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Inspection Detail
Inspection: 1580926.015 - Pro-Form Laboratories Llc
Inspection Information - Office: American Canyon District Office
Site Address:
Pro-Form Laboratories Llc
5001 Industrial Way
Benicia, CA 94510
Mailing Address:
5001 Industrial Way, Benicia, CA 94510
Union Status: NonUnion
SIC:
NAICS: 325412/Pharmaceutical Preparation Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/19/2022
Emphasis:
Case Closed: 05/05/2025
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1870705 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $18,000 | $0 | $0 | $2,250 | $0 | $20,250 |
| Current Penalty | $18,000 | $0 | $0 | $2,250 | $0 | $20,250 |
| 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 | Other | 3203(A)(7)(D) | 08/19/2022 | $750 | $750 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 3314(G) | 08/19/2022 | $750 | $750 | $0 | Z - Issued | |||
| 3. | 01003 | Other | 3314(L) | 08/19/2022 | $750 | $750 | $0 | Z - Issued | |||
| 4. | 02001 | Serious | 3314(C) | 08/19/2022 | $18,000 | $18,000 | $0 | 08/31/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 9:30 a.m. on February 24, 2022, an employee was working as a quality assurance inspector for a firm that manufactured pharmaceutical preparations. He was cleaning a Ross model 4NT 5S ribbon blender. His right hand was on the edge of the blender's mixing trough. The blender's stainless-steel lid fell closed onto the worker's right hand, trapping it against the edge of the mixing trough. The employee suffered the amputation of the fingertips of the first and second fingers of his right hand. He was hospitalized.
Keywords: Amputated, Amputation, Cleaning, Falling Object, Fingertip, Hand, Injury Illness Prevention Program, Lockout, Lockout/Tagout, Struck Against, Training, Trapped, Vessel--Container
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1580926.015 | 29 | M | Hospitalized injury | Quality Assurance Inspector |