Inspection Detail

Inspection: 122464506 - Madison Forms Corp.

Inspection Information - Office: Madison Area Office

Inspection Nr: 122464506

Report ID: 0523300

Date Opened: 08/28/1995

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

Related Activity
Type	Activity Nr	Safety	Health
Referral	901330993	Yes

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigation Nr: 14372700

Event: 08/28/1995

Employee's hand, arm and fingers fractured in press

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	122464506			Hospitalized injury	Fracture	Occupation not reported

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