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Inspection Detail
Inspection: 307161497 - Paper Source Converting And Mfg
Inspection Information - Office: Long Beach District Office
Site Address:
Paper Source Converting And Mfg
5333 S Downey Rd
Vernon, CA 90058
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2676
NAICS: 322291/Sanitary Paper Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/12/2004
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 09/24/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362618761 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 6 | 10 | |||
| Current Violations | 4 | 6 | 10 | |||
| Initial Penalty | $35,320 | $0 | $0 | $2,670 | $0 | $37,990 |
| Current Penalty | $16,560 | $0 | $0 | $550 | $0 | $17,110 |
| 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 | 11/09/2004 | 11/30/2004 | $100 | $515 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 23400016 A | 11/09/2004 | 11/30/2004 | $100 | $410 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Other | 23400022 C | 11/09/2004 | 11/30/2004 | $100 | $410 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Other | 25000008 A | 11/09/2004 | 11/30/2004 | $0 | $410 | $0 | I - Informal Settlement | ||
| 5. | 01005 | Other | 3225 A01 | 11/09/2004 | 11/30/2004 | $100 | $515 | $0 | I - Informal Settlement | ||
| 6. | 01006 | Other | 3241 C | 11/09/2004 | 11/30/2004 | $150 | $410 | $0 | I - Informal Settlement | ||
| 7. | 02001 | Serious | 23400023 | 11/09/2004 | 11/22/2004 | $1,800 | $6,185 | $0 | 12/21/2004 | F - Formal Settlement | |
| 8. | 03001 | Serious | 4070 A | 11/09/2004 | 11/22/2004 | $180 | $4,950 | $0 | I - Informal Settlement | ||
| 9. | 04001 | Serious | 4075 A | 10/09/2004 | 10/22/2004 | $180 | $6,185 | $0 | I - Informal Settlement | ||
| 10. | 05001 | Serious | 3314 A | 11/09/2004 | 11/22/2004 | $14,400 | $18,000 | $0 | 12/21/2004 | F - Formal Settlement |
Investigation Summary
At approximately 6:30 a.m. on June 2, 2004, an employee and a coworker were operating the napkin folding machine producing napkins. The employee, who is a mechanic, was clearing a paper jam in the machine between the vertical fingers and roller mechanisms at the far right track four of the machine. The employee's hand was caught in the roller mechanism. The employee sustained bone loss amputation to index and middle finger of right hand. The employee went to Western Hand Center and received surgery but was not hospitalized. The accident happened because the power source for napkin folding machine was not deenergized or disengaged nor were extension tools or other methods or means provided and used.
Keywords: AMPUTATED, FINGER, MACHINE OPERATOR, ROLLER--MACH/PART, CAUGHT BETWEEN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307161497 | Non Hospitalized injury | Amputation | Helpers, mechanics and repairers |