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Inspection Detail
Inspection: 1538155.015 - Ki, Inc.
Inspection Information - Office: Appleton Area Office
Site Address:
Ki, Inc.
1330 Bellevue Street
Green Bay, WI 54302
Mailing Address:
1330 Bellevue Street, Green Bay, WI 54302
Union Status: NonUnion
SIC:
NAICS: 337214/Office Furniture (except Wood) Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: Y
Ownership: Private
Safety/Health: Safety
Close Conference: 06/25/2021
Emphasis: P:Amputate, N:Amputate, L:Fall, L:Piv
Case Closed: 08/31/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1779017 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $46,420 | $0 | $0 | $0 | $0 | $46,420 |
| Current Penalty | $17,408 | $0 | $0 | $0 | $0 | $17,408 |
| 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 | 19100147 C07 I A | 12/16/2021 | 02/01/2022 | $5,803 | $11,605 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100147 D | 12/16/2021 | 02/01/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100147 F01 | 12/16/2021 | 03/01/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01002A | Serious | 19100212 A01 | 12/16/2021 | 08/31/2022 | $5,803 | $11,605 | $0 | I - Informal Settlement | ||
| 5. | 01002B | Serious | 19100212 A03 II | 12/16/2021 | 08/31/2022 | $0 | $11,605 | $0 | I - Informal Settlement | ||
| 6. | 01004A | Serious | 19100217 C03 I E | 12/16/2021 | $5,803 | $11,605 | $0 | I - Informal Settlement | |||
| 7. | 01004B | Serious | 19100217 C02 I A | 12/16/2021 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 1:00 a.m. on June 21, 2021, an employee was operating a Versa Leg Bender in the Versa Fabrication Department. While setting up the machine for a product change, the employee removed the guard and ran several test pieces by holding down a pressure sensor with their left hand. On the fourth test piece, the machine actuated unexpectedly while the employee's hand was in the pinch point, resulting in the amputation of three fingertips. The employee was hospitalized for treatment.
Keywords: Amputated, Amputation, Caught Between, Caught By, Caught In, Finger, Fingertip, Hand, Pinch Point, Pinched
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1538155.015 | 45 | M | Hospitalized injury | Machine operators, not specified |