Long-serving employee Kevin Mauger was crushed by a railway track weighing six tons while working at a rail depot in Hampshire.
The 53-year-old from Eastleigh had five children and eight grandchildren.
He had been carrying out maintenance on Network Rail’s rail production line at the Long Welded Rail Depot off Dutton Lane in Eastleigh on 30 November 2020.
As he was cleaning the inside of a butt-welding machine – a machine that welds two sections of rail tracks together. The machine’s conveyor system was on the wrong setting and that meant a section of rail track entered the machine while Kevin was inside. He was crushed and died at the scene.
A Health and Safety Executive investigation found Network Rail failed to ensure there was a safe system of work while carrying out maintenance on its rail production line.
Network Rail also failed to provide an adequate risk assessment for this type of maintenance.
HSE inspector Amanda Huff said: “This tragic accident was wholly avoidable, caused by the failure of the company to implement safe systems of work.
“There were no written isolation procedures in place when they were working on this highly dangerous piece of machinery and the risk assessment for carrying out maintenance was inadequate – it failed to identify suitable and sufficient control measures.
“This accident could have been avoided if there had been robust isolation procedures in place but tragically this was not the case.”