The question is whether we have made improvements in the safety of persons working in or around machines a little over forty years since the passage of the Occupational Safety and Health (OSH) Act of 1970 (Public Law 91–596) and the creation of agencies like the Occupational Safety and Health Administration (OSHA), Mine Safety and Health Administration, and NIOSH. While overall fatality numbers and rates have generally decreased in recent decades [BLS, 2014], many workplaces are using machines that potentially introduce new risks [Etherton, 2007], and statistics suggest that machines (including forklifts and tractors) still account for 13% of all work-related deaths [BLS, 2014]. To determine if the incidence and circumstances have changed, we examined occupational machine-related fatalities for 1992–2010 and describe these deaths by temporal pattern for worker demographics, machine type (i.e., stationary versus mobile), and industry sector.