Cafe waitress Renata Kovalyova, 32, became trapped at a shopping centre in Saratov, a city in south-western Russia.
CCTV footage shows the waitress leaning into the shaft as the tray of food begins going down.
The top of the lift then traps her head, leaving her pinned and struggling to get free before she eventually passes out.
The footage released by the shopping centre to local media then shows her collapsed on her knees with her head still stuck in the shaft.
She was found after horrified security guard Maxim Artemiev, 45, heard her strangulated screams before she fell unconscious.
He said: 'I was walking up the stairs when I heard this horrible chocking cry. When I got to the top of the stairs I saw a body sticking out of the lift.
'I immediately called for help and with some other waiting and kitchen staff managed to get her out.
'Luckily, she was still alive, but how I don't know as it was really pinned down on her hard.
'The force that was pressing down on her head was enough to have killed her.'
Kovalyova was rushed to hospital where she was treated for head and spine injuries.
A spokesman for the hospital said: 'She is in a stable condition and is being monitored.
'She's complained that she can't feel her legs properly, but we are hoping that she will get back full usage.'
Source : DailyMail
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