Description of Event:
An employee was driving out a rotor pole key using a hammer for rotor disassembly as part of unit rehabilitation. The hammer glanced off of the key and struck the employee’s thumb causing a laceration and fracture.
Actions Taken:
Medical treatment.
Method & Findings:
Critical Step that triggered the incident:
System Gaps:
Key Controls: None in place
Error traps or contributing factors:
Supporting Materials:
Corrective Actions:
Purchase of a small air hammer for this task that will eliminate the use of a hammer.
Create a procedure or process to use for disassembly.
Sequence & Completion Dates for Actions Listed:
Lessons Learned:
Use an air hammer or a hydraulic ram to remove keys from rotor in future disassembly.
Recommendations: