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Inspection Detail
Inspection: 1496069.015 - Staff Management Solutions, Llc
Inspection Information - Office: Appleton Area Office
Site Address:
Staff Management Solutions, Llc
N6927 Johnsonville Way
Sheboygan Falls, WI 53085
Mailing Address:
860 W. Evergreen, Chicago, IL 60642
Union Status: NonUnion
SIC:
NAICS: 561311
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/04/2021
Emphasis: N:Amputate
Case Closed: 03/05/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1665920 | Yes | |
| Inspection | 1496095 | Yes |
Investigation Summary
At 7:57 p.m. on September 27, 2020, an employee was in the process of sanitizing and cleaning a RapidPak (Model: RP-55, Serial Number: 855203) and a Drake (Model: 1800, Serial Number: 03-503). Both pieces of equipment were in line with each other. The employee placed a lockout lock on the Drake, but did not place a lockout lock on the Rapidpak as he was waiting for a replacement. The employee was placing a blue combo bag over the forming heads before sanitation could begin. While placing the bag, the employee's hand triggered the photo eye for the forming head, the forming head cycled and pinched the employee. The employee amputated the middle finger and was treated without hospitalization.
Keywords: Amputated, Amputation, Cleaning, Finger, Forming Machine, Lockout, Lockout/Tagout, Machine Cycled, Machine operator, Sanitation
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1496069.015 | 21 | M | Non Hospitalized injury | Laborers, except construction |