Inspection Detail

Inspection: 307149666 - Surfside Products, Llc

Inspection Information - Office: Marlton Area Office

Inspection Nr: 307149666

Report ID: 0213900

Date Opened: 01/27/2004

Site Address:
Surfside Products, Llc
2838 High Street
Port Norris, NJ 08349

Mailing Address:
2838 High Street, Po Box 692, Port Norris, NJ 08349

Union Status: NonUnion

SIC:2011

NAICS: 311611/Animal (except Poultry) Slaughtering

Inspection Type: Referral

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 03/25/2004

Emphasis: N:Amputate, S:Amputations

Case Closed: 05/04/2004

Related Activity
Type	Activity Nr	Safety	Health
Referral	201776473	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	9					9
Current Violations	9					9
Initial Penalty	$21,000	$0	$0	$0	$0	$21,000
Current Penalty	$12,600	$0	$0	$0	$0	$12,600
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.	01001	Serious	5A0001	03/29/2004	04/22/2004	$1,800	$3,000	$0	I - Informal Settlement
2.	01002	Serious	19100023 C03	03/29/2004	04/22/2004	$900	$1,500	$0	I - Informal Settlement
3.	01003	Serious	19100095 D03	03/29/2004	04/01/2004	$1,800	$3,000	$0	I - Informal Settlement
4.	01004	Serious	19100095 G01	03/29/2004	04/01/2004	$1,800	$3,000	$0	I - Informal Settlement
5.	01005	Serious	19100095 K01	03/29/2004	04/22/2004	$1,800	$3,000	$0	I - Informal Settlement
6.	01006	Serious	19100147 C06 I	03/29/2004	04/22/2004	$900	$1,500	$0	I - Informal Settlement
7.	01007	Serious	19100147 F03 II	03/29/2004	04/01/2004	$900	$1,500	$0	I - Informal Settlement
8.	01008	Serious	19100212 A03 II	03/29/2004	04/01/2004	$1,800	$3,000	$0	I - Informal Settlement
9.	01009	Serious	19101030 F02 I	03/29/2004	04/01/2004	$900	$1,500	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 201772340

Event: 01/26/2004

Employee's arms amputated by conveyor

At approximately 6:00 a.m. on January 26, 2004, an employee, a maintenance mechanic at a clam processing plant, was making an adjustment to one conveyor when he backed into a second conveyor that was running. The tail of his shirt became caught on the unguarded end of the shaft of the second conveyor's rotating head roller. The employee was then pulled into the second conveyor amputating both of his arms at the shoulders. He was hospitalized and treated for amputation.

Keywords: ROTATING PARTS, AMPUTATED, CONVEYOR, ARM, UNGUARDED, BACKING UP

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307149666			Hospitalized injury	Amputation	Specified mechanics and repairers

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