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Inspection Detail
Inspection: 125915710 - Excalibur Extrusions, Inc.
Inspection Information - Office: Santa Ana District Office
Site Address:
Excalibur Extrusions, Inc.
110 E Crowther Ave
Placentia, CA 92870
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3052
NAICS: 326220/Rubber and Plastics Hoses and Belting Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/07/2004
Emphasis:
Case Closed: 03/01/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362359408 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $16,200 | $0 | $0 | $5,000 | $0 | $21,200 |
| Current Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| 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 | 342 A | 12/07/2004 | 12/10/2004 | $0 | $5,000 | $0 | 01/06/2005 | F - Formal Settlement | Citation has been deleted. |
| 2. | 02001 | Other | 4186 B | 12/07/2004 | 12/10/2004 | $5,000 | $16,200 | $0 | 01/06/2005 | F - Formal Settlement |
Investigation Summary
At approximately 8:00 p.m. on June 9, 2004, an employee was inserting a PVC pipe into the Number 3 Rotating Head Pipe Threader. His right index finger was inserted, allowing the clamping device of the threading machine to clamp onto the employee's finger. The employee reacted by pulling the finger away from the threading machine, which resulted in the stripping of the flesh and muscle from the employee's upper right index finger. The employee contacted the department's supervisor, who took the employee to Placentia Linda Hospital. The employee was at Placentia Linda Hospital for approximately four to five hours, in which his upper right index finger was amputated.
Keywords: AMPUTATED, THREADING MACHINE, FINGER, MACHINE OPERATOR, CAUGHT BY, PIPE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125915710 | Hospitalized injury | Amputation | Extruding and forming machine operators |