Inspection Detail

Inspection: 107956260 - C M I Permanent Mold Inc

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 107956260

Report ID: 0551800

Date Opened: 12/21/1988

Site Address:
C M I Permanent Mold Inc
51650 County Road 133
Bristol, IN 46507

Mailing Address:
P.O. Box 659, Bristol, IN 46507

Union Status: NonUnion

SIC:3369

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/27/1988

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/15/1989

Related Activity
Type	Activity Nr	Safety	Health
Accident	360472740

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$900	$0	$0	$0	$0	$900
Current Penalty	$900	$0	$0	$0	$0	$900
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19100212 A03 II	01/13/1989	03/01/1989	$900	$900	$0	02/13/1989	F - Formal Settlement
2.	02001	Other	19101200 E01	01/13/1989	03/01/1989	$0	$0	$0	02/13/1989	F - Formal Settlement

Investigation Summary

Investigation Nr: 976860

Event: 11/21/1988

Employee's arm amputated after being crushed by die

At approximately 9:15 a.m. on November 21, 1988, Employee #1 was reaching in between the die molds to change the upper date stamp. Employee #1 was using a pair of pliers to hold the stamp. When the die was raised for more clearance, it hit the top plate and the cylinder shaft broke, crushing and pinning Employee #1's right hand and forearm in the machine. It took approximately three minutes to lift the die to remove his arm. Employee #1 was taken to the hospital, where his right arm had to be amputated below the elbow.

Keywords: DIE, MAINTENANCE, AMPUTATED, CYLINDER, PINNED, EQUIPMENT FAILURE, CRUSHED, ARM, HAND

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	107956260			Hospitalized injury	Amputation	Molding and casting machine operators

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