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Inspection Detail
Inspection: 1503854.015 - Polycap Llc
Inspection Information - Office: Va-E-Abingdon (Field Office) - Safety 0355110
Site Address:
Polycap Llc
219 Joe Gillespie Drive
Lebanon, VA 24266
Mailing Address:
219 Joe Gillespie Rd Po Box 566, Lebanon, VA 24266
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: 05/13/2021
Emphasis: S:Fri
Case Closed: 12/29/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1694206 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 2 | 2 | 4 | |||
| Initial Penalty | $19,917 | $0 | $0 | $0 | $0 | $19,917 |
| Current Penalty | $13,942 | $0 | $0 | $0 | $0 | $13,942 |
| 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 | Serious | 40.1-51.1.A | 05/12/2021 | 05/24/2021 | $9,294 | $13,277 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 16VAC25-60-120 | 05/12/2021 | 05/24/2021 | $4,648 | $6,640 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 19100303 B07 I | 05/12/2021 | 05/24/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02002 | Other | 19101030 C01 I | 05/12/2021 | 05/24/2021 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 10:30 a.m. on November 23, 2020, an employee was jacking up an extruder machine so that slides could be placed under it. The slides were to be used for moving the machine. A large die, weighing between 1,000-2,000 pounds, broke at its weld while the extruder machine was being jacked up. When the weld broke, the die fell onto the employee who was operating the jack. The employee was hospitalized to treat a lacerated forehead, two broken ribs, a fractured pelvis, and a small bleed to the brain.
Keywords: Brain Bleed, Broke, Broken Bone, Die, Extrude, Falling Object, Forehead, Fracture, Laceration, Lifting, Pelvis, Rib, Slide, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1503854.015 | 37 | M | Hospitalized injury | Machinery maintenance occupations |