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McCain Foods (Aust.) Pty Ltd manufactures frozen food products at 1059 Ring Road, Wendouree. On 27 February 2007, an employee maintenance fitter was performing maintenance on a Magnuson Brush Washing Machine. At the time the machine was not effectively isolated. There was general confusion between the maintenance staff regarding the functions of the various switches on this multiple-drive motor machine. There was no specific lockout procedure and the generic lockout procedures had not been followed.
The employees involved had no specific training in any isolation procedures. The employee's left thumb was amputated when the machine started whilst he was working on it.
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