# Multiple traumatic injuries and disorders, n.e.c. at Quality Tool, Inc.
> OSHA SIR `2022053918` · 5/5/2022 · BROOKINGS, SOUTH DAKOTA
## Severity
- **1 hospitalization**
- **Body part:** Chest, except internal location of diseases or disorders
- **Nature of injury:** Multiple traumatic injuries and disorders, n.e.c.
## Cause
- **Event:** Struck by discharged or flying object, n.e.c.
- **Source:** Machine and appliance parts, n.e.c.
- **Secondary source:** Punch presses
## Employer
- **Name:** Quality Tool, Inc.
- **Location:** 301 SUNRISE RIDGE ROAD, BROOKINGS, SOUTH DAKOTA, 57006
- **NAICS:** 332710
- **Jurisdiction:** 1
## Narrative

An employee was operating a coil-fed hydraulic punch press when a strip of material jammed in the die. The employee removed the guide rails and cleared the jam. The employee then re-secured the guide rails to the bottom die set by tightening the bolts. The employee then cycled the press, and a 2-inch guide rail shot out of the die and embedded in the employee's right side directly below the chest cavity causing a laceration, blunt force trauma, and a bruised liver. The employee required hospitalization and surgery.

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*Source: [OSHA Severe Injury Reports](https://www.osha.gov/severe-injury-reports) · MORVS · CC0 1.0*