Inspection Detail

Case Status: CLOSED

Inspection: 1694413.015 - Custom Stamping Inc.

Inspection Information - Office: Nv-E-Reno 0953210

Inspection Nr: 1694413.015

Report ID: 0953210

Date Opened: 08/29/2023

Site Address:
Custom Stamping Inc.
4855 Hytech Drive
Carson City, NV 89706

Mailing Address:
4855 Hytech Drive, Carson City, NV 89706

Union Status: NonUnion

SIC:

NAICS: 332119

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/24/2023

Emphasis:

Case Closed: 01/29/2024

Related Activity
Type	Activity Nr	Safety	Health
Accident	2083383

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$1,500	$0	$1,500
Current Penalty	$0	$0	$0	$1,500	$0	$1,500
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	19040039 A01	10/30/2023		$1,500	$1,500	$0		Z - Issued

Investigation Summary

Investigation Nr: 160051.015

Event: 07/24/2023

Employee suffers incarcerated inguinal hernia and dies

At 9:00 a.m. on July 13, 2023, an employee was stretching up to put a box on a top shelf and pulled his groin. The employee did not notify the employer of the injury until July 17. Once the employer was notified, the production manager had the employee fill out an injury form and told him to seek medical treatment, but the employee refused. On July 19, the employee called and reported that he was still in pain and went to the hospital. The employee was diagnosed a left inguinal hernia and was sent home with a note to return to work on July 24. On July 24, the employee did not show up for work and police were notified to perform a welfare check. The employee was found unresponsive sitting in a recliner. Emergency assistance was contacted and the employee was declared dead. The medical examiner's office determined the cause of death was sepsis due to an incarcerated inguinal hernia.

Keywords: Hernia, Material Handling, Moving, Storage Rack, Tote Box, Unresponsive

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1694413.015	52	M	Fatality		Pressing machine operators

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