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Inspection Detail
Inspection: 316210905 - Amf Support Surfaces, Inc. Dba Tridien Medical
Inspection Information - Office: San Bernardino District Office
Site Address:
Amf Support Surfaces, Inc. Dba Tridien Medical
1691 N. Delilah Street
Corona, CA 92879
Mailing Address:
1691 N. Delilah Street, Corona, CA 92879
Union Status: NonUnion
SIC:3086
NAICS: 326140/Polystyrene Foam Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/09/2013
Emphasis:
Case Closed: 05/16/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102755014 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 6 | 1 | 7 | |||
| Current Violations | 6 | 1 | 7 | |||
| Initial Penalty | $49,500 | $0 | $0 | $375 | $0 | $49,875 |
| Current Penalty | $49,500 | $0 | $0 | $375 | $0 | $49,875 |
| 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 | 4352 B | 07/09/2013 | 07/12/2013 | $375 | $375 | $0 | 07/31/2013 | F - Formal Settlement | |
| 2. | 02001 | Serious | 4353 D | 07/09/2013 | 07/12/2013 | $3,375 | $3,375 | $0 | 07/31/2013 | F - Formal Settlement | |
| 3. | 03001 | Serious | 4353 G | 07/09/2013 | 07/12/2013 | $3,375 | $3,375 | $0 | 07/31/2013 | F - Formal Settlement | |
| 4. | 04001 | Serious | 4193 E | 07/09/2013 | 07/23/2013 | $3,375 | $3,375 | $0 | 07/31/2013 | F - Formal Settlement | |
| 5. | 05001 | Serious | 4203 B | 07/09/2013 | 07/23/2013 | $3,375 | $3,375 | $0 | 07/31/2013 | F - Formal Settlement | |
| 6. | 06001 | Serious | 4353 A | 07/09/2013 | 07/12/2013 | $18,000 | $18,000 | $0 | 07/31/2013 | F - Formal Settlement | |
| 7. | 07001 | Serious | 3481 A | 07/09/2013 | 07/12/2013 | $18,000 | $18,000 | $0 | 07/31/2013 | F - Formal Settlement |
Investigation Summary
At approximately 12:00 noon, on March 2, 2013, an employee was dumping waste foam into the hopper of a baler/compactor (Excel, Model Number EX6011, Serial Number X2127, Date Of Manufacture October 26, 1998). He was using a cart while standing on a ramp which was connected to the hopper of the baler about 19 inches below the edge of the hopper. As he turned around after dumping the foam, he tripped over something and fell into the hopper of the baler/compactor. His both legs were caught between the ram and the body of the baler, causing the amputation of his both legs above the knees. The employee had been working for the site employer through an employment agency for seven days as a punch press operator. The employee was hospitalized and treated for amputation of both legs.
Keywords: AMPUTATED, MACHINE OPERATOR, SLIP, CAUGHT BETWEEN, TRIPPED, BALER, FALL, NIP POINT, LOST BALANCE, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316210905 | Hospitalized injury | Amputation | Pressing machine operators |