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Inspection Detail
Inspection: 316590710 - Economy Forms Corporation
Inspection Information - Office: Iowa 0751910
Site Address:
Economy Forms Corporation
1625 Broadway Avenue
Des Moines, IA 50313
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: 06/28/2012
Emphasis: L:Amputate, N:Amputate, S:Amputate
Case Closed: 09/06/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200535698 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $2,500 | $0 | $0 | $0 | $0 | $2,500 |
| Current Penalty | $1,500 | $0 | $0 | $0 | $0 | $1,500 |
| 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 | 19100179 N03 VI | 08/03/2012 | 08/31/2012 | $1,500 | $2,500 | $0 | I - Informal Settlement |
Investigation Summary
On June 28, 2012, Employee #1 was working for Economy Forms Corp. The employee was operating an overhead crane and placing a column form on top of a plate girder. A second employee needed to use the crane. The second employee took the controls and was in a rush and did not notice Employee #1's right thumb on the top of the column form. Employee #1's thumb was crushed and amputated at the first digit.
Keywords: AMPUTATED, GIRDER, CONTROL LEVER, COLUMN, THUMB, OVERHEAD CRANE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316590710 | Non Hospitalized injury | Amputation | Graders and sorters, except agricultural |