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Inspection Detail
Inspection: 108631656 - Fab-Form Products Inc.
Inspection Information - Office: Indiana Department Of Labor
Site Address:
Fab-Form Products Inc.
735 Industrial Parkway
Elkhart, IN 46516
Mailing Address:
P. O. Box 3117, Elkhart, IN 46515
Union Status: NonUnion
SIC:3354
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/18/1992
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 11/24/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361040231 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 12 | 11 | 23 | |||
| Current Violations | 10 | 13 | 23 | |||
| Initial Penalty | $36,000 | $0 | $0 | $0 | $0 | $36,000 |
| Current Penalty | $16,087 | $0 | $0 | $0 | $0 | $16,087 |
| 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 | 19100023 C01 | 08/18/1992 | 08/26/1992 | $0 | $1,800 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100212 A01 | 08/18/1992 | 08/22/1992 | $900 | $1,800 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100212 A05 | 08/18/1992 | 08/22/1992 | $900 | $1,800 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 19100217 B03 I | 08/18/1992 | 11/16/1992 | $3,375 | $4,500 | $0 | P - Petition to Mod Abatement | ||
| 5. | 01005 | Serious | 19100217 C01 I | 08/18/1992 | 08/22/1992 | $3,375 | $4,500 | $0 | I - Informal Settlement | ||
| 6. | 01006 | Serious | 19100217 C02 IA | 08/18/1992 | 08/22/1992 | $1,575 | $3,150 | $0 | I - Informal Settlement | ||
| 7. | 01007 | Serious | 19100217 D01 II | 08/18/1992 | 08/22/1992 | $1,687 | $2,250 | $0 | I - Informal Settlement | ||
| 8. | 01008 | Serious | 19100219 B01 | 08/18/1992 | 08/22/1992 | $900 | $1,800 | $0 | I - Informal Settlement | ||
| 9. | 01009 | Serious | 19100303 G02 I | 08/18/1992 | 08/22/1992 | $1,125 | $4,500 | $0 | I - Informal Settlement | ||
| 10. | 01010 | Serious | 19100304 A02 | 08/18/1992 | 08/22/1992 | $1,125 | $2,250 | $0 | I - Informal Settlement | ||
| 11. | 01011 | Serious | 19100304 F04 | 08/18/1992 | 08/22/1992 | $1,125 | $4,500 | $0 | I - Informal Settlement | ||
| 12. | 01012 | Other | 19101200 E01 | 08/18/1992 | 09/05/1992 | $0 | $3,150 | $0 | I - Informal Settlement | ||
| 13. | 02001 | Other | 19100022 D01 | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 14. | 02002 | Other | 19100157 C01 | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 15. | 02003 | Other | 19100217 B04 I | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 16. | 02004 | Other | 19100217 E01 I | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 17. | 02005 | Other | 19100217 F02 | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 18. | 02006 | Other | 19100303 B02 | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 19. | 02007 | Other | 19100303 E | 08/18/1992 | 08/23/1992 | $0 | $0 | $0 | - | ||
| 20. | 02008 | Other | 19100303 F | 08/18/1992 | 08/23/1992 | $0 | $0 | $0 | - | ||
| 21. | 02009 | Other | 19100305 B01 | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 22. | 02010 | Other | 19101200 E01 I | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - | ||
| 23. | 02011 | Other | 19101200 H | 08/18/1992 | 08/22/1992 | $0 | $0 | $0 | - |
Investigation Summary
AT APPROXIMATELY 1:45 P.M. ON OR ABOUT MAY 12, 1992, EMPLOYEE #1 WAS OPERATING AN E.W. BLISS COMPANY 50-TON FULL-REVOLUTION MECHANICAL POWER PRESS (SERIAL #H25888/HP6079 AND COMPANY #1776). A PART DID NOT EJECT FROM THE MACHINE AND EMPLOYEE #1 REACHED IN WITH HIS RIGHT HAND TO REMOVE THE STUCK PART. THE EMPLOYEE PUT HIS LEFT HAND ON TOP OF THE DIE TO BRACE HIMSELF. THERE WAS NO PROTECTIVE GUARD IN PLACE ON THE PRESS, WHICH IS FOOT PEDAL ACTIVATED. EMPLOYEE #1 APPARENTLY STEPPED ON THE FOOT PEDAL AS HE FREED THE STUCK PART, CAUSING THE PRESS TO CYCLE AND THE RAM TO COME DOWN ON THE DIE WHERE HIS LEFT HAND WAS. THE PRESS CRUSHED HIS LEFT LITTLE FINGER, RING FINGER, AND MIDDLE FINGER. THE LITTLE FINGER AND RING FINGER WERE COMPLETELY AMPUTATED BY THE EMERGENCY ROOM DOCTOR. A PIN WAS INSERTED INSIDE THE MIDDLE FINGER TO TRY AND SAVE IT.
Keywords: DIE, AMPUTATED, POWER PRESS, FINGER, WORK RULES, CRUSHED, FOOT-POWERED PRESS, PRESS OPERATOR, UNGUARDED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 108631656 | Hospitalized injury | Amputation | Punching and stamping press machine operators |