Inspection Detail

Case Status: CLOSED

Inspection: 1571871.015 - Hy-Vee Fresh Commissary

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1571871.015

Report ID: 0751910

Date Opened: 01/11/2022

Site Address:
Hy-Vee Fresh Commissary
4150 Southeast Delaware Avenue
Ankeny, IA 50021

Mailing Address:
4150 Southeast Delaware Avenue, Ankeny, IA 50021

Union Status: NonUnion

SIC:

NAICS: 311991/Perishable Prepared Food Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/24/2022

Emphasis: N:Amputate, S:Amputate

Case Closed: 04/07/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1850551	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$17,556	$0	$0	$0	$0	$17,556
Current Penalty	$14,000	$0	$0	$0	$0	$14,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100147 C04 I	03/15/2022	$7,000	$8,778	$0	I - Informal Settlement
2.	01001B	Serious	19100147 C04 II D	03/15/2022	$0	$0	$0	I - Informal Settlement
3.	01002	Serious	19100147 C07 I	03/15/2022	$7,000	$8,778	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 142632.015

Event: 01/05/2022

Employee amputates fingers using meat blending machine

At 7:37 p.m. on January 5, 2022, an employee was in the process of cleaning a dual ribbon blender. The employee reached up into the discharge end of a blender in order to remove a piece of meat. During this process, his left hand come into contact with the rotating stainless steel blender ribbons. The employee amputated the second, third, fourth, and fifth digits of the left hand, and was hospitalized.

Keywords: Amputated, Amputation, Finger, Hand, Meat Blending Mach

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1571871.015	36	M	Hospitalized injury		Food Cleanup Worker

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