Inspection Detail

Inspection: 307510362 - American Converters, Inc.

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 307510362

Report ID: 0552700

Date Opened: 03/12/2004

Site Address:
American Converters, Inc.
5360 Ne Main Street
Fridley, MN 55421

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: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 06/30/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 03/24/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100510262

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4					4
Current Violations	4					4
Initial Penalty	$62,000	$0	$0	$0	$0	$62,000
Current Penalty	$47,000	$0	$0	$0	$0	$47,000
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	Serious	19100147 C04 I	07/21/2004	07/31/2004	$25,000	$25,000	$0	07/27/2004	F - Formal Settlement
2.	01002	Serious	19100147 C06 I	07/21/2004	07/31/2004	$2,000	$2,000	$0	07/27/2004	F - Formal Settlement
3.	01003	Serious	19100147 C07 I	07/21/2004	07/31/2004	$10,000	$10,000	$0	07/27/2004	F - Formal Settlement
4.	01004A	Serious	19100147 F03 I	07/21/2004	07/31/2004	$25,000	$25,000	$0	07/27/2004	F - Formal Settlement	Citation has been deleted.
5.	01004B	Serious	19100147 F03 II	07/21/2004	07/31/2004	$10,000	$0	$0	07/27/2004	F - Formal Settlement

Investigation Summary

Investigation Nr: 200513471

Event: 03/08/2004

Employee dies after being injured in compactor

At approximately 1:30 p.m. on March 8, 2004, Employee #1 and a maintenance supervisor were reconnecting one of the cylinders that broke free from its bracket/housing located on the left rear of a Summit Equipment Compactor (Model Number F66-4PS; Serial Number 0006736). Employee #1 entered the rear of the powered-down compactor while the maintenance supervisor remained on the outside. When the cylinder became lodged on a reinforcement beam located on the back of the ram, the compactor was powered back up to "jog" the ram and free the cylinder. Employee #1 remained inside the rear of the compactor to assist the cylinder. Apparently, the cylinder broke free, swung and hit the left wall of the compactor, and bounced back and struck Employee #1's head. He died from his injuries two days later.

Keywords: HEAD, MAINTENANCE, CYLINDER, JAMMED, LOCKOUT, STRUCK BY, RAM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307510362			Fatality	Other	Occupation not reported

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