Analysis of a fatal electrical injury due to improper switch operation

► Electrician tried to change the single pole fuse of an outdoor transformer on a pylon. ► The insulator of the phase broke resulting in the release of the power distribution wire. ► The technician came into contact with the loose wire and suffered an electric shock. ► The technician did not follow basic safety rules and closed the switch with an unorthodox method. ► Technical and organizational proposals are made to reduce future accidents.