Inspection Detail

Case Status: CLOSED

Inspection: 1550243.015 - Quality Service Integrity

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1550243.015

Report ID: 0751910

Date Opened: 08/31/2021

Site Address:
Quality Service Integrity
3183 Iowa Highway 17
Eagle Grove, IA 50533

Mailing Address:
8043 Bevlah Land Drive, Ozark, AR 72949

Union Status: NonUnion

SIC:

NAICS: 561720/Janitorial Services

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/20/2021

Emphasis: N:Amputate, S:Amputate

Case Closed: 04/11/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1803204	Yes
Inspection	1550249	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$11,703	$0	$0	$0	$0	$11,703
Current Penalty	$0	$0	$0	$13,500	$0	$13,500
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	Contest	Latest Event	Note
1.	01001	Other	19100147 C04 I	01/03/2022	02/04/2022	$13,500	$11,703	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 138627.015

Event: 08/25/2021

Employee lacerates, tears arm when caught in incline conveyo

At 2:10 a.m. on August 25, 2021, an employee working for a janitorial service was working in the vicinity of the Frontmatic Q500 Tender Trim Incline Conveyor Belt. The conveyor was located at the south end of the Tender Trim line. As the employee was working, he became entangled in the rotating shaft/scraper blade. The employee was hospitalized to treat a lacerated right arm with associated muscle, tendon, nerve and bone damage.

Keywords: Arm, Belt Conveyor, Blade, Caught By, Cleaning, Conveyor, Conveyor Belt, Entangled, Janitor, Laceration, Lockout, Lockout/Tagout, Multi-employer Worksite, Multiemployer, Nerve damage, Pinch Point, Pinched, Rotating Parts, Rotating Shaft, Scraper, Tear

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1550243.015	28	M	Hospitalized injury		Occupation Not Listed

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