Accident Report Detail

Accident Summary Nr: 138304.015 - Employee receives electrical shock while changing shim tape

Accident Summary Nr: 138304.015 -- Report ID: 0317700 -- Event Date: 08/12/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1548677.015	08/19/2021		326199	Clearly Clean Products, Llc

Abstract: At 9:30 a.m. on August 12, 2021, Employee #1 was assisting a coworker with changing the shim tape on a machine. While bolting down the shim plate after applying the tape, Employee #1 accidentally contacted 480-volt electrical wires with his left forearm, resulting in an electrical shock. The employee was transported to the hospital but was treated without hospitalization.

Keywords: Electric Shock, Forearm, High Voltage, Shock

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury
1	1548677.015	60	M	Non Hospitalized injury

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