Inspection Detail

Inspection: 307454876 - Boozak Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 307454876

Report ID: 0950633

Date Opened: 10/27/2004

Site Address:
Boozak Inc
508 Chaney Street Suite #A
Lake Elsinore, CA 92530

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3542

NAICS: 333513/Machine Tool (Metal Forming Types) Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/23/2005

Emphasis:

Case Closed: 04/13/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	101159291

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$900	$0	$900
Current Penalty	$0	$0	$0	$900	$0	$900
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	Contest	Latest Event	Note
1.	01001	Other	3314 A	03/23/2005	03/28/2005	$450	$450	$0		-
2.	01002	Other	3384 B	03/23/2005	03/28/2005	$450	$450	$0		-

Investigation Summary

Investigation Nr: 202439956

Event: 10/01/2004

Employee's Fingers Are Amputated in Machine

At approximately 9:00 a.m. on October 1, 2004, Employee #1, a machine operator with Boozak, Inc., removed a gear assembly cover from a Wysong & Miles metal shear machine to make an adjustment while the machine was running. His left gloved hand became caught the in-running nip point, causing partial amputation of his left ring and little fingers. Coworkers provided first aid and took Employee #1 to the Inland Valley Medical Center. He was then transferred to the Loma Linda University Medical Center, where he was hospitalized for surgery.

Keywords: AMPUTATED, FINGER, GLOVE, MACHINE OPERATOR, CAUGHT BY, LOCKOUT, NIP POINT, HAND

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307454876			Hospitalized injury	Amputation	Sheet metal workers

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