Beyond the Minimum: Lessons from a Fatal Incident

Mar 24, 2026

What Happened

In June 2023, two people (Person A and Person B) were unloading a non-running 1950’s tractor from a trailer. Important points to include are:

Both Person A and Person B had experience unloading tractors that did not run.
There was a discussion and a plan was made prior to unloading the tractor.
While the engine didn’t run, its manual steering and brakes seemed to work, and all of the tires were inflated.
The trailer ramps were set up properly for the tractor’s wheel width.

Person A stood on the tractor to steer it, and Person B used a utility tractor and a chain to pull it off the trailer. As the utility tractor moved forward, the wheels of the 1950’s tractor slipped off the ramps. When this happened, Person A fell off the 1950’s tractor. Person B stopped the utility tractor when they heard a bang and felt slack in the chain. The 1950’s tractor kept moving, striking Person A and resulting in a fatal injury. It was also identified that the front tires were misaligned, causing it to veer to one side.

Corrective Actions After the Incident

Things the employer did to prevent a similar incident from happening again:

They stopped the work and documented hazard assessments and hazard control measures for loading and unloading older model tractors.

Prevention Highlights

Employers must have written hazard assessments and control reports that:
Identify all existing and potential hazards
Identify the measures taken to eliminate or control all identified hazards following the hierarchy of control
Involve affected workers in the hazard assessment and control process

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