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
 
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