# Amputations, avulsions, enucleations  unspecified at Custom Truck One Source
> OSHA SIR `2025065886` · 6/20/2025 · KANSAS CITY, MISSOURI
## Severity
- **1 amputation**
- **Body part:** Finger or thumb tip(s), nail(s)
- **Nature of injury:** Amputations, avulsions, enucleations  unspecified
## Cause
- **Event:** Caught or wedged between objects  nonrunning
- **Source:** Hydraulic and pressurized cylinders
- **Secondary source:** Crowbars
## Employer
- **Name:** Custom Truck One Source
- **Location:** 7701 Independence Ave, KANSAS CITY, MISSOURI, 64125
- **NAICS:** 336212
- **Jurisdiction:** 1
## Narrative

Two employees were working together to insert a pin into a hydraulic cylinder. One employee was holding the cylinder in place to align it with the pinhole, while the injured employee was inserting the pin. The injured employee was aligning the pin and moved to determine whether the hole alignment was too high or low. At that moment, the crowbar being used to assist with alignment slipped and his left index fingertip was pinched between the cylinder and the housing, resulting in an amputation just below the fingernail.

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