Inspection Detail

Inspection: 312596984 - Adjustable Forms

Inspection Information - Office: Chicago South Area Office

Inspection Nr: 312596984

Report ID: 0521700

Date Opened: 07/01/2009

Site Address:
Adjustable Forms
10 E. Delaware
Chicago, IL 60610

Mailing Address:
1 E. Progress Road, Lombard, IL 60148

Union Status: Union

SIC:1522

NAICS: 236116/New Multifamily Housing Construction (except Operative Builders)

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/01/2009

Emphasis: S:Amputations

Case Closed: 07/01/2009

Related Activity
Type	Activity Nr	Safety	Health
Complaint	206818155	Yes

Investigation Summary

Investigation Nr: 200033488

Event: 06/27/2009

Employee Amputates Pinky Finger with Lifting Jack

On June 27, 2009, Employee #1 was operating a power ram lifting jack, when he positioned his hand in a pinch point on the equipment. The machine amputated his right pinky finger at the second knuckle.

Keywords: ROTATING PARTS, AMPUTATED, HYDRAULIC JACK, FINGER, CAUGHT BETWEEN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312596984			Hospitalized injury	Amputation	Carpenters

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