Inspection Detail

Case Status: CLOSED

Inspection: 1496194.015 - Plastic Ingenuity, Inc.

Inspection Information - Office: Madison Area Office

Inspection Nr: 1496194.015

Report ID: 0523300

Date Opened: 10/07/2020

Site Address:
Plastic Ingenuity, Inc.
20 Industrial Drive
Mazomanie, WI 53560

Mailing Address:
20 Industrial Drive, Mazomanie, WI 53560

Union Status: NonUnion

SIC:

NAICS: 326199/All Other Plastics Product Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/07/2020

Emphasis: N:Amputate

Case Closed: 07/27/2021

Related Activity
Type	Activity Nr	Safety	Health
Referral	1668060	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$7,461	$0	$0	$0	$0	$7,461
Current Penalty	$5,596	$0	$0	$0	$0	$5,596
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19100147 C04 I	03/30/2021	05/04/2021	$5,596	$7,461	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 130119.015

Event: 10/02/2020

Employee sustains multiple injuries from fall into extruder

At 11:45 a.m. on October 2, 2020, an employee working as a senior extruder operator for a plastic products manufacturer was preparing to clean the middle roller on the roll stand of a P4 Extruder. The machine was a was a Processing Technologies International Model RJU601220 (serial number 16532/4329) Plastic Extruder. While gathering cleaning supplies, the employee slipped or tripped and fell, right arm first, into a 4.5-inch gap between the in-running primary and middle motorized rollers. The employee reached the e-stop cord releasing the roller motion. This allowed the employee to fall to the floor where coworkers found him. The employee was hospitalized to treat broken ribs, a punctured lung, a broken clavicle, a fractured jaw and facial lacerations.

Keywords: Blunt force, Blunt force trauma, Broken, Broken Bone, Catch Point, Caught Between, Chest, Cleaning, Extrude, Face, Fall, Fall On Same Level, Fracture, Jaw, Laceration, Lung, Machine operator, Power Roller, Puncture, Puncture Wound, Rib, Roller--Mach/Part, Shoulder, Slip, Tripped

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1496194.015	49	M	Hospitalized injury		Laborers, except construction

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