Inspection Detail
Inspection: 1509889.015 - 317728029 - Polyform Inc
Inspection Information - Office: Or-E-Salem 1054100
Site Address:
317728029 - Polyform Inc
3125 22nd St Se
Salem, OR 97302
Mailing Address:
3125 22nd St Se, Salem, OR 97302
Union Status: NonUnion
SIC:3083
NAICS: 326130/ Laminated Plastics Plate, Sheet (except Packaging), and Shape Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/25/2021
Emphasis:
Case Closed: 07/07/2021
Type | Activity Nr | Safety | Health |
---|---|---|---|
Inspection | 1516843 | Yes |
Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
---|---|---|---|---|---|---|
Initial Violations | 1 | 1 | ||||
Current Violations | 1 | 1 | ||||
Initial Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
Current Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
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. | 01001A | Serious | OAR 437-002-0134(12)(C) | 03/04/2021 | 11/09/2020 | $1,200 | $1,200 | $0 | Z - Issued | ||
2. | 01001B | Serious | 19100212 A03 II | 03/04/2021 | 11/09/2020 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At 12:45 a.m. on November 3, 2020, an employee was working for a temporary staffing agency. He had been sent to work at a firm that manufactured laminated plastic sheets, plates, and other shapes. The employee was working as a contract laborer. He was operating an OMGA model number RN 350 FM US radial arm saw. He was cutting a plastic part to size with the radial arm saw while inappropriately wearing an oversized "hot glove." The glove was caught by the saw, and his left hand was pulled into the saw. All five fingers on his left hand were amputated. The employee was hospitalized. The saw was equipped with the manufacturer's point of operation guard, but the employer's procedure in place at the time of the incident exposed the hands of the operator to the point of operation, rendering the manufacturer's guard ineffective. There were two UPAs associated with this incident. The UPA for the temporary staffing agency was 1509889. The UPA for the manufacturing firm was 1516843.
Keywords: Amputated, Amputation, Blade, Caught By, Clothing, Construction, Finger, Glove, Guard, Hand, Instantaneous amputation, Laborer, Lack of Work Procedures, Machine Guarding, Multi-employer Worksite, Multiemployer, Pulled In, Radial Saw, Rotating Parts, Saw, Temporary, Temporary Employment Agency, Traumatic Amputation
# | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
---|---|---|---|---|---|---|
1 | 1509889.015 | 26 | M | Hospitalized injury | Occupation not reported |