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Inspection Detail
Inspection: 1240957.015 - International Polymer Solutions Inc
Inspection Information - Office: Santa Ana District Office
Site Address:
International Polymer Solutions Inc
5 Studebaker
Irvine, CA 92618
Mailing Address:
5 Studebaker, Irvine, CA 92618
Union Status: NonUnion
SIC:
NAICS: 325510/Paint and Coating Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/14/2017
Emphasis:
Case Closed: 08/28/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1229537 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $54,000 | $0 | $0 | $1,650 | $0 | $55,650 |
| Current Penalty | $43,200 | $0 | $0 | $1,100 | $0 | $44,300 |
| 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 | Other | 3203(A) | 12/15/2017 | 01/02/2018 | $550 | $825 | $0 | 01/22/2018 | F - Formal Settlement | |
| 2. | 01002 | Other | 3314(G)(2)(A) | 12/15/2017 | 01/02/2018 | $550 | $825 | $0 | 01/22/2018 | F - Formal Settlement | |
| 3. | 02001 | Serious | 3314(C) | 12/15/2017 | 01/02/2018 | $14,400 | $18,000 | $0 | 01/22/2018 | F - Formal Settlement | |
| 4. | 03001 | Serious | 3314(D) | 12/15/2017 | 01/02/2018 | $14,400 | $18,000 | $0 | 01/22/2018 | F - Formal Settlement | |
| 5. | 04001 | Serious | 4184(B) | 12/15/2017 | $14,400 | $18,000 | $0 | 01/22/2018 | F - Formal Settlement |
Investigation Summary
At 10:00 a.m. on June 19, 2017, an employee was in the shop trouble shooting and adjusting a CNC milling machine (Haas VF-2D #1072943) which was not cutting correctly. The employee leaned into the machine and was checking the setup of the parts when something flew off and penetrated his chest. The employee was transported to Mission Hospital where he had surgery and was hospitalized.
Keywords: Chest, Flying Object, Mech Malfunction, Milling Machine, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1240957.015 | 45 | M | Hospitalized injury | Machinists |