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Inspection Detail
Inspection: 310081153 - Economy Forms Corporation
Inspection Information - Office: Iowa 0751910
Site Address:
Economy Forms Corporation
1800 Ne Broadway
Des Moines, IA 50316
Mailing Address:
, , 00000
Union Status: Union
SIC:3441
NAICS: 332312/Fabricated Structural Metal Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/21/2006
Emphasis: S:General Industry
Case Closed: 11/28/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200526952 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| Current Penalty | $3,150 | $0 | $0 | $0 | $0 | $3,150 |
| 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 | Serious | 19100212 A01 | 10/02/2006 | 11/20/2006 | $3,150 | $4,500 | $0 | I - Informal Settlement |
Investigation Summary
On July 21, 2006, Employee #1 was working for a company that made fabricated structural metal products. She was pushing steel through a roll former, when her left arm became caught. Her left arm was degloved, the small finger on her right hand was amputated, and the ring finger on her right hand was lacerated. She was hospitalized.
Keywords: AMPUTATED, FINGER, METAL SHOP, DEGLOVED, BENDING MACHINE, CAUGHT BETWEEN, LACERATION, POINT OF OPERATION, ARM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310081153 | Hospitalized injury | Amputation | Rolling machine operators |