Inspection Detail

Case Status: CLOSED

Inspection: 1580979.015 - Pacific Manufacturing Tennessee, Inc.

Inspection Information - Office: Tennessee Osha Jackson Office - Safety

Inspection Nr: 1580979.015

Report ID: 0454715

Date Opened: 03/02/2022

Site Address:
Pacific Manufacturing Tennessee, Inc.
555 Smith Lane
Jackson, TN 38301

Mailing Address:
555 Smith Lane, Jackson, TN 38301

Union Status: NonUnion

SIC:

NAICS: 336370/Motor Vehicle Metal Stamping

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/02/2022

Emphasis:

Case Closed: 05/27/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1865317	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$3,200	$0	$0	$200	$0	$3,400
Current Penalty	$3,200	$0	$0	$200	$0	$3,400
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.	01001A	Serious	19100178 L01 II	03/22/2022	05/26/2022	$3,200	$3,200	$0	P - Petition to Mod Abatement
2.	01001B	Serious	19100178 L04 I	03/22/2022	05/26/2022	$0	$0	$0	P - Petition to Mod Abatement
3.	01001C	Serious	19100178 L04 II B	03/22/2022	04/04/2022	$0	$0	$0	Z - Issued
4.	02001	Other	19100178 L06	03/22/2022	05/26/2022	$200	$200	$0	P - Petition to Mod Abatement

Investigation Summary

Investigation Nr: 144172.015

Event: 02/09/2022

Employee sustains degloving of toe after caught between fork

At approximately 2:45 p.m. on February 9, 2022, an employee placed parts containers in a row located on aisle D7 using a stand-up forklift. The standup forklift operator was backing out of aisle D7. While doing so, his left foot was not positioned inside the containment area of the lift, and the operator allowed the lift to become too close to the feed racking on the opposite side of the aisle. The employee's foot was injured when it was caught between the forklift and the feed rack. The employee sustained a degloving of the left middle toe, which resulted in a surgical amputation. The employee was hospitalized to treat these injuries.

Keywords: Amputated, Amputation, Backing Up, Caught Between, Degloving, Forklift, Stand-Up Forklift, Struck By, Toe

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1580979.015	46	M	Hospitalized injury		Pressing machine operators

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