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Inspection Detail
Inspection: 1398988.015 - Pacific Interlock Pavingstone, Inc.
Inspection Information - Office: Modesto District Office
Site Address:
Pacific Interlock Pavingstone, Inc.
1895 San Felipe Road
Hollister, CA 95023
Mailing Address:
1895 San Felipe Road, Hollister, CA 95023
Union Status: NonUnion
SIC:
NAICS: 327991/Cut Stone and Stone Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/12/2019
Emphasis:
Case Closed: 12/18/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1449166 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $2,025 | $0 | $0 | $225 | $0 | $2,250 |
| Current Penalty | $1,350 | $0 | $0 | $150 | $0 | $1,500 |
| 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 | 3272(B) | 10/07/2019 | $150 | $225 | $0 | I - Informal Settlement | |||
| 2. | 02001 | Serious | 3314(C) | 10/07/2019 | $1,350 | $2,025 | $0 | I - Informal Settlement |
Investigation Summary
At 7:15 a.m. on April 23, 2019, an employee was working for a firm that made cut stone and stone products. He was operating a KVM 9601 1/2 meter machine. The KVM 9601 machine was housed inside its own room, guarded by location with a lock on the door, accessible only to the operator, who operated the machine from an adjacent control room. The employee went into the machine area. He was using compressed air to blow off debris from machine. There was insufficient aisle space around the machine, and the employee tripped on the compressed air hose. When he tried to break his fall, he inadvertently placed his hands into the point of operation. His right hand went into a pinch point. He suffered the partial amputation of the ring and middle fingers on his right hand. He was not hospitalized.
Keywords: Air Hose, Amputated, Cleaning, Compressed Air, Fall, Finger, Hand, Housekeeping, Lockout, Machine operator, Nip Point, Partial Amputation, Point Of Operation, Tripped, Walking Surface
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1398988.015 | 45 | M | Non Hospitalized injury | Supervisors, production occupations |