Inspection Detail
Inspection: 122464506 - Madison Forms Corp.
Inspection Information - Office: Madison Area Office
Site Address:
Madison Forms Corp.
4423 Triangle St.
Mcfarland, WI 53558
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2761
NAICS: 0
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/31/1995
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 10/23/1995
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 901330993 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $5,750 | $0 | $0 | $0 | $0 | $5,750 |
| Current Penalty | $2,875 | $0 | $0 | $0 | $0 | $2,875 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100147 C01 | 09/13/1995 | 10/16/1995 | $1,250 | $2,500 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100212 A01 | 09/13/1995 | 09/22/1995 | $1,250 | $2,500 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100219 C04 I | 09/13/1995 | 09/18/1995 | $375 | $750 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19100038 A01 | 09/13/1995 | 09/22/1995 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1 was operating a printing press on which he had minimal training. When paper in the press jammed, he shut off the machine, cut the paper loose, grabbed the end of the paper with his fingers, and attempted to push the jog button. Employee #1 inadvertently pushed the run button, which was close to the jog button. The employee's fingers, hand, and arm were pulled into the press rollers and fractured in several places. The employer had no written procedures for unjamming the press and no written lockout/tagout program. The machine was improperly guarded and not equipped with a safe mode.
Keywords: FRACTURE, PRINTING PRESS, WORK RULES, JAMMED, LOCKOUT, ROLLER--MACH/PART, ARM, UNTRAINED, HAND, UNGUARDED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 122464506 | Hospitalized injury | Fracture | Occupation not reported |
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