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Inspection Detail
Inspection: 312666548 - North American Foam & Combining Co
Inspection Information - Office: Monrovia District Office
Site Address:
North American Foam & Combining Co
1395 E Lexington St
Pomona, CA 91766
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5199
NAICS: 424990/Other Miscellaneous Nondurable Goods Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/19/2011
Emphasis:
Case Closed: 01/07/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102712239 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $18,000 | $0 | $0 | $4,000 | $0 | $22,000 |
| Current Penalty | $4,050 | $0 | $0 | $0 | $0 | $4,050 |
| 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 | Other | 3203 A07 | 10/19/2011 | 11/10/2011 | $0 | $2,000 | $0 | 11/10/2011 | F - Formal Settlement | |
| 2. | 01002 | Other | 4001 | 10/19/2011 | 11/10/2011 | $0 | $2,000 | $0 | 11/10/2011 | F - Formal Settlement | |
| 3. | 02001 | Serious | 4002 A | 10/19/2011 | 11/10/2011 | $4,050 | $18,000 | $0 | 11/10/2011 | F - Formal Settlement |
Investigation Summary
At approximately 5:30 p.m. on April 20, 2011, Employee #1, a temporary employee with Select Staffing, was working a North American Foam & Combining Co. facility. He was pushing a piece of foam (3 ft by 2 ft) with his left hand into a moving roller on the bed of a table conveyor. Employee #1's left arm became caught under the moving roller. He was hospitalized for a fracture of the arm. Employee #1 reported that the revolving roller was not guarded at time of the incident, that he was not trained by the employer, and the conveyor had no emergency stop mechanism.
Keywords: FRACTURE, STOP SWITCH, EMERGENCY STOP, ROLLER--MACH/PART, CONVEYOR, ARM, UNTRAINED, UNGUARDED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312666548 | Hospitalized injury | Fracture | Packaging and filling machine operators |