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Inspection Detail
Inspection: 1343440.015 - Avery Dennison Corporation
Inspection Information - Office: Monrovia District Office
Site Address:
Avery Dennison Corporation
11195 Eucalyptus St.
Rancho Cucamonga, CA 91730
Mailing Address:
11195 Eucalyptus St., Rancho Cucamonga, CA 91730
Union Status: NonUnion
SIC:
NAICS: 322220
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/23/2018
Emphasis:
Case Closed: 04/03/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1361951 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| 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. | 02001 | Serious | 3210(B) | 12/28/2018 | 01/10/2019 | $18,000 | $18,000 | $0 | Z - Issued |
Investigation Summary
At 3:00 a.m. on July 19, 2018, an employee was performing maintenance on the overhead crane at the WC3 Slitter that was located approximately 12 feet above ground level. The employee fell and sustained a concussion, several fractured ribs, and a collapsed lung. The employee was hospitalized.
Keywords: Collapse, Concussion, Fall, Fracture, Lung, Maintenance, Overhead Crane, Rib
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1343440.015 | 57 | M | Hospitalized injury | Machinery maintenance occupations |