Inspection Detail

Inspection: 120339031 - Paperboard Packaging Inc Dba Deluxe Packages

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120339031

Report ID: 0950621

Date Opened: 04/17/2003

Site Address:
Paperboard Packaging Inc Dba Deluxe Packages
800 N. Walton Ave.
Yuba City, CA 95992

Mailing Address:
Po Box 3057, Yuba City, CA 95992

Union Status: NonUnion

SIC:2759

NAICS: 326112/Plastics Packaging Film and Sheet (including Laminated) Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/18/2003

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 04/21/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362353484

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$25,000	$0	$0	$375	$0	$25,375
Current Penalty	$5,400	$0	$0	$375	$0	$5,775
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3314 H03	07/02/2003	08/04/2003	$375	$375	$0	03/04/2004	W - Empr Withdrew
2.	02001	Serious	3314 E03	07/02/2003	07/15/2003	$5,400	$25,000	$0	03/04/2004	J - ALJ Decision

Investigation Summary

Investigation Nr: 201173267

Event: 04/02/2003

Employee's thumb amputated

At approximately 11:30 p.m. on April 4, 2003, Employee #1, a maintenance technician, was working with another employee, a machine operator, to adjust the side-to-side register on the deck of a Fischer & Krecke 480 Volts, 60 Hz, 3-phase printing press, model number#2862. The access doors were opened to the decks and to the power switches. Employee #1 was adjusting the register and the other employee would cycle the machine. After the machine cycled, Employee #1 would check visually to see if register was properly aligned. Employee #1 was on his hands and knees, and had made an adjustment. The other employee was standing behind him. Employee #1 turned and told the other employee to "Cylinder up" (cycle the machine). The second employee walked to the control panel (out of visual contact with Employee #1) and said "Take cylinder up", Employee #1 said, "Yes cylinder up". At this time Employee #1 went to move away from machine, he got a cramp in his leg, and began to reposition himself. In doing this he put his left hand into the press with his thumb on top of actuator ram. The machine had been activated by second employee and the actuator switch moved up into the bottom of the proxy switch. Employee #1's left thumb was amputated and he was hospitalized.

Keywords: MAINTENANCE, PRINTING PRESS, AMPUTATED, PRINTING, MACHINE OPERATOR, THUMB, PRESS, UNGUARDED, RAM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120339031			Hospitalized injury	Amputation	Machinery maintenance occupations

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