The circumstances were:
- Gary Whiting was part of a 4-man team carrying out a routine service of a large metal press, a machine the size of a two-bedroom house.
- The press was one of only a handful in the country and used to make Hawk jet trainer components.
- It was serviced around four times a year and all the maintenance team were experienced workers.
- Two men were working at one end of the machine and two at the opposite end. Neither pair could properly see the other.
- Mr Whiting and his colleague were working with one of the two trays that fed into either end of the press.
- The other team was testing the tray bed and press frame at the other side.
- Mr Whiting entered the machine to remove a piece of equipment.
- At the same time, one of his colleagues at the far end started the full test cycle of the press frame.
- The 45-square-metre frame descended, trapping and crushing Mr Whiting who died later that day.
- There were serious safety failings of BAE Systems (Operations) Ltd at its plant in Saltgrounds Road, Brough.
- There were a series of flaws in safety practices during maintenance of the metal press, some of which had existed for many years.
- There were no suitable assessment of the risks associated with the test process.
- There was a lack of engineering control measures to prevent entry by workers to dangerous parts of the machine during testing or to stop the machine if anyone did enter a danger zone.
The accident occurred over 4 years ago.
Source: HSE 21/5/13 Y&H/105/13