A computer numerical control (CNC) lathe machining accident caused a fatal injury to a 27-year-old machinist on January 29, 2010 when he was struck by a piece of stainless steel bar stock. The accident gave reason for Washington State's Fatality Assessment and Control Evaluation (FACE) Program to make recommendations for shops to protect late operators that would extended shop safety standards. In this article, Eric Jalonen, MPH for American Machinist, takes a look at what went wrong and evaluates errors that should be understood and avoided.