Inspection Detail

Case Status: CLOSED

Inspection: 1265080.015 - Royal Adhesives & Sealants Llc

Inspection Information - Office: Miosha General Industry Safety & Health Division

Inspection Nr: 1265080.015

Report ID: 0552652

Date Opened: 10/02/2017

Site Address:
Royal Adhesives & Sealants Llc
4401 Page Ave
Michigan Center, MI 49254

Mailing Address:
Po Box 457, Michigan Center, MI 49254

Union Status: Union

SIC:

NAICS: 325520/Adhesive Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/18/2017

Emphasis: N:Amputate, S:Injury/Illness

Case Closed: 12/04/2017

Related Activity
Type	Activity Nr	Safety	Health
Referral	1260864	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$10,300	$0	$0	$0	$0	$10,300
Current Penalty	$5,150	$0	$0	$0	$0	$5,150
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	408.16222(3)	10/27/2017		$2,000	$4,000	$0	I - Informal Settlement
2.	01002A	Serious	19100147 C04 I	10/27/2017	12/04/2017	$3,150	$6,300	$0	I - Informal Settlement
3.	01002B	Serious	19100147 C07 I A	10/27/2017	12/04/2017	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 99477.015

Event: 09/01/2017

Employees is by cut by guillotine and amputates two fingers

At 6:00 p.m. on September 1, 2017, an employee was trying to clear failed adhesive product from a conveyor system under a guillotine cutoff operation. The cutter cycled while his hand was under the knife resulting in amputation of two fingers on his right hand.

Keywords: Air Pressure, Amputation, Caught In, Conveyor, Finger, Lockout/Tagout, Machine Guarding

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1265080.015	33	M	Hospitalized injury		Machine operators, not specified

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