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Inspection Detail
Inspection: 1540463.015 - Georgia-Pacific Gypsum Llc
Inspection Information - Office: Tennessee Osha Jackson Office - Safety
Site Address:
Georgia-Pacific Gypsum Llc
150 Temple Drive
Cumberland City, TN 37050
Mailing Address:
150 Temple Drive, Cumberland City, TN 37050
Union Status: NonUnion
SIC:
NAICS: 327420/Gypsum Product Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/07/2021
Emphasis:
Case Closed: 10/22/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1777038 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| Current Penalty | $3,600 | $0 | $0 | $0 | $0 | $3,600 |
| 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 | 19100178 L01 II | 08/18/2021 | 11/17/2021 | $1,200 | $1,500 | $0 | P - Petition to Mod Abatement | ||
| 2. | 01002 | Serious | 19100178 M05 III | 08/18/2021 | 09/02/2021 | $1,200 | $1,500 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100178 O02 | 08/18/2021 | 09/30/2021 | $1,200 | $1,500 | $0 | I - Informal Settlement |
Investigation Summary
At 10:00 a.m. on June 14, 2021, Employee #1 was involved in a routine motor replacement. While the motor was temporarily positioned, it slipped and pinned the employee's lower right leg between the motor and the fork of a forklift. The employee suffered a broken tibia, bruising, and contusions to the lower right leg. Emergency services transported the employee to the hospital, where he was admitted and treated.
Keywords: Broken, Broken Bone, Contusion, Forklift, Fracture, Leg, Pinned, Pit, Slip, Tibia
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1540463.015 | 56 | M | Hospitalized injury | Machinery maintenance occupations |