Inspection Detail

Case Status: CLOSED

Inspection: 1226386.015 - Arclin Surfaces, Llc.

Inspection Information - Office: Eau Claire Area Office

Inspection Nr: 1226386.015

Report ID: 0523900

Date Opened: 04/20/2017

Site Address:
Arclin Surfaces, Llc.
15859 Dyno Drive
Hayward, WI 54843

Mailing Address:
15859 Dyno Drive, Hayward, WI 54843

Union Status: NonUnion

SIC:

NAICS: 322222/Coated and Laminated Paper Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/20/2017

Emphasis: N:Amputate

Case Closed: 09/05/2017

Related Activity
Type	Activity Nr	Safety	Health
Referral	1202230	Yes	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2		1			3
Current Violations	2		1			3
Initial Penalty	$17,746	$0	$17,745	$0	$0	$35,491
Current Penalty	$10,650	$0	$10,645	$0	$0	$21,295
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 C04 I	08/04/2017	08/18/2017	$5,325	$8,873	$0	I - Informal Settlement
2.	01002	Serious	19100147 D03	08/04/2017	08/18/2017	$5,325	$8,873	$0	I - Informal Settlement
3.	02001	Repeat	19100147 D04 I	08/04/2017	08/18/2017	$10,645	$17,745	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 97482.015

Event: 04/15/2017

Employee's finger and arm are fractured when cleaning inside

At 2:30 a.m. on April 15, 2017, an employee was removing paint from the inside of the day tank in line # 3 using a water hose. The water hose was pulled into the tank by the agitator and injured the employees right hand and right arm. The agitator was not locked out. The employee sustained cuts and fractures to right arm and little finger.

Keywords: Arm, Cleaning, Finger, Fracture, Hose, Laceration, Lockout/Tagout, Tank

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1226386.015	23	F	Hospitalized injury		Laborers, except construction

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