaffolds, and training workers on safe practices.
January 1, 2013
FATAL HAZARD: Collapsed roof trusses kill carpenter foreman
- Conduct pre-job assessment and plan each stage of the job
- Follow practices for adequate bracing and restraint
- Eliminate or minimize fall hazards by assembling sections on the ground or using scaffolds
- Train workers on safe practices.
Toolbox Talk Guide
Collapsed roof trusses kill carpenter foreman
INSTRUCTIONS: Hold the guide with this side facing you and the above Fatal Hazard side facing your crew. Then read the story.
Our safety talk today is about a 32-year-old carpenter foreman who was killed when the roof truss system he and his crew were installing collapsed. The truss manufacturer arranged for delivery of the trusses on a trailer pulled by a truck-mounted crane. The truck operator provided the foreman with the delivery packet containing the "Guide to Handling, Installing Restraining and Bracing Trusses." After each truss was lifted by the crane and set in place on the structure, the crew nailed temporary lateral restraints on the top chords but not diagonal bracing as instructed on the Guide.
After crew members fell off the top plates and the worker on the floor was struck by a truss and sustained a concussion. The supervisor fell to the floor and was fatally struck by a falling truss.
So here are some ways we can prevent something like this from happening where we work.
- Conduct pre-job assessment so we can plan each stage to reduce potential injuries and comply with manufacturer's recommendations.
- Review and follow practices for adequate bracing and restraints for truss installation. "Guide to good practice for handling, installing, restraining & bracing of metal plate connected wood trusses," developed by Structural Building Components Association shows where to locate temporary lateral restraints and diagonal bracing.
- Eliminate or minimize fall hazards by assembling sections on the ground and using bracket scaffolds. "Fall Protection: Safe practices for setting and bracing wood trusses and rafters," an OR-OSHA publication provides examples.
- Train workers on safe practices of their tasks.
ASK: "Does anyone have more ideas or comments to share?" Pause for discussion. Then see if there are ways to take action.
END WITH ACTION PLAN (ideas for what to ask or say).
- "Are there any circumstances where we assign workers tasks without providing training on safe practices?"
- "Does anyone have ideas for assuring that we follow manufacturer's instructions?"
- Express your commitement to training people for their assigned task.
- Commit to follow-up at the next safety talk.