Inspection Detail

Case Status: CLOSED

Inspection: 1540463.015 - Georgia-Pacific Gypsum Llc

Inspection Information - Office: Tennessee Osha Jackson Office - Safety

Inspection Nr: 1540463.015

Report ID: 0454715

Date Opened: 07/07/2021

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

Related Activity
Type	Activity Nr	Safety	Health
Referral	1777038	Yes

Case Status: CLOSED

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigation Nr: 136971.015

Event: 06/14/2021

Employee suffers broken leg when pinned between motor and fo

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1540463.015	56	M	Hospitalized injury		Machinery maintenance occupations

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