Inspection Detail

Inspection: 310397419 - Instaff Personnel Llc

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 310397419

Report ID: 0453720

Date Opened: 12/12/2006

Site Address:
Instaff Personnel Llc
5190 Indiana Avenue
Winston Salem, NC 27106

Mailing Address:
280 Business Park Drive, Winston Salem, NC 27107

Union Status: NonUnion

SIC:7361

NAICS: 561310/Employment Placement Agencies

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/04/2007

Planning Guide: Safety-Manufacturing

Emphasis: N:Amputate, S:Program Improvement

Case Closed: 07/12/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	100073410

Investigation Summary

Investigation Nr: 100073410

Event: 12/09/2006

Employee Amputates Arm in Hydraulic Press, Later Dies

On December 9, 2006, Employee #1 climbed onto the feed conveyor of a Hydraulic Press and hit the activation switch turning on the press. Employee #1's arm was amputated, when it was pulled into the press. Employee was hospitalized and treated for his injuries. Employee #1 died later as a result of his injuries.

Keywords: AMPUTATED, EQUIPMENT OPERATOR, CONVEYOR, ARM, HYDRAULIC PRESS

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310397419			Fatality	Amputation	Occupation not reported

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