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Inspection Detail
Inspection: 526998.015 - Performance Pallet Corp
Inspection Information - Office: Appleton Area Office
Site Address:
Performance Pallet Corp
112 N Mainline Drive
Seymour, WI 54165
Mailing Address:
112 N Mainline Dr, Seymour, WI 54165
Union Status: NonUnion
SIC:
NAICS: 321920/Wood Container and Pallet Manufacturing
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/09/2012
Emphasis: N:Amputate, L:Piv
Case Closed: 02/28/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 446790 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $17,870 | $0 | $0 | $0 | $0 | $17,870 |
| Current Penalty | $5,730 | $0 | $0 | $0 | $0 | $5,730 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19100147 C06 I | 11/02/2012 | 12/04/2012 | $0 | $6,930 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01001B | Serious | 19100147 C06 I | 11/02/2012 | 12/04/2012 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 3. | 01001C | Serious | 19100147 D02 | 11/02/2012 | 12/04/2012 | $2,700 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100147 D03 | 11/02/2012 | 12/04/2012 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 01002 | Other | 19100242 B | 11/02/2012 | 11/05/2012 | $0 | $3,366 | $0 | I - Informal Settlement | ||
| 6. | 01003 | Serious | 19100243 C01 | 11/02/2012 | 11/09/2012 | $1,350 | $3,366 | $0 | I - Informal Settlement | ||
| 7. | 01004 | Serious | 19100305 G01 IV A | 11/02/2012 | 12/04/2012 | $1,680 | $4,208 | $0 | I - Informal Settlement | ||
| 8. | 02001 | Other | 19101200 E01 II | 11/02/2012 | 12/04/2012 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
At 9:00 a.m. on July 17, 2012, an employee was assisting a maintenance worker who was putting a chain back on its track for a lift truck carriage. The employee was holding onto the chain and the tips of his middle finger and ring finger on his right hand got caught between the mast and chain sprocket. Both finger tips were amputated.
Keywords: Amputation, Caught In, Finger, Powered Industrial Vehicle
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 526998.015 | 42 | M | Non Hospitalized injury |