Inspection Detail

Case Status: CLOSED

Inspection: 1269266.015 - Lakeside Foods Inc.

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1269266.015

Report ID: 0521100

Date Opened: 10/10/2017

Site Address:
Lakeside Foods Inc.
709 Allen St
Random Lake, WI 53075

Mailing Address:
808 Hamilton Street, Manitowoc, WI 54221

Union Status: NonUnion

SIC:

NAICS: 311421/Fruit and Vegetable Canning

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/10/2017

Emphasis:

Case Closed: 04/26/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1271947	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$12,934	$0	$0	$0	$0	$12,934
Current Penalty	$12,934	$0	$0	$0	$0	$12,934
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	Contest	Latest Event	Note
1.	01001A	Serious	19100147 C04 I	02/22/2018	03/16/2018	$0	$12,934	$0		I - Informal Settlement	Citation has been deleted.
2.	01001B	Serious	19100212 A01	02/22/2018	04/20/2018	$12,934	$0	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 99689.015

Event: 10/09/2017

Employee is clearing corn cob from conveyor belt and amputat

At 9:40 a.m. on October 9, 2017, an employee was cleaning a work area while waiting for maintenance repairs to be completed on a waste removal system. The employee noticed that there was a corn cob caught inside the Nubbin Eliminator Belt and attempted to remove it by reaching in with a metal rod from the south side. The metal rod was a 1/4 inch rod bent at one end into a handle and the other end was shaped into a makeshift hook. The employee was pulled into the in-running nip point created by the bottom belt and the tail pulley and suffered an amputation to the right arm above the elbow. The employee was hospitalized.

Keywords: Amputation, Arm, Caught In, Conveyor, Elbow, Machine Guarding, Nip Point

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1269266.015	30	F	Hospitalized injury		Laborers, except construction

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