Inspection Detail
Inspection: 301135604 - American Poly Foam
Inspection Information - Office: Oakland District Office
Site Address:
American Poly Foam
22300 Hathaway Ave #A
Hayward, CA 94541
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3086
NAICS: 326150/Urethane and Other Foam Product (except Polystyrene) Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/16/2003
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 07/27/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361488372 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $3,600 | $0 | $0 | $100 | $0 | $3,700 |
| Current Penalty | $3,600 | $0 | $0 | $100 | $0 | $3,700 |
| 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 | 6151 C01 | 07/22/2003 | 08/05/2003 | $100 | $100 | $0 | - | ||
| 2. | 02001 | Serious | 3328 F | 07/22/2003 | 08/01/2003 | $1,800 | $1,800 | $0 | - | ||
| 3. | 03001 | Serious | 3203 A07 C | 07/22/2003 | 08/05/2003 | $1,800 | $1,800 | $0 | - |
Investigation Summary
At approximately 9:00 p.m. on March 19, 2003, Employee #1 was requested by her supervisor to use the Wolf cutting device as the regular operator was not at work. She was attempting to pull some plastic foam through the cutting device and it drew her index finger across the blade. She was taken to the hospital with cuts and lacerations to her finger.
Keywords: FINGER, ROTATING KNIFE, STRUCK AGAINST, CAUGHT BY, LACERATION, POINT OF OPERATION, STRUCK BY, UNTRAINED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 301135604 | Non Hospitalized injury | Cut/Laceration | Occupation not reported |
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